Connect
Psa 13, biopsy benign
My 68 year old husband has a rising psa score over the last 3 years from 6 to 9 to most recently 13. He has an enlarged prostate. He’s had 2 biopsies and the most recent one, as well as, a year ago, have come back benign.
Should he still be worried?
Like
Helpful
HugInterested in more discussions like this? Go to the Prostate Cancer Support Group.
Connect
As other posters said it could be BPH. You may want to ask your Urologist about having an MRI guided biopsy as these are supposedly more accurate than a normal biopsy. Also, they will do this sort of biopsy under anesthesia as it is a more involved procedure.
Not to be worried yet. A few questions:
> What were his MRI results prior to each biopsy?
> What is his PSA Density?
> What were his % Free PSA results prior to this recent PSA increase?
Have they treated for Prostatitis? Mine went up to 11 and came down to 5 after treatment with Cypro.
-
Like -
Helpful -
Hug
1 ReactionI’d say just keep being monitored regularly. I have a friend at church whose PSA has gone as high as more than 50 but has never had a malignancy. Apparently he has a huge prostate. An MRI might be a good next step.
-
Like -
Helpful -
Hug
2 Reactionshttp://www.urologytimes.com/view/episwitch-prostate-screening-blood-test-launches-on-us-market
Was the biopsy an MRI-Ultrasound fusion biopsy? This is the most accurate. Did your husband have an MRI of his prostate? These two are critical to a proper diagnosis. Both of these procedures yield a prostate volume. How large is his prostate? A PSA of 12 which increased to 12 over a short period of time would be cause for concern. I agree on a PSE test............get one. Get second opinion from a center of excellence on the MRI results to make sure nothing was missed. Do not trust the first set of results. Radiologists make mistakes, especially if they are not expert in reading prostate MRI's. Pursue this until you have high confidence you've got credible analysis of your situation.