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Profile picture for Jeff Marchi @jeffmarc

Sounds like you’ve recovered from that bike accident. What was the PIRADS rating on that lesion? Did you have a biopsy that showed it was benign because the PIRADS score was very low?

Damage to the prostate that causes scar tissue can cause the PSA to be high for a very long time.

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Replies to "Sounds like you’ve recovered from that bike accident. What was the PIRADS rating on that lesion?..."

Thank you Jeff,

PIRADS-4, this was based on 13.4 PSA and the lesion size. However, the test seemed too high based on my previous tests, and for some reason they did two blood draws claiming that the first test was tainted??? Sooo, five days later I independently tested three PSA blood tests, all within 1.5 hours, and the average PSA was 8.5.... wtf?

The doctor couldn't really answer the 5 point difference, nor answer the trauma possibly causing the blood, the diminished semen volume, the lesion possibly being permeant scarring, and that my 8.5 average PSA's are my norm based on the injury.

I've learned that physical trauma to the prostate can lead to scarring and sometimes long lasting increase in PSA levels!

Finally, no biopsy yet as I'm wanting to understand if I even need one, or active surveillance as I have no symptoms and the testing has only been since December 2025.... three months. 👍