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Can Likely Scar Tissue from a Bike Riding Accident Cause High PSA, 8.5
Prostate Cancer | Last Active: Mar 11 10:42am | Replies (8)Comment receiving replies
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. 👍
Replies to "Thank you Jeff, PIRADS-4, this was based on 13.4 PSA and the lesion size. However, the..."
@rapco101
PIRADS-4 calls for a biopsy. The PSA is not relevant with that higher risk result.
As @heavyphil Recommends, a PSE test could resolve this without a biopsy. I think he knows I would’ve said the same thing. I’m saying it again because you really need to be aware this is an issue. You need to be proactive.
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@rapco101 PIRADS 4 is usually suspicious for cancer…perhaps a PSE test would be more definitive before going thru a biopsy as it is 94% accurate for the presence of PCa.
Your bike accident sounds horrible - and certainly could have caused lasting damage to the prostate; many older injuries show up on scans and are discounted for that reason.
Phil