Cancer or infection - spiking PSA
Hi – I’m 57 and In mid-February I began seeing symptoms of tea colored urine, increased frequency, weak stream which got worse over the next couple of weeks to include fever and an episode of night sweats and finally so much painful urination that I went to the urologist at the beginning of March. He found pus in urine and urine culture bacteria although at a low level – 1,000-9,999- and started me on amoxicillin for what I assumed was either prostatitis or a UTI. He did not take a PSA but my previous PSA test in August, 2022 was 1.2 and has been consistently at that level for 7 years. My symptoms resolved rather quickly and I no longer saw blood in urine so I thought that was the end of it. Fast forward to last week when I decided to get a PSA test at my local lab just to make sure all was well and the result was 18.2!
My primary doc (can’t see urologist until next week) said the more likely cause of such a rapid PSA increase was the infection rather than cancer but I’m still freaking out. My symptoms have resolved and I’m assuming prostate cancer symptoms don’t come and go but the high PSA level is concerning especially since I feel like I’ve cleared the infection based upon lack of symptoms.
Obviously I’m following up with my urologist ASAP but was curious if anyone had a similar experience of such a rapid and dramatic PSA increase – from 1.2 to 18.2 in 8 months. Can a prostate infection cause this? Did I test for PSA too soon without letting the infection clear? How long Bose a prostate infection take to clear? Any thoughts appreciated. Thanks- Tom