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What Causes Elevated PSA Levels?

Posted on Tue, 25 Oct 2016

Question: i am 73 yo, male general health is good.. went primary doctor for annual check, PSa high 25. he recommended to have biopsy. is that right step? i also may have prostitis symptoms

Answered by Dr. Indranil Ghosh (1 hour later)

Brief Answer:
Yes this seems the right step

Detailed Answer:
Hi
Thanks for your query.

PSA is quite high and with this PSA biopsy is recommended. However, infection of prostate, or prostatitis can also caused raised PSA. So if that is suspected, then a course of antibiotics followed by repeat PSA is warranted. If that is high, then biopsy definitely required.

Hope this helps.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indranil Ghosh (27 minutes later)

if i decide to treat potential prostatitis, what should i do? Are there any antibiotics that i can take? what and how long?

Answered by Dr. Indranil Ghosh (3 hours later)

Brief Answer:
Refer below

Detailed Answer:
commonly we use Ciprofloxacin or levofloxacin for 7-10 days. But regarding which one will be suitable for you and what doses/duration, it will be decided by your doc.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Indranil Ghosh (19 hours later)

My PSA level was very high 25. Is it possible PSA rises that high from inflammation or BPH?

Answered by Dr. Indranil Ghosh (3 hours later)

Brief Answer:
yes might be

Detailed Answer:
PSA may be quite high sometimes in infection but not usually in BPH.
If urine examination clear then directly biopsy can be done

Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar