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What Does PSA Level Of 20 Indicate?

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Posted on Mon, 17 Nov 2014
Question: Hi there my brother has a psa level in the his blood 20 could.you explain to me what is so high
doctor
Answered by Dr. Panagiotis Zografakis (36 minutes later)
Brief Answer:
Many possible causes

Detailed Answer:
Hello,

you haven't mentioned your medical history, so I'll present you some general thoughts about the prostatic specific antigen (PSA).
PSA is commonly used as a screening tool for prostate cancer but other conditions may also increase its levels.
I'll name a few: prostatitis, biopsy, acute urinary retention, bicycle exercise, the presence of indwelling catheter, digital rectal examination etc
If no other conditions apply then biopsy for cancer should be done.
I hope you understand his situation better now!
If you have more questions on the subject, please let me know. I'll be glad to answer.

Kind Regards!

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Panagiotis Zografakis (1 hour later)
He has not symptom and urination is very normal with out buring there is no blood in the semen no blood in the urine no bone pain and no erection dystuction, so how could you bring the PSA LEVEL BACK DOWN what should he do ....
doctor
Answered by Dr. Panagiotis Zografakis (19 minutes later)
Brief Answer:
Further investigation is needed

Detailed Answer:
Hello,

I implied in my previous answer that investigation is needed. I'll try to be more clear on this answer!
Your brother's problem is not the psa itself but the cause of its elevation.
Since he has no symptoms clinical and radiological tests are needed to identify the cause. A urinalysis, a digital rectal examination and ultrasound scan of the prostate would help a lot. Other tests might be needed also (cultures etc depending on the results). If after the tests, there's still suspicion for cancer then biopsy should be done.
After the cause is identified and appropriate treatment is initiated, the psa may fell to normal or near-normal levels. You see, it's the cause that matters, not the psa!
I hope things are more clear now!
If you still have questions, please ask again.

Kind Regards!
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3818 Questions

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What Does PSA Level Of 20 Indicate?

Brief Answer: Many possible causes Detailed Answer: Hello, you haven't mentioned your medical history, so I'll present you some general thoughts about the prostatic specific antigen (PSA). PSA is commonly used as a screening tool for prostate cancer but other conditions may also increase its levels. I'll name a few: prostatitis, biopsy, acute urinary retention, bicycle exercise, the presence of indwelling catheter, digital rectal examination etc If no other conditions apply then biopsy for cancer should be done. I hope you understand his situation better now! If you have more questions on the subject, please let me know. I'll be glad to answer. Kind Regards!