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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Varying Psa. On Avodart. Removed 2 Polyps. But A Small Part Was Left Behind. Problem?

Good evening. I am a 71 year old male and I am writing to you regarding a jump in my psa. I have had a history of psa's going up and down over the past 20 years. I am currently on Avodart and have been for about 2 years. Prior to starting Avodart my Psa dropped from 4.7 to 4.3. Last year at this time my psa was 2.1. This time it was 7.7. I have had a history of BPH for a good number of years so my urologist put me on Avodart to see if it would shrink my prostate. My last DRE was February of this year and he said the prostate felt smooth and had definitely shrunk. Three weeks prior to the drawing of blood I had a flexible colonoscopy. I had a biopsy some 12 years ago and it was negative. I had two polyps removed on 31 May of this year both of which were benign but a small part of one was left in because of my aspirin regimen due to a heart stent. I way about 169 pounds and am 5 feet 7. I would appreciate your advice on this. Also, I am scheduled to see my urologist for my six month DRE on July 8. I would appreciate your thoughts on this matter.
Tue, 9 Jul 2013
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General & Family Physician,  's  Response
Hello. Psa does not have an absolute value except when very high if it is very suggestive of cancer.Besides of Psa is important ultrasound and DRE.
Normally, urologists perform prostate biopsy when Psa is greater than 10 or exists problems DRE or ultrasound.
Psa of 7.7 with normal DRE and normal ultrasound ;cancer probability is low
and I think it would not be necessary biopsy.
However the final decision will depend on your urologist at the next visit.
I wish you good health.
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Have Varying Psa. On Avodart. Removed 2 Polyps. But A Small Part Was Left Behind. Problem?

Hello. Psa does not have an absolute value except when very high if it is very suggestive of cancer.Besides of Psa is important ultrasound and DRE. Normally, urologists perform prostate biopsy when Psa is greater than 10 or exists problems DRE or ultrasound. Psa of 7.7 with normal DRE and normal ultrasound ;cancer probability is low and I think it would not be necessary biopsy. However the final decision will depend on your urologist at the next visit. I wish you good health. (In case the answer would have been useful please indicate this)