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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Higher Level Of PSA And Enlarged Prostrate With Hydroureter And Hydronephrosis

65 year old male with PSA of 16, pain in left leg, enlarged prostate, weight loss over approx 4 months. Had MRI showing right hydroureter and hydronephrosis. to have prostate biopsy, ultra sound of abdominopelvic area and cystoscopy. what is happening?
Tue, 28 Oct 2014
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General & Family Physician,  's  Response
Hi,

If you have an enlarged prostate which is causing obstruction to the flow of urine and possible hydroureter and hydronephrosis then there is a need to do complete evaluation clinically and by doing tests. The PSA level is increased in cases of infection and cancer. If you always had a higher PSA when done earlier then there is less chance of cancer but if the PSA level increased by a considerable value since the last time it was done then you need to get cystoscopy, ultrasound and guided biopsy done to rule out cancer. Infection if present can be treated by antibiotics and then PSA can be repeated again. Weight loss is significant and you must inform your doctor about that when getting examined.
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Suggest Treatment For Higher Level Of PSA And Enlarged Prostrate With Hydroureter And Hydronephrosis

Hi, If you have an enlarged prostate which is causing obstruction to the flow of urine and possible hydroureter and hydronephrosis then there is a need to do complete evaluation clinically and by doing tests. The PSA level is increased in cases of infection and cancer. If you always had a higher PSA when done earlier then there is less chance of cancer but if the PSA level increased by a considerable value since the last time it was done then you need to get cystoscopy, ultrasound and guided biopsy done to rule out cancer. Infection if present can be treated by antibiotics and then PSA can be repeated again. Weight loss is significant and you must inform your doctor about that when getting examined.