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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do These PSA Levels Indicate?

Hello, I bought Prostagenix and read your article on not getting a biopsy and doing a sonogram. My Urologist has me confused as my psa levels at 54 years old was 6.0. After another blood test went down to 5.3. A third test showed it went to 6.1. After today s sonogram he says I have a small prostate and how can psa levels be at my number with a small one so he stated I have a 50 50 chance of having Prostate cancer. Please tell me if I am wrong, but isn t prostate cancer an enlarged prostate not a small one? I also ask this doctor questions and he gets a bit impatient as I am trying to find out all of the details. For example, he states there are no symptoms at all for prostate cancer. I told him I read where an increase of urination is a sign but I don t have that. I also asked him, how long can I wait to do the biopsy, if I have prostate cancer he says he can t answer that and it could spread. I am getting a second opinion from another doctor, and I know you are not a medical professional but what is your opinion on all of this and if you could let me know the answers to my questions. Thank you so much, and I look forward to your reply.
Fri, 17 Aug 2018
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Urologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Prostate cancer screening is individually tailored shared decision making process. Why was PSA performed in the first place? Was this a routine check up? What does digital rectal exam indicate? What about any family history? options include keep trending PSA levels to see if these are going upward. If positive family history and/or abnormal digital rectal exam, biopsy is indicated. small prostate gland does not necessary mean no prostate cancer. Prostate cancer happens in both small and large prostate glands.

Hope I have answered your query. Let me know if I can assist you further.
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What Do These PSA Levels Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Prostate cancer screening is individually tailored shared decision making process. Why was PSA performed in the first place? Was this a routine check up? What does digital rectal exam indicate? What about any family history? options include keep trending PSA levels to see if these are going upward. If positive family history and/or abnormal digital rectal exam, biopsy is indicated. small prostate gland does not necessary mean no prostate cancer. Prostate cancer happens in both small and large prostate glands. Hope I have answered your query. Let me know if I can assist you further.