PSA of 3.95

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Hi,

My Dad (68) had been diagnosed with BPH in April 11 2020 . His PSA then was 3.1.

It has always hovered around 2.7 ish for years before the diagnosis of BPH.

His prostate size is 52.5 gr and has Post-void residual urine is 60 ml.

His PSA value since then:

  • September 2020 : 3.68 (His Urine culture showed bacteria and was treated for 7 days with ciprofloxacin) ,
  • November 2020: 3.95

I'm a bit worried because it seemed to be increasing. He has since (since November ) been taking lyc-o-mato and I noticed he does not pee as often. But we have not yet to check is PSA just yet.

Any thought on what we should do ? and when should we check his PSA again?

Thanks so much in advanced for all your comments.

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  • Posted

    Have you looked at what the PSA should be for a man approaching 70? It doesn't seem that far out to me. However, I'm not a Urologist so this is really a conversation you should be having with one. I hadn't heard of Lyc-o-mato and suspected it was a bit of snake oil so looked it up and so it proved. I wouldn't take any notice of the anecdotal claims of any food supplement, BPH is a problem that needs to be addressed by serious medicine, it can soon deteriorate into something even more serious if not.

    I suspect that most responses you will get is to have some more investigation. Your description sounds like he has had some urodynamic investigation but you haven't mentioned cystoscopy. This would find out if he has any other issues like a median lobe causing the problem. This would open up a discussion about what options for further intervention to consider.

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    • Posted

       LOL on the snake oil remarks.

      lycomato is lycopene supplement. have helped some people so we thought we give it a try.

      yes went to the urologist in april and the Doctor did not seem concerned. as it was 3.1 then. Did ultrasound to measure BPH as he never done it before.

      since my Dad does not too annoying of a symptom ( just urinating frequently and the feeling of not fully emptying his bladder. he only wakes up once at night) the doctor said he can hold out on the meds.

      no he has not done cystoscopy. will definitely bring this up should we come to that.

      the Doctor did mention he is prone to infection as his post void urine is 60 ml.

      planning to check in february to see if it has gone down to normal.

      hopefullt this is transient.

      will keep this updated. thanks again for replying!! 😃

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    • Posted

      Jonah,

      3.95 PSA and 60 ml post void residual are both low for a 70 year old. I would "watch and wait" for a while. Usually Urologists try Alpha Blockers like Flomax, Aflusosin, Rapiflo, or Cialis for a while, to increase flow. Don't let the doctors push him into doing a blind biopsy. If anything do a MP 3T MRI first then if anything suspicious shows up do an MRI guided single needle biopsy after.

      An MRI will show the size of the prostate very accurately, but if you want to know the size before, ask a Urologist to do a TRUS (Tran Rectal Ultra Sound) on him. It is good to know the size, because a larger prostate will naturally have a higher PSA. They should be dividing the PSA by the size and using that number to compare.

      Thomas

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  • Posted

    The infection would raise his PSA.

    Cipro should no longer be prescribed for prostate problems.

    Search on Cipro and Fluoroquinolones on this site

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  • Posted

    I wouldn't worry as PSA goes up and down. Guidance from UK NHS is that age 60-69 PSA should be less than 4.0, for greater than 70 less than 5.0. I am late 50s and have an average PSA less than 3.0 (get tested every 6 months on uro's orders for past 6 years) but have had PSA tests as high as 8.6. No cancer has been found yet.

    get measurements done over several months to find out which way it is going.

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