Very High PSA

Posted , 10 users are following.

i took my 6 year old husband to the ER Saturday with a high fever.  Tests confirmed a UTI then the doctor ordered a PSA which came back at 99!  He has no symptoms normally associated with prostate, no frequent urination, no pain and he feels great.  Our local doctor is sending him to a specialist.  I have read a UTI can elevate the PSA and also wonder if the machine could have given a false reading.  Would you suggest we insist on a second blood test after his antibiotics before seeing the specialist?  

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  • Posted

    Hello

    Im. 66 male i also had no symptoms

    Very fit for my age lots of scuba.

    I had psa 18.6 so started the C treck

    Drg- small nodule .nuclear bone scan no metasrates. Biopsy T2 G8. So i had non nerve sparing radical prostactomy lymph nodes & seminal vesiculs out

    My results was great.it was confined

    In both lobes of prostate .

    Histology report after opp

    18 feb 16 . Bilateral 4-5 gleason 9

    T 2C no cancer in lymph nodes or vesicles

    Clear margines

    My psa now 0.050 . Still useing pads or leg bag . Urinating getting better slowly

    Thank god thats all i have to wory about

    Thank you MR SHARMA manchester royal

    Hope all goes well for your husband

    I only found out because one of my buddys had his done and said i should get a psa test my doctor rang me 3 days later set the ball rolling

    It got very emotional at times

    Pas tests every 3 months now

    Good luck to you

    • Posted

      I think I missed your post when it went live. G9 T2 with nothing in the lumps or beyond is great news. I fully agree with you that if some incontinece is the major worry you have, the. That is an acceptable major worry to have.

      have faith. This too will correct in time.

      and I am speaking as a G9 post biopsy but before surgery patient.

  • Posted

    Hi,  I am 70 years old and was diagnosed by biopsy with a slow growing cancer 3 + 4. At the time of diagnosis my PSA was in the high twenties.  My doubling time is just over four years.  At 70 years of age my PSA is now over 100.  I have no symptoms and a scan reveals no extracapsular lesions.  If I live to 87 as I hope, my PSA will be just over 800.  If you look online you will see references to people with very high PSA scores.  I wish you luck.   
    • Posted

      At the age of 70 with a G7 and four years for the PSA to double and no extracapsular ext. i I would sit back and monitor it. Or perhaps not monitor it. I would not have any major treatment such as surgery or radiation.
    • Posted

      You are correct. PSA score of itself is not an indicator of PCa.

      A person can have a sky high PSA reading and not have cancer, or he can have a very low PSA with cancer.

  • Posted

    His reading is now 4.09. Our family doctor was amazed that his original reading of 99 dropped so low. This is good information for people to know as nothing I read stated scores could be that extreme from an infection. Thank you all for your posts, advice & concerns. ????

    • Posted

      You are not quite out of the woods just yet. Anything above 4.0 is considered high on a PSA test. However, the PSA test is also no longer considered reliable. Some men have cancer with lower scores than 4.0 and some men do not have cancer with scores higher than 4.0. Many men ended up getting unnecessary biopsies because there PAS score was above 4.0. It is also possible to have prostate cancer with no symptoms.

      My suggestion would be to have a DRE and a PCA3 test done. (FYI, the PCA3 test is a urine test). The PCA3 test is considered by some to be a more accurate test for screening for cancer as it is not influenced by prostate size. Also, if there is cancer, the test is said to be able to tell if it is aggressive or non-aggressive.

      I only suggest this test because of its accuracy and easy to do. It will also either let you know if you need to take some action or you can relax and move on with your lives.

      With all the new treatments becoming available, Prostate cancer (caught at a very early stage) is starting to become a non-issue. So find out now if everything is alright.

    • Posted

      This is good to know and I will mention it to the doctor.  I know he's scheduled for another in 2 months.  Thanks!

  • Posted

    Im 74, live in the US, have had PSA every year since age 50. Who ever decided to run the PSA was in POOR judgment!  Recommended time would have several weeks AFTER the last dose of therapy was administered.  PSA is only relaible as a trend number, especially in younger men. Please consider changing physicians to someone who is more knowledgeable about men's health. My last 4 PSA tests were between 7 and 9. A sonogram was done at same time as biopsy. Doc said everything looked great but WHAM, the biopsy results showed cancer with Gleason scores of 6 to 7 ( 4 + 3, 3+4, 3 +3).  My general health was excellent, and the cancer was only in the prostate. My biopsy went well, I had NO side effects other than blood in my urine and in my ejaculate.

    Staistics show ( and my doc confirms) guys my age live 5 to 10 years when NOTHING is done, so he was not recommending surgery. I went to a radiologist who said I was in the intermediate risk group, T2b and he thought I should have EBRT + a 7 month harmone therapy to lower the testosterone level.

    My husband has gone through a similar procedure 4 years ago and is doing just fine, so I have great faith that this sequence works well with the least amount of complications.

    What I learned was the Docs in the US are LESS prone to rush men into therapy when the results are low or moderate. They don't recommend MRI as a way to detect cancer UNLESS there is reason to believe thae cancer has spread outside the prostate.  In my situation, the cancer is only in the prostate, just like my spouse ( who is 8 years younger). Please make sure to not eat poppy seeds, no sex, no ridng a bike for 2 weeks before the next PSA.  (Personal experience).

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