Father Has Elevated PSA Levels

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NYC13
New Member


Date Joined Mar 2010
Total Posts : 1
   Posted 3/18/2010 11:10 AM (GMT -6)   
My father got a call from his doctor saying that his PSA level was 7.1. Last year (I don't know when), his level was less than one. He's waiting on setting an appointment with a urologist. I know that such a big jump in one year isn't good. However, with such a sharp rise in a short amount of time, how likely could it be that it's an infection or just a symptom of BPH? He doesn't have any problems urinating, other than having to go often, which has been happening for a few years now and is not new.

I know that a 7.1 doesn't necessarily mean bad news, but wanted to get some opinions on things. Can PSA levels spike for a short time and then go down again, just as a matter of course, absent of infection or any other condition?

He is 70 years old and we do not have a history of prostate cancer in my family. He is on blood pressure medication and recently had his prescription changed - I haven't seen anything about blood pressure meds raising your PSA, but is that possible?

Thank you for any help/insight anyone can provide. He's waiting for word from the doctor about when his appointment is, so that's taken care of.

Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4824
   Posted 3/18/2010 11:12 AM (GMT -6)   
Welcome to the Site.
 
It could be related to BPH....We can only guess - but recommend you take a few deep breaths and look forward to talking to the URO.
Age 55   - 5'11"   215lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 3/18/2010 2:24 PM (GMT -6)   
Hi,

Nothing to get excited about at this point. Such a sharp rise in PSA would be atypical (non-typical) of prostate cancer. Patients presenting with these symptoms will more typically be found to have a prostate infection; treatable by the urologist. Steve also mentioned another non-cancerous common cause for PSA rise (BPH) which can also cause frequent urge to urinate. Other meds won't cause a rise in PSA.

best wishes for your father...

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25364
   Posted 3/18/2010 3:39 PM (GMT -6)   
hello and welcome, nyc and your father,

if your father's PSA was less than 1.0 a year ago, that would be amazing for any man in his upper 60's at that time. Has your father had any Digital Rectal Exams (DRE) performed up to this point? If so, was there any comments by his doctor about feeling anything?

the non-cancerous reasons and explanations given by the above posters could easily explain the spike, it's a good thing that he has the appointment with an urologist. that was a good next step.

the sharp spike could be a sign of PC, mine tripled in the year before my dx, and continued to rise.

and there are plenty of men here, though probably much younger than your dad, that had no other symptons, such as myself. no urinary probelms, no getting up at night to pee, no pain or swelling, no enlargment, no positive DRE's, etc.

so getting this checked out at this point is definitely the right thing to do.

please keep us posted, and i sincerely hope he doesnt need to join the prostate cancer club

david in sc
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days

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