As a non-professional patient, I agree more with your PCP than with your urologist. If he weights so much the age factor, he could also consider that your current PSA is definitely unjustified and too high for your age since the prostate is not enlarged and he discards prostatitis. However, the previous peak five years ago suggests a history of prostatitis, so that it may be the cause of this flare. Prostatitis is often asymptomatic and it raises PSA in a random way, not necesssarily to very high levels. I hope this is the case. I also believe that prostatitis and enlarged prostate are two different and independent conditions but, again, I am not a medical professional. Anyway, considering your familiar history, you should have another PSA test soon (I guess you are aware of that). And I would insist for further tests, particularly a mpMRI or a biopsy, if PSA remains in its current level. about
taking PSA tests in your 40's, it may be a controversial issue but you decided to play that game and now it is clear you need some close follow-up because of the results, therefore this is irrelevant for you right now.
69 years old
PSA: 2008:2.8; 2012-2016: 4.5-5.5. 2013: 2 BXs (ASAP, neg) mpMRI (-).
Feb to July 2017: 5.5-7.6; free: 25%-20%
mpMRI, July 2017: PIRAD5 5.
Dx August 2017,Gleason 3+3, 1core left 5%, 1 right 3%.
Prostate > 100 g. DRE +.
LRP, nov. 6, 2017.
Bilat., 18%. G 5+3. Clean margins, T2, LVI and PNI (-).
Psa: 2018; 1-31:0.08; 4-16: 0.05; 7-16: 0.03; 10-22: 0.07. 2019: 3-20: 0.03; 9-23: 0.05.
Post Edited (jmadrid) : 11/7/2019 5:45:09 AM (GMT-7)