psa readings

Can u give us a bit more info AL?

Ie , age, what prompted u to get a reading, any symptoms, presumably that is the only reading u have at the moment , no MRI scan yet?

What has your GP/specialist said about  what will happen next?

Steve

Hi Steve , I,m 70. Been suffering ,on and off,all year with a U T I,fighting it with Anti- Bees,so doc ordered blood test.2 in fact.first one high so second one done. They phoned me,seeing Doc on Wed. No mri  Ultra sound next week

UTIs can certainly be the reason behind a raised psa.

So can an enlarged prostate and obviously cancer but hopefully it's not the latter.

Wait and see what the ultrasound finds out, if inconclusive a MRI could be ordered.

Don't think it's too much cause for alarm at the moment but obviously needs to be looked into.

If if have had the uti  for a year strange why they have only just done a psa.

Regards

Steve

thanks steve,will update after Wednesday ! Cheers

Yes, do that AL

Although your PSA is relatively high, the fact that you've had what was diagnosed as a UTI for a year despite antibiotic treatment sounds suspiciously like Prostatitis. 

Acute Prostatitis can cause the symptoms of a UTI, frequent urge to urinate, discomfort on urinating, perhaps even a white discharge from the urethra.  Urine tests show white blood cells and possibly a trace of blood, but no bacteria.   With prostatitis the gland is painful or tender and you may notice this when sitting for any time on a hard chair.The gland can be considerably enlarged and the PSA can be raised.

Prostatitis can be diagnosed by doing a 3 part urine test (including a digital rectal exam and prostatic massage ) and a cystoscopy.

Prostatitis simply means inflammation of the prostate.

The ultra sound scan sounds unusual!  I'm not really sure what it would demonstrate.  That your prostate is enlarged?  A simple  digital rectal examination would show that.  Did you have one?  However, ultra sound is used as part of a trans rectal biopsy procedure.

I only say prostatitis as a possibility, I was diagnosed with Prostatitis in 2004, but it took 9 months to get the diagnosis, they kept treating it, (unsuccessfully), with antibiotics,  as a UTI.  When diagnosed properly it was treated successfully with an alpha blocker.

I hope it turns out that I am right, but I wouldn't want to give you any false expectations, I may be wrong.

Update; Urine sample shows nothing unusual so thats gone to lab for further testing.,.Prostrate gland enlarged slightly but no felt defects.

Further PSA tests will depend on results of lab test (anti/b or PSA if nothing found).Psa is going down 16.9 to 14.9 in a month.Next step a urologist.

Hi Thanks for all the info! Sounds very similar.Is a symptom painful testes ? For info previous Ultra/s discovered small cysts in my R/H Ductus Deferens..Doc just wants an update.

oh

Sorry about the "oh",  this was due to a glitch with trying to use this website on my Kindle, it doesn't always work properly!!!

The fall in PSA is a good sign.  If your symptoms improved at the same time then it's doubly a good sign. 

I have to say if your urine test doesn't show leucocytes (white blood cells) then Prostatitis is less likely.  I permanently had leucocytes in my urine from 2003 until 2012, when I had a prostatectomy.

It does depend however on which urine test you do.  With prostatitis there is a difference between a VB1, a VB2 and a VB3.  VB1 is the first few mLs you pass, VB2 is after you've stopped passing VB1 and is separate (also known as a "mid stream specimen").  VB3 is following a prostate massage.

With prostatitis there is usually some leucocytes in VB1, none in VB2 and a lot in VB3.  If you just test the urine without separating VB1 and 2, with prostatitis, there will be leucocytes present.

Additionally, there will be more leucocytes present in the urine passed first thing in the morning, than samples passed later.

Overall, if there's no leucocytes in any of these, then, as I say, it's unlikely to be prostatitis.

This still doesn't mean it's cancer however.