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 Prostate specific antigen (PSA) is a protein made only by the prostate and can easily be measured with a simple blood test. There are normal levels of PSA in men of different ages, but high levels may be an indication of other disease. The PSA test is not a perfect test for prostate cancer. High levels do not mean that cancer is definitely present, and likewise low levels do not absolutely rule out prostate cancer. The Urology Clinic regularly evaluates men with an elevated PSA and seeks to determine its cause and to provide education and support during this process.
Causes of Elevated PSA
Evaluation
The evaluation begins with a detailed history and physical examination and may include the following:
- Urinalysis
- Urine culture and sensitivity
- PSA
- PSA percent free
- Digital rectal examination
- Prostate ultrasound for size/density measurement
- Transrectal ultrasound-guided prostate biopsy
Treatment
The treatment for an elevated PSA depends upon the underlying cause and an individualized plan is made for each patient.
Summary
Elevated PSA is a common reason that men are seen by a urologist, and evaluation is important because it can be an indication of other disease. At The Urology Clinic, we will look to determine the underlying cause for the PSA elevation and treat the cause. When a biopsy is required, we use the most up-to-date equipment available in conjunction with ultrasound-guided nerve blocks to minimize your or your family’s discomfort.
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