FROM OUR EXPERTS
Dear Dr. Motola,
Can sexual activity just before a PSA blood test make PSA results jump from 2 to 12?
PSA testing immediately after sexual activity remains controversial. The most widely held belief is that patients should wait 3 days after sexual activity prior to obtaining a PSA, however some recent studies suggest that sexual activity will not cause a rise. Repeating the PSA after 3 days of abstinence will be the easiest way to resolve this.
Dear Dr. Greenstein:
My friend ,who is in his early 50s, just got the results of his annual PSA test - it was between 4-5. The results of his previous 6 annual tests were in the 1-2 range every year, until now. His brother recently had his prostate removed due to cancer.
He now has to see a specialist. We are both very concerned, but should we be that worried?
First, I never tell people to worry before we have all the answers. In this situation, it is crucial to know if this man has any new voiding problems such as burning, slow stream or the sensation he is not emptying his bladder. These symptoms can indicate prostate inflammation, which can falsely elevate the PSA value. In those cases, a course of antibiotics are warranted and the PSA can be repeated after finishing the antibiotics.
If the PSA normalizes then this man can continue to have his prostate examined every 6 - 12 months. The physical exam is also very important. The discovery o...
In the 21st century, medicine has seen unrivaled advances, enabling patient care that includes finding cures for previously incurable diseases. Surgical intervention has moved into a minimally invasive platform, with illness being treated in manners that allows for rapid return to work. Patients in the U.S. are constantly benefitting from the technology that is available; as a result, the American people are living longer, healthier and more productive lives than ever.
Recent events that have occurred on Capitol Hill have threatened to change this. Since this is a urology blog, first allow me to address the United States Preventive Task Force (USPSTF) decision regarding PSA testing . Recently this organization has given PSA screening a “D” rating. The panel has advised against PSA-based prostate cancer screening for men of all ages based on the panel’s moderate certainty that the potential harms of testing outweigh the benefits of testing. The...
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