FROM OUR EXPERTS
What Does PSA Mean? PSA is a blood test that is commonly used to help predict the presence of prostate cancer . It stands for Prostate Specific Antigen (PSA) and refers to a protein first identified in 1979 that is made only by the prostate gland. It is currently used as a tumor marker and can also help monitor disease progression or lack of recurrent disease in patients who have previously undergone treatment for prostate cancer . A tremendous amount of confusion exists amongst patients and the popular press regarding PSA. Part of this lack of understanding has occurred because many think that an elevation in the PSA level means that one definitely has prostate cancer. In actuality, this is not true and this article should help clarify some of the confusion surrounding PSA testing. Most important is the “S” in PSA, which refers to the protein being specific to the prostate gland and not specific to cancer. Many conditions, both benign ...
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 a recent Op-Ed in the NY Times , a non-clinician PhD, announces another fix to the health care crisis. Lets do away with PSA testing and save the government a lot of money! Brilliant, or is it?
Most Urologists in clinical practice clearly remember those days when the wards of a Urology floor were filled with patients dying of prostate cancer. Patients laid in their hospital beds in severe pain from metastatic disease to bone or perhaps were being dialyzed several times weekly as a result of renal failure that occurred due to metastatic lymph nodes from their prostate cancer that would result in obstruction of the urinary tract. Many patients were unable to urinate, and required catheterization. This was a horrendous way to come to the end of ones life, being totally debilitated and succumbing to a slow, painful, torturous end of life. Surprising that the author of The Great Prostate Mistake would knock the use of PSA testing, especially since his fath...
You should know
Answers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.