Re: Free PSA Question
- From: "John W. Polacheck, M.D." <jpolacheck@xxxxxxxxxxxxx>
- Date: Thu, 30 Apr 2009 04:15:41 -0700
Dear Anonymous,
It is quite likely that you will "need" to have a biopsy of your prostate gland, unless you can find a way to lower your PSA to a normal level. I would not wait too long for that biopsy if I were you..
However, if you can obtain a spectrographic MRI (S-MRI) of your prostate, if may give you some "clues", especially regarding the urgency for the biopsy and exactly where to biopdy. Is that test available in your area? Also, is it covered by your insurance, because it is quite expensive?
Best of "luck".
Yours,
John W. Polacheck, M.D.
Medical Director
Prostatitis Center
Tucson, Arizona
anonymous@xxxxxxxxxxxxx wrote:
I have been monitoring my PSA and Free PSA recently as about one and a half years ago my PSA was about 2.7. I have had a history over the past couple of years of urgent urination at times that went away with weight loss. I was also diagnosed as diabetic about two years ago.
and symptoms went away and blood sugar to normal with weight loss and no meds. The beginning of Feb I went to MD for checkup and PSA = 5
and upon retest two weeks later it was 5.7 and % Free PSA was 18. Went to a urologist and I was put on a course of Cipro and two weeks after finishing the meds was retested and PSA = 4.7 and % Free PSA = 14.2. MD tells me to get a biopsy although he keeps saying that it is not critical and I could wait and retest again or try another course of antibiotics but thinks it is a waste of time. He also said that I could get an ultrasound but today said that that was probably not going to reveal anything. He originally referred me to a radiologist for a biopsy but I thought I should see a urologist first. Saw a urologist who told me that I probably would need a biopsy, but said that my prostate was quite large and that could be causing the problem, but would it cause the % free psa to drop? The urologist did tell me that perhaps if biopsy cameback negative I could start proscar but side effects are not appealing! I have been taking Saw Palmetto, last couple of days Beta Sistosterol. Have had a split stream at times, but it goes away. Could this be prostatitis or should I definitely get a biopsy? I am not sure what level of risk this is. It is of concern that my % Free PSA seems to have dropped from 18 -14 in about 6 weeks. The lab results say that for my age 54, it puts me in a 24% risk category ... 10.1 - 15.1 = 24% risk. Any help, or experience would be appreciated. Thanks. Regards
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