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Urology (Expert Forum)
elevated PSA Biopsy normal
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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elevated PSA Biopsy normal
by postalworker, Apr 13, 2005 12:00AM
The more I read about PSA and the prostate the more confused I am. My boyfriend has been seeing a urologist for about 7 years. In the last year his reading was the lowest it has ever been. He is now taking Avodart. However his reading will not drop. He will be having his 4th biopsy at the end of the month. They always come back negative. I was looking on his copy of patient information and in the corner are these numbers and symtoms. Can you tell me if these are some kind of readings from his PSA. 600.00E Enlarged Prostate
599.0P Pyuria, site not specified
790.93 Elevated PSA
His docter says he has an infection which is the cause of his elevated reading but can not find where the infection is. Is there some other kind of test we should know about.
Lois
599.0P Pyuria, site not specified
790.93 Elevated PSA
His docter says he has an infection which is the cause of his elevated reading but can not find where the infection is. Is there some other kind of test we should know about.
Lois
Doctor's Answer
by Kevin Pho, MD, Apr 14, 2005 12:00AM
, Apr 14, 2005 12:00AM
The codes are the diagnoses that the doctor used during the visit.
There are many other things other than cancer that can raise the PSA. This can include a benign enlargement of the prostate, infection or a GU procedure.
If there is concern about infection despite normal urine tests, you can consider a transrectal ultrasound, which can evaluate for any abscesses that may be difficult to see.
Otherwise, the most feared result of an elevated PSA would be cancer. Continuing to look for this (i.e. via biopsy) would not be an unreasonable course of action. This is because a biopsy only collects a small sample of tissue that may miss any cancer that is present.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
There are many other things other than cancer that can raise the PSA. This can include a benign enlargement of the prostate, infection or a GU procedure.
If there is concern about infection despite normal urine tests, you can consider a transrectal ultrasound, which can evaluate for any abscesses that may be difficult to see.
Otherwise, the most feared result of an elevated PSA would be cancer. Continuing to look for this (i.e. via biopsy) would not be an unreasonable course of action. This is because a biopsy only collects a small sample of tissue that may miss any cancer that is present.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
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