Have Urology Questions? Ask a Urologist Online.
Yes. I am a board certified practicing urologist in the USA. How can I help you?
Can you clarify what your question is?
Does you have any first degree relatives with a history of prostate cancer? Do you know what your percent free PSA is?
Sorry for the delayed response as I just got out of the operating room. I can't tell what exact percent chance you have of having prostate cancer. This needs to be determined based on your prostate examination as well as your free percent PSA level. But based on the fact that your PSA is about 4.0, you do have at least a 40 to 50% chance of having prostate cancer. Therefore, I would recommend that you have a prostate biopsy done to rule out the presence of prostate cancer. Hope this helps and let me know if you have questions.
Yes. I did understand your situation and PSA history. The fact that your PSA is above the threshold of 4.0 would require that you have a biopsy done to rule out the presence of prostate cancer.
The urinating at night can be due to prostate enlargement. None of those tests you mentioned will help at this point as your PSA is already elevated. Because of this fact alone, you should undergo the prostate biopsy to rule out the presence of prostate cancer.
Yes, even if you had all the other adjunct of tests that can be used to evaluate for prostate cancer, you still need a prostate biopsy because of your elevated PSA. The PSA about 4.0 trumps all other test results. You can request this biopsy to be done in the operating room with some sedation. The main risks are bleeding and infection which are minimal risks. They occur anywhere from 1 to 5% of the time. Hope this helps and please don't forget to leave me a rating. Thanks.
Again, your chances of cancer or based upon your PSA level as well as your prostate examination. I only know your PSA level. I am familiar with the PHI test. It does not add any additional information in your scenario. We already know that you need a biopsy based on your elevated PSA. The biopsy is not 100% accurate. We are only sampling 12 to 14 areas in the prostate cancer can certainly be missed. This is why many places are going to MRI guided biopsy is to target any suspicious area seen on the MRI.