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1/4/2019
Verifiedhello Dr Ross im a urologist I will try to help. A doubling of the PSA is unusual since prostate cancer has a 2 year doubling time. Activities like masturbation, constipation exercise bikes can cause a transient increase PSA . best to check again in 3 months before jumping what was your Gleason score.
If you stopped the Avodart your PSA will double off it
If a Gleason 6 in your positives you should be ok. Surveillance protocols in the USA are bx every 3-5 years to restage. after 2 increases PSA or rectal exam changes earlier
I would favor a non cancer cause of the increase unless you were a Gleason 7 or higher. I hope that helped
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