What could a raised PSA mean?
PSA can rise for several reasons, including benign enlargement, inflammation and prostate cancer. A raised result does not establish a cancer diagnosis, and a lower result does not exclude cancer.
The consultation considers previous results, symptoms, family history and relevant examination findings.
Do I need an MRI or a biopsy?
Depending on your circumstances, the next step may include repeating a PSA test, prostate MRI or a biopsy. These are discussed individually rather than offered as an automatic package.
When a biopsy is appropriate, a transperineal approach takes samples through the skin between the scrotum and anus. MRI findings can help target areas of concern. Bleeding, discomfort, infection and difficulty passing urine are among the risks to discuss.
Before your appointment
- Your latest PSA result and previous results, if available
- Any prostate MRI or biopsy reports
- A current medication list and relevant medical history
- Your questions and any family history of prostate cancer