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Thursday, October 23, 2014
High PSA Level Causes
I am writing to inquire if there are other causes for high PSA level, other than cancer. Say bladder infection, ecoli etc. My husband is scheduled for a biopsy of his prostate, some people state that this is not necessary. His prostate is normal, however, his PSA levels are high and he had two screenings. Please advise.
Most elevated PSA's are not due to prostate cancer. PSA can be elevated in patients with the following conditions:
- BPH (benign prostatic hyperplasia or enlarged prostate) - the most common reason for an elevated psa
- Some acute urinary tract infections - those with severe urinary symptoms
- After injury, as in post prostate surgery
However, men with a ten year life expectancy who have an elevated PSA should have a prostate biopsy as about one third will have a potentially curable prostate cancer. Nowadays, almost 75% of men diagnosed with prostate cancer are diagnosed because their PSA is elevated.
R Bruce Bracken, MD
Professor of Surgery
College of Medicine
University of Cincinnati