Managing My Elevated PSA Level: Insights and Concerns at 56 Years Old

  • Thread starter nycmathguy
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In summary, the conversation discussed the speaker's recent high PSA level, their family history of prostate cancer, and the options for further testing and treatment. They also received advice on seeking treatment within the VA medical system and the potential risks and benefits of different anesthesia options. The conversation ended with the speaker stating they would keep the others informed and expressing hope that their PSA level is not cancerous.
  • #1
nycmathguy
On June 7, 2021, I learned that my PSA level is 4.9, which is pretty high for my age (56). I got to go back in 6 weeks to get another blood test done for PSA. I am hoping that my PSA goes down or remains the same.

If my PSA level continues to rise, this is a bad situation. My father died from prostate cancer in April 2010. An elevated PSA is caused by different things (aging, infection in the prostate and cancer). I'm sure there are a few more reasons for an elevated PSA, but typically cancer is the culprit in most men.

The only way to know for sure is to experience a prostate biopsy. The VA Hospital does not put patients to sleep for this anal procedure. Patients are simply sedated (put in a twilight zone). I am not too thrill about the procedure if needed in the future. So, I am not rushing into a prostate biopsy.

I don't know if you know, but sedation is not the same as general anesthesia. I know the prostate biopsy procedure is not without pain but it is the only way to determine the reason why the prostate is growing. Do you know if I can get general anesthesia outside the VA Hospital? I am talking about a private urologist. I welcome all replies in this regard.

Thanks,
nycmathguy
 
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  • #2
Sorry for the loss of your parent.

You may have treatment options even within the Veterans Affairs medical system. My current hometown includes many veterans but lacks several medical specialists. The VA transports patients to hospitals with better outcomes for certain procedures. Perhaps you could locate a facility that meets your criteria. I understand the VA is establishing closer ties to other Federal systems such as Medicare that include civilian practices; worth discussing with your VA doctor and patient advisor.
 
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  • #3
Klystron said:
Sorry for the loss of your parent.

You may have treatment options even within the Veterans Affairs medical system. My current hometown includes many veterans but lacks several medical specialists. The VA transports patients to hospitals with better outcomes for certain procedures. Perhaps you could locate a facility that meets your criteria. I understand the VA is establishing closer ties to other Federal systems such as Medicare that include civilian practices; worth discussing with your VA doctor and patient advisor.

Thank you for the information. I will investigate further before running into a prostate biopsy situation. My PSA would need to be at least above 8.0 before I would even consider such a procedure. I'll keep you posted.
 
  • #4
nycmathguy said:
Thank you for the information. I will investigate further before running into a prostate biopsy situation. My PSA would need to be at least above 8.0 before I would even consider such a procedure. I'll keep you posted.
Sorry about your father.

Some general information on PSA biopsy and conditions that can raise PSA

https://www.nhs.uk/conditions/prostate-cancer/

NO screening in the UK as the test is considered inconclusive, mine was via a volunteer group.

It was only after having the test and reading into it that I discovered the issues with the test.

Hopefully you talk through all the options with your GP.

Good luck
 
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  • #5
As an old guy I would also point out that although "twilight sleep" is not without issues (ask Michael Jackson...oops you can't), the more powerful anesthetics can cause a host of issues, particularly for ongoing mental acuity as we age. There are no perfect solutions, but take the time to do the research: this is not an emergency. Of course best of luck. I personally have been very impressed by most medical practitioners.
 
  • #6
pinball1970 said:
Sorry about your father.

Some general information on PSA biopsy and conditions that can raise PSA

https://www.nhs.uk/conditions/prostate-cancer/

NO screening in the UK as the test is considered inconclusive, mine was via a volunteer group.

It was only after having the test and reading into it that I discovered the issues with the test.

Hopefully you talk through all the options with your GP.

Good luck
Thank you for the link provided. I will keep you informed. Praying that it is not cancer.
 
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  • #7
I think your own physicians are a better source then us. They do these frequently and are unlikely to suggest an anesthesia type that is inappropriate. They should be familiar with normal patient concerns; your question doesn't sound unique to me. Anesthesia is complex with more choices than the general public normally understands.

I know nothing about prostate biopsies. However, I did have arthroscopic knee surgery (partial meniscectomy) with deep sedation and felt nothing. Also a couple of colonoscopies with less sedation without discomfort.
 
  • #8
DaveE said:
I think your own physicians are a better source then us.
This is the bottom line (ack! sorry about the unintentional pun).

With this good advice, the thread is closed.
 
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1. What does an elevated PSA level mean?

An elevated PSA level means that there is an increased amount of prostate-specific antigen (PSA) in the blood. PSA is a protein produced by the prostate gland, and an elevated level can be a sign of prostate cancer or other prostate conditions.

2. What can cause an elevated PSA level?

There are many factors that can cause an elevated PSA level, including age, race, prostate size, and certain medications. Other possible causes include inflammation or infection in the prostate, recent sexual activity, and recent prostate procedures.

3. What should I do if my PSA level is elevated?

If your PSA level is elevated, it is important to follow up with your doctor. They may recommend further testing, such as a prostate biopsy, to determine the cause of the elevated level. It is also important to discuss any potential risk factors or lifestyle changes that may help manage your PSA level.

4. Can an elevated PSA level be lowered?

In some cases, an elevated PSA level can be lowered through lifestyle changes such as diet and exercise. Certain medications may also be prescribed to help manage PSA levels. However, it is important to work closely with your doctor to determine the best course of action for your specific situation.

5. Are there any other concerns I should be aware of with an elevated PSA level?

Aside from the potential for prostate cancer, an elevated PSA level can also be a sign of other prostate conditions such as prostatitis or an enlarged prostate. It is important to discuss any symptoms or concerns with your doctor and to follow up with recommended testing to ensure proper management of your PSA level.

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