Recently Answered Questions
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Why was Finasteride prescribed despite no urinary symptoms?
Query: Hello doctor, I am a 66-year-old male. My only medical history is hypertension (controlled) with Norvasc. I went for my routine prostate test a couple of months ago and the result stated: 1. PSA - 9.8 ng/mL. 2. Free PSA - 1.9 ng/mL. 3. Percentage free PSA - 19.4 %. I went back to another doctor a f... Read Full »
Answer: Hello, Welcome to icliniq.com. After analysis of the history provided, I would like to give you a brief idea of the same. Firstly PSA (prostate-specific antigen) varies with age. As the age advances, it keeps increasing. Secondly, in spite of that, the PSA level mentioned in your report is in a... Read Full »
I have gallbladder issues. What to do?
Query: Hello doctor, I had got an abdomen ultrasound done for other reasons but, the radiologist observed the following 'gallbladder is partially distended and showing few small concretions at the GB neck. Chronic patient of the prostate. Size 47 by 41 by 38 mm, volume 39 cc. Pre-void urine 281 cc, post v... Read Full »
Answer: Hello, Welcome to icliniq.com. How old are you? There is no need to worry. Small concretions are commonly found in the gallbladder. Also, the prostate size is enlarged and it is probably due to a benign prostatic hypertrophy. You should get Serum PSA (prostate-specific antigen) levels done, whi... Read Full »
I am concerned about my PSA and free PSA values. What to do?
Query: Hi doctor,On a recent visit to the doctor, my PSA was 4.7 and free PSA was 0.78. The prostate was swollen on the right side, but no bumps or nodes felt. I had another PSA test three weeks later and the result showed PSA 2.5 and free PSA 0.60. Under what percentage do the 0.78 and the 0.60 values fal... Read Full »
Answer: Hello, Welcome to icliniq.com. Free PSA (fPSA) and %fPSA (free-to-total prostate specific antigen ratio) are called as PSA derivatives. There is no fixed normal range for fPSA. For your age, in the case of PSA above 4 malignancy or cancer needs to be ruled out by doing a biopsy. The %fPSA helps to d... Read Full »
What is the use of free PSA test?
Query: Hi doctor, I had a total free PSA test done and these were the results. PSA 7.7, PSA free - 1.49, and % free PSA - 19.4. What does this mean? Read Full »
Answer: Hello, Welcome to icliniq.com. PSA (prostate-specific antigen) is only a screening test that can be raised in any prostate abnormality. Coming back to your query, as your total PSA levels fall in the grey zone of 4-10, free PSA is done. If free PSA is more than 25% chances of you having CA prostate ... Read Full »
My PSA level is 1.2 ng/mL, and my free percentage PSA is 17 %. What does it mean?
Query: Hello doctor, I have a question about the free PSA percentage test. I am 67 years old and just had my annual fasting and urinalysis examination last week. I am not on any medication, and my results were all normal. My total PSA was 1.2 ng/mL, but my free percentage PSA was 17 percent. Kindly explain... Read Full »
Dr. Samer Sameer Juma Ali Altawil
Answer: Hello, Welcome to icliniq.com. Your age is 67 years, and your prostate-specific antigen (PSA) is between 0.9 to 1.2 ng/mL, and it is normal. The free total PSA ratio is created to differentiate between chronic prostatitis and prostate cancer for those who have PSA above 4 ng/mL and below 10 ng/mL ... Read Full »
What is the significance of PSA biomarker test?
Query: Hello doctor, I need a urologist to look at my labs. I also have prostate PSA biomarkers like total PSA, free PSA, and prostate-specific antigen free ratio. Read Full »
Answer: Hi, Welcome to icliniq.com. Let me tell you, your reports are absolutely fine (attachment removed to protect patient identity). This ratio has got significance only when your total PSA (prostate-specific antigen) level is out of normal range. You can repeat this test annually. No intervention is req... Read Full »