Is a rise in PSA and pelvic pain a sign of urinary issues?

Question

Hello doctor,

I am a 48-year-old male. My height is 5 feet 24 inches, and my weight is 185 pounds. I have pain and discomfort in the pelvic area, which gets aggravated on sitting, lower back pain, irritation on peeing, and a burning sensation in the pelvic region, which radiates at times to the leg.

I have seen a urologist. He said I have a mild BPH, and my PSA value was 5.96. All these issues started at the beginning of the year when I drove an old Jeep with a hard seat. And earlier to that, I had the first episode five years ago while I was in a job that required prolonged sitting. PSA was 4.44 back then. The symptoms subsided completely in one year at that time. Please suggest a treatment.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Your history suggests that you have a chronic mild to moderate inflammation of the pelvic organs, most probably the urinary bladder. The possibility of a chronic epididymo-orchitis also has to be ruled out. Please do get the following investigations:

CBC (complete blood count).
ESR (erythrocyte sedimentation rate).
Renal function test.
Ultrasonography of the abdomen and pelvis, especially of the kidneys, ureter, urinary bladder, and scrotum, to look for hydrocele.

Once these reports are available, please get back to me or consult a urologist nearby.

I hope this helps.

Kindly revert in case of further queries.

Thank you.