I am 62. Do my high PSA levels indicate prostate cancer?

Question

Hello doctor,

I am a 62-year-old man, and I recently found out that my PSA levels are higher than normal. I have been having some urinary issues like a weak stream, going to the bathroom more often than usual, and feeling like I am not fully emptying my bladder. I have also noticed some occasional pain in my lower back.

My doctor said these might be signs of prostate cancer, but I am not sure how worried I should be.

Does a high PSA level always mean prostate cancer, or are there other signs I should be looking out for?
What are the early symptoms of prostate cancer at my age, and what tests should come next?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Thanks for reaching out.

I understand your concerns about elevated PSA (prostate-specific antigen) levels.

Higher PSA levels can be caused by several prostate-related conditions. These include benign prostatic hyperplasia (BPH), which is a non-cancerous enlargement of the prostate, prostatitis (inflammation of the prostate), or prostate cancer. However, it's important to know that PSA (prostate-specific antigen) levels by themselves do not confirm a diagnosis of prostate cancer.

PSA levels can also rise due to non-cancerous reasons such as aging, recent ejaculation, or any manipulation of the prostate during a medical procedure.

Early signs of prostate cancer (a type of cancer that occurs in the prostate gland when abnormal cells grow uncontrollably, potentially spreading to other parts of the body) often overlap with BPH and prostatitis. These can include difficulty starting urination, weak or interrupted urine flow, frequent urination at night, or blood in the urine or semen. If the cancer has spread, it may cause pain in the lower back, hips, or pelvic area. It's also possible to have prostate cancer without any noticeable symptoms in the early stages, which is why routine screening and follow-up are important.

Additional testing is recommended to determine the exact cause of your elevated PSA. A digital rectal exam (DRE) can help detect any abnormalities in the prostate. Imaging tests, such as an MRI or prostate ultrasound, can provide more detailed information. A prostate biopsy, which involves taking small samples of prostate tissue to examine under a microscope, is the most definitive way to diagnose or rule out cancer.

Please discuss these options with your doctor so you can confirm the diagnosis and, if needed, begin an appropriate treatment plan. Detecting prostate cancer early greatly improves treatment outcomes.

I hope this helps.

Please feel free to reach out with any more questions.

Thank you.