Psa Level

PSA Level is a measure of the Prostate-specific-antigen in blood, a protein synthesized by the tumor cells and the non-tumor cells of the prostate. High PSA levels indicate prostate cancers, prostatitis, or an enlargement of the prostate gland. 0 to 2.5 ng/mL is the average PSA level; 2.6 to 4 ng/mL is borderline and requires medical attention. If the PSA level is between 4 to 10 ng/mL, there is a chance for prostate cancer and should be evaluated, whereas a PSA level more than 10 ng/mL is hazardous, and the possibilities for prostate cancer are high.

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Can biopsy be done in a condition with a high PSA levels?

Query: Hi doctor,I am consulting you about a prostate gland problem. I am having a problem in passing urine, and there is a pain in the lower abdomen up to the scrotum and the testicles, but no fever yet. I saw the doctor a few days back, and he prescribed a blood test and my PSA level has been > 8 ng/d...  Read Full »


Dr. Praveen Pushkar

Answer: Hello,Welcome to icliniq.com.Prostatitis needs long-term antibiotic treatment if you have symptoms because of that.A biopsy is indicated in raised PSA (prostate-specific antigen) value if you have ruled out infection or any other benign causes for that.Yes, there are chances that the PSA value might...  Read Full »

My father is 85-year-old and has been diagnosed with prostatic adenocarcinoma. What could be done?

Query: Hello doctor, My father is diagnosed with prostatic adenocarcinoma. His biopsy reports show Gleason's grade 3+4 (% of 4 is 30%), tumor involves 60 % of submitted biopsy. No perineural invasion is seen. His PSA level is 107.69 ng/mL. He has triple vessel heart disease, and the echo result showed EP...  Read Full »


Dr. Bharat Patodiya

Answer: Hello,Welcome to icliniq.com.You can get a staging workup with PSMA (prostate-specific membrane antigen) scan or bone scan and MRI pelvis. His high PSA (prostate-specific antigen) does make him high risk, but considering his age, I will not suggest a very aggressive approach to the case.If the prost...  Read Full »

What should I do for my erectile dysfunction?

Query: Hi doctor, I had erectile dysfunction and consulted a urologist. He suggested doing an MRI. Kindly review my report and explain what should be done. Thanks.  Read Full »


Dr. Samer S J Altawil

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachments removed to protect the patient’s identity). Everything is normal and good in your reports. There is nothing to worry about. Generally, every patient above 50 years is suggested to have PSA (prostate-specific ant...  Read Full »

My husband suffers from painless hematuria for a year. How to manage it?

Query: Hello doctor, My husband who is 36 years old, is having painless hematuria since last year. The episodes are not defined, it is present for a month or sometimes as less as a week. MRI, CT scan, and cystoscopy, all show normal findings except hyperemia in the bladder. There are stones in his kidney,...  Read Full »


Dr. Praveen Pushkar

Answer: Hello, Welcome to icliniq.com. If your husband has already done urine cytology, CT scan, cystoscopy, PSA (prostate-specific antigen), urine routine examination, culture, and all other the investigation are normal, then just keep a follow-up every year with the same investigations. Is he a smoker? An...  Read Full »

What do elevated PSA with fever indicate?

Query: Hi doctor, My brother is 69 years old. Having HT and DM. He is presently taking the following medicines: 1) Amlong-H for BP. 2) Zita-met plus 20 or 500 mg for sugar. 3) Amaryl M2 for sugar. 4) Flodart plus for urine. 5) Orcerin GM for knee pain. Since the last two days, he has a fever and sta...  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. The cause for fever is an infection, and as also the CRP (C-reactive protein) is elevated. CT (computed tomography) scan of the thorax is normal (attachments removed to protect the patient's identity). The urine analysis so far is fine. But should wait for the urine cul...  Read Full »

Please provide a second opinion on my father's scan reports.

Query: Hello doctor, I need a second opinion on the results that came back from the doctor's report. Can you explain the report and the steps that we need to take further on this matter?  Read Full »


Dr. Shahil Khant

Answer: Hi, Welcome to icliniq.com. Relax and do not worry. I have gone through the reports (attachment removed to protect patient identity) and I will explain you in detail. This is a gallium PSMA (prostate-specific membrane antigen) scan done for the whole body. The patient in the scan had undergone rad...  Read Full »

Does prostate enlargement cause blockage in passing urine?

Query: Hi doctor,I have a problem with the prostate. I have a big prostate with a blockage in passing urine. I am living with a catheter and I am taking Tamsulosin 0.4 and Prostamol 505 once a day. I am taking antibiotics such as Sulfamethoxazole 800 mg and Trimethoprim 160 mg for fifteen days. What to do?  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Prostate cancer and enlargement of the prostate is a common problem after 50 years of age. Blockage depends on the shape of the prostate rather than its size. You can do an examination using an ultrasound scan, kidney functions, urine culture, PSA (prostate-specific...  Read Full »

Why is my semen not normal after a urinary tract infection?

Query: Hello doctor,I had a UTI with the usual fever, etc., before five months. Before the UTI episode, my ejaculate was the usual (white), but my ejaculate has been clear ever since. I do not have pain, no problem with erections, plenty of desire, etc. What is the cause?  Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. Ejaculate color and consistency depends on the frequency of ejaculation. If it is more frequent, it is more clear, light, and more transparent, that is normal and requires no treatment. The only concern here will be if you are looking for fertility, then I will follo...  Read Full »

What is the cause of my low urine flow?

Query: Hello doctor, I am suffering from poor urine flow and hesitancy. My USG and KFT are normal. I have attached the reports. What is the issue, and what are the treatment options?   Read Full »


Dr. Samer S J Altawil

Answer: Hi, Welcome to icliniq.com. I believe you have enlarged prostate causing obstruction to your flow. The size of prostate does not matter rather the shape of prostate is more important and the anatomy of prostate is well seen on the flexible cystoscopy if facility is available. You have mild symptom...  Read Full »

Is surgery needed for my prostate cancer?

Query: Hi doctor, I am on active surveillance for the last 2 years. My initial prostate biopsy was 2 years ago and showed 1 out of 10 needles cancerous, Gleason 6, slow growing and Prolaris test showing a medium growth rate. I had second biopsy 6 months ago. Before the second biopsy, my PSA was 5 and four ...  Read Full »


Dr. Shahil Khant

Answer: Hi, Welcome to icliniq.com. I have gone through your details. My main concern is the rise of PSA (prostate-specific antigen) from 5 to 16. Though it might be due to infection, since three months you are taking treatment of infections. So, your PSA should have reduced if the rise was due to infection...  Read Full »

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