Re: Elevated PSA...What's Next Step?
Don't be worried. His elevated PSA could very well be due to BPH, an enlarged prostate, or prostatitis (inflammation of the prostate) both which are treatable. But, even if it is cancer, at its early stages, it is very treatable and curable. Sometimes if it's slow growing, Active Surveillance is the only treatment. That's where the PSA is monitored regularly to watch that it doesn't become more aggressive. Most prostate cancer is very slow growing, so many men who get it in their later years die WITH the cancer and not from it. Your father's PSA isn't even close to doubling over a period of 18 months. That's not indicative of an aggressive cancer at all...unless the movement of PSA just started happening recently.
So, stay calm and, at this point, I'd just ask that your father's PSA gets checked every three months to see the change. Something to watch for is doubling time (how fast the PSA doubles). From that point, you can find out if the problem is due to something other than cancer and treated or whether he should have a biopsy.
To be honest, I think your father's doctor is doing the right thing by sending him to a urologist but it seems premature to be sending him for a bone scan. Remember, general practitioners don't know everything about everything. The urologist should give you a better idea of the situation and probably set your fears to rest.
Last edited by honda50; 10-05-2011 at 11:25 AM.