High PSA / Low Free / Recent Prostatitis
Looking for some opinions/advice
57 year old male in excellent health. Adopted, so history of family cancer is unknown.
Oct 2008 - PSA level was normal at 2.8
Aug 2011 - contacted severe case of Prostatitis, which was initially mis-diagnosed at a emergency care facility (it was the weekend) as UTI. Given 7 days of Cipro (500mg, 2x daily). Went to primary MD, she thought it sounded like Prostatitis, recommended if the symptoms come back, I might need another round of Cipro.
Sept 2011 - symptoms returned, primary recommends 21 days of Cipro (500mg, 2x daily) and follow up with PSA test after.
Oct 2011 - PSA high at 11.9. Referred to Urologist, who tests urine (ok) and recommends waiting 8 weeks and retest PSA and free PSA. DRE was normal.
Jan 2012 - PSA high at 13.9, free PSA is 1.3 or 9.4% Looking at the Lab chart, this indicates 56% chance of PC. Urine tested clear for bacteria, white blood cells, etc..
1) Should I do another round of antibiotics, different type (Leuaquin, better for prostate bacteria) and retest in another 6 weeks. Urologist says this approach is "a reasonable request".
2) Or, should I do a biopsy?
Thanks in advance...
Last edited by tweedle; 01-09-2012 at 05:14 PM.