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Prostatitis, PSA, back pain..

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User
Posted 24 Mar 2022 at 09:23

I have had intermitently raised PSA for about 3 years, MRI back then (PIRADS 2). PSA was 4-5 region.

PSA last year was 5.3, a repeat 3 weeks later was 2.8.

First test this year it was 5.3, repeat 10 days later and it is 15. Waiting for an urgent referral to come through.

Prostatitis has been suggested, but apart from weak flow (which is not new, but is getting worse) no other symptoms. Get up once a night, not really going often, no pain or discomfort, no raised temperature.

I do have some lower back ache/pain on one side.

I have noticed a mark decrease in ejaculation volume, but no erection problems (unless I compare to myself in my late teens/early twenties!!!)

My prostate is enlarged (38ml according to the MRU report), and I am on Tamsulosin to improve flow - seems to work OK.

My question:- is a PSA rise from 5.3 to 15 in 10 days possibly prostatitis?

I am assuming my referral will result in DRE and MRI?

I am 70 and otherwise in reasonable health.

Thanks.

Edited by member 24 Mar 2022 at 09:50  | Reason: Ejac volume added.

User
Posted 08 Aug 2023 at 07:35

A rapid increase in PSA levels, such as the rise you described from 5.3 to 15 in a short period of time, can be concerning and may warrant further investigation. Miracast While prostatitis is one possible explanation for elevated PSA levels, it's not the only potential cause. Other factors, such as prostate cancer, benign prostatic hyperplasia (BPH), or even recent activities like ejaculation or cycling, can also influence PSA levels. 

Edited by member 09 Aug 2023 at 04:52  | Reason: Not specified

User
Posted 08 Aug 2023 at 09:36
I really should have updated this thread! Sorry!

At the referral I had a DRE - no issues found, but prostate is enlarged. Sent for an MRI.

Had the MRI within 2 weeks, results cam back as PIRADS 4 - bipsy next.

Had a transperineal biopsy, 12 cores (6 each side).

No malignancy found.

PSA in June (Biopsy early May) was 3.5

PSA September 3.6

PSA March 2023 3.7

Now on PSA surveillance, next PSA test March 2024.

No change in symptoms apart from very weak flow on occasions - but not all the time!

 
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