60 years old, My total PSA reading is 10.9 and free PSA of 1.1. In May 2024 it was 5.09 and 1.34 . In Sep 2023, it was 3.95 and .86. I was treated for prostatitis earlier with Doxycycline by the urologist (took it for 2 months). I am under TRT. ( Dose of 75Mg/week) .
I had a Prostate MRI scan in Sep 2023 - results below
The prostate is enlarged in size and measures 4.6 x 4.0 x 3.2 cm with a volume of 35.3 cc. Prostate density is 0.1 ng/ ml2(normal range is <0.10 ng/ml2, prior negative biopsy - < 0.15 ng/ml2).
IMPRESSION: Multiparametric multiplanar MR imaging of prostate reveals changes of chronic prostatitis against a background of benign hypertrophy of prostate (PIRADS - 2)
I did have few ejaculations 5 days before blood draw last week. Also eating High Protein diet /weight lifting, Not sure if this impacted the result?
Should I do a PSMA Petscan or instead Repeat MRI?
Thank you
Written by
cederpicket
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You don't have to do anything. That is unless you are suffering invasive QOL symptoms of your enlarged prostate. So, urologist discussion, maybe a turp? transurethral resection...bits off basically.
Interesting how folks diagnosis and from a bit of text. Based on my experiences, depends on how proactive you want to be to achieve early detection if cancer begins? MRI's can miss cancer, so can other imaging methods. IMO nothing wrong with annual imaging, second opinions of imaging, and liquid blood biopsy testing, to be more certain.
If we employ the established magic numbers of the free to total PSA ratio, you have one benign (26% > 25%), one undeterminable (21%) and one malignant (10% < 15%). IMO, you are on the fence.
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