I'm angry. I have been followed by my internal medicine doctor with yearly PSA for ten years. The last three years the PSA came back a little high. 5-6. Each time the doc put me on antibiotics telling me I had prostatitis. Repeat PSA went down slightly each time below 5. This year the PSA was 7. Antibiotics again. Repeat PSA 8. NOW I'm sent to a urologist. Biopsy shows cancer throughout the gland with a metastatic node. Stage 3.
Obviously the tumor has been there for years even though I have been screened yearly 10 times. This business of routinely using antibiotics for an elevated PSA and blaming it on "infection" without further suspicion has put my life at risk. It limited my choices for treatment. Having elevated PSA repeatedly, although mildly elevated, should have waved red flags sooner. Send the patient to the urologist sooner than later! I have a lot of tumor with a PSA below 10!
My message to doctors: I know you are busy but patients are not all the same. You may have us on a conveyer belt moving us through quickly because reimbursement for your services has been severely reduced over time, but you still need to be careful when a patient repeatedly has an abnormal screening test. IT'S NOT ALWAYS PROSTATITIS. IT COULD BE CANCER.