The patient is 73 years old male. His psa level is 70.57 ng/ml at present.in the year 2014 it was 18.45 ng/ml. His usg test of kub & prostate states prostate is normal in size, shape & echotexture with no sizeable mass session, measure 2.87�3.05�3.52,weight 16.1 gm, seminal vesicles normal etc. However both the kidneys has simple cortical cysts. In this pretext, should the patient go for fpsa test further or what should be the course of treatment now. The patient have no apparent prostate problems/symptoms like problem to urinate save lower abdominal pain some months back which was not intolerable that time and doesn't occurs at present.

Dr. Shobhit TandonSexologist10yrs exp

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Get biopsy done after urologist consult.  

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Dr. Sajeev KumarGeneral Physician34yrs exp

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Most men who decide to have their psa levels tested will generally already have decided to undergo further investigations if the result is abnormal. Keep in mind that the majority of men with elevated psa do not have cancer. If a psa level is high for a man?s age, the psa test will generally be repeated. If it is still found to be elevated, a transrectal ultrasound may be performed. Generally the next stage in testing is a prostate biopsy. Further treatment will depend on the results of the biopsy. If prostate cancer is found, treatment options include waiting and monitoring the cancer, surgery, radiotherapy, hormonal medication, and other treatments. Factors such as the location of the cancer, how aggressive it is (the gleason score), the man?s age, and other medical factors will be taken into account in determining the most appropriate treatment.  

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