I am 68 years old and I have high psa of 20.99 I have no symptoms except that I have to get up to pass urine during sleep after every four hrs my free psa to total psa ratio is 0.05.can I have silodal d tablets to arrest the growth of prostate and prevent malignancy?
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Dear Lybrate-User, first it is very important to rule out malignancy which requires mri pelvis, psma pet ct and turp. A psa of 20 should not be ignored. Once we know why it is high then we can move on to the treatment aspect. Meanwhile, silodal can be taken at the prescription of a urologist.
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Dear user you need to get evaluated to rule out prostate malignancy a simple test is ultrasound I can of course take silodal for urinary symptoms.
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Please get a trans rectal ultrasound report to evaluate he nature of the prostate enlargement.
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Psa of 20.99 is highly suspicious of malignancy please consult a urologist or radiation oncologist for further evaluation.
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Psa of 20 definitely needs evaluation in the form of mpmri. Depending upon the results further investigation would be required.
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