PSA, or prostate-specific antigen, is a protein in the blood produced by the prostate. It is used as an indicator in a man’s blood to determine the health of the prostate. An elevated PSA can indicate prostate cancer, but other non-cancerous issues can cause elevated PSA as well. Two of the most common non-cancerous causes of elevated PSA levels are prostatitis and benign prostatic hyperplasia (BPH). Prostatitis is an inflammation of the prostate, and benign prostatic hyperplasia (BPH) is an enlargement of the same organ. Issues that lead to an elevated PSA can cause reduced fertility or even infertility in men. Many of these issues can be successfully treated, cured, or reduced. Since the PSA test is just an indicator, it is important to run further tests to find the cause of an elevated PSA level. Read more about what happens when PSA rises after surgery.
PSA Increases after Surgery
If your PSA is elevated after prostate cancer surgery, it can be a false positive result. It may take some time for your blood to show the results of the surgery. During your recovery, your physician will monitor the level closely. Since results immediately after surgery can be skewed, any test results should be repeated after you have fully healed and recovered. Since each patient is different, this recovery time may take a few weeks or even up to a few months. During that time, your physician will let you know how often to test your PSA. Once you fully recover, your physician may ask for further tests to determine the cause of the elevated PSA and formulate a plan for any additional treatment.
Benign Causes of Elevated PSA
Although both benign, prostatitis and BPH can still cause issues related to discomfort and infertility in men. Therefore, treatment may be ordered to alleviate these conditions. Discussing symptoms and treatment options with your physician is the best way to find the right treatment for you and your situation. Most physicians will start with the least intrusive treatment first to make treatment easy as possible for their patients. Treatments can include:
Restricted diet
Restricted medications or changing medications
Adding medication to treat the affected area
Checking for any abnormalities in the prostate
Using ultrasound, X-ray, or MRI
Surgery
Post-Op Treatment
Depending on the continued cause of an elevated PSA level, you and your physician will decide on further treatment, which may include radiation or specialized medications. It is best to take care of any cancerous cells at the earliest opportunity; however, your physician will work with you to eradicate the cancerous cells in the least intrusive manner possible. If you have questions about what happens when PSA rises after surgery, Georgia Urology can help. Contact us to schedule an appointment.
On Sunday, July 23, 2023, Georgia Urology’s Dr. Michael Kemper returned as the featured guest on “The Weekly Check-Up” on News/Talk WSB Radio. Throughout the show, Dr. Kemper and host Dr. Bruce Feinberg focused on men’s health. They discussed enlarged prostate (BPH), lifestyle changes to prevent bladder problems, and the importance of committing to treatment. […]
When most men experience Benign Prostatic Hyperplasia or BPH, they are most concerned about the various urinary symptoms that an enlarged prostate can cause. These urinary symptoms can range from mild to severe and often include waking up at night to urinate, a weak stream, a sense that the bladder never fully empties, dribbling and […]
Prostate cancer, the second-leading cause of cancer death and the most common solid tumor cancer in men, is a serious concern that is still poorly understood by many patients. Starting at age 40, the rate of prostate cancer steadily increases. However, the dangers of prostate cancer frequently go unmentioned, and many men do not receive […]
