PSA High - is this always bad news?

Hi, my other half (70 years young), has recently had a psa prostate blood test of 16 and is being referred for an mri. No other health problems and still active. Of course always fearing the worst - being so high is this likely to be cancer or could it be anything else?  He had an examination (rectal exam) 5 years earlier but showed nothing. Sorry I know that nobody has a crystal ball but any feedback would be appreciated x

Parents
  • Hi Sandwich.

    I can understand your worries. But when I was diagnosed, my PSA was way up at 70. But due to my dear wife making me go to the doctors, it was caught early. I was treated with hormone therapy and also radiotherapy and my psa dropped down to 0.01, the lowest they can measure. It is still very low some years later so I hope you can take comfort in my story. 

    I wish you and your husband good results. Please let us know how he gets on, Brian

  • Hello woodworm and telemando, thank you for your kind words and useful information. Well the results show prostate cancer but looks to be contained. Will receive a letter for a biopsy appointment and then radiotherapy. Half expected but still a shock when you actually hear the diagnosis :(

    He was given the choice to have the prostate removed, but seems to have opted for radiotherapy due to the side effects. I'm not sure whether it would be better just to have the operation and at least have reassurance that it was all removed??

     

  • HI Billy, i pray you get better and things get easier. Thanks for sharing. Herc

  • Hello 

    I am 65 just had result from blood test my PSA is 27. Doctor called me in and gave me a test from the rear and finding was that in he's words it should feel like a peach, but actually feels like a walnut. This all happened 2days ago and to be honst I am still a little shocked. I am and have always been in good health. Reason for going to Docs is because my wee flow had slowed down and at times did not feel like emptying out acompletely. Waiting now for appointment 

  • Hi Ham

    This is basically what happened to me, but it was my wife made me go to the GP for as soon as I heard water splashing in our metal sink I had to run to the loo. My psa was higher than yours at 70 and I have made a very good recovery thanks to our brilliant doctors and nurses in the NHS

    So I hope you take take heart from my experiance.

    Best wishes, Brian

  • Hi Ham. Welcome to the forum that no one ever wants to join.

    Just so you know what to expect at your appointment. You'll meet with the consultant who will discuss your medical history, probably repeat the finger in the bum test, and then almost certainly refer you for an MRI which is usually followed by a prostate biopsy (sometimes it's done the other way round). 

    Then it's a tense wait for results, I'm afraid, and that's never easy.  I went through this back in 2010 so I know what it's like. 

    If you have any more questions, or just want to chat, that's why we're here.  Please let us know how you get on, because your feedback helps us to improve our answers. 

  • Hi Telemando,

    I'm new to this group so any advice would be helpful. I'm 54 years old, had a PSA done about 6 months ago because my dad had Prostate Cancer, the result came back high at 3.7, had finger up bum, doctor said Prostate felt enlarged, sent for MRI, they said something on surface of Prostate. This week 06-12-21 went to see consultant, had another PSA test done before going & PSA now even higher at 4.79. Consultant said due to PSA high, enlarged Prostate & family history he wants to do a biopsy next week, this is freaking me out a bit but I guess it's the only conclusive route, anyone out there with similar experience & can advise?

  • Hi Sang.

    Welcome to the forum. 

    I feel your pain because I was in a similar position at your age, and so was one of my friends.  In my case, it turned out I had cancer, but my friend didn't.

    My PSA had wavered between 4 to 5 for around 2 years, and finally veered upwards to just over 6, which triggered my biopsy.  My biopsy turned out to be positive for cance; my friend's negative.  This was before the latest advances in MRI technology so neither of us had an MRI before the biopsy.

    I'm afraid all you can do now is have the biopsy and sweat while you wait for the results.  If it turns out to be cancer, then it is highly likely to be curable.  You may need surgery and/or radiotherapy, but there is every reason to think you'll get through this.  

    We're here if you have any questions or just need to talk.

     

     

  • Thanks for your reply, hopefully all ok, 

  • H Telemondo, I had similar situation when I was 50 which was 3 years ago. My PSA was 33 and rose to 46 and stage 3. I had the surgery and a year later I had radiotherapy . I'm fine so far thank God. You will be fine also. Just stay positive and take one day at a time. Life is a test and God gives The hardest battles to His strongest soldiers. You are not alone. Life will be ok

  • Thanks for your message, not even sure what the biopsy entails, hopefully all ok!

  • In my biopsy they just extracted someone tissue samples whilst ur asleep. I'm sure they will explain to you soon. It will be fine. 

Reply Children
  • Ok, thanks, they said they would prefer a local anaesthetic to general one, hopefully all goes well!

  • My prayers will be with you.

  • When I had my biopsy they did local with first sample so it hurts a little bit but other 11samples just a bit of pulling when taken .,i was a bit tender after but no problems nurse who took samples told me it was cancer,then i had to go to a little office and wait,a specialist came in made small talk for a while then told me sorry but it is cancer,i said I already know nurse told me, she said wait a minute please and told off nurse who did biopsy she wasn't supposed to tell me .had to wait 1/2 hour to make sure no side effects then home.

    Hope things go smoothly for you.

    Billy

  • Sorry to hear that, I do have this feeling mine is also cancerous because my dad had it, I do hope not though. How have you been since? How old was you when diagnosed? Have you had any follow up treatment? Sorry for all the questions but just trying to get my head around all this. My PSA result is high at 4.97. Too much to take in all at once, my dad had Prostate cancer for 14 years, controlled by Hormone treatment, they didn't operate on him, sadly he passed away just over a month ago but not to the cancer but respiratory failure, then ironically I got Prostate issues now, hope everyone keeping well as can be.

  • I'm on permanent hormone therapy since Feb 2016 ,had 6sessions of chemotherapy at beginning as my PSA was 1581 classed as uncurable two years ago classed as palative care , stage 4 prostate gone to lymph nodes spine ribs pelvis and a lung last PSA was 0.04 , it's been up and down a bit and changed treatment to help.i was 64 when diagnosed, planning my retirement . I kept working for two years ( metal fabrication and welding firm) trying to save money for the near future just incase,. then had to retire to look after my wife as she started falling over, she had sos button to call me , she was diagnosed with Altzimers and Parkinson's one day apart .

    We are still going strong despite medical problems with us both

    If your PSA is low it's possible either way and have treatment options if it is .

    Remember I'm just a patient not medically trained . just my own experience.

    Billy

  • Wow, lot going on, hope you all remain as well as can be, thanks for your prompt reply & take care.

  • Hi,

    Could I ask did you have back pain or hip pain before you were diagnosed?

    Rebecca 

  • Hi Rebecca, i had back pains for 30 odd years it goes with my job carrying metal and gear around so i didn't notice anything different but definitely not hips. 

    Sorry not much help. 

    Billy