You are here:

Urology/When should the prostate biopsy be performed again?

Advertisement


Question
A 50s man has prostate disorder, recurrent prostate infection and lower abdominal/bladder distension and fullness. The PSA has been increasing from 2.2 to 2.5 within two years. An urologist performed the prostate biopsy. The result as expected is negative. So the doctor diagnosed the BPH and prostatitis. Since one year passed, the PSA has increased to 2.6. When should the prostate biopsy be performed again or it is unnecessary in some years such as 3, 5 etc after the first time prostate biopsy?

Answer
Randy:

Assuming there are not definitive nodule or anything else suspicious, the general guideline is to wait until there has been a 25% increase from the last PSA or in this case roughly 3.2 or higher.

But this is only a guideline and the actual decision should be made by the patient's urologist.

Urology

All Answers


Answers by Expert:


Ask Experts

Volunteer


Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

©2016 About.com. All rights reserved.