If your PSA is the highes number within the normal parameters, does this mean anything?

My friends psa was something like 4.9 and his MD reccomended he get a re check in 1 year. He basically dribbles when he goes to the bathroom and only voids about 50 ml at a time. He is 54 yrs old and over weight.


What affects the PSA other than prostate cancer. Could it be because he drinks way too much, or smokes. I think his peter is getting ready to pooper out.

If your PSA is the highes number within the normal parameters, does this mean anything?
The PSA numbers are very important as they could indicate a condition. In the past few years mine has went to a 2.2 to a 5.4; and that is over a period of about six years. At the 5.4 my urologist suggested a biopsy. Sure enough I had cancer on one side. out of twelve bi-ops taken on one showed positive for cancer. He had me on the "watchful waiting" at that time. Due to insurance I had to change urologist and after twelve months I went back and the PSA level was 4.9. However the cancer Had changed by the scale that they use. "Gleason Score". They can tell by that score if the cancer is likely to spread. At this time it is still localized. I will go back January 30th to see what he recommends, and I know what that will be. On the Gleason Score I went from a 3+3, to 3+4..He can tell, or I say he can tell if my cancer is likely to spread with those numbers. My friend had a 3+4 and he had his prostate removed. Even though I just went up 1 point that is significant.





On another note I know this 80 year old guy that his PSA was a 10 and he was cancer free. See, you just can't go by numbers. PSA numbers is like a "red flag" to the doctors.
Reply:Benign prostate enlargement can cause an elevated PSA -- it doesn't necessary indicate cancer. My guess is that this is what your friend is experiencing, as even slight enlargement of the prostate can cause urinary difficulties. He should do what his doctor recommended and get retested in a year. It's pretty normal for the prostate to be a bit enlarged in older males, and this is often completely unrelated to cancer.
Reply:It is important that he consult his doctor who is familiar with his medical history and who is qualified, trained, and licensed to give medical advice. Ask the doctor these questions for professional answers. People on this site are not.





Chow!!
Reply:To be on the safe side I suggest that they start taking Saw Palmetto Plus. It has been shown to lower individuals PSA count and could very likely avoid more serious problems in the future.





It's all natural and contains standardized saw palmetto berry extract, pumpkin seed oil, and enriched sources of beta-sitosterols and other valuable phytosterols.





Helps to prevent and lessens benign prostatic hyperplasia (symptoms are frequent urination, decreased urinary flow), maintains proper urinary flow and enlarged prostate.





Hope this is helpful and feel free to contact me with questions or the brand I recommend.
Reply:his prostate is enlarging - probably with age





he should have a manual prostate exam (funger up a##) to make sure it is not too bad





and psa should be monitored at 6 months not a year





there are also some drugs that can help with enlarged prostate particularly if urinating is difficult





I would seek a second opinion but not be too worried - its consistent with age

flowers baby