High PSA Assessment in Johor Bahru and Batu Pahat, Johor
Found a raised PSA on your health screening? Consultant urologist Dato’ Dr Azhar Amir Hamzah explains what your result means and arranges an MRI or prostate biopsy only when it is needed.
What does a high PSA mean?
A high PSA means there is more prostate specific antigen (PSA), a protein made by the prostate, in your blood than expected for your age. It does not always mean cancer. PSA also rises with an enlarged prostate, prostate infection, recent ejaculation or even a long bicycle ride. A urologist looks at your PSA together with your age, prostate size and scan results to decide what it means.
Symptoms
- Usually none; most high PSA results are found on routine screening
- Some men also have a weak stream or wake at night to pass urine
- Pain or burning when passing urine if infection is the cause
Common causes of a raised PSA
- Enlarged prostate (BPH)
- Prostate infection or inflammation (prostatitis)
- Urine infection
- Recent ejaculation, cycling or a urinary catheter
- Prostate cancer
How Dato’ Dr Azhar assesses a high PSA
Dato’ Dr Azhar first checks for simple causes such as infection, and may repeat the PSA test. He examines the prostate and uses ultrasound to estimate its size, because a large prostate makes more PSA. If cancer is still possible, he arranges an MRI of the prostate. A prostate biopsy is advised only when the MRI or PSA pattern suggests it, so many men avoid an unnecessary biopsy.
When to see a urologist
- A PSA above the normal range for your age
- A PSA that has risen on two or more tests
- A high PSA together with a family history of prostate cancer
- A high PSA with urinary symptoms or blood in the semen
FAQs
What is a normal PSA level?
It depends on your age and prostate size. A level under 4 ng/mL is often used as a guide, but younger men should have lower levels. Dato’ Dr Azhar interprets your result for your age.
Does a high PSA mean I have cancer?
No. Many men with a high PSA have an enlarged prostate or inflammation. Further tests are needed to know.
Is a prostate biopsy painful?
It is done under anaesthesia, so most men feel only mild discomfort. Dato’ Dr Azhar explains how it is done and how to prepare.