Elevated PSA does not mean that you have prostate cancer. It may be a reflection of how big your prostate gland is. Often times, you can benefit from a consultation with a urologist to further evaluate potential prostate problems.
Typically, the urologist will perform a digital rectal examination (DRE) to feel for any abnormalities of prostate and order a repeat PSA. If the repeat PSA test shows elevated PSA levels, your urologist may recommend additional tests to determine whether you may have prostate cancer or another problem like an enlarged prostate.
In the past, most men with high PSA levels would have to undergo a biopsy, which involves inserting a thin needle through the rectum to remove a small sample of the prostate gland to test for cancer. But, today, not every man with suspected prostate cancer needs a biopsy, which can cause soreness, bleeding and other unpleasant side effects.
Recent advances in laboratory testing and imaging studies have made it easier for physicians at UChicago Medicine to make an accurate diagnosis without a biopsy. A number of novel blood and urine tests can be used to reliably discern whether a patient has an aggressive prostate cancer. Our pathologists are nationally known for their expertise in pinpointing cancer subtypes.
In addition, we have a range of advanced imaging tests, including a state-of-the-art prostate MRI and PSMA PET, that provide the best available pictures of the prostate and any potential prostate cancers.
In some cases, laboratory and imaging tests will indicate the need for a biopsy. Our physicians are experts in targeted, minimally invasive approaches to prostate biopsy, reducing potential side effects.
Learn more about the state-of-the-art prostate cancer tests available at UChicago Medicine, as well as treatment for prostate cancer.