Elevated PSA Levels and Post-Prostate Biopsy Concerns

Elevated PSA levels and hypertrophy?

1.
On December 22, a prostate biopsy was performed with 16 samples taken.

2.
Two weeks later, during each bowel movement, there is still a small amount of dark red blood mixed with urine.
Is this normal? After two weeks, I had sexual intercourse and experienced ejaculation difficulties (retrograde ejaculation), having orgasm without ejaculation.
Is this normal?

Shifang, 60~69 year old female. Ask Date: 2021/01/05

Dr. Cai Zhuorong reply Urology

Your condition first needs to rule out a bacterial infection; if there is no infection, you can continue to be monitored.
Retrograde ejaculation should be considered in relation to potential medication effects.

Reply Date: 2021/01/05

More Info

Elevated PSA levels can be a source of concern for many men, especially when it comes to understanding the implications of these levels and the potential need for further investigation, such as a prostate biopsy. In your case, it seems you have undergone a prostate biopsy, and you are experiencing some post-procedural symptoms that are understandably causing you concern.

Firstly, regarding the presence of a small amount of dark red blood mixed with urine after a prostate biopsy, this can be a common occurrence. After a biopsy, it is not unusual for patients to experience some bleeding due to the nature of the procedure, which involves taking tissue samples from the prostate. This bleeding can manifest as blood in the urine (hematuria) or even blood in the semen. Typically, this bleeding should gradually decrease and resolve within a few days to a couple of weeks post-procedure. However, if the bleeding persists or worsens, it is essential to contact your healthcare provider for further evaluation.

As for the sexual side effects you are experiencing, such as retrograde ejaculation (where semen enters the bladder instead of exiting through the penis during ejaculation), this can also occur after a prostate biopsy or other prostate-related procedures. Retrograde ejaculation is often a result of nerve damage or disruption to the normal anatomy of the reproductive system. While it can be concerning, many men find that their sexual function returns to normal over time, although some may continue to experience changes. If you are having difficulty achieving ejaculation, it is advisable to discuss this with your doctor, who can provide guidance and potential treatment options.

It is also important to note that elevated PSA levels can be influenced by various factors beyond prostate cancer, including benign prostatic hyperplasia (BPH), prostatitis (inflammation of the prostate), recent sexual activity, and certain medical procedures. After a biopsy, it is expected that your PSA levels may fluctuate as your body heals. Your healthcare provider may recommend monitoring your PSA levels over time to assess any changes and determine the next steps based on those results.

In summary, while the symptoms you are experiencing post-biopsy can be concerning, they are not uncommon. It is crucial to maintain open communication with your healthcare provider about your symptoms, as they can provide reassurance and guidance tailored to your specific situation. If you notice any significant changes in your symptoms or if you have any additional concerns, do not hesitate to reach out to your doctor for further evaluation and support.

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