Understanding Elevated PSA Levels: Causes and Concerns
Elevated PSA levels? My prostate-specific antigen (PSA) levels have been steadily increasing over the years, and last week it reached 30. I have undergone four biopsies at Asia University Hospital, all of which were normal. However, the continuous rise in this index is concerning...
Dr. Li Minghui Reply:
Hello: A rise to 30 can be primarily attributed to inflammation or cancer. If you are open to it, I recommend seeking a second opinion at a medical center, as some physicians are more specialized in this area. Wishing you good health.[Read More] Understanding Elevated PSA Levels: Causes and Concerns
Understanding Rising Prostate Index: Concerns and Solutions
My prostate index? My prostate-specific antigen (PSA) levels have been steadily increasing over the years, and last week it reached 30. I have undergone four biopsy procedures at Asia University Hospital, all of which were normal. However, the continuous rise in this index is con...
Dr. Du Shixi Reply:
Hello: A rise to 30 can be primarily attributed to inflammation or cancer. If you are open to it, I recommend seeking a second opinion at a medical center, as some physicians may have more expertise in this area. Wishing you good health.[Read More] Understanding Rising Prostate Index: Concerns and Solutions
Understanding Prostate Issues: Symptoms, Treatment, and Monitoring
Prostate issues Hello Doctor, I had a health check-up at the end of July and found some issues with my prostate, so I would like to ask for your advice. The report shows: > Prostate-Specific Antigen (PSA) 1.40 > Mild Prostatic Hyperplasia (Size: 2.7*4.37*3.74cm => 23.079...
Dr. Jian Weihong Reply:
Hello: 1. It is recommended to take the medication for a period of time, make lifestyle adjustments, and then try to discontinue it; otherwise, the condition may return quickly. 2. Relaxation is important and should not be minimized. 3. It is difficult to predict. 4. Blood tests ...[Read More] Understanding Prostate Issues: Symptoms, Treatment, and Monitoring
Understanding Prostate Health: Managing Symptoms and Treatment Options
Experiencing a sensation of incomplete bladder emptying during urination? Hello Doctor, I had a health check-up at the end of July and found some issues with my prostate. The report shows: > Prostate-Specific Antigen (PSA) 1.40 > Mild Prostatic Hyperplasia (Size: 2.7*4.37*3...
Dr. Du Shixi Reply:
Hello: 1. It is recommended to take the medication for a period of time, make lifestyle adjustments, and then try to discontinue it; otherwise, the condition may return quickly. 2. Relaxation is important and should not be minimized. 3. It is difficult to predict. 4. Blood tests ...[Read More] Understanding Prostate Health: Managing Symptoms and Treatment Options
Understanding Low Free PSA/Total PSA Ratios: When to See a Urologist
Free PSA / Total PSA is below the normal range? Hello, Doctor. I recently received my health check report and noticed that my free prostate-specific antigen (FPSA) to total prostate-specific antigen (TPSA) ratio is 0.18 (the report suggests it should be greater than 0.25). Upon r...
Dr. Du Shixi Reply:
Hello: As long as the PSA levels are normal, this ratio can be of less concern. Generally, it is recommended for individuals over 45 years old to have a PSA test once a year. Wishing you good health.[Read More] Understanding Low Free PSA/Total PSA Ratios: When to See a Urologist
Why Monitor Prostate-Specific Antigen After Robotic Prostatectomy?
Prostate cancer After a robotic-assisted laparoscopic prostatectomy using the Da Vinci system, where the prostate, seminal vesicles, and surrounding nerves are removed, why is it still necessary to monitor prostate-specific antigen (PSA) levels?
Dr. Xu Wencang Reply:
If there is a recurrence or metastasis, PSA levels will increase.[Read More] Why Monitor Prostate-Specific Antigen After Robotic Prostatectomy?
Understanding Elevated PSA Levels: Causes and Next Steps for Young Men
Elevated PSA levels in health check-ups? Hello Doctor, I am currently 32 years old. I have been undergoing health check-ups at my company for the past few years, and one of the tests is the PSA (Prostate-Specific Antigen) level. My PSA levels for the past three years have been 9,...
Dr. Du Shixi Reply:
Hello: The information provided here is for reference only and cannot replace a physician's examination, assessment, or testing. Given your young age, if the levels continue to rise, it is advisable to seek evaluation at a medical center. Of course, chronic inflammation coul...[Read More] Understanding Elevated PSA Levels: Causes and Next Steps for Young Men
Understanding Prostate Health: When to Seek Further Testing
Prostate issues inquiry? Hello Doctor: In February of this year, I had tests done. My Free PSA (free prostate-specific antigen) was 0.214, Free/Total PSA Ratio was 20.500, and Total PSA was 1.042. I would like to know if a Total PSA value between 0-4 is considered normal, and if ...
Dr. Du Shixi Reply:
Hello: Regular follow-up, approximately once a year, if there are urinary symptoms, seek medical attention. Wishing you good health.[Read More] Understanding Prostate Health: When to Seek Further Testing
Understanding Prostate Calcification: Tips for Young Men
Prostate examination shows calcification? Hello Doctor, I consulted you yesterday regarding some questions about prostate calcification and received your response. I would like to ask: 1. How can I improve prostate calcification through daily life changes? I am only 30 years ol...
Dr. Cai Zhuorong Reply:
1. How can I improve prostate calcification through daily life? Since I'm only 30 years old, I hope to protect my prostate well... A: Theoretically, the prostate is a gland, and infrequent ejaculation may lead to the accumulation of deposits. However, this idea lacks support...[Read More] Understanding Prostate Calcification: Tips for Young Men
Understanding Frequent Urination and Penile Pain: Causes and Solutions
Frequent urination issues, penile problems? Hello doctor, I have been experiencing frequent urination and occasional sharp pain in the penis. I often feel discomfort in my right flank. I went to the hospital for a detailed examination, which included X-rays, urine culture, contra...
Dr. Cai Zhuorong Reply:
Your condition may warrant further evaluation through video urodynamics. Please consult the urology outpatient clinic.[Read More] Understanding Frequent Urination and Penile Pain: Causes and Solutions
Can Benign Prostatic Hyperplasia Be Diagnosed by Symptoms Alone?
Benign Prostatic Hyperplasia (BPH) Hello, Doctor: May I ask if benign prostatic hyperplasia (BPH) can be diagnosed solely based on symptoms? I have weak urine flow, a feeling of incomplete bladder emptying, and frequent urination. I visited a urology clinic, and the doctor diagno...
Dr. Xu Wencang Reply:
A comprehensive evaluation will be conducted, including assessment of symptoms, ultrasound, urinary flow rate, urinalysis, and prostate-specific antigen (PSA) testing. If lower urinary tract symptoms are severe, medication may be used for initial treatment.[Read More] Can Benign Prostatic Hyperplasia Be Diagnosed by Symptoms Alone?
Understanding the Link Between High Cholesterol and Prostate Issues
Is there a connection between high blood lipids and prostate issues? Hello. My father underwent surgery for benign prostatic hyperplasia about a month ago. During a recent follow-up appointment, the doctor mentioned that his lipid levels are elevated. He stated that a normal leve...
Dr. Du Shixi Reply:
Hello: The prostate is divided into several regions. Surgery for benign prostatic hyperplasia addresses a portion of the prostate, but the most common sites for prostate cancer may not necessarily be in that area. Therefore, individuals who need to be proactive about screening sh...[Read More] Understanding the Link Between High Cholesterol and Prostate Issues
Understanding Hematuria and Hematospermia: Causes and Solutions
Hematuria, hematospermia, and frequent urination? Hello Dr. Hsu: At the age of 20, I experienced symptoms of hematospermia, which have recurred over the past six years. In the last two years, I have had hematospermia accompanied by hematuria. The day after hematospermia, I notice...
Dr. Xu Weikai Reply:
A-Hai: Hello, it's difficult to make a judgment. It could be due to a ruptured blood vessel that hasn't healed, which may worsen the condition with continued ejaculation and erection. Note: If there is bleeding during ejaculation and clinical assessment indicates it...[Read More] Understanding Hematuria and Hematospermia: Causes and Solutions
Understanding Hematuria and Hematospermia: Causes and Concerns
Hematuria, hematospermia, and frequency of urination? Hello Dr. Hsu: At the age of 20, I experienced symptoms of hematospermia, which have recurred over the past six years. In the last two years, I have had hematospermia accompanied by hematuria. The day after the appearance of h...
Dr. Xu Weikai Reply:
A-Hai: Hello, you have already received a response. If you have any concerns, you can visit a nearby medical facility for relevant tests. If there are any unclear points, feel free to ask again, and we can discuss and research further. Online responses should only be used as a re...[Read More] Understanding Hematuria and Hematospermia: Causes and Concerns
Understanding Urination Issues: Causes and Concerns for Men
Urinary problems Hello Doctor: Over the past couple of months, I've noticed that when I urinate, I have to wait about 5-10 seconds before I can start the process. The urine flow has noticeably weakened, and I have to exert more effort to finish. The stream is intermittent. I...
Dr. Xu Weikai Reply:
Hello, based on your description, it may be overactive bladder. This is generally caused by factors such as chronic inflammation, emotional stress, and frequent urinary retention. Recommendations include maintaining good hydration, with a daily intake of at least 2500-3000 millil...[Read More] Understanding Urination Issues: Causes and Concerns for Men
Understanding Prostate Cancer: When to Consider a Biopsy
Regarding prostate cancer? Dear Dr. Hsu, I recently discovered during a physical examination that my prostate-specific antigen (PSA) level is 5.4. I visited the urology department for further evaluation within a month, and the results from the abdominal X-ray, ultrasound, and di...
Dr. Xu Weikai Reply:
Chung-Wen: Hello, you can have your blood drawn again in three months. If the PSA is higher, then a biopsy will be necessary. If it is still above 4 but lower than before, we can continue to monitor it and repeat the blood test after some time. If there are any unclear points, fe...[Read More] Understanding Prostate Cancer: When to Consider a Biopsy
Is It Aseptic Prostatitis? Understanding Symptoms and Next Steps
Is this aseptic prostatitis? Hello, Dr. Liu. Recently, I was hospitalized for three days due to an unknown inflammation and received four doses of antibiotics. My symptoms included a burning sensation in the urethra during urination, slight pain in the bladder when straining, wea...
Dr. Liu Jiaju Reply:
Based on your symptoms, it is likely a urinary tract infection, and acute prostatitis is indeed a possibility. It is recommended to drink plenty of water and avoid holding in urine as a preventive measure. Currently, there is no research linking masturbation to prostatitis, so th...[Read More] Is It Aseptic Prostatitis? Understanding Symptoms and Next Steps
Why Abstaining from Sexual Activity is Important Before PSA Testing
Why is abstinence required before undergoing a prostate-specific antigen (PSA) test? Hello, doctor: I am very interested in some medical-related information. Recently, I came across several articles about male prostate cancer, many of which mentioned that men should abstain for t...
Dr. Zhou Xinpei Reply:
Hello: Prostate-specific antigen (PSA) is a substance secreted by normal prostate tissue. Most of it is found in semen, with a smaller amount present in the blood. Prostate-specific antigen (PSA) is a tumor marker primarily used as a reference for diagnosing prostate cancer and c...[Read More] Why Abstaining from Sexual Activity is Important Before PSA Testing
Understanding MRI for Prostate Issues: What Does It Mean for Cancer?
Prostate MRI (Magnetic Resonance Imaging) Hello Doctor, my father has undergone prostate biopsies three times. The first two times, the doctors said to continue monitoring. Yesterday, he went to check the report from the third biopsy and came back without saying much, only mentio...
Dr. Liu Jiaju Reply:
Generally, when prostate-specific antigen (PSA) levels are abnormal or there are irregularities found during a digital rectal exam, there is a suspicion of prostate cancer. At this point, the physician will recommend a biopsy for further confirmation. If the biopsy results indica...[Read More] Understanding MRI for Prostate Issues: What Does It Mean for Cancer?
Managing Benign Prostatic Hyperplasia: Dietary Tips and Lifestyle Changes
Benign Prostatic Hyperplasia (BPH) Hello, doctor. I would like to ask what special precautions I should take in daily life regarding benign prostatic hyperplasia (BPH). Are there any dietary restrictions I should be aware of? Or are there any foods I should eat more of? Thank you...
Dr. Liu Jiaju Reply:
Benign prostatic hyperplasia (BPH) is a common condition among men as they age, with the likelihood of occurrence increasing with age. It is recommended to avoid holding in urine, maintain adequate hydration, and engage in regular physical activity. Dietary recommendations includ...[Read More] Managing Benign Prostatic Hyperplasia: Dietary Tips and Lifestyle Changes