What should I do if the prostate-specific antigen (PSA) level rises to 4.89?

Patient's question:

I am 83 years old and suffering from benign prostatic hyperplasia with urinary obstruction. I had a catheter inserted, which led to a urinary tract infection. After taking levofloxacin capsules, my condition improved. On March 3 of this year, my urine test showed a prostate-specific antigen (PSA) level of 1.14. On April 6, I was hospitalized to prepare for a prostatectomy. On April 7, another test (PSA) showed a level of 4.89. Why did it rise so quickly in this one month? Is there a problem?

Doctor's answer:

Did you have a thorough check of the prostate MRI? Are there any abnormalities? This elevated value should be noted for the possibility of prostate malignant tumors. It is recommended to undergo a prostate MRI or CT scan to assess the situation and determine treatment measures. Have you had a detailed examination of your urine? Are there any abnormalities? Prostate conditions tend to fluctuate, requiring long-term medication. For male patients, it is important to promptly seek medical attention at professional and reputable hospitals, and treatment decisions should be based on examination results. Additionally, it is necessary to control sexual activity and maintain a positive mood.

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