Patient's question:
Total prostate-specific antigen (PSA) is elevated. It was retested twice and still remains elevated. Additionally, there is microscopic hematuria in the urine (this has been present for 3-4 years, as detected during annual company health check-ups). I have undergone ultrasounds of the bladder, kidneys, urethra, and prostate, which did not reveal any abnormalities. Recently, I have experienced some urinary frequency and urgency. How serious is this issue?Doctor's answer:
The reasons for elevated prostate-specific antigen (PSA) also include chronic inflammation. Recurrent episodes of prostatitis can also lead to increased PSA levels. I recommend that you undergo a CT scan of the prostate to carefully observe for any organic changes in the gland. You can also have a color Doppler ultrasound of the prostate to assess its size and check for other inflammatory conditions such as fibrosis. Prostatitis can be relieved, but the treatment duration is generally long, and the condition tends to recur after treatment. Therefore, during treatment, medications should be used symptomatically.