What could cause elevated PSA level?
Patient: My PSA levels have gone up and down in the past year. Whenever they go up, th Urologist always wants to do a Biopsy. There are risks associated with this procedure, so I think getting bloodwork done every couple of months would be better. There is no history of prostate cancer in my family, so even though I could be a first, I don t know why the DRS wouldn t want to just keep monitoring my psa levels. I am just worried that they all just want to do certain tests that may be unnessary Doctor: Thanks for your question on HCM. In my opinion you should get done prostate biopsy. PSA is only screening test. It is not confirmatory for prostate cancer. So high PSA level does not indicate prostate cancer, and low PSA level does not exclude possibility of it. But if you have high PSA level than chances of prostate cancer are high. So we need to rule out this. And for this biopsy is must.And no need to worry much for biopsy related complications.  As it is very safe procedure. And by this we can detect prostate cancer at earliest.  So that timely treatment and surgery can be done. And life expectancy can be prolonged. So better to get done prostate biopsy.