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An elevated PSA! What should I do next?

An elevated PSA test should be repeated with a free/total PSA ratio. The PSA level can be elevated by urinary tract infection, so a urine analysis by microscopy is essential. If there is any suggestion of UTI, a 2-4 week course of antibiotic should be given and the test is repeated.

Further evaluation is indicated if the PSA level is elevated above the age-specific reference range on two occasions, especially if the free/total PSA ratio is less than 25%. A transrectal ultrasound guided (TRUS ) (prostate biopsy) is done to rule out prostate cancer.

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