Urology insights with Dr Akhbar pt 1

 


🧪 Understanding the Serum PSA Blood Test: What Every Man Should Know



As a urologist, one of the most common tests I recommend for men over 50—or sometimes earlier—is the Serum PSA Blood Test. This simple test can offer important insights into prostate health, but it’s often misunderstood. Let’s break it down.





📌 What is PSA?



PSA stands for Prostate-Specific Antigen, a protein produced by both normal and cancerous cells of the prostate gland.


A small amount of PSA normally circulates in the blood, but when levels are elevated, it may signal:


  • Prostate enlargement (BPH)
  • Prostatitis (infection/inflammation)
  • Prostate cancer






🧫 What Does the PSA Blood Test Involve?



  • A simple blood sample is taken, usually in the morning.
  • No fasting is required.
  • Results are typically available within 1–2 hours






📊 What is a Normal PSA Level?



PSA levels are measured in nanograms per millilitre (ng/mL)

Age Group

Typical PSA Range

40 to 49 years

< 2.5 ng/mL

50 to 59 years

< 3.5 ng/mL

60 to 69 years

< 4.5 ng/mL

70+ years

< 6.5 ng/mL

These values are only guidelines. PSA should always be interpreted based on age, prostate size, symptoms, and family history.





❗️When is PSA Elevated?



High PSA doesn’t automatically mean cancer. Some non-cancerous causes include:


  • Recent ejaculation
  • Urinary infection
  • Vigorous exercise or cycling
  • Prostate manipulation (like catheterisation or DRE)



That’s why I usually recommend:


  • Avoiding ejaculation 48 hours before the test
  • Treating infections first and retesting if needed






⚖️ What If PSA is High?



If your PSA is elevated, next steps may include:


  • Repeating the test in a few weeks after ruling out prostatitis
  • Digital Rectal Exam (DRE)
  • Multiparametric MRI scan of the prostate
  • Prostate biopsy, if suspicion remains






🧠 Key Takeaways



  • PSA is a useful screening and monitoring tool, not a diagnosis.
  • It helps detect prostate cancer early, when it’s most treatable.
  • Discuss risk factors like age, family history, and urinary symptoms with your doctor.
  • PSA should be interpreted by a qualified urologist, not judged in isolation.






👨‍⚕️ Final Word from Dr. Akhbar



If you’re over 50, or have a family history of prostate cancer, Consult with me/ any Urologist about checking your PSA. It’s a small step that could make a big difference.


Have questions about PSA or prostate health? Drop them in the comments below or schedule a consult — I’d be happy to help.


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