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What does a PSA level of 1.2 ng/mL mean in the elderly?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have a question about the free PSA percentage test. I am 67 years old and just had my annual fasting and urinalysis examination last week. I am not on any medication, and my results were all normal. My total PSA was 1.2 ng/mL, but my free percentage PSA was 17 percent. Kindly explain this.

Thank you.
Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome to icliniq.com.

Your age is 67 years, and your prostate-specific antigen (PSA) is between 0.9 to 1.2 ng/mL, and it is normal. The free total PSA ratio is created to differentiate between chronic prostatitis and prostate cancer for those who have PSA above 4 ng/mL and below 10 ng/mL to avoid unnecessary prostate biopsies. So you should not worry about it. After the age of 50 prostate starts to enlarge, and it can cause symptoms. Any patient with PSA above 1.4 ng/mL should have PSA checked every six months on follow-up, and if it is below 1.4 ng/mL, then they should have PSA done once a year on the follow-up.

If you have any more queries, please let me know.

Thank you.

Patient's Query

Is
Answered by Dr. Samer Sameer Juma Ali Altawil

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Can you be clear
Medically reviewed by iCliniq medical review team
Published At October 8, 2022
Reviewed At June 11, 2024

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Samer Sameer Juma Ali Altawil
Dr. Samer Sameer Juma Ali Altawil

Urology

Education:

MRCS

Professional Bio:

Dr. Samer Sameer Juma Ali Altawil is a urologist who can diagnose and manage urinary tract and male reproductive system disorders. He can provide expertise in kidney stones, prostate diseases, and urinary infections. He can do surgical and minimally invasive urological procedures. He can manage male infertility and sexual health issues. He can treat urinary incontinence and bladder dysfunction. He can give prostate cancer screening and management.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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