{"id":2075,"date":"2023-06-15T10:36:42","date_gmt":"2023-06-15T10:36:42","guid":{"rendered":"https:\/\/urologysussex.co.uk\/?page_id=2075"},"modified":"2025-02-24T15:22:11","modified_gmt":"2025-02-24T15:22:11","slug":"raised-psa","status":"publish","type":"page","link":"https:\/\/urologysussex.co.uk\/index.php\/services\/raised-psa\/","title":{"rendered":"Raised PSA"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2075\" class=\"elementor elementor-2075\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d519f4b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d519f4b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4925c01\" data-id=\"4925c01\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-46a4bc2 elementor-widget elementor-widget-heading\" data-id=\"46a4bc2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Prostate Cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21d2771 elementor-widget elementor-widget-image\" data-id=\"21d2771\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"987\" height=\"1024\" src=\"https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/Screenshot-2023-06-16-at-11.52.22-987x1024.png\" class=\"attachment-large size-large wp-image-2220\" alt=\"\" srcset=\"https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/Screenshot-2023-06-16-at-11.52.22-987x1024.png 987w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/Screenshot-2023-06-16-at-11.52.22-289x300.png 289w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/Screenshot-2023-06-16-at-11.52.22-768x797.png 768w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/Screenshot-2023-06-16-at-11.52.22.png 1374w\" sizes=\"(max-width: 987px) 100vw, 987px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45f67fb elementor-widget elementor-widget-heading\" data-id=\"45f67fb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Prostate Cancer<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-438cc19 elementor-widget elementor-widget-text-editor\" data-id=\"438cc19\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">Prostate cancer has become the most common cancer in men and is the second most common cause of male cancer deaths, after lung cancer. It is different from most cancers in that a significant proportion of men, particularly older men with a shorter life expectancy, have a very slow growing form of this cancer, meaning that it is unlikely to cause symptoms or progress beyond the prostate gland during their lifetime. Sometimes in younger men the cancer can be small, slow growing and present only a limited risk to the patient. Clinically important prostate cancers can be defined as those that threaten the well-being or life span of a man.<\/p><p style=\"font-weight: 400;\">What are the sympptoms of prostate cancer?<\/p><p style=\"font-weight: 400;\">Often prostate cancer does not produce any symptoms, or it may produce symptoms similar to\u00a0<a href=\"https:\/\/urologysussex.co.uk\/index.php\/services\/elementor-2094\/\">benign enlargement of the prostate, BPH.<\/a>\u00a0These include:<\/p><ul><li>difficulty in starting to pass urine<\/li><li>poor flow of the urinary stream<\/li><li>dribbling at the end of the stream<\/li><li>the feeling the need to pass urine frequently, including at night,<\/li><li>an urgent need to rush to pass urine, occasionally without any warning<\/li><li>passing blood in urine<\/li><\/ul><p style=\"font-weight: 400;\">Often patients are diagnosed with prostate cancer after they are found to have a raised PSA blood test, or because they have an abnormal feeling prostate. However,\u00a0<a href=\"https:\/\/urologysussex.co.uk\/index.php\/services\/elementor-2070\/\">PSA<\/a>\u00a0test is not entirely accurate. There is no real safe lower limit. Even in men with \u201cnormal\u201d levels of PSA (less than 3 to 4 ng\/ml depending on your age) around 15% may have small prostate cancers. Conversely, the PSA level may be increased by conditions other than the presence prostate cancer, such as\u00a0<a href=\"https:\/\/urologysussex.co.uk\/index.php\/services\/elementor-2094\/\">BPH<\/a>,\u00a0<a href=\"https:\/\/urologysussex.co.uk\/index.php\/services\/elementor-2019\/\">urinary tract infection<\/a>\u00a0or\u00a0<a href=\"https:\/\/urologysussex.co.uk\/index.php\/services\/prostatitis\/\">prostatitis<\/a>\u00a0(infection in the prostate).<\/p><p style=\"font-weight: 400;\">How is prostate cancer diagnosed.<\/p><p style=\"font-weight: 400;\">If the tumour in the prostate is large enough to be felt, your doctor may be able to examine it. With a gloved and lubricated finger, your doctor feels the prostate and surrounding tissues from the rectum. Hard or lumpy areas may suggest the presence of one or more tumours. Your doctor may also be able to tell whether it\u2019s likely that the tumour has grown outside the prostate.<\/p><p style=\"font-weight: 400;\">Men will almost always need to undergo an MRI and a transrectal prostate biopsy or a\u00a0<a href=\"https:\/\/urologysussex.co.uk\/index.php\/services\/elementor-2070\/\">transperineal prostate biopsy<\/a>\u00a0in order to establish the diagnosis of prostate cancer.<\/p><p style=\"font-weight: 400;\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-932e8e6 elementor-widget elementor-widget-text-editor\" data-id=\"932e8e6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Magnetic resonance Imaging<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c8e582b elementor-widget elementor-widget-text-editor\" data-id=\"c8e582b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A multi-parametric MR imaging test (mp-MRI) has been shown to identify areas in the prostate suspicious for cancer. Mp-MRI uses 2-3 sophisticated interpretations of digital information from the scan to allow the radiologist to identify these abnormality. It is now known that the accuracy of MRI is superior to any laboratory test available so far. Although the quality is outstanding, mp-MRI cannot diagnose prostate cancer alone and it also cannot fully exclude prostate cancer either. A biopsy is most commonly still required. However, it can give valuable information regarding the risk of prostate cancer, if it is normal, and suspicious areas can be targeted using\u00a0<a href=\"https:\/\/urologysussex.co.uk\/index.php\/services\/elementor-2070\/\">MRI-US fusion technology<\/a>. Paimaun Zakikhani works closely with the Radiologists at Prostate Care\u00a0 who are accredited experts in reading Prostate mp-MRI.<\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-54a29d0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"54a29d0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6bf5790\" data-id=\"6bf5790\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ef5938 elementor-widget elementor-widget-image\" data-id=\"6ef5938\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/prostate-mri-1024x683.jpeg\" class=\"attachment-large size-large wp-image-2222\" alt=\"\" srcset=\"https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/prostate-mri-1024x683.jpeg 1024w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/prostate-mri-300x200.jpeg 300w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/prostate-mri-768x512.jpeg 768w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/prostate-mri-1536x1024.jpeg 1536w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/prostate-mri-2048x1365.jpeg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4d00005\" data-id=\"4d00005\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-82be099 elementor-widget elementor-widget-image\" data-id=\"82be099\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/tp-prostate-biopsies-1024x1024.jpeg\" class=\"attachment-large size-large wp-image-2223\" alt=\"\" srcset=\"https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/tp-prostate-biopsies-1024x1024.jpeg 1024w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/tp-prostate-biopsies-300x300.jpeg 300w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/tp-prostate-biopsies-150x150.jpeg 150w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/tp-prostate-biopsies-768x768.jpeg 768w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/tp-prostate-biopsies-1536x1536.jpeg 1536w, https:\/\/urologysussex.co.uk\/wp-content\/uploads\/2023\/06\/tp-prostate-biopsies-2048x2048.jpeg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f590a7b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f590a7b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8be6816\" data-id=\"8be6816\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4dc9df1 elementor-widget elementor-widget-spacer\" data-id=\"4dc9df1\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-81a52bf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"81a52bf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-063eef9\" data-id=\"063eef9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3950e9f elementor-widget elementor-widget-text-editor\" data-id=\"3950e9f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"font-weight: 400;\">Prostate biopsy<\/p><p>\u00a0<\/p><p style=\"font-weight: 400;\">Prostate biopsy involves taking several cores of prostate tissue using an ultrasound probe placed in the rectum, and is usually done under local anaesthetic. On some occasions, a transperineal template or prostate mapping biopsy may be appropriate. This involves a general anaesthetic, the biopsies are taken through the soft skin underneath the scrotum and above the anus.<\/p><p style=\"font-weight: 400;\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2b64a7e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b64a7e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-823c362\" data-id=\"823c362\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-01f96c7 elementor-widget elementor-widget-text-editor\" data-id=\"01f96c7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"font-weight: 400;\">What is the Gleason Score<\/p><p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">The prostate tissue that was removed during the biopsy procedure can be used in lab tests. The pathologist studies prostate tissue samples under a microscope to determine the grade of the tumour. The grade tells how different the tumour tissue is from normal prostate tissue.<\/p><p style=\"font-weight: 400;\">Tumours with higher grades tend to grow faster than those with lower grades. They are also more likely to spread. Doctors use tumour grade along with your age, overall health and other factors to suggest treatment options. The most commonly used system for grading prostate cancer is the Gleason score. Gleason scores range from 6 to 10.<\/p><p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">To come up with the Gleason score, the pathologist looks at the patterns of cells in the prostate tissue samples. The most common pattern of cells is given a grade of 1 (most like normal prostate tissue) to 5 (most abnormal). If there is a second most common pattern, the pathologist gives it a grade of 1 to 5 and then adds the grades for the two most common patterns together to make the Gleason score (e.g.3 + 4 = 7). If only one pattern is seen, the pathologist counts it twice (5 + 5 = 10).<\/p><p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">A high Gleason score (such as 10) means a high-grade prostate tumor. High-grade tumors are more likely than low-grade tumors to grow quickly and spread.<\/p><p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">Treatment options<\/p><p style=\"font-weight: 400;\">\u00a0<\/p><p style=\"font-weight: 400;\">Men with prostate cancer have many treatment options. Treatment options include:<\/p><ul><li>Active Surveillance<\/li><li>Surgery<\/li><li>Radiation therapy<\/li><li>Hormone therapy<\/li><\/ul><p style=\"font-weight: 400;\">You may receive more than one type of treatment.\u00a0The treatment that\u2019s optimal for one man may not be optimal for another. The treatment that\u2019s right for you depends mainly on:<\/p><ul><li>Your age<\/li><li>Gleason score (grade) of the tumour<\/li><li>Stage of prostate cancer<\/li><li>Your symptoms<\/li><li>Your general health<\/li><\/ul><p style=\"font-weight: 400;\">\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Prostate Cancer Prostate Cancer \u00a0 Prostate cancer has become the most common cancer in men and is the second most common cause of male cancer deaths, after lung cancer. It is different from most cancers in that a significant proportion of men, particularly older men with a shorter life expectancy, have a very slow growing &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/urologysussex.co.uk\/index.php\/services\/raised-psa\/\"> <span class=\"screen-reader-text\">Raised PSA<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":15,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"class_list":["post-2075","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Raised PSA - UrologySussex<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urologysussex.co.uk\/index.php\/services\/raised-psa\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Raised PSA - UrologySussex\" \/>\n<meta property=\"og:description\" content=\"Prostate Cancer Prostate Cancer \u00a0 Prostate cancer has become the most common cancer in men and is the second most common cause of male cancer deaths, after lung cancer. 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