Hematologist (Blood Specialist) Questions Hematologist

Blood test?

I was wondering why my doctor insisted I wait 10 days before I get blood tests done for suspected prostate cancer after he checked me out.

Male | 33 years old

2 Answers

Although prostate cancer would be uncommon in someone in their thirties, an abnormal exam may prompt a PSA blood test. This should always be interpreted by an experienced urologist as subtle changes in someone <50 years of age may not be appreciated by a PCP. If there was concern for a condition such as a UTI or prostatitis, then the PSA would be falsely elevated and therefore one should wait before rechecking. After an acute episode of prostatitis for instance, the PSA may not return to baseline for 4-6 weeks.
For more information about PSA or other urological questions, please visit my YouTube channel: YouTube.com/DrRad.
It could be he did your rectal exam and suspected something. A rectal or manipulation of the prostate from a cysto or colonoscopy could increase the number or he put you on antibiotics and wanted to test you afterwards. Otherwise, I do not have a good answer for you.

Dr. Niko Lailas