Proctologist Questions Proctologist

Concerned about prostate?

My PSA number was 9 in my last blood test. It was 6 over the summer and I had a negative biopsy. But I had a slight, dull pain in my groin on the right side after my wife and I had sexual activity. After that, my legs felt weak and I had had issues with peeing.

Male | 63 years old
Complaint duration: 1 day

4 Answers

You need an MRI of the prostate to make sure that nothing was missed on your previous biopsy. You also may have hurt your back which caused the pain on the side and in the groin which also can cause trouble going to the bathroom. The two are unrelated.

Dr. Niko Lailas, Director, Center for Robotic and Minimally Invasive Surgery, Reston Hospital Center
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I am a colon and rectal surgeon. This is a question for a urologist.
Your symptoms are nonspecific and are not likely related to your rising PSA. Sometimes sexual activity before having PSA blood test drawn can falsely elevate them. If you were my patient I would have you under surveillance which means I would see you and check your PSA every three months until we’re both comfortable otherwise if it keeps going up, you need to have a prostate MRI. Stay close to your local urologist.
Usually a repeat psa blood test is warranted and a urinalysis. If psa remains elevated and you did not have an MRI before your first biopsy a MRI is probably warranted at this time. Check with your doc who did the biopsy. Good luck