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Benign Prostatic Hyperplasia (BPH) is a noncancerous enlargement of the prostate gland that commonly affects men as they age. It is caused by hormonal changes, particularly an increase in dihydrotestosterone (DHT) levels, which stimulate prostate cell growth. The Prostate-Specific Antigen (PSA) Ultrasensitive test is the most important blood test for monitoring prostate health and distinguishing BPH from other prostate conditions.
Benign Prostatic Hyperplasia is caused by hormonal changes that occur naturally as men age, particularly an increase in dihydrotestosterone (DHT), a potent form of testosterone. DHT stimulates prostate cell growth, leading to gradual enlargement of the prostate gland that can compress the urethra and restrict urine flow. Age-related shifts in the balance between testosterone and estrogen also contribute to prostate tissue growth, making BPH extremely common in men over 50.
The Prostate-Specific Antigen (PSA) Ultrasensitive test is the most important blood test for BPH because it detects elevated levels of PSA, a protein produced by prostate cells that increases with prostate enlargement. While BPH is primarily diagnosed through physical examination and symptom assessment, the PSA test plays a critical role in monitoring prostate health, tracking disease progression, and helping healthcare providers differentiate between benign enlargement and more serious conditions like prostate cancer. Elevated PSA levels in combination with urinary symptoms provide valuable information for comprehensive prostate health assessment and treatment planning.
You should get tested if you are experiencing frequent urination, especially at night, difficulty starting urination, a weak urine stream, or the feeling that your bladder is not completely empty. Testing is also important if you are over 50 and have a family history of prostate problems, or if you notice sudden changes in urinary habits or blood in your urine. Early detection through PSA testing helps monitor prostate health and prevents complications like urinary retention or kidney problems.
What this means
Your PSA level is detectable after prostatectomy, which may indicate the presence of remaining prostate tissue or possible cancer recurrence. While this is a very low level, any detectable PSA after prostate removal warrants discussion with your oncologist or urologist for further evaluation and monitoring.
Recommended actions
Schedule a follow-up appointment with your oncologist or urologist immediately to discuss results
Your doctor may recommend additional imaging or repeat testing in 4-6 weeks to confirm trends
Maintain a healthy diet rich in vegetables, fruits, and anti-inflammatory foods
Continue regular monitoring as this early detection allows for timely intervention if needed
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