An elevated PSA result is worrying, but it is a signal to investigate — not a diagnosis. Board-certified urologist Dr. Colin Linke, DO sees men with abnormal PSA results promptly at our Fort Wayne, Anderson and Fishers offices, sorts out the benign causes from the concerning ones, and only recommends a biopsy when it is truly needed.
Prostate-specific antigen (PSA) is a protein made by the prostate and measured with a simple blood test. A PSA above about 4.0 ng/mL has traditionally been considered elevated, but the right threshold depends on your age, prostate size, previous results and how fast the number is rising. A PSA that doubles in a year matters more than a number that has been stable for a decade.
Prostate cancer is only one of several reasons PSA goes up:
Dr. Linke reviews your PSA history, performs a prostate exam and may repeat the PSA or order refined tests such as free PSA. If the results remain concerning, a prostate MRI helps identify suspicious areas and, in many men, rules out the need for a biopsy altogether. When a biopsy is recommended, the MRI findings guide where samples are taken so the result is as accurate as possible. If cancer is found, you will already be in the care of a surgeon who can discuss every treatment option, including active surveillance and single-port robotic prostatectomy.
Current guidelines recommend a shared decision about PSA screening starting in your 40s or 50s, and earlier for men at higher risk — a family history of prostate cancer, African-American men, and men with known BRCA mutations. If you are unsure whether you should be tested, that conversation is a good reason for a visit.
You can be evaluated for this condition at any of our three offices — Fort Wayne, Anderson and Fishers. Dr. Linke is the same surgeon at every location, so consultations, office procedures and follow-up can happen close to home. Call (260) 702-9515 for Fort Wayne or Fishers, or (765) 375-4653 for Anderson.
No. Most men with a mildly elevated PSA do not have cancer. Enlarged prostate (BPH), inflammation, infection and even recent ejaculation or bike riding can raise PSA. The purpose of the evaluation is to find out which one applies to you.
Avoid ejaculation and vigorous cycling for about 48 hours before the blood draw, and let us know if you have had a urinary infection, catheter or prostate procedure recently. These can temporarily raise PSA.
Yes. These BPH medications lower PSA by roughly half, so your result has to be doubled to compare it with normal ranges. Tell us about every medication you take.
We keep appointments open for new patients with abnormal PSA results. Call (260) 702-9515 for Fort Wayne or Fishers, or (765) 375-4653 for Anderson, and bring your lab report.
Call (260) 702-9515 or request an appointment online and bring your lab report. Offices in Fort Wayne, Anderson and Fishers.
Medical disclaimer: Information on this page is general education and not medical advice. Treatment results vary and no outcome can be guaranteed.
