Prostate Specific Antigen (PSA) Lab Values - podcast episode cover
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Episode description

Objective:

Determine the significance and clinical use of Prostate Specific Antigen in clinical practice

Lab Test Name:

Prostate Specific Antigen – PSA

Description:

Measurement of PSA in the bloodstream

Used to diagnose and assess prostate health, size and function.

Indications:

Evaluate:

  • Enlarged prostate when prostate cancer is suspected
  • Stage cancer
  • Effectiveness of treatments

Normal Therapeutic Values:

Normal –

  • Male:
  • Female:

Collection:

  • Serum Separator Tube
What would cause increased levels?

Increased:

  • Benign Prostatic Hypertrophy (BPH)
  • Prostate cancer
  • Prostatitis
  • Urinary retention

What would cause decreased levels?

Decreased:

  • Long-term use of NSAIDs- explained in part by the anti-inflammatory effect of these medications
  • Thiazides- reduces bioavailable testosterone, associated with resulting in functional hypogonadism
  • Statins- cholesterol plays a role in synthesis of androgen, which affects the size of the prostate
  • 5-alpha-reductase inhibitors- due to the effect on prostate size.
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