Elevated PSA & Prostate Cancer Screening
A high PSA is not a diagnosis. We use repeat testing, imaging and, when needed, biopsy to tell a benign cause from a cancer that needs treatment.
Elevated PSA and prostate cancer screening
PSA (prostate-specific antigen) is a blood test used to screen for prostate cancer. An elevated result is common and is often due to an enlarged prostate, inflammation, or recent activity rather than cancer — but it needs a thoughtful evaluation.
Shared decision-making
Screening is a personal decision that depends on age, family history, race, and overall health. Dr. Sosenko follows the American Urological Association guidelines and helps each man decide whether and how often to screen.
If your PSA is elevated
- Repeat PSA and additional blood or urine markers when appropriate
- Prostate MRI to identify suspicious areas and avoid unnecessary biopsies
- Prostate biopsy, targeted to MRI findings when available, performed with careful attention to infection and bleeding prevention
Dr. Sosenko was first author of a multi-center study of more than 8,000 prostate biopsies examining how to make the procedure safer, and he brings that experience to counseling patients about what to expect. If cancer is found, he will review all options — from active surveillance to surgery and radiation — and coordinate care.
This page is general patient education and is not a substitute for a visit. Every patient is different — Dr. Sosenko will review your history, examination, and test results before recommending treatment.