What is normal PSA for an 80 year old man?

3.5-4.5: Normal for a man 60-70 yrs. 4.5-5.5: Normal for a man 70-80 yrs.

texasurologyspecialists.com - PSA Testing | Texas Urology Specialists

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PSA Testing

PSA stands for prostate specific antigen. The prostate is the only place in the male body where this "hormone" is made. Women, therefore, do not have any PSA detectable in the blood. The prostate is a walnut-sized gland that sits below the bladder and surrounds the urethra. It contributes about 50 percent of the ejaculate volume, which helps the sperm survive for reproduction. PSA has a role itself in reproduction and also helps the sperm survive. The PSA is detectable in the blood through a special blood test. The prostate can "leak" PSA into the bloodstream that we can then measure. There are several instances where the PSA may be elevated. As men age, the prostate tends to get bigger and therefore the prostate of an 80-year-old man will usually secrete more PSA than a man in his forties. An infected prostate will tend to "leak" more PSA and may cause the level to be falsely elevated. In this situation the man is usually treated with antibiotics and a PSA is redrawn at a different date. Another situation where the PSA can be elevated is prostate cancer. A rectal examination should also be performed to identify any abnormalities. A prostate biopsy is often necessary to differentiate these three situations and rule out prostate cancer. The normal PSA value is usually stated to be less than 4.0. However, because of the fact that benign enlargement of the prostate gland tends to occur as men get older, an age-adjusted scale has been developed:

0-2.5: Normal for a man 40-50 yrs.

2.5-3.5: Normal for a man 50-60 yrs.

3.5-4.5: Normal for a man 60-70 yrs.

4.5-5.5: Normal for a man 70-80 yrs.

The PSA is not a perfect test but it can aid in detecting prostate cancer. Other factors that may falsely elevate the PSA value include a prostate biopsy, cystoscopy, vigorous rectal examination and ejaculating 48 hours before the sample is drawn. A new PSA test has been developed to better distinguish whether the PSA is elevated from prostate cancer or benign prostate disease and is called a free PSA. This test is based upon the fact that some of the PSA in the blood is bound to proteins, while some freely circulates in the blood. The lower the percentage of free to total PSA (<15 percent), the greater the worry that an individual has prostate cancer. Newer, more sensitive PSA tests are on the horizon and may help us in detecting prostate cancer more efficiently in the future. The American Cancer Society recommends that men over 50 years of age should have an annual rectal examination and PSA. Individuals of African-American descent or those with a family history of prostate cancer should begin screening at age 40.

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How long does fatigue last after prostatectomy?

Fatigue usually lasts from three to four weeks after treatment stops but can continue three months to one year after the treatment is finished.

webmd.com - Prostate Cancer: Dealing with Fatigue - WebMD

Fatigue is often confused with tiredness. Tiredness happens to everyone. It's a feeling you expect after certain activities or at the end of the day. Usually, you know why you are tired and a good night's sleep solves the problem. Fatigue is a lack of energy throughout the day. It is an unusual or excessive whole-body tiredness not relieved by sleep. It can last just for a short time (a month or less) or stay around for longer (one to six months or longer). Fatigue can prevent you from functioning normally and gets in the way of things you enjoy or need to do. Cancer-related fatigue is one of the most common side effects of cancer and its treatment. It is not predictable by tumor type, treatment, or stage of illness. Usually, it comes on suddenly, does not result from activity or exertion, and is not relieved by rest or sleep. It may continue even after treatment is complete.

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