{"id":494,"date":"2022-12-16T11:16:04","date_gmt":"2022-12-16T09:16:04","guid":{"rendered":"https:\/\/urologistkefalonia.gr\/?page_id=494"},"modified":"2024-01-31T11:51:48","modified_gmt":"2024-01-31T09:51:48","slug":"afxisi-psa","status":"publish","type":"page","link":"https:\/\/urologistkefalonia.gr\/en\/sybtomata\/afxisi-psa\/","title":{"rendered":"Increased PSA value"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"494\" class=\"elementor elementor-494\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-51efbe94 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"51efbe94\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6495b3fd\" data-id=\"6495b3fd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-322ed319 elementor-widget elementor-widget-template\" data-id=\"322ed319\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"template.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-template\">\n\t\t\t\t\t<div data-elementor-type=\"section\" data-elementor-id=\"340\" class=\"elementor elementor-340\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1f21f835 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"1f21f835\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-20d17a1a\" data-id=\"20d17a1a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4f102797 elementor-icon-list--layout-inline elementor-align-center elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"4f102797\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items elementor-inline-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">DISEASES<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-inline-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-right\" viewbox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M285.476 272.971L91.132 467.314c-9.373 9.373-24.569 9.373-33.941 0l-22.667-22.667c-9.357-9.357-9.375-24.522-.04-33.901L188.505 256 34.484 101.255c-9.335-9.379-9.317-24.544.04-33.901l22.667-22.667c9.373-9.373 24.569-9.373 33.941 0L285.475 239.03c9.373 9.372 9.373 24.568.001 33.941z\"><\/path><\/svg>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\"><\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3eb554b7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3eb554b7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1d7458d2\" data-id=\"1d7458d2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f2fb60d elementor-widget elementor-widget-heading\" data-id=\"5f2fb60d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is the PSA test?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a8c9c3 elementor-widget elementor-widget-text-editor\" data-id=\"6a8c9c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>PSA (or prostate-specific antigen) is a protein produced by both normal and cancerous prostate cells. It is mainly found in semen, where it helps to liquefy it, but there is also a small amount that escapes into the blood. This amount is detected by the PSA test.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5cdfbf93 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5cdfbf93\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6428c018\" data-id=\"6428c018\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1d1d83c5 elementor-widget elementor-widget-heading\" data-id=\"1d1d83c5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">At what age should I have a PSA test?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f58e616 elementor-widget elementor-widget-text-editor\" data-id=\"1f58e616\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The measurement of PSA is proposed to start at the age of 50. However, if a man has a first-degree relative (father or brother) with a history of prostate malignancy, it is recommended that PSA measurement begin at the age of 40, as he is approximately twice as likely to develop cancer as the general population.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9e92301 elementor-widget elementor-widget-heading\" data-id=\"9e92301\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What is the exam preparation?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f139eb7 elementor-widget elementor-widget-text-editor\" data-id=\"6f139eb7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>As a preparation, we should mention: avoiding any procedure that stimulates the prostate, such as ejaculation, prostate rectal finger examination, cystoscopy, urinary catheter insertion, or prostate biopsy. Even some intense exercise, such as cycling or horse riding, can affect it. For this reason, you should avoid ejaculation and bicycle or horse riding for at least 1-2 days before the PSA test and not having a rectal finger examination or cystoscopy-catheter insertion on the same day. Blood can be given at any time of the day, even if one is not fasting.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-221903f0\" data-id=\"221903f0\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-510144e7 elementor-widget elementor-widget-heading\" data-id=\"510144e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">In which conditions the PSA is increased?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1bf2f35 elementor-widget elementor-widget-text-editor\" data-id=\"1bf2f35\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If the PSA is given according to the specifications we mentioned above, the increase in the PSA value is observed in: \u00a0<\/p><ul><li><strong>Benign prostatic hyperplasia (BPH): <\/strong>PSA may increase over time as the prostate progressively increases in size and thus produces more PSA.<\/li><li><strong>Acute or chronic prostatitis<\/strong>: they cause irritation and inflammation of the prostate, which swells and produce more PSA.<\/li><li><strong>Prostate cancer<\/strong>: cancer cells multiply at a rapid rate affecting the structure of normal cells resulting in increased PSA release.<\/li><li><strong>Other causes: <\/strong>high levels of parathyroid hormone (PTH).<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bfe7806 elementor-widget elementor-widget-heading\" data-id=\"bfe7806\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How do we evaluate PSA?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1b219bb elementor-widget elementor-widget-text-editor\" data-id=\"1b219bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>There are no absolute boundaries between normal and pathological values. The PSA test should be evaluated in relation to:<\/p><ul><li><strong>The rate of PSA increase over time <\/strong><strong>:<\/strong> At least 3 measurements with a time difference between them are required to evaluate. A rapid increase, of at least 0.75ng\/mL per year (high rate of PSA change), may indicate the presence of cancer. Even if the PSA value is within the normal range, an increase is considered abnormal and should be investigated.<\/li><li><strong>PSA <\/strong><strong>Ratio<\/strong><strong>: <\/strong>It is the ratio of FPSA to total PSA. It is usually measured when total PSA values are between 4 and 10ng\/mL. There are no clear limits for the Ratio, but generally when it is above 0.20 it means there is no malignancy, when it is below 0.10 there is a high probability of prostate cancer.<\/li><li><strong>Prostate rectal examination: <\/strong>a soft prostate is normal, a painful prostate is inflamed and a hard prostate is suspicious for malignancy.<\/li><li><strong>Transrectal ultrasound of the prostate: <\/strong>the size of the prostate is evaluated and signs of inflammation or suspicious signs of malignancy are looked for.<\/li><li><strong>Multiparametric prostate MRI (mpMRI)<\/strong> <strong>:<\/strong> it shows suspicious areas and stages them based on the likelihood of malignancy (PIRADS I to IV). In case of a PIRADS III or above, a fusion prostate biopsy follows.<\/li><li><strong>Prostate Biopsy:<\/strong> When there is an ultrasound or mpMRI finding with suspicion of malignancy.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>\u03a4\u03b9 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 PSA; \u03a4\u03bf PSA (\u03ae \u03b5\u03b9\u03b4\u03b9\u03ba\u03cc \u03c0\u03c1\u03bf\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03cc \u03b1\u03bd\u03c4\u03b9\u03b3\u03cc\u03bd\u03bf) \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03c0\u03c1\u03c9\u03c4\u03b5\u0390\u03bd\u03b7 \u03b7 \u03bf\u03c0\u03bf\u03af\u03b1 \u03c0\u03b1\u03c1\u03ac\u03b3\u03b5\u03c4\u03b1\u03b9 \u03c4\u03cc\u03c3\u03bf \u03b1\u03c0\u03cc \u03c4\u03b1 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03ac \u03cc\u03c3\u03bf \u03c4\u03b1 \u03ba\u03b1\u03c1\u03ba\u03b9\u03bd\u03b9\u03ba\u03ac \u03ba\u03cd\u03c4\u03c4\u03b1\u03c1\u03b1 \u03c4\u03bf\u03c5 \u03c0\u03c1\u03bf\u03c3\u03c4\u03ac\u03c4\u03b7. \u0395\u03bd\u03c4\u03bf\u03c0\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03ba\u03c5\u03c1\u03af\u03c9\u03c2 \u03c3\u03c4\u03bf \u03c3\u03c0\u03ad\u03c1\u03bc\u03b1, \u03cc\u03c0\u03bf\u03c5 \u03b2\u03bf\u03b7\u03b8\u03ac\u03b5\u03b9 \u03c3\u03c4\u03b7\u03bd \u03c1\u03b5\u03c5\u03c3\u03c4\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03bf\u03c5, \u03c5\u03c0\u03ac\u03c1\u03c7\u03b5\u03b9 \u03cc\u03bc\u03c9\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03bc\u03b9\u03ba\u03c1\u03ae \u03c0\u03bf\u03c3\u03cc\u03c4\u03b7\u03c4\u03b1 \u03c0\u03bf\u03c5 \u03b4\u03b9\u03b1\u03c6\u03b5\u03cd\u03b3\u03b5\u03b9 \u03c3\u03c4\u03bf \u03b1\u03af\u03bc\u03b1. \u0391\u03c5\u03c4\u03ae \u03c4\u03b7\u03bd \u03c0\u03bf\u03c3\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03bd\u03b9\u03c7\u03bd\u03b5\u03cd\u03b5\u03b9 \u03b7 \u03b5\u03be\u03ad\u03c4\u03b1\u03c3\u03b7 \u03c4\u03bf\u03c5 PSA. \u03a3\u03b5 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":216,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-494","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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