Elevated PSA Levels in Birmingham
An elevated PSA (prostate-specific antigen) level is one of the most common reasons men are referred to a urologist. Whilst a raised PSA can indicate prostate cancer, there are several other, non-cancerous causes. Mr Syed Ali Shahzad, Consultant Urological and Robotic Surgeon, offers expert investigation and interpretation of elevated PSA at private hospitals across Birmingham.
What Is PSA?
PSA is a protein produced by the prostate gland and released into the bloodstream. Small amounts are normal; elevated levels may indicate a prostate problem. PSA is not cancer-specific: it can be raised by BPH, prostatitis, urinary tract infection, recent ejaculation or vigorous exercise, as well as by prostate cancer.
What PSA level is usually considered raised?
There is no single “normal” PSA level for everyone. PSA results are interpreted alongside age, symptoms, prostate size, examination findings, infection risk, medication history and whether the PSA is changing over time.
For people with possible symptoms of prostate cancer, NICE age-specific PSA thresholds are commonly used as a guide:
| Age | PSA threshold |
|---|---|
| Below 40 | Use clinical judgement |
| 40-49 | More than 2.5 ng/mL |
| 50-59 | More than 3.5 ng/mL |
| 60-69 | More than 4.5 ng/mL |
| 70-79 | More than 6.5 ng/mL |
| Above 79 | NICE advises clinical judgement |
NICE reports PSA in micrograms/L, which is equivalent to ng/mL. A raised PSA does not diagnose prostate cancer by itself, but it may mean further assessment is needed.
PSA and imaging review
Consultant review after a raised PSA
A PSA result is interpreted in context. Mr Shahzad can review symptoms, PSA history, examination findings and MRI imaging where appropriate, then explain the safest next step.
Imaging-led assessment
MRI and specialist review after a raised PSA
A raised or changing PSA is interpreted in context. Where appropriate, prostate MRI can help guide the next step, including whether monitoring, repeat testing or biopsy discussion is needed.
What Happens After a High PSA?
Mr Shahzad takes a careful, measured approach to elevated PSA. After a thorough history and examination, he may recommend:
- Repeat PSA testing (to exclude transient causes)
- Multi-parametric MRI of the prostate to characterise the gland and identify suspicious areas
- Targeted or systematic prostate biopsy if the MRI shows concerning features
- Treatment of underlying causes such as infection or BPH
Quick suitability check
Raised PSA result? Here’s what typically happens next
A few quick questions to help you understand what a specialist review will likely involve. This is educational only and does not interpret your specific result.
This tool is educational only and does not interpret your individual PSA result. A specialist review is recommended for any raised PSA result, regardless of your answers above.
Book a PSA Investigation Consultation
If your GP has found an elevated PSA or you are concerned about your prostate health, Mr Shahzad provides clear, expert assessment without unnecessary anxiety or delay. No GP referral is required. Recognised by BUPA, AXA, AVIVA, Vitality, Cigna and WPA. Book an appointment or contact us.