Raised PSA: what happens next?
Patient education
Raised PSA: what happens next?
What patients can expect after an elevated PSA result, from repeat testing to MRI and biopsy discussion.
Quick answer
After a raised PSA, the next step is usually to confirm the result, review symptoms and risk factors, and decide whether imaging or specialist assessment is needed.
What this can mean
A PSA result is only one part of the prostate assessment. Symptoms, family history, ethnicity, examination findings and previous PSA values can all change the level of concern.
Some men need reassurance and repeat testing. Others may need prostate MRI or discussion about prostate biopsy.
How specialist assessment may help
- Take a focused history of urinary symptoms and prostate cancer risk factors.
- Review whether a urine infection or recent procedure could affect the result.
- Arrange or review prostate MRI where clinically appropriate.
- Explain what biopsy involves if it becomes part of the pathway.
Questions to ask at your appointment
- Was my PSA tested during an infection?
- How does this compare with my previous PSA?
- Would an MRI help clarify the risk?
- What are the pros and cons of biopsy?
Common questions
Can I be seen privately after a raised PSA?
Yes. Private assessment can help you understand the result and plan the next step.
Is MRI always needed?
Not always. MRI is considered according to the full clinical picture.
General information only. It should not replace personalised advice from a qualified clinician. Last updated 27 June 2026.