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 Abnormal?
There is no universally “normal” PSA, as levels naturally increase with age and prostate size. Generally, a PSA above 3 ng/mL in men under 60, or above 4 ng/mL in men under 70, may warrant further investigation. PSA velocity (rate of change over time) and PSA density are also useful in interpretation.
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
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.

