Prostate-specific antigen increase after urethral catheterisation: fact or myth

Author:

Anand Ajay,Gupta Sonam

Abstract

Abstract Background To find out any association of urethral catheterisation with rise in serum PSA. Methods This study was conducted in 80 patients of BPH who had to undergo catheterisation because of acute urinary retention. Patients were divided into two groups: Group A (n = 43 patients), age group 40–60 years, and Group B (n = 47 patients), age group 60–75 years. Values of PSA, free/total PSA and PSA density were recorded in both age groups before catheterisation and one and three days after catheterisation. Results PSA, PSA density and free/total PSA were not statistically different before and after urethral catheterisation. Conclusions In the absence of urinary tract infection, urethral catheterisation does not elevate serum PSA. PSA, PSA density and free/total PSA were not statistically different before and after urethral catheterisation.

Publisher

Springer Science and Business Media LLC

Subject

Urology

Reference5 articles.

1. Kravchick S, Bunkin I, Peled R, Yulish E, Ben-Dor D, Kravchenko Y et al (2007) Patients with elevated serum PSA and indwelling catheter after acute urinary retention: prospective study of 63 patients with 7-year follow-up. J Endourol 21:1203–1206

2. Gazy F, Suran L, Hanna T et al (2003) Is PSA reliable in patients with indwelling urethral catheter. J Uro Oncol 2(3):117–120

3. Aslan Y, Altug T, Tekdogan YO et al (2007) Is serum Prostate specific antigen level affected by in- and-out urethral catheterization. Turk J Med Sci 37(4):195–198

4. Alisgari M, Soleimani M, Hosseini Moghaddam SM (2005) The effect of acute urinary retention on serum prostate-specific antigen level. Urol J 2:89–92

5. Torricelli FC, Lucon M, Vicentini F, Gomes CM, Srougi M, Bruschini H. PSAlevels in men with spinal cord injury and under intermittent catheterisation. Neurourol Urodyn. 2011;30:1522–4.

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