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Third International Chronic Prostatitis Network

PSA elevation with Chronic Pelvic Pain Syndrome-A Case Study

Larry D. Rabon
Larry D. Rabon Urology, Florence, South Carolina
Symptomatic and asymptomatic prostatitis (CPPS) may be the cause of more than one half of PSA elevations. Therefore, prostate trauma could be the cause of the prostate inflammation and causes elevated PSAs. Pathologists now think that disruption of the prostatic epithelium causes noncancerous PSA elevations.
This case report suggests a causal relationship between prostatic trauma and noncancerous PSA elevations. Prevention of prostatic trauma with aninflatable donut cushion while riding and sitting could reduce noncancerous PSA elevations and reduce the number of prostatic biopsies. A double blind random multi-center study is needed to prove or disprove this theory.

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