Q: 69 years old PSA Total 4.41, PSA FREE 0.99 and Relation PSA FREE/TOTAL 22%, I have an enlarged prostate, am I concerned?

by Dr. Alberto Nagle · Published June 1, 2022 · Updated March 1, 2023

Question: Hi, I am 69 years old. I made a PSA test yesterday. The values are the following: PSA Total 4.41, PSA FREE 0.99 and Relation PSA FREE/TOTAL 22%.
Question: I am concerned because of the value is higher than 4 and I do not understand the value 22%. I have an enlarged prostate. Thanks in advance.

Answer:

By taking into account the TPSA, FPSA, PSA Ratio, Age, rectal enlargement, we can deduce the High Grade Prostate Cancer Risk which about 2.7% and Prostate Cancer Risk is about 6.7%.

prostatitis is the most common reason for enlarged prostate other than the cancer, other benign reasons including acute bacterial prostatitis, chronic bacterial prostatitis, and chronic prostatitis.