Elevated PSA
Elevated PSA: What It Means and What Happens Next
A raised PSA does not mean you have prostate cancer, but it does warrant a structured assessment. This guide explains what PSA measures and the modern pathway for evaluating a raised result.
Written and clinically reviewed by
Mr Haitham Teleb
Consultant Urological Surgeon · MBBCh, MRCS, MSc, FRCS (Urol)
- Reading time
- 6 min read
- Date published
- 1 November 2025
- Last reviewed
- 1 June 2026
What is PSA?
Prostate-specific antigen (PSA) is a protein produced by the prostate. Levels can rise in prostate cancer, but also in benign enlargement, infection, urinary retention or recent instrumentation.
The modern pathway
A raised PSA is typically confirmed on a repeat test, followed by multiparametric MRI. If the MRI shows a suspicious area, a targeted biopsy is offered; if the MRI is reassuring, biopsy may be avoided altogether.
Frequently asked questions
This article provides general information only and does not replace individual medical advice. For personalised guidance, please arrange a private consultation.
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FRCS (Urol)
Fellowship-trained consultant
5.0 patient rating
Verified private reviews
Seen within days
Same-week appointments
All major insurers
BUPA · AXA · Aviva · Vitality · WPA