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Pathway Two

A high PSA is not a cancer diagnosis.

It just means we need more information. Here’s what might be causing it, what tests come next, and the names and numbers of the team that will walk with you the whole way.

First, a deep breath

A high PSA just means your number was higher than we’d expect for your age. Lots of things can raise PSA — not just cancer. An enlarged prostate. An infection. Even a recent bike ride. The next step is to figure out which one.

01 · What Could Be Going On

What can raise your PSA.

A few different things can push your PSA up. Some are easy to treat. Some need a closer look. Some need more testing to rule out cancer. Your workup is set up to tell them apart.

Most common
An enlarged prostate (BPH)
Most men over 50 have some prostate growth. A bigger prostate makes more PSA — that’s why your number goes up. This is not cancer, and it does not turn into cancer.
Inflammation
Prostatitis
Swelling or infection in the prostate, sometimes from bacteria. It can push PSA up a lot — sometimes way up. The good news: it usually gets better with treatment.
Urinary tract
A urinary tract infection
A UTI can raise your PSA for a while. That’s one reason a simple urine test is part of the workup — to rule out an infection before doing anything more.
Recent activity
Sex or hard bike riding
PSA can go up for a couple days after sex, a long bike ride, or a recent prostate exam. A second test under different conditions often gives a clearer answer.
Possible
Prostate cancer
Cancer is one of the things that can raise PSA — but it’s far from the only one. Even when cancer is found, many prostate cancers grow so slowly they may never need strong treatment. The workup tells us which kind you have.
Less common
Other things
Some medications, recent prostate procedures, or even normal lab differences can change PSA. Your team will ask about all of this.
02 · The Workup

What the workup looks like.

Not every man needs every test. Your doctor will explain what fits your case, why each test is being done, and what the results would mean. You’ll be part of every decision.

i.
A second PSA test

PSA goes up and down on its own. A repeat test — a few weeks later, with no recent sex, bike riding, or prostate exam — tells us if the high number was real or just a one-time bump. A lot of the time, this one step is all that’s needed.

ii.
A urine test

A simple urine test rules out an infection that could be pushing your PSA up. If anything looks off, the same sample is sent for more testing right away — no extra trip needed.

iii.
IsoPSA test

A newer blood test that looks at different forms of PSA, not just the total. It helps tell the difference between harmless causes and a cancer worth treating — and helps cut down on men who get a biopsy they don’t actually need.

iv.
Prostate MRI

An MRI is a scan that takes detailed pictures of your prostate. No needles, no surgery. It shows any spots that look concerning, and helps your doctor decide if you need a biopsy — and if so, exactly where to look.

v.
Prostate biopsy

If you need a biopsy, today’s methods combine two kinds. Targeted samples from the spots the MRI flagged. Systematic samples from across the rest of the prostate. Together they give a much more accurate picture than older biopsies.

A note on biopsies

Not every man with a high PSA needs a biopsy. The tests above — the repeat PSA, IsoPSA, and MRI — help us find the men who do, and spare the men who don’t.

03 · The Support

How our team walks with you.

You won’t do this alone. From the moment your result comes back to the moment your workup is done, the HEALCARE team is your one number to call — one coordinator, one steady point of contact.

A real phone call
You get a call — not a letter

A real person calls you with your result, explains what it means in plain language, and helps you decide what to do next.

Scheduling help
We book your appointments

Our coordinator sets up your visits at the Georgia Cancer Center or Wellstar Urology. No long phone trees. No chasing referrals.

Plain talk
No medical translator needed

Every test, every result, every step gets explained in regular words. Bring your wife, your son, a friend — family is welcome at every visit.

Real-world help
Cost, rides, insurance

If insurance, a ride, time off work, or anything else is in the way, tell us. We have partners who can help.

04 · The Phone Numbers

Who to call.

Save these numbers. If you don’t know who to call, start with the study coordinator — she’ll send you to the right place.

Start Here
Brittany Transou
Study Coordinator · follow-up calls, referrals, scheduling help
(706) 550-7497
Cancer Care
Georgia Cancer Center
1411 Laney Walker Blvd, Augusta, GA 30912 · Urology cancer follow-up
(706) 721-7000
Urology
Wellstar Urology
General urology visits · PSA workup, enlarged prostate, peeing problems
(706) 721-7820
Program Office
HEALCARE Program Line
General questions, food vouchers, screening event info
(706) 721-4526
If you remember nothing else

Call Brittany at (706) 550-7497. She’s your one person to talk to through the whole workup — from the day your PSA result comes in, to the day your evaluation is done.

Continue

Where to next?

I.
I want to understand screening.

A plain explanation of what the prostate is, what PSA measures, and why catching things early matters.

Take me there
III.
I want to eat better for my health.

Food as medicine, the food swamp problem, and the HEALCARE nutrition program built on Southern soul food.

Show me the food