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Lab Tests & Investigations - Prostate Problems |
(All the tests related to Prostate Problems and Urine Tract
Infections(UTI)) |
Please enter dates to tests in given fields (In case you are missing date,
please enter some closer one) |
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Facts about Lab tests |
Prostate
Specific Antigen (PSA) |
PSA test results report the level of PSA detected in the blood. The test results
are usually reported as nanograms of PSA per milliliter (ng/ml) of blood. In
the past, most doctors considered PSA values below 4.0 ng/ml as normal.
However, recent research found prostate cancer in men with PSA levels below 4.0
ng/ml (2). Many doctors are now using the following ranges, with some
variation:
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0 to 2.5 ng/ml is low.
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2.6 to 10 ng/ml is slightly to moderately elevated.
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10 to 19.9 ng/ml is moderately elevated.
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20 ng/ml or more is significantly elevated.
There is no specific normal or abnormal PSA level. However, the higher a
man?s PSA level, the more likely it is that cancer is present. But because
various factors can cause PSA levels to fluctuate, one abnormal PSA test does
not necessarily indicate a need for other diagnostic tests. When PSA levels
continue to rise over time, other tests may be needed.
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Urine Flow |
Peak urinary flow rate represents the highest flow rate achieved
during a single urination and, as such, represents the patient's best effort at
micturition. Peak flow rate, correlated with patient age and volume voided,
effectively estimates lower urinary tract obstruction. The 63 normal and 368
abnormal male subjects urinated in privacy into a plastic sterile disposable
device (the peakometer), which measured peak flow rate and volume voided. These
data plus age, ultimate diagnosis and interval since last urination comprised
our data base. Percentage distribution of diagnosis in this population was
prostatic obstruction 47.3 per cent, stricture 19.3 per cent, normal 14.6 per
cent, prostatitis 8.4 per cent, neurogenic bladder 2 per cent and miscellaneous
8.4 per cent. The average peak flow rate for normal male subjects reaches 27.6
ml. per second, which differs significantly from that for patients with
prostatic obstruction--9.4 ml. per second, stricture--10.5 ml. per second,
prostatitis--16.3 ml. per second and neurogenic bladder--13.9 ml. per second.
The peak flow rate decreased progressively as the age of the subjects
increased. We measured average decreases of 10 ml. per second peak flow for
every 30 years after age 10. Peak flow rate increases as volume voided
increases. Requirements of our measuring device combined with urodynamic
responses caused us to select 100 ml. voided as the minimum acceptable volume.
With volumes more than this any given individual may deviate plus or minus 10
per cent from the true mean peak flow depending upon volume voided. For
practical purposes peak flow, age and volume must be considered to categorize
voiding by peak flow rate. With these variables 2 graphs that compare peak
flow, age and volume may be used to estimate voiding function for a given male
patient. Comparison of peak flow rates, volume voided and voiding interval
before and after surgical correction of obstruction documented significant
increase in volume voided or in interval between voiding. Peak urinary flow
rate measurement by this device predicted normality or abnormality with 90 to
95 per cent accuracy. Therefore, this represents a valid screening test but it
does not in itself provide the diagnosis of abnormal urination.
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Urine Culture |
The presence of a single type of bacteria growing at high
colony counts (greater than 10,000 colony forming units (CFU)/ml) is considered
a positive urine culture. A culture that is reported as no growth in 24 or 48
hours or less than 10,000 CFU/ml usually indicates that there is no infection.
If the symptoms persist, however, the culture may be repeated to look for the
presence of bacteria at lower colony counts (less than 10,000 CFU/ml) or other
microorganisms that may cause these symptoms. The presence of white blood cells
and low numbers of microorganisms in a symptomatic patient is a condition known
as acute urethral syndrome.
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Kidney function Tests
(Ferum)- |
BUN:7to20 mg/dl Creatinine:0.8to1.4mg/dl Note=mg/dl=miligrams per
deciliter
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Creatinine:< 1.2mg/dL SI unit: <
106micro mol/L
Urine (Male) - 0.8-2.4g/dAY SI UNIT-7.1-21.2mmol/dAY Urine(Female)0.6-1.8g/day
SI UNIT-5.3-15.9mmol/day
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