My dad's PSA level is 8.62 and his prostate weighs 65 grams. The MRI shows BPH but everything else looks normal. Should he consider surgery or can this be managed with medication?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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A PSA level of 8.62, combined with a 65-gram prostate and a BPH diagnosis from an MRI, suggests that medication may be a good first approach, but surgery could be considered if symptoms are bothersome or if medication is not effective, according to the Cleveland Clinic and the Mayo Clinic. A biopsy is not automatically indicated with these findings, but your doctor will likely discuss this further with you based on the MRI results and your father's symptoms.

Dr. Kamran Suggests...

Consult a Urologist

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Answered 14/08/2025

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