Before You See a Urologist for an Elevated PSA, Watch This

An elevated PSA often leads to one recommendation: see a urologist. But before moving from a blood test to a biopsy or treatment, it's worth understanding your options and the questions every man should ask. In this episode, Dr. Stephen Petteruti discusses what an elevated PSA really means and why no single test should automatically determine the next step. He explains how PSA trends, prostate MRI, prostate size, inflammation, and other common factors influence PSA levels and why thoughtful evaluation should precede invasive procedures. You'll also learn when seeing a urologist is appropriate, why specialist recommendations often reflect the tools and treatments they provide, and how modern imaging, sequential monitoring, and careful clinical judgment may help men make more informed decisions. Dr. Petteruti encourages men to slow down, gather information, and understand both the benefits and limitations of every option before committing to a life-changing treatment. Whether you've recently received an elevated PSA result, have been advised to undergo a prostate biopsy, or simply want to better understand your options, this episode provides a practical, evidence-informed framework for making thoughtful decisions with confidence. In This Episode 00:00 Introduction 00:40 When should you see a urologist? 02:00 How elevated PSA has traditionally been managed 02:58 Is a prostate biopsy always necessary? 05:10 Understanding biopsy risks 07:00 Potential complications of prostate biopsy 08:55 What to do after an elevated PSA 12:20 Choosing the right specialist 14:25 Why slowing down matters 15:29 The TAX 324 trial 18:27 Fight Cancer Like a Man Enjoy the Podcast? Subscribe and leave a 5-star review on your favorite platforms. About Dr. Stephen Petteruti is a board-certified physician specializing in longevity-focused, integrative medicine. He works with men navigating prostate cancer, testosterone, and hormone health, aging, and performance using proactive, evidence-informed strategies grounded in real clinical practice. His approach prioritizes preserving function, strength, and quality of life while helping patients make clear, informed decisions beyond reactive, fear-driven care. Resources 📚 Dr. Petteruti Men's Vitality Group https://www.intellectualmedicine.com/... Fight Cancer Like a Man https://www.amazon.com/Fight-Cancer-L... Dr. Petteruti's Newsletter https://drstephenpetteruti.substack.c... Get Supplement - Petteruti Prostate Vitality (PPV): https://www.intellectualmedicine.com/... Podcast Show Notes https://www.intellectualmedicine.com/... Learn More 🌐 Intellectual Medicine https://www.intellectualmedicine.com/ Dr. Stephen Petteruti https://www.drstephenpetteruti.com/ Connect with Dr. Petteruti 📱 Instagram   / dr.stephenpetteruti   Facebook   / dr.stephenpetteruti   Listen to the Podcast 🎧 Apple Podcasts https://podcasts.apple.com/us/podcast... Spotify https://open.spotify.com/show/3om1BQG... Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti, DO, and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan. #BiopsyDebate #Urologists #CancerTruth