In the right kidney midpole is 2.3 cm oval lesion displayingintermediate-attenuation (31HU). While it is probable for complexparapelvic cyst with proteinaceous/hemorrhagic contentsThis was the impression from a CT Scan done three weeks ago. I also have a history of Prostate Cancer addressed in 2004 w/ and Radiation. current two PSAs two weeks apart were 12.75 and 23.5. I have urinary incontinence for the last 5 months (9 depends per day). The concern is recurrence of the cancer?
Hi, Thanks for writing in. The symptoms of incontinence are more commonly from urinary tract infection. Sudden rise of PSA also might be due to urinary tract infection. PSA increases in cancer and inflammations. The PSA doubling over two weeks is more likely from an infection. Please get a urine culture and sensitivity test done and if urinary infection is confirmed then you must get treated. Please repeat PSA test one month after getting treated for the urinary infection for accurate level. The lesion in kidney require follow up. If it is well-defined then more likely to be benign. Doing a CT scan might give more information on the nature of the suspected kidney complex cyst. Please do not worry.