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Questions to ask a Urologist

User
Posted 08 Jun 2018 at 13:05

Hi,

I have a NHS Urologist appointment very soon. I am 56 years old and have BPH but I have had persistent UTI since January. Four courses of antibiotics have not solved it. I currently have a PSA of 12.8 increased from 1 in 2016. Also i have persistent pain in various parts of my body.

Can you advise:

- what questions i should ask the urologist?

- what tests will likely happen at the urologist? I.e: DRE, etc.

- whether the urologist could arrange IV antibiotics if necessary?

Any advice welcome.

 

 

User
Posted 08 Jun 2018 at 14:06

Remember, at this stage, you dont even know if you have PC.

 

I think that he will say you need to go for an MRI scan, possibly with a scan of your bone density. All you (and the urologist) know at this time is that you need to check if you have PC. Without these further tests, you cant even decide what the questions are.

After these tests, he might decide he needs biopsies, and after that you will have many many questions.

Difficult as it is, please try to be patient

Edited by member 08 Jun 2018 at 14:08  | Reason: Not specified

User
Posted 10 Jun 2018 at 08:38
With BPH and persistent UTI, that PSA is lower than it could be (I've had a consultant tell me that a UTI can elevate PSA into the hundreds).

The likely relevant issues are...

1 What's the cause and solution to your persistent UTI?

2 You're concerned of the possibility of Pca.

A further PSA test and DRE are likely.

And meds will be reviewed and revised.

In your position, I'd request an MRI and biopsy... which together will help determine the issue of Pca.

I'd not be surprised if the consultant declined.

Your PSA is likely too low to auto-trigger a bone scan.

My opening question might be something skin to 'Why do I have this UTI issue, and is it likely or potentially an indicator of Pca?'

And then listen, and make notes if necessary.

 
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