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Need help dont know what to do

User
Posted 17 Nov 2018 at 09:12

Hello,

I’m a 72-year-old and have been living in Spain, I and my wife have now

Moved back in September 2018 to our homeland here in the UK, my data

 so far,

April 2014, routine blood test PSA 8.4 referred to Urologist

May 2014, Urologist DRE enlarged prostrate pee slow take Cipro 750mg

2xday Ibuprofeno 600mg 2xday 10days,

Oct 2014 Urologist PSA 7.4  PSA free 27.7

April 2015 PSA 9.12  PSA free 24.78 Urologist wait see

April 2016 Urologist PSA 8.8  PSA free 24.8 put on Sebrane 400micrograms

1x day help peeing and relieve bladder pressure, DRE enlarged prostate

Sent for an ultrasound scan,

Oct 2016 scan ok PSA 7.9 PSA free 24.8

July 2017 Different Urologist sent me for MRI contrast scan

Sept 2017 Urologist MRI scan clear Pi-rads score2 prostrate size 127cc

Gave me Finasteride to take with my Sebrane, I decided not to take

The Finasteride Uro did not tell me anything about them he did not

Speak any English, instructions to have blood and urine test in 1years

Sept 2018 now back in UK sign  on GPs

Oct 2018 see GP told her my story Sent for a blood test and PSA Inc.

And kept a copy of my MRI results did not seem that helpful,

Nov 2018 see GP PSA 10.4 no urine test did not talk about medication

Said I would probably die of something else than prostate cancer,

Said she would have the MRI results translated to English and let me know

But if I did not hear from her by Christmas time I was to tell appointment

desk to remind her is it me or is it the way it goes now would anyone advise

me do I go along with this or should I have been sent to a Urologist to see

where I'm at, don't know what to do.

 

User
Posted 17 Nov 2018 at 10:16

I would ask your ‘new’ GP for a referral to your local hospital urology department, tout-de-suite.

GPs are generalists - go and see a specialist.

Best of luck.

Cheers, John.

Edited by member 17 Nov 2018 at 11:39  | Reason: Not specified

User
Posted 17 Nov 2018 at 12:08
Your PSA has held fairly steady over the last couple of years, your free PSA results suggest that prostate cancer is unlikely, you have had a mpMRI which indicated that they don’t believe you have prostate cancer and you have a large prostate which can more than explain the PSA.

If your large prostate is causing you problems with bladder emptying, you could call the GP practice and ask whether they will prescribe the finasteride that your Spanish urologist recommended.

You are unlikely to get a referral to the hospital on a fast track cancer pathway but you could still ask for a normal urology referral - the waiting list might be quite long. Or if you have some money, a private consultation with a urologist may be about £300.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

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User
Posted 17 Nov 2018 at 10:16

I would ask your ‘new’ GP for a referral to your local hospital urology department, tout-de-suite.

GPs are generalists - go and see a specialist.

Best of luck.

Cheers, John.

Edited by member 17 Nov 2018 at 11:39  | Reason: Not specified

User
Posted 17 Nov 2018 at 12:08
Your PSA has held fairly steady over the last couple of years, your free PSA results suggest that prostate cancer is unlikely, you have had a mpMRI which indicated that they don’t believe you have prostate cancer and you have a large prostate which can more than explain the PSA.

If your large prostate is causing you problems with bladder emptying, you could call the GP practice and ask whether they will prescribe the finasteride that your Spanish urologist recommended.

You are unlikely to get a referral to the hospital on a fast track cancer pathway but you could still ask for a normal urology referral - the waiting list might be quite long. Or if you have some money, a private consultation with a urologist may be about £300.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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