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Dr. SH
Dr. SH, Board Certified Physician
Category: Medical
Satisfied Customers: 8808
Experience:  Doctor of Medicine
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I had a TURP some 15 years ago for urinary issues. Now the

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I had a TURP some 15 years ago for urinary issues. Now the symptoms are back, urgency, incomplete voiding etc - and, oh!, the night time trots...I've had a recent test showing PSA as very low indeed. I'm told this rules out BPH so prostate surgery again is not necessary; I'm to have medicati9on instead. Fair enough but the symptoms as so like they were previously that I was almost looking forward to another permanent, almost, solution. The question is, is it true that the low PSA indicates that the prostate is not enlarged i.e. no BPH?
Dr. Shahzad MD :

Hi there. Thank you for your question. I will be helping you out with your queries

Dr. Shahzad MD :

Welcome!!

Dr. Shahzad MD :

Have you had an ultrasound of your prostate?

Customer:

No, nothing but the PSA

Dr. Shahzad MD :

You should have an ultrasound of prostate.

Dr. Shahzad MD :

A low or normal PSA does not necessarily mean that your prostate is not enlarged.

Dr. Shahzad MD :

You need to have an ultrasound of your prostate.

Dr. Shahzad MD :

I would recommend that you should be referred to a urologist.

Dr. Shahzad MD :

Are you following me?

Customer:

OK, but is the very low PSA an indication that that it's nnot BPH - my original question?

Dr. Shahzad MD :

You may still have BPH

Dr. Shahzad MD :

Even with a very low PSA

Customer:

What am I to say to the GP? Insist on a referral to urologist? Effectively disbelieving him? Is there a reference somewhere that could be quoted to base my request on?

Dr. Shahzad MD :

request him to refer you

Customer:

OK, just ask for a second opinion, then?

Dr. Shahzad MD :

Yes

Dr. Shahzad MD :

Request him to refer you to a urologist

Dr. Shahzad MD :

I still think it could be BPH.

Dr. Shahzad MD :

You should be investigated further.

Customer:

I will but it would have been nice to say that I had found a contra opinion somewhere. PSA questions aways involve cancer talk!

Dr. Shahzad MD :

I understand

Customer:

Fair enough and I now know what must be done. I thought so all along! Thanks and regards Alan

Dr. Shahzad MD :

You are most welcome
Wish you all the best.
Please do rate me for my services by clicking on one of the smilies below.
Kindest Regards

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