local urologist or UCLH

FormerMember over 6 years ago

6 replies
120 subscribers
3179 views

Hi folks!

Hoping to get some personal views as at a crossroads.

first symptoms 2015. Seen local urologist privately who is very good. Had the usual tests which led to mpMRI(Jan 2018) on a local 1.5T based system. All came back clear (PIRADS 2). Symptoms very much inflammatory and pelvic discomfort and PSA’s between April 2016 - Nov 2017 hovering between 4.1 and 4.6. Had updated PSA bloods done Monday first and came back as 5.6. Should have done earlier but being a bloke I assumed all was fine so put it off as hate needles etc

In a nutshell just after some personal views given quite a few have been to Prof Emberton in UCLH. I’ve provisionally booked to see my local urologist again privately on Thursday although very tempted to just ask my GP to fast track me to Prof Emberton at UCLH via NHS although I suspect the lead times are high.

tempted to stay local and have another mpMRI then take it from there but i think the scanners might be better at UCLH.

Any views much appreciated and obviously take them with a pinch of salt as we are not clinicians :-)

Cheers

Grundo over 6 years ago

Hi TG and welcome

Looks like all that u have to go on is a slightly raised psa, your last MRI was Jan 18?

A new MRI would seem appropriate followed by a biopsy depending on the MRI report.

I have heard good things about uclh but until u know more why not keep it local.

Regards

Steve

FormerMember over 6 years ago in reply to Grundo

Thanks Steve

yes mpMRI was back in Jan 18 and no sign of any clinically significant cancer. Had usual other tests cystoscopy, ultrasound back in Oct 16 and all clear. Prostate from outset has felt like an angry and inflamed golf ball which is more indicative of prostatitis according to urologist. When I got my latest PSA of 5.6 GP certainly got my attention.

Local is obviously easier plus I’m mindful of not taking the time of someone like Prof Emberton with confirmed PCa cases.

thanks

Simon

(age early 50s)

Grundo over 6 years ago in reply to FormerMember

Simon

A psa of 5.6 could be on account of possible prostatitis further tests needed really

Steve

Grundo over 6 years ago in reply to FormerMember

Simon

A psa of 5.6 could be on account of possible prostatitis further tests needed really

Steve

FormerMember over 6 years ago in reply to Grundo

Cheers Steve

i’ll keep my private appointment this Thursday with my existing urologist and see where it goes. I suspect another mpMRI for visibility. I suspect best path will be if anything sinister shows up then get referral to UCLH and Prof Emberton as he appears to be one of the leading experts out there.

Always easy to panic I guess when we need more evidence/data.

simon

Grundo over 6 years ago in reply to FormerMember

Yes, easy to panic but in your case at this stage not too much to panic about.

Steve

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local urologist or UCLH