Diagnosis…

If you are concerned about your prostate health or have noticed any of the symptoms in the previous section you should get an appointment with your GP to discuss the next steps.

If you are aged 50 years or over the recommendation is for a discussion with your GP about the value of having a PSA test. You are entitled to have a PSA test after 50 years of age or 45 years of age with a positive family history.

PSA – This is a simple blood test which will be taken by your GP. A normal PSA result is reassuring but doesn’t 100% exclude prostate disease. An abnormal PSA result (see more about PSA levels) may indicate disease of the prostate gland. A raised PSA result is not specific for any one disorder of the prostate, but it does suggest that a consultation with a Urologist is required and that further investigations may be required to ascertain the cause of the elevated PSA level.

See our page ‘What is a PSA Test?’ for more information.

DRE – If your PSA levels are high, your doctor may examine the prostate (a DRE – digital rectal examination) feeling for any irregularity and the prostate glands size and shape.

Consultant Urologist/Urology specialist nurse – Your GP may want to refer you for a specialist opinion at this point if you have reported significant symptoms, your PSA result is high, or your DRE is abnormal.

MRI Scan – You may then be asked to go for an MRI scan to get images of your prostate and surrounding tissues. This allows the specialist to see whether there are cancerous cells and if they have spread.

Prostate Biopsy – Your specialist may also advise you to undergo a prostate biopsy. They will take some tissue from your prostate and test the cells in the laboratory. The result of this test will tell your doctor whether there are cancerous cells present.

Once these tests have been conducted, any prostate disease can be diagnosed and you can begin to discuss treatment options.

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