In 1996 he consulted his GP because his urinary flow wasn't as powerful as previously. Investigations, including a blood test and biopsy, indicated prostate cancer with metastases in bones. He is treated intermittently with hormones. He also finds spiritual healing helpful.
He has not had any urinary symptoms. Has looked at information about the PSA test and has decided that he would only have a test if he developed symptoms.
Mild urinary symptoms led to a consultation with his GP. Having received information and discussed the situation he decided not to have a PSA test for the moment, mainly because of the uncertainty surrounding the PSA test; that it can not reliably diagnose prostate cancer.
As a clinical academic who has been involved with screening for cancer in other sites, he felt he was in a good position to judge (when considering screening for prostate cancer) that the potential for harm outweighed the potential for benefit.
In 2004, developed frequency, so had a PSA test which was "on the limit". In March 2005, had difficulty passing urine. Had another PSA test, and has not yet had the results.
In 1999, aged 62, he developed painful urinary symptoms. PSA was slightly above normal. Symptoms cleared up with antibiotics. Since then yearly PSA tests have been normal. Family history of prostate cancer.
Ten years ago had urinary symptoms and had TURP operation for enlarged prostate. In 2002 he found blood in his urine. His PSA was "raised" so he had a biopsy, and prostate cancer was diagnosed. This has been treated with hormones.
He had lost weight and had erectile problems. In 2004, at his annual check up, he asked for a PSA test, which was slightly raised. After a biopsy he was diagnosed with prostate cancer, and treated with hormones and brachytherapy.
About 2000 developed mild urinary symptoms and asked for a PSA test, which was normal. A test in 2004 was also normal. Father had prostate cancer.
Having had testicular problems in the past, and having experienced mild urinary symptoms recently, he was worried that he might be at risk of prostate cancer. In 2004 his GP suggested a PSA test. The result was "normal".
He had mild urinary symptoms, and backache. Knowing that bone pain can be due to the spread of prostate cancer he asked his GP for a PSA test. This was "raised", but when repeated six months later was lower, so he was reassured.
In 2003 had urinary symptoms for about three months, and so asked for a PSA test, which was found to be slightly raised. Referred to a specialist, who diagnosed a urinary infection. This was treated and the PSA returned to normal.
Six months ago he decided not to have a PSA test, partly because he did not have urinary symptoms, and his GP was not in favour of doing it. Since then he has changed his mind, mainly due to peer pressure, and will probably have the test in the next few months.

Why some men have had a PSA test - symptoms


He had urinary symptoms for about 5 years, and in February 2005 had a PSA test which was slightly raised. After a biopsy, prostate cancer was diagnosed and treated with High Intensity Focused Ultrasound (HIFU). He recovered quickly from the operation with few side effects and little discomfort.
In 2003 had urinary symptoms for about three months, and so asked for a PSA test, which was found to be slightly raised. Referred to a specialist, who diagnosed a urinary infection. This was treated and the PSA returned to normal.
In 2003 had urinary symptoms for about three months, and so asked for a PSA test, which was found to be slightly raised. Referred to a specialist, who diagnosed a urinary infection. This was treated and the PSA returned to normal.
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