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    Clinical Trial

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    Oh No (Misdiagnosed): I requested a PSA test on 11/19/09, result: 2.28, on 3/27/12, requested again and result: 3.11. I am 52 years old, so concerned about prostate cancer. I asked my health provider to refer me to a urologist. On 3/30/12, I consulted with a urologist complaining of waking up many times during the night to urinate, having trouble starting urine stream, and having a weaker than normal stream or not being able to urinate at all. I mentioned to the urologist my concern for prostate cancer and desired screening considering my age at 52. Urologist diagnosed lower urinary tract symptoms (LUTS), and recommended cystoscopy in 1 month. After cystoscopy, and no blockage or abnormal tumor found in the bladder. On 5/23/12, consulted again with the same urologist and complaining of the same symptoms, frequent urination at night more than 10 times. This time, urologist diagnosed nocturia (awakening at night to urinate), and prescribed tamsulosin (flomax) and return in about a month. I returned on 6/26/12, and informed the urologist that the symptoms continue despite flomax. This time urologist diagnosed overactive bladder and changed medication to oxybutynin (ditropan). The medication did not give me any relief. Sometime in May 2013, I emailed my primary doctor and requested to order a PSA test. The PSA result: 4.87 and got a referral to the same urologist who after consultation the previous year never ordered a PSA or other screening to rule out prostate cancer despite the symptoms and my age. I told my health care provider that I want a different urologist. My health provider referred me to a different urologist who after seeing my last result ordered an ultrasound guided biopsy. The biopsy result came out positive, and the new urologist would see me on 6/12/13 to discuss biopsy result and treatment options. Why did the first urologist after ruling out infection, scarring in the bladder, nocturia, overactive bladder never ordered screening for prostate cancer?

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    Procedure or Surgery

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