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Incidental finding after HOLEP and monitoring uk

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andy01535
andy01535

Had private HOLEP in Jan of last year and apart from a troublesome stricture that was corrected in April of last year, everything much improved with flow rate and reduction in frequency.

However the routine biopsy taken during surgery came up with low grade cancer - Gleason 6, 3+3. My private surgeon Tev Aho was affiliated with Addenbrookes in Cambridge and despite the cancer finding they recommended MRI follow up only if my PSA exceeded 2. 4 PSA readings in the last year, all below 1.

However my local hospital Harlow where I am registered has sent me to 3 MRI's in the last year ( all negative ) and now want me to have a 24 point biopsy. I have asked them why the huge difference in approach and they say the incidental finding was only from the central core removed during HOLEP and want to sample the outer part of the prostate to make sure. i have asked to speak to a NHS Consultant or Clinician before agreeing to the biopsy. Prostate biopsy is not a pleasant experience and i am questioning the need when PSA and MRI readings are looking so stable. Anybody else on here experienced this type of thing? Apparently in the UK it is not unusual for different NHS hospitals to have different approaches but surely it should be a standard national approach.

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