I am intigued by the debate about doing PRs in prostatism. So far the main
reason FOR seems to be to ensure an urgent rather than routine referral if
symptoms of prostatism (which prompt the PR) turn out to be accompanied by
possible signs of Ca prostate. Given the slow course of Ca prostate why worry
about the routine referral - a reasonable OP wait for a routine appt. (say 4
wk.s) should not be a problem. Are we really worried about what our hospital
colleagues will think/say if we haven't felt the craggay prostate.
No one has mentioned what sort of discussion one might have with the patient
with or without a PR.
Sue Butler GP and Course Organiser
Pontefract
West Yorkshire
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|