>Jon Rogers wrote.. >JO>>> Why do a PSA in this circumstance? The value of a "screening" PSA, >JO>>> which this is, is very frugal. We are contemplating stopping GP access >JO>>> to this test unless assessing for disseminated malignancy! >The problem is that if the test is available....... >Guidelines in Suffolk were published saying just the above, >i.e. don't do PSA routinely on prastatic symptoms - yet the >hospital did them on all so GPs followed suit. I remember being told only to do tests if the results - whether normal or abnormal - would change management of the patient .. does anyone follow this? Mary PS If GPs do,what about hospitals? PPS Is this medicine or defensive medicine? ;-) -- Mary Hawking Kingsbury Court Surgery Church Street Dunstable Beds LU5 4RS tel:01582 601289 (home) 01582 663218 (surgery) fax:01582 476488 (surgery) %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%