PSA level advice
The Hampshire Hospitals Urology Team would like to advise GPs that if a patient has a raised PSA level following a UTI or prostatitis that the GP should retest the PSA level after 6-8 weeks.
A six week period can be too soon for PSA levels to significantly drop. If a patient still has a raised PSA level but one that is continuing to fall then the GP should consider waiting to see if the level falls further. An example would be a patient with a PSA level of 10 following a UTI or prostatitis, who is re-tested after six-weeks and has a PSA level of 6, then the GP should consider waiting and re-testing the PSA level rather than referring.
GPs are also requested to include more information on the TWR form than just a raised PSA, for example family history is a key area of information and enables clinicians to triage patients appropriately.