My brother is a bit of an ostrich, over his prostate problems. He ignored his poor urinary flow for years, and despite my repeated advice which he ignored, he subsequently had to be admitted to the emergency department due to significant obstruction. His GFR had fallen dangerously to 10.
He was in hospital for 2 days then discharged with a catheter and told he was on a waiting list for a TURP. This was 4 months ago.
The only investigations he received in the hospital were a kidney function and PSA blood test, DRE and abdominal ultrasound. Since his discharge the only follow-up has been some repeat blood tests via his GP surgery, where they do not give him the results and he doesn't press them. The GP was reluctant to give him his PSA result and said it was too soon after his obstructive episode. About 2 months ago he found from the nurse taking blood that a prior PSA was 8. That is the only result he has had.
Despite being catheterised he is up 4 times every night and has to apply abdominal tension pressure to urinate into the catheter bag. He had difficulty having one catheter change because of this, and it reverted very quickly, so he has just continued with the 4 times per night issue for months, again against my advice!
Father died from prostate cancer at 82. Mother from ovarian cancer at 82.
I am concerned that he has had a limited investigation, and could have PCa. I believe he does not want to know, but he denies this.
I have repeatedly tried to get him to be proactive but without success. Am I overconcerned about this, and the doctors have been able to diagnose simple hyperplasia from the limited tests he has had, ie possibly from the prostate density ratio alone?
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