Raised or rising PSA - what happens next > Finding a good urologist?
If your GP finds that you have a raised or rising PSA level (usually above 4 ng/mL, but in younger men above 2.5 ng/mL), or a reduced percentage of free PSA (less than 18%) you will probably be referred to a urologist – a specialist in disorders affecting the kidney, bladder and prostate in men (and the urinary tract in women). It is important that you feel comfortable with, and confident in, your urologist. You should understand his explanations of procedures and options, and he should be prepared to discuss fully anything that concerns you or your partner. In this day and age, do not simply accept that the ‘doctor knows best’ – it is your health and peace of mind at stake here, so make sure that you have had all your questions answered before you leave the consultation room. If you or your family are not happy with your urologist, go back to your GP and discuss the matter with him.
If you find it difficult to voice your concerns face–to–face or if you feel that you might forget some things, write a letter or list so that you can make sure that all your points are answered. It may also be useful to take your partner with you to the consultation. Taking a look at some websites may be helpful, and these days you can also find out a lot about the doctor who is treating you from the internet.