First Visit to a Urologist--what to expect

Sorry if it disappoints but the digital prostate exam has gone the way of the dodo. A PSA (prostate specific antigen) blood test is more accurate. What may be done in terms of testing is a bladder ultrasound (if you’re having peeing problems) and urinalysis.

I remember the “finger in the butt” exams, not for the thrill but rather the laughter. The first time he did it, my gay PCP made a big show of snapping on the rubber glove as he bent me over and said something like, “You know, before I was a doctor I had to take guys out to dinner or buy ‘em flowers and candy before they’d let me do this.”

Think the sounding you tried when you first signed up for Recon.

According to the American Urological Assoc:

"As a primary screening test, there is no evidence that DRE is beneficial, but DRE in men referred for an elevated PSA may be a useful secondary test."

All of my doctors have done both. I suspect that, with an elevated PSA, you will get fingered. However, sometimes elevated PSAs are a temporary result of result of:

1. ejaculation up to 48 hrs before the test 2. prostate stimulation, such as anal sex or using toys 3. vigorous exercise before hand, especially biking 4. urinary infection 5. taking certain drugs or treatments, such as Propecia

These can artificially elevate your PSA. I went in once on a Monday late morning and really didn't know that my PSA was going to be tested. That Saturday night I had had a particularly active evening of bottoming. The result was that my PSA level ballooned 1.7 pts. My dr called and I told him of the activity, so he told me to wait a few days and get retested. I did, and the level was back to where it was before.

I saw another urologist and my PSA was slightly elevated, so he referred my to a prostate cancer specialist for a possible biopsy. The specialist took one look at my number, stuck a finger in and told me that there was absolutely nothing to worry about. So, be very wary if the urologist immediately says " biopsy." I understand that it can be somewhat painful, and in some cases, unnecessary.

Good luck, OP. Usually the worry is much more bothersome than the actual routine. But, be prepared to drop your pants, so be sure to wear clean underwear.

With a PSA of 5.7, I wouldn’t worry.

Check it again next year.

If it elevates significantly, then consult a urologist.

With PSA is not so much the number as the change in the number over time.

I just had a urologist visit a couple of weeks ago for a kidney stone. I expected the ultrasound, but was a bit surprised by the finger wave. My doc is straight, so I don't think he did it for the thrill. It's still common practice... He also did a hernia check, testicular exam, and a visual inspection of my penis. Nice to know you get your money's worth in terms of a thorough exam.

5.7 for a man his age is not "normal"; However, there are extenuating circumstances and inaccurate results. Consulting a urologist is the first step.

[quote] I just had a urologist visit a couple of weeks ago for a kidney stone. I expected the ultrasound, but was a bit surprised by the finger wave. My doc is straight, so I don't think he did it for the thrill. It's still common practice... He also did a hernia check, testicular exam, and a visual inspection of my penis

Kidney stones can cause prostate complications, so that's why the DRE. Kidney stones can also radiate pain to the testicles and tip of the penis, and can be heightened by a hernia. Hence, the reason for the genital exam and DRE. I know that I was experiencing pain at the tip of my penis. Of course, the first thing one thinks of is an STI or a urinary infection. So, I went to my urologist and discovered that I had had kidney stones; never any pain or symptoms. So, I had them blasted and everything has been fine since. But I had to have the battery of " intimate" examinations, including standing in front of the dr. with the gown pulled up to my chest, totally exposed and having him manipulate everything. No big deal.

Did your father have prostate issues?

R8--No. My father hasn't had prostate issues. My mom's father had prostate cancer but it was incidentally discovered in his 80's.

I had a 7:30 am physical and had the test drawn around 8 am. I typically masturbate when I wake up around 6, so there was a recent ejaculation. I have had to pee more often over the past few years. Maybe it's an STI causing prostatitis. I sort of feel that maybe my primary doc should have done a little more than just refer blindly without even asking some follow up questions. We'll see when I actually get scheduled with urology--if there will be a wait, maybe I will inquire with my primary doc if there is some preliminary testing he can order in the mean time.

At 45 yo that PSA is abnormal and urology referral, including digital rectal exam, is indicated. Agree the first step should be to repeat the test after at least 48 hours of abstinence from masturbation and prostrate stimulation. The PSA level should also be fractionated, i.e. the %free PSA determined and, as been noted, the trend or velocity of change is important. If the repeat level remains elevated ask for a”4KSCORE” blood test. Do not consent to a biopsy under any circumstances. Insist on an MRI instead.

R9) Keep us updated.

I've been contacted and scheduled for mid-July. I suppose the good thing is some time as passed and they can assess for a rise or fall. I'll be sure to abstain for a few days before. Will keep you updated.

The medical profession is out for dollars, not our health. It’s structured that way. Unfettered capitalism is killing people and simultaneously picking our pockets.

My visit is finally coming up next week. I'm so nervous

[quote]Sorry if it disappoints but the digital prostate exam has gone the way of the dodo.

Well maybe it's just me - but my doctor still sticks his finger up my butt during my annual physical.

Don't worry - you're going to love the milkings!

What not to do before a PSA

Finally I was able to see the urologist today. My PSA is trending lower, so we will follow in 3 months' time. It was 5.7 two months ago and now 4.2. Still elevated for my age, but the downward trend is promising.

I didn't urinate before the appointment but I was kept waiting so long in the waiting room that I really had to go when I was finally roomed. They drew blood for the PSA when ushered me to a toilet where I gave a urine sample. The exam was relatively fast--front first and then back. I was worried I could possibly get an erection and be embarrassed, but it didn't happen. The prostate exam was fast--I felt I was not completely empty back there but couldn't actually have a BM before the exam. I was a little embarrassed when wiping up the lube that there was some brown staining. He did say my prostate was a little large but felt normal.

Expect to pee in a cup, prostate exam, and usually show your full erection to rule out Peyronie's disease.

When your urologist is examine your front side, where do you look? Do you watch your cock and balls as he examines them, watch his face for his reaction, or look off in a another direction?

bum p

To say that there's no need for concern for a 45 year old man to be concerned with a 5.7 PSA is foolish. PSA shouldn't be that elevated in a man that age. My brother's PSA was 6.0 and sure enough, he has prostate cancer that required a prostatctomy. I'm glad your PSA is trending downward OP and it sounds like you're OK, but be vigilant about follow up visits.

OP here: 3 month return visit and it seems my PSA is rising. I am scheduling for a biopsy in two week's time.

May 22 PSA 5.72 (hospital lab) July 22 PSA 4.23 (urologist office) October 22 PDA 5.74 (urologist office)

[quote]First Visit to a Urologist--what to expect

Make sure to tighten your sphincter muscle when he does the rectal exam.

You don't want to startle the doctor by having his entire arm accidentally disappear up there because he expected some minimal tension while inserting his finger.

OP needs to jerk off some more, and take longer time to come, in order to discharge more precum.

[quote]my gay PCP made a big show of snapping on the rubber glove as he bent me over and said something like, “You know, before I was a doctor I had to take guys out to dinner or buy ‘em flowers and candy before they’d let me do this.”

Holy shit. I guarantee that no straight male gynecologist would've been able to get away with that line to a patient without a tribunal before the medical board and possibly a lawsuit for harassment. He probably wouldn't have even been able to get the entire sentence out before receiving that dreaded phone call and inevitable subpoena papers.

Perhaps in some woebegone jerkwater place someone else might have objected (that is to say someone he didn’t know as well), but we had a good relationship, he was a great doc, and we are both out in a very liberal setting. I laughed my ass off when he said it - as he intended - and it was over (some might say sadly) in an instant. I certainly didn’t object. Until his retirement this summer he’d been my PCP for 27 years. Some people have a familiar, relaxed, trusting relationship with their doctors. I certainly want one and if it’s not there, I’ll find a new one. They don’t have to be gay, just good at what they do.

It has nothing to do, btw, with gynecology (totally different dynamic assuming a male ob-gyn and a female patient) so can’t fathom why anyone would make the comparison.

[quote]my gay PCP made a big show of snapping on the rubber glove as he bent me over and said something like, “You know, before I was a doctor I had to take guys out to dinner or buy ‘em flowers and candy before they’d let me do this.”

[quote]Holy shit. I guarantee that no straight male gynecologist would've been able to get away with that line to a patient without a tribunal before the medical board and possibly a lawsuit for harassment.

Personally, I would have laughed and told the doc, "you can't afford the dinner it would take for me to let you do that."

I know that there are bad operators out there. We've spent countless threads on DL discussing various predators, like the college athletics doctor, who sexually assaulted students.

But, I wonder when people stopped being able to handle situations on their own. I can't imagine meekly going allow with crap if you're over 14 years old. As is obvious by my posts, I've never had a problem expressing my opinions and have gotten myself in trouble more than once standing up to authority figures.

OP here. My urologist has prescribed a 10 mg Valium tablet to take one hour prior to the biopsy procedure, if I want.

However, if I do, I will not be able to drive myself home or work that day. I think they give some local numbing to the area anyway. Have other people done the biopsies without sedation? Is it that bad? Maybe I will try it with the valium this time and decide if I need it next time.

SPREAD YOUR LEGS!

OP here. Today was biopsy day. I will say I don't think I needed the Valium at all. They put a local anesthetic in and I barely felt anything. I could have just driven myself home if I didn't take the Valium. Now it's just waiting on the results.

I wonder how much a urologist makes doing prostate biopsies. They called me to make sure I would bring along a credit card today and they would run it before the procedure to cover anything insurance didn't

Good luck, OP. Hope it’s nothing serious.

They cut the first two inches off.....for some of us, it does not really matter......for others, it is time to expand their shoe collection...

You have no idea of the humiliation of having a tiny penis, and then going to the Urologist for kidney stone removal. I watched a YouTube on the ureteroscopy, and of course, the guy they were working on was hung like an army mule. The urologist had plenty to grab onto. For me, he probably used tweezers. Then after I am walking around with a string hanging out of my dick for two weeks. When he removed it, my dick went full turtle; I was mortified. He pulled that string out and that was the strangest feeling ever. I never complained about what I was born with, but this time I really wished I had a monster hog, so instead of all the people laughing probably in the OR, they would be gasping.

Well my 3rd PSA in 4 years was an 11. So off to the urologist. Biopsy is recommended. My Cigna work insurance co-pay handles the blood test that provides for the PSA results, but the biopsy goes against my $2000 deductible. The biopsy procedure (no valium offered) was just under $2000. I did half on my FSA, the other half 0% interest free on CareFirst. I am 63. First time I've ever met my deductible.

Well, biopsy comes back positive for cancer. They rank by Gleason score. Of the 9 prostate quadrants they pull samples from, 2 are 7, the rest were 3. So I am treated as a 7. 7 is a medium-grade cancer, and a score of 8, 9, or 10 is a high-grade cancer. A score of 7 means that the patient has a 50/50 chance of having aggressive prostate cancer. I am ranked Intermediate.

I had to have an MRI of the prostate with a more current level 3 machine. Then a body scan. Those results indicated no spreading, which is great news. Even from my prior cancerous thyroid removal several years ago.

Then you start talking treatment. Radiation therapy of some sort. Forget the costlier Proton, etc radiation treatments that can be 5 to 6 sessions and you are done, as your insurance will not pre-authorize. You will be started with the traditional, everyday for 4 to 6 weeks. However, they can be more exact with the radiation these days, so much better than in the past.

I just got measured today at radiation therapy center today. The office person recognized my name, and said do I know 'my daughter's name'. "Why yes, she's my daughter". "I went to high school with her, and we attended the same dental college. I love her, and you did a great job raising her". Had to give kudos to me, and ex-wife!!! Lol.

I got my first tattoo today during these measurements: 3 permanent dots below my waistline.

Before starting the actual radiation treatment, I must go back to the urologist to get a hormone shot that will reduce my levels of testosterone. Studies have shown better results with the hormone shot and radiation treatment. I think this will have the most negative effect. No more hard-ons for a while. Plus, energy is going to wane.

I will be working during the daily radiation treatments. My job is in the health industry, so I just can't stop and leave for an appointment at 2pm. So I am going to try and wait for a morning before work opening. I don't start work till 9, so I am hoping others go for the earlier times. Of course, the before work times are the most preferred times that everyone else wants as well. Fortunately, prostate cancer is slow moving, so I can wait some time waiting for a morning time slot to open up.

I am fortunate to have relatively minor cancers, that have better outcomes. When I told my daughter's via a family conference about the cancer, my daughter's said that it was the most positive 'I have cancer again' talk. My daughter's are wonderful.

If you're scheduled for a cystocopy, it's not as bad as you will imagine. Hardly a walk in the park, but....While you're on the table, grimacing and gripping its sides, ask your doc what makes a man go into urology. You might be surprised at the answer.

"Cystoscopy"

First biopsy September’19. Positive. Early. Low Gleason. HIFU treatment March ‘21. High Intensity Focused Ultrasound, think sonic screwdriver scalpel. Device works to chill one side while it vaporizes the target areas. Roughly 25% posterior ablation of the gland. At first the results were promising and the PSA was dropping for awhile. Long story short now waiting on an MRI and trying to get a PET scan approved. PSA climbed to 18 most recently. Post Covid the waiting list for “services” has increased btw. During lockdown I was cruising through appointments.

So. Still low Gleason. Two masses noted last biopsy. Next to come. Waiting. Best of luck to the other guys above. It’s a marathon not a sprint guys. Depending on the next biopsy three choices: radiation or wait or removal.

But this bitch ain’t taking me out.

Oh. My first biopsy was the in office kind. Nurse and the dr basically fold you up, distract you as the guy looks through the scope and when he hits the target I swear to god it was almost like having one of those old school power staplers go off in your ass. Twelve times.

Meanwhile he distracted me with questions about Russian literature. It was a blast. Bad part was they then overprescribed me with cipro to take as a palliative for any possible infection. It worked so damn well it knocked out my entire gut flora and the later discomfort Lee me two a double hernia that had to be surgically repaired laparoscopically on NY eve. Welcome 2020 and Covid year woo hoo!

The other biopsies are all surgical now. Oh nice they uncover the cancer I graduated to the head of the department.

Oh.

Digital rectal exams are still the gold standard unlike what someone said above. My primary urologist actually noticed the mass two years before I came back for the biopsy and confirmation. And yes I basically put it off. Five years ago.

Marathon.

[quote] That Saturday night I had had a particularly active evening of bottoming.

This should be its own thread.

Can I have your stuff?

I'm told that if you have your prostate "scraped" you will be urinating blood for days.

Yet, they say there is no alternative.

Even more fun is clearing the blood out of your ejaculate for up to a month after biopsies.

They don’t mention that part.

And post surgery they also don’t tell you you’ll be lucky if you ejaculate at all. It’s referred to… I forget but it goes into the bladder rather than the urethra.

Once the vas deferens get knocked out the best you get is lower volume, quite clear and awfully un scented

After radiation you get nothing. The piston may work but the well becomes officially dry.

This thread is timely for me. I was just told I had a big jump in my PSA level. I'm taking a second test to confirm before going to a Urologist. One question: I thought it you could choose between an MRI or a biopsy? But posters on here seem to be saying they're doing a biopsy first.

I’ve had prostatitis twice. Once at about age 35 & then last year at 51. Last year my PSA was 15! But after a month it came down to like 2.5. My sister’s father-in-law was diagnosed with cancer which had spread to his bones, his psa was 300!

With the first bout of it I went to my PCP who manually checked my prostate (he called it generous size-wise) & I swear, my problems resolved immediately. He later told me sometimes the infection gets pushed out that way.

My 2nd flare-up last year was just the blood test, & a follow-up call with the urologist who categorically said I don’t have cancer (after my pcp wanted a biopsy) & now he’s flagged me for yearly checkups. I had a 103 fever for almost 4days, it was awful. Plus my mother had almost died like 2 weeks prior & was recuperating slowly, so it was not a fun time.

OP, hope your treatment goes well and that it's aggressive.

Please ignore the uneducated conspiracy theorists who say that "doctors are in it just for the money". Most medical professionals are scientists; we care about data and results. Disclosure: I'm a medical research scientist (not an MD) who has been treated for years for colorectal and renal cancer. Am four years out now, but with complications.

Choose your employer's best, most expensive healthcare plan available. Sock away as much as you can in a medical savings account. This is not the time to buy the latest iPhone or go skiing in the Swiss Alps. Accept whatever test or procedure your healthcare team recommends -- these are tools they use to help find the best next step in your journey. Competent providers will disclose your out of pocket costs. It's not a perfect process. If you live in or near a big city, seek treatment at a medical school-affiliated hospital.

@r43, it's not a "choice" for you to decide; it's all about what current science says the most effective test choice is available. Did you spend decades studying math, chemistry, physics, biology, and medicine? I urge you to trust your care team's opinions and rule out any Republicans. You can Google these things. Wishing you the best. Sadly, we now live in a society that doesn't trust science and the people who practice it because there is so much greed in this world.

OP, this may not be relevant, but I've read your story from your first post back in June about being shy about being poked and probed in your genitals. Am going to indulge in telling a story, as that was me. Quickly got over it when a giant tumor was growing "in my ass". Dozens of invasive diagnostic procedures and tests. At one point, I had to lay on a huge x-ray table surrounded by a dozen med students taking notes on clipboards and another handful of staff, including the kind, gay, silver Daddy radiologist (I'm in a famously Gay Big City), who was trying to shove a barium enema up my ass as it kept leaking and my cheap, last season's gown was falling off to expose my flabby ass and average-sized cock. I was on center stage in the worst way. I don't remember if he was trying to get an image, a biopsy, or drain it, but the large growth was obstructing and he kept apologizing for causing pain until I said, "Look. I've dated truck drivers. Just shove it up there n' git 'er done!". Some of the med students were beet red and some covered their faces with their clipboards and looked at each other in hysterics. It was a humiliating low point in the diagnostic journey, and I ended up owning it. Being naked in front of strangers (including a hot, handsy Radiologist) would be the worst of my worries. 4 naked surgeries later, I'm cancer-free. Also had to get a Cytoscopy (camera up the weewee to look inside the bladder) and what seemed like a million colonoscopies. The indignities of life... but They've seen it all. I wish you the best outcome possible during what will be a surreal time in your life.

cytoscopy is the worst. I know the camera they use is tiny, but having it go up the urethra, it feels like the camera on a movie set. I wish that people had told me when I was 20 about all the possible failings of those below the waist parts .....I would have had as much fun as I possibly could have as often and as prolonged as possible. Even without prostate cancer, prostates swell with age. Sometimes that results in inability to urinate, which is very scary under the best of circumstances. (Unpleasant for 4 or 5 hours, excruciating after 24 hours). Catheters....horrific. Blood in urine or ejaculate is disturbing in the extreme. Cumming without visible ejaculation is also disturbing and can be the outcome of a whole host of medications that might be prescribed after the age of 60 - including swelling of the prostate. I still have the desire for sex, but I'm very insecure about whether or not body parts will work as they are supposed to, which does not bode well for any sexual encounter. Things work just fine for masturbation, but there's no pressure to perform in that circumstance. In addition to prostates, gay men should also be routinely screened for anal cancer or pre-cancerous lesions, whether or not they have ever bottomed. (HPV can travel everywhere along the entire canal from throat to anal canal, and it's super common among gay men).

As someone above mentioned, you have to have a sense of humor while people are checking out all of these places, because there's a reason we call all these areas our privates, and it's mortifying to have strangers lifting them, inserting things into them, taking pictures of them. They've seen everything there is to see in their training, but still you have to be able to laugh because otherwise it would be too mortifying.

I had no idea what to expect with my cystoscopy, but went in and was told I needed one. So, on the day of the procedure, I went to the office and was taken into a room where I was told to undress from the waist down and to put this paper sheet over my bottom half. The dr came in, had me lie back, took the cover off and injected some lidocaine into my penis. Then, he inserted the thin tube and gently pushed, inspecting the inside of my penis and bladder. It really didn't feel terrible, just a bit strange, since I was used to things coming out, not going in. He told me my bladder was "pristine" and began to pull the tube out. He told me that I might feel something as it passed by my prostate. It did. It actually felt really good. I shuddered, but he pulled out the tube and that was it. He did tell me that the first couple urinations would be painful..... and they were. But, the next day, I was fine. It's just the psychological anticipation that was the biggest obstacle. As far as being embarrassed by what the doctors might see, they have seen it all before.

I went to a pain management doctor who was also a urologist for testicular pain. He told me to lie down, drop my pants and put the modesty sheet over me. But, he forgot to give me the sheet. So, I just dropped everything and lay back . He came in, thought nothing of the fact that I had no covering , and proceeded to handle my genitals, asking me at each grope whether or not it hurt. I have found that older, foreign- born doctors are less concerned with patient modesty than native-born Americans. Hey, he's a doctor, so there was no reason for me to be nervous or embarrassed.

Men seem to be more worried about the most ridiculous things, sometimes preventing them from seeking preventative care. We must take care of ourselves, since men's health care is not emphasized in society, unless it's erectile dysfunction. Then, everybody cares.

[quote] @[R43], it's not a "choice" for you to decide; it's all about what current science says the most effective test choice is available.

So what is it, then, R45?

OP, how are you doing? How did the visit go?

r48, what's your point? The NEJM article describes an experimental vs. a standard biopsy procedure. Most healthcare insurers and governments refuse to cover experimental diagnostics and procedures, so the patient has no choice. There are exceptions in some cases of rare diseases and end-stage diseases when performed at academic hospitals.

The urologist will need to see your penis in all stages of erection. It's best to make sure your bottom is cleaned out for the prostate exam. If you're complaining about the inability to achieve anal orgasms, be prepared to be penetrated with a phallic shaped medical instrument, it's dipped in a warm oil that also acts as a lubricant.

OP here.

Just received the biopsy results back. 12 cores--all negative. No atypia

We will monitor the PSA in another 6 month's time. Imagine will be considered if it continues to rise.

Congrats, OP. My partner is getting biopsy ths week, but based on tests, it doesn't look too optimistic. PSA at 8, and a 4K PSA test shows 85% chance prostate cancer, and MRI shows a legion. Surgery likely.

OP, thank you for the update. Am relieved. Stay vigilant.

Am four years out from colorectal and renal cancer. Still have a lot to see and do on this planet. An annual CT scan and colonoscopy is trivial. If/when cancer returns, it will be far better to treat it sooner than later.

Enjoy your health for as long as possible.

Great news. Hopefully, you are still healthy, OP.

My first time going was about seven years ago, in my early fifties when my PSA was 'slightly elevated'. I went to the referral my sexy PCP recommended. When I went to the urologist's office, I almost fainted when he walked into the room - one of the most handsome Italo-Americans, with a killer body, in his early 40s (he was new to the practice which is dad started and was ready to retire). He should have been a fashion model, not a urologist. Anyhow, he did give me the finger exam, and I started with an erection immediately. When I turned around to pull my pants up I aplogized for it - he laughed, and said 'I see them all the time'; it's natural' . I go to him every six months (Ihave great insurance, so I want to take advantage of seeing him) and he only gets better looking with age. In the past 6 years or so he's done only one more 'exam' on me (he does say he needs to do one at least every two years, even though my blood tests show my PSA has gone down to '2' for a while) and I got a slight erection the last time.

BY the way, if you want the most accurate PSA reading in your blood work, you should abstain from ejaculating for seven days before the blood test. Ejaculating makes your PSA go up (this was the directions from him at my first appointment). Some doctors say 48-72 hours, but 7 days is your best bet.

Ugh. OP here. 6 month follow up and now my PSA is over 7. Will be scheduling an MRI soon.

My doctor gives me the finger twice a year.

R56 darling, less is more

So you never posted on this account before this thread, OP?

What brings you to the DL and why choose us as people from whom you want personal health details?

Just curious. We get a lot of "personal issue" threads that are solely devoted to an OP posting about the odds things.

And "what to expect from first urology visit with elevated PSA" would permit Google to send you to professional organizations and help groups.

OP here. I just looked up my MRI results in EPIC MyChart. Three PI-RADS3 lesions but nothing outside the prostate or perineural invasion and background BPH changes.

I have a virtual visit with my urologist on Monday. I'm thinking he'll recommend image directed biopsies or the lesions to ensure it's not a high grade lesion.

Why are there gynecologists but you all just have general urologists to take care of your special reproductive system needs instead of special penologists or testologists or prostatologists or whatever? Always seems strange to me.

[QUOTE] I know that I was experiencing pain at the tip of my penis.

Mary.

I’ve been going through this over the past month.

I am 64 and was sent a text to go to my doctors surgery for my yearly routine blood tests. My GP phoned me two days later and told me my PSA is 8.4. Two years ago it was 5.1 so they were keeping an eye on it. I went straight to his surgery, he took a urine sample and did the finger prostate test. He mate two referrals for an MRI scan and a cystoscopy. I had the MRI scan and then the systoscopy two days later. The practitioner who did the systoscopy made an urgent referral for a CT scan, which I had 6 days ago, they said the results take about two weeks to come back. He mentioned that my prostate is enlarged and rubbing against my bladder.

I received a call from the MRI scan person and they said everything is fine. When I mentioned that I have to go for a CT scan he said that’s something else, what they checked for is fine.

I left the UK for a 5 week European vacation the day after my CT scan, I was supposed to travel a week earlier but changed my flight. I will at some point next week get a phone call with the CT scan. I expect I may have to cut my vacation short. I actually feel fine.

[quote] I received a call from the MRI scan person

They call you? That's unusual, at least in the U.S.

A lot of gays have told me they refused the prostate operation. Because to have it done would remove a sex organ, and lessen their pleasure.

R65 Since Covid and lockdowns phone calls are common place in the UK. I was called to arrange all three of my appointments, one of which they managed to bring forward due to my pre arranged trip. They are working flat out to clear the backlogs that the pandemic created. For eg my CT scan took place at 5pm on a Sunday.

I chose one who was young and cute, so my first experience was very positive.

Somehow, this turned me on.

My dick still works fine -until it doesn't....

Yes you should follow up with a good urologist. That is a high PSA and should be interpreted in the context of serial PSA’s. If it is your first and only most urologists would probably do some imaging- CT or MRI more likely.