Diagnostics

Description

Prostate-Specific Antigen (PSA) testing is a blood test used primarily to screen for prostate cancer. PSA is a protein produced by both normal and cancerous prostate cells. Elevated levels of PSA may indicate the presence of prostate cancer, benign prostate conditions, or inflammation.

Who It's For

Men over the age of 45, those with a family history of prostate cancer, and individuals exhibiting symptoms such as difficulty urinating or pelvic discomfort are commonly recommended for PSA testing.

Why It’s Important

Early detection of prostate cancer can significantly improve treatment outcomes. PSA testing helps in early diagnosis, monitoring the effectiveness of treatment, and detecting recurrences.

What to Expect

Before the Test

• Global Robotic Prostate recommends to avoid prostate stimulation (intercourse, ejaculation, urinary tract instrumentation/inflammation, vigorous exercise or long haul travel) at least a week prior to testing.

• You can eat and drink normally.

• Inform our team about any medications you are taking.

During the Test

• A blood sample is drawn from your arm, which takes only a few minutes.

After the Test

• Results are usually available within a few days.

• We will discuss the results and any necessary follow-up tests or treatments.

Description

Flexible cystourethroscopy is a procedure that allows the doctor to view the inside of the bladder and urethra using a thin, flexible tube with a camera and light at the end (cystoscope).

Indications and Benefits

• Diagnose and monitor conditions such as bladder tumors, stones, and infections.

• Evaluate symptoms like blood in urine, incontinence, or recurrent urinary tract infections/prostatitis.

• It is performed under local anesthesia, but can be performed under sedation/ general anaesthesia upon request.

Preparation and Recovery

Before the Procedure

• You may be asked to provide a urine sample to check for infection.

• Inform our team of any medications or allergies.

During the Procedure

• A local anesthetic gel is applied to the urethra.

• The cystoscope is gently inserted into the urethra and advanced into the bladder.

• The entire process usually takes about 15-30 minutes.

After the Procedure

• Mild discomfort or a burning sensation during urination may be experienced temporarily.

• Drink plenty of water to flush out the bladder.

• Follow any specific instructions provided our team.

Description

A transperineal prostate biopsy is a procedure in which tissue samples are taken from the prostate gland through the perineum (the skin bearing area between the anus and scrotum) to rule out cancer.

Who Should Consider This Test

Men with an elevated PSA levels, abnormal findings on a digital rectal exam or an abnormal MRI prostate scan may be recommended for a biopsy to confirm or rule out prostate cancer.

Procedure Details

Before the Procedure

• You may need to stop taking blood-thinning medications which our team will confirm.

• Antibiotics may be prescribed.

During the Procedure

• This can be performed under local anaesthesia in the office or general anesthesia in a day case operating room.

• Local anaesthesia is infiltrated to the perineal skin and periphery of the prostate gland.

• A biopsy needle is inserted through the perineum skin to collect prostate tissue samples.

• The procedure is guided through live ultrasound imaging by the introduction of a transrectal probe, along with MRI scan fusion where appropriate.

• The procedure usually takes about 30-45 minutes.

After the Procedure

• Some bleeding and discomfort are normal for a few days after. Blood in the ejaculate can last for a few weeks without harm to your partner.

• Avoid strenuous activities for a few days.

• Results are available in less than 7 working days, but delivered to you only at a follow up consultation, which our team book on your behalf automatically. This allows you the opportunity to ask questions immediately.

Description

Uroflowmetry is a diagnostic test that measures the flow rate of urine to assess how well the urinary tract is functioning.

Purpose

• Diagnose urinary tract obstruction, weak bladder muscles, or other urinary disorders.

• Monitor the progress of treatment for urinary conditions.

• We will discuss the rationale for this at the time of your initial consultation.

• If you have urinary symptoms, it should be anticipated that you will be offered to undergo this simple non-invasive office procedure.

Procedure Steps

Before the Test

• Drink plenty of fluids to ensure you have a full bladder for the test.

• No other specific preparation is required.

During the Test

• You will be asked to urinate into a special device that measures the speed and volume of your urine flow to produce a quantitative and qualitative measure.

• The process is quick, painless and non-invasive.

After the Test

• Results are analysed to determine if there are any abnormalities in the urinary flow.

• Our team will discuss the findings and any necessary next steps.