GP Information
Dr Elmes offers a wide range of Urological Services for your patients:
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Prostate Cancer Robotic surgery – offering the advanced Robotic erectile nerve/pelvic floor spare surgery
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Benign Prostatic Hyperplasia (BPH) – minimally invasive enlarged prostate surgery
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Kidney stones - High powered laser dusting
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Penile Prosthesis Post Robotic Prostatectomy Rehabilitation
PSA Testing policy
- 50-70 y.o men
- Prostate blood test (PSA) + Prostate exam (DRE) annually
- 40-50 y.o men
- Prostate blood test (PSA) + Prostate exam (DRE) single test
- If positive family history (prostate or breast) OR
- If PSA > 0.6 (median)
Then annual testing should continue otherwise commence at 50yo.
Fortunately with the advent of the Prostate Specific Antigen or PSA blood test, these days 9 out of 10 men diagnosed with prostate cancer will have it confined to their prostate gland. Prostate cancer contained within the prostate gland only, is curable.
PSA testing should begin at age 40 to allow men to be stratified into a high risk or low risk group. The risk of prostate cancer increases as the PSA result increases:
PSA value Risk of Cancer
<2.0 12%
2.1-4.0 24%
4.1-10.0 40%
Please provide your patient with a GP referral for their appointment. Results Dr Elmes would like prior to your patients appointment include:
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MSU
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PSA
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Relevant CT scans for kidney stones
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Ultrasounds for enlarged prostate
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Full blood count
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Previous Urology history
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Any other reports relevant for your patients concerns