Suspect prostate cancer
68/male Urologist advised for biopsy Chief Complaints C/o acute severe hip and thigh pain Hypogastric pain Frequent urination History -BPH (53 gms) diagnosed 6 months back -Hypertension Physical Examination DRE- nodularity present Investigations PSA test- >100
PSA is very high Enlarged prostate with hip and thigh pain and rest of symptoms are suggesting malignant prostate hence needs biopsy for confirmation
Serum PSA drastically elevated Advised urgent biopsy And HOLEP after biopsy And specimen for HPE
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