I suppose medical specialists have their uses, but recently I been wondering if so many referrals are necessary along with the number of tests ordered by each specialist. All of the ones I been seeing recently referred by my GP, are all part of the same association and I can't but wonder what was and what wasn't necessary. Second opinions are expensive if not covered by insurance leaving the patient in a quandary - should I or shouldn't I especially when it comes to surgery?

Recently I was referred to a urologist who spent maybe 15 minutes with me. He was seeing patients like they were on a production line. Used to be that a finger up your you know what was enough to determine prostate enlargement. But an MRI?!! Think I'll cancel that test tomorrow. At least the med. he put me on has reduced urinary frequency at night. Why couldn't my GP have done that?!

Man do I miss my previous family's GP that passed away years ago. In his case, one size fit all!

Only for insurance purpose, you pay out of pocket then not needed.

This my second year with a Medicare Advantage policy that does not require referrals. This feature has been very helpful in the past couple of years while dealing with an enlarged prostate. I've never wound up using the provider I used for a second opinion, but it's been comforting to get the opinion. Insurance paid for the second opinion as well.

Pro tip based on personal experience: If you are ever given the option to have the Urolift procedure, insist that it be done under general anesthesia. The office procedure is brutal.

Avoid this instrument if you can.

^^^ Shiver me Timbers

So how was it after the procedure? Any complications?

What is your PSA level? A MRI is used to see if cancer is present, which a finger cannot detect. That's how mine was discovered.

They use a probe.

Infection a few days after the procedure which was cleared up with antibiotics. Enlarged prostate symptoms decreased dramatically, but then started to return. Now, 4 months later, I suspect I will eventually have TURP. Appointment next week to review options.

Damn, hate to hear that. Hope it works out for you.

Dr Charles Secrest in Fort Worth is one of the best urologists in the state, especially for men. I was finally able to get my best friend in to see him and he has helped him tremendously. When he had to have some bladder stones blasted, the nurses at the hospital told us that people travel from California, Mexico, etc. to see him. His fellow, Dr. Valadez is also excellent. If y'all need a good urologist, I'd definitely look him up.