If your GP thinks you might need further tests to find out if you have a prostate problem, you will be referred to a hospital. At the hospital, you may have another PSA test and a digital rectal exmaination. You may also have:

Symptom questionnaire
You may ask you to fill in a questionnaire about your symptoms. This is called the International Prostate Symptom Score (IPSS) and is used to see how bad your symptoms are. The questionnaire takes about five minutes to fill in.

Urine flow test
This involves urinating into a machine that measures the speed of your urine flow. If you are urinating slowly, it may mean that your prostate is pressing on the urethra. You’ll need a full bladder for the test. Your doctor or nurse will tell you how much you need to drink beforehand. They may also ask you not to go to the toilet for two to three hours before the test.

Ultrasound scan
An ultrasound scan can show if your bladder is emptying properly. You may have the scan after the urine flow test. The scan will show how much urine is left in the bladder.You may also have an ultrasound scan to look at your kidneys.

Cystoscopy
A thin tube with a light and camera on the tip is put inside your urethra so your doctor can look inside your urethra and bladder. You may have this test if your have severe urinary symptoms or if you keep getting urine infections, or have blood in your urine or get pain when urinating.

Prostate biopsy
This involves using thin needles to take small samples of prostate tissue to be looked at under a microscope to check for cancer. For more information read our pages on How is prostate cancer diagnosed.

Updated: January 2015  | Due for Review: January 2017