CONSULT REQUEST GUIDELINES                                                                         Print

Elevated PSA

Suggested Pre-Referral Evaluation and Management Guidelines
Refer to Urology or PCP Urology for:
- PSA> 4.0 ng/ml
- PSA velocity greater than or equal to 0.75 ng/ml/yr.
- Free PSA less than or equal to 10%
- Positive digital rectal exam (DRE)
- Patients with a family history of prostate cancer with a PSA greater than or equal to 2.0 ng/ml
Suggested Additional Test/Management Prior to Specialty Visit
  • Digital rectal exam (DRE) if abnormal PSA
  • Prostate Specific Antigen (if positive DRE)
  • Patient Education/Information (includes preps)  
    Appointment Timeframe 2-4 weeks
    How to Get Results to Consultant UMHS Patients: See MiChart
    External Referrals: Fax relevant clinic notes, laboratory results, diagnostic test results, operative notes to 734-232-1610
    Clinic Contact Information Physicians: 800-962-3555
    Patient: 734-936-7030
    Clinic Location Sites UM Comprehensive Cancer Center
    Brighton Health Center
    Domino's Farms Family Medicine Urology
    Livonia Center for Specialty Care
    Taubman Healthcare Center
    Ypsilanti Health Center
    UM Consulting Physician Sapan Ambani, MD
    Chandy Ellimoottil, MD
    Khaled Samir Hafez, MB, BCh
    Joel J. Heidelbaugh, MD
    Brent Keith Hollenbeck, MD
    Masahito Jimbo, MD
    Cheryl Taylore Lee, MD
    David Christopher Miller, MD
    Karl Thomas Rew, MD
    John Thomas Wei, MD
    Alon Zadok Weizer, MD
    Diane Marie Collin, PA
    Stanley Mukundi, PA
    Mike Kozminski, MD
    John Hollingsworth, MD
    Revised on: 02/29/2016



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