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. 2009 Jun 22;5:427–448. doi: 10.2147/tcrm.s3025

Table 4.

When a urological consultation is needed

  1. Verified serum PSA concentration more than 4.0 ng/mL

  2. An increase in serum PSA concentration more than 1.4 ng/mL within any 12-month period of testosterone treatment

  3. A PSA velocity of more than 0.4 ng/mL/year using the PSA level after 6 months of testosterone administration as the reference (only applicable if PSA data available >2 years)

  4. Detection of a prostatic abnormality on digital rectal examination

  5. An American Urological Association (AUA) or International Prostate Symptom Score (IPSS) prostate symptom score of more than 19

Abbreviation: PSA, prostate specific antigen.