Why do you need to get a PSA to have a vasectomy?
Answer: you don’t. But if you want a vasectomy, you need a urologist. Urologists roll over in bed at night and murmur in their sleep, “Get a PSA.” The only way to set foot in the office of a urologist and not get an order for a PSA is to be a woman.
Then what? Your PSA is less than 1. You get your vasectomy. You recover from your procedure and get your two clean semen samples. Do you still need the urologist. No; not really. But what they say is, “Come back in a year with a PSA.”
This is how they rope you into a lifetime of urology “checkups”. This is what makes you think that what they do is primary care. It’s not. Urology is a surgical specialty. Healthy middle-aged men (ie those who tend to go for vasectomies) with no urinary symptoms DO NOT NEED TO SEE A UROLOGIST.
And don’t get me started on Gynecologists who keep getting women to come in every year for their “Annual”, including paps (which only need to be every 3-5 years after normals with negative HPV tests, and NEVER if you don’t have a cervix anymore) and bimanual exams, which have not been shown to provide useful information in the absence of symptoms.
From the comments: If all you have is a hammer…
My response: Then all you can do is order a PSA.