I am aware of cases in Australia where Duodart is being prescribed where no urination problems are present. e.g. DRE following cleared blockage caused by an infection. I know the serious PCa risk of Dutasteride and Finasteride has been watered down but even the other still accepted “side effect” risks seems to make this an early risk where no real benefit exists. This forum seems to accept DREs are a very inexact method of determining if prostate size alone needs treating. I was treated for BPH since 1990 and needlessly prescribed Duodart for 12 months 2013/14. I was MRI/biopsy diagnosed with 3+4 PCa and open RP in 2015. Is the practice of prescribing 5ARIs on the mere suspicion of prostate growth performed in UK and USA? What do you think?