WHO SHOULD BE SCREENED FOR PROSTATE CANCER?


There are many different recommendations for prostate cancer screening, also called early detection.  It may be confusing to men to know what they should do.  It is important for men to discuss the risks and benefits of screening for prostate cancer with their physician.  For men who choose to be screened for prostate cancer, they may consider the recommendations below.


Men with risk factors for prostate cancer (i.e. family history, African-American) begin testing at age 40

  • If PSA is less than 1.0 obtain next PSA at age 45
  • If PSA is higher than 1.0 repeat PSA annually


Men without risk factors begin testing at age 50.  If PSA greater than 1.0 or if there are symptoms, test annually
Men 70 years of age or older, PSA testing should be individualized


WHAT ARE THE TREATMENT OPTIONS FOR PROSTATE CANCER?


One of the many challenges for men diagnosed with prostate cancer is deciding on a treatment.  With low-stage disease one option is to choose active surveillance.  This usually includes PSA testing every 3 months and a repeat prostate biopsy at one year.  The most common treatments include surgery to remove the prostate, brachytherapy (inserting radioactive seeds into the prostate),  and external beam radiation therapy.  Your physician will explain the various treatment options based on the stage of your prostate cancer and your physical health and age.  For more information about treatment options visit:



WHAT ARE MY RISKS FOR DEVELOPING PROSTATE CANCER?


  • Prostate cancer is the second leading cause of cancer death in men, behind lung cancer
  • 1 in 7 men will develop prostate cancer over their lifetime
  • 6 in 10 men diagnosed with prostate cancer are 65 years of age or older
  • The average age at diagnosis is 65
  • 161,360 men will be diagnosed with prostate cancer in 2017
  • 26,730 men will die from prostate cancer in 2017
  • Men who are African-American or have a family history of prostate cancer are higher risk for developing prostate cancer

Prostate Cancer

Pros and Cons of PSA Testing - Video (below) by Dr. Mike Evans


​Getting screened for prostate cancer is an individual decision that patients should discuss with their physician.  Dr. Mike Evans gives a clear presentation on the pros and cons of prostate cancer screening.

Take the on-line risk assessment to learn your risk for developing prostate cancer.  Discuss the findings with your physician.

WHAT IS PROSTATE CANCER SCREENING?


Prostate cancer screening includes a PSA blood test and a digital rectal exam performed by a physician.  It does not diagnose prostate cancer but only determines if a man is at increased risk for having prostate cancer.  If it is determined that a man is at increased risk for having prostate cancer then a prostate biopsy is performed where pieces of prostate tissue are removed and examined under a microscope.

Call: (214) 345-5030
Email: aclark@urologyfoundation.org