fbpx

Should I go on the PSA screening test?

269
FB Dr Soarawee
Soarawee Weerasopone, MD

Andrologist
Royal Phnom Penh hospital, Kingdom of Cambodia

I have been practiced in Urology office so far. A simply consulting from the other departments is about-the references of total PSA value from the screening test which is considered 4.0 ng/mL as normal reference. This kind of problem made the patients suffered a lot, especially psychological harm and I spent a bunch times to explain them for what is the big deal? Let me update you guys on PSA screening program.

If we questioned that “what kind of cancer screening test is the most concern in the world?” The answer is “Cervical cancer screening program” but what about prostate cancer? The answer is “not necessarily” I will tell you why.

In 2018, there was a very famous literature from USA studying on the PSA screening test recommendation and they concluded that not everyone should go on this screening test, if you do it, a little benefit for screening in age group 55 – 69 years old. Surprise? Let me tell you for the whole deals.

Sho
Prostate cancer

What is PSA?

PSA is an abbreviated from “Prostate Specific Antigen” which is enzyme that specifically produced in the prostate. This enzyme’s function is to liquefy semen from Gel-like into liquid after ejaculation. PSA is riched in the prostate tissue and low in concentration in the blood stream so that is mean any events that make prostate tissue breakdown, this enzyme enter the serum and was detected by the PSA blood test. The conditions for example, benign prostatic hyperplasia, prostatic infection and some minor manipulation can be raised this value which is called “False-positive” test.

Let’s get back to the famous US paper, the purpose of prostate cancer screening is trying to figure out the high-risk localized cancer that can be successfully treated. Why we don’t care about low-risk cancer? The answer is very simple, literally, you will die from the other causes before this cancer harm you. Mostly, the prostate cancer has no symptoms and the autopsy studied shown up to 33% of men who died from the other causes have been found prostate cancer. If we pay attention with the high-risk cancer, it’s only around 1 from 1,000 screening men will get benefit from the screening test and has no benefit when screening in men who are 70 years old up.

Should I go on the PSA screening test?
Blood sampling will be done for PSA

Tons of harmful unnecessary PSA screening test had starting with when patients got false-positive PSA result. First of all is a psychological disturbance, next they may suffer from the complication of prostate biopsy such as a painful, a bloody urination, a bloody ejaculation and infection and it is not including complication from other prostate removal operation like erectile dysfunction and urinary incontinent.

So what should we do? If you are male and in the age group of 55 – 69 years old, you better discuss with your primary doctor and make a decision together in advance. It is your choice! If you got a problem or you have a question, please come to see me at my office.

In case you got High PSA blood level, you can visit this link for more information.

Free 1
Free 2
WhatsApp BW 3
Telegram Final
LINE

Topics on Urologic Oncology

Radiation cystitis: Bloody urination after pelvic radiation

Radiation cystitis: Common bloody urination after pelvic radiation

Today we will discuss more clearly on radiation-induced bloody urination or “Radiation cystitis” in the medical term statement. There have been several patients came to see me at Urology office with the problem of bloody urine onset with history of pelvic radiation. This symptom always become a chronic issue and extremely affects patient’s quality ofContinue reading “Radiation cystitis: Common bloody urination after pelvic radiation”

AML Topic

Angiomyolipoma of the kidney: A common benign renal tumor

An incidentally finding kidney tumor which is very common at my urology office, that so-called Angiomyolipoma (AMLs) in medical term. This tumor mostly detected at health promotion clinic which is made the patients really concerned when their first met with me. And that is the reason that we are going to discuss today. First ofContinue reading “Angiomyolipoma of the kidney: A common benign renal tumor”

High PSA Topic

What should you do if you got a High PSA blood test?

PSA or Prostate-specific antigen is one of the most common laboratory tests included in elderly male health checkup package. Lots of gentlemen who get High PSA blood test will get more often to see me up at my office for counseling. In this topic, we’re going to discuss about what you should do when youContinue reading “What should you do if you got a High PSA blood test?”

Loading…

Something went wrong. Please refresh the page and/or try again.


2 thoughts on “Should I go on the PSA screening test?

Leave a Reply

en_USEnglish
%d bloggers like this: