Top
10
Doctor insights on: Is The Prostate Exam A Better Screening Tool Than A Psa Test

Share
Dr. James Lin
258 doctors shared insights

Prostate Specific Antigen (Definition)

Psa is a protein made in the prostate gland that functions to liquefy sperm. It is a serine protease made by both normal and malignant prostate glands. Commonly used as a screening test for prostate cancer, the psa test is widely used to detect which men would benefit from a prostate biopsy as well as detect cancer recurrence in men who have been ...Read more


2

2
Is the prostate exam a better screening tool than a psa test?

Is the prostate exam a better screening tool than a psa test?

Neither that good: Neither of these examinations is particularly good at detecting prostate cancer. Both should be employed in a person at risk for prostate cancer. ...Read more

See 1 more doctor answer
4

4
During my annuall physical, my g.P. Only took blood psa, for the prostate...Isnt a prostate exam (the finger) recommended?

During my annuall physical, my g.P. Only took blood psa, for the prostate...Isnt a prostate exam (the finger) recommended?

Yes: The american urological association recommends a psa and digital rectal exams beginning at age 40. Depending on those results, you may not require annual checks until age 50. Your family history is also important, especially if there is a history of prostate cancer in the immediate family. ...Read more

See 2 more doctor answers
5

5
I'm a 30 yr old male that had my first prostate exam i was told i had a grossly enlarged prostate had psa tst and all normal.I have a swollen left tes?

I'm a 30 yr old male that had my first prostate exam i was told i had a grossly enlarged prostate had psa tst and all normal.I have a swollen left tes?

BPH: It could be benign prostatic hypertrophy (bph). Adenomatous growth usaually begins at the age of 30 years. By the age of 50 years 50% of the men will have bph. But it is better idea to rule out other causes especially in the setting of swollen testis. It is better to consult a urologist. ...Read more

See 1 more doctor answer
7

7
I heard that there is a recommendation against routine psa screening for prostate cancer - but didn't a recent study in nejm show it saves lives?

I heard that there is a recommendation against routine psa screening for prostate cancer - but didn't  a recent study in nejm show it saves lives?

Screening: Correct, an update on trial in europe looking at screening shows a benefit with screening, published in new england journal of medicine, march 2012. Moreover, with the introduction of psa testing some 20 years ago, there has been a reduction in prostate cancer mortality in usa as noted in the data collected by the national cancer institute, known as seer data. ...Read more

See 2 more doctor answers
8

8
Who should get the psa screen for prostate cancer?

Who should get the psa screen for prostate cancer?

Psa: Healthy men with greater than 10 years to live who. Want to lower the chance of prostate cancer death. ...Read more

See 2 more doctor answers
9

9
What should psa screen # be after prostate surgery? Recent psa 0.10

Here are...: After a successful radical prostatectomy rp) for prostate cancer, psa is expected to be around 0.01-0.02 ng/ml. But, no matter who did it and how was done, some one third of post-rp are still expected to have rising psa in time of f/u, which may suggest 3 things: local recurrence, or spread to nearby tissue such as regional ln, or spread to far sites such as lungs, rib, spine, or pelvic bone. ...Read more

See 1 more doctor answer
10

10
Prostate cancer- what are the best diagmostic tool- biopsi/mri/serology -psa values? What is the best treatment option? Male 64- obese- high bp

Prostate cancer- what are the best diagmostic tool- biopsi/mri/serology -psa values? What is the best treatment option? Male 64- obese- high  bp

Biopsy: A biopsy should be done but if the psa is very high, > 100 unlikely anything else. A biopsy will give tissue diagnosis, grade of the tumor, and help the physician decide on therapy. Hope this helps. ...Read more

See 2 more doctor answers
Dr. Eric Weisman
1 doctor shared a insight

Screening (Definition)

Examples are: colonoscopy for colon polyp or cancer; mammograms for breast lesions or cancer; psa a blood test that could indicate enlargement of cancerous prostate tissue; blood sugar or hemoglobin a!c for diabetes. Many think that scanning the whole body will pick up a cancer--in all likelihood, it will not. There also is no good blood test, yet, ...Read more


Dr. Zahid Niazi
7 doctors shared insights

Prostate (Definition)

The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more