Is PSA Testing Necessary?

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Video Development - Dean Dubinsky

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Prostate Cancer Free Foundation. Increasing Knowledge - Building Hope. Edward Weber, M.D. Medical Oncologist, Prostate Cancer Results Study Group.

So... is getting a simple blood test for your PSA no longer necessary? A Federal government agency called The United States Preventive Service Task Force thought so when in 2012 it recommended no more screening with the PSA test. The consequences of this misguided recommendation are already being seen. More men are being diagnosed with advanced prostate cancer. Following their recommendation could greatly shorten your hope for a long life. A late diagnosis of prostate cancer, a cancer diagnosis after it has already spread, is a cancer that is not curable, and is a killer. Early awareness of your PSA value gives you the best chance for cure, or at least a shot at controlling the disease and bypassing very unwanted symptoms. Most people do not need yearly testing, but each man should have a baseline test starting at age 45, or a first test at any age, to see where he stands with this disease. Further testing can then be individualized based on that first result. Maybe you will never need another test, or maybe a test only every five years or so. So get tested. Your family will be proud of you and you will be glad you did.

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Not just PSA tested. Get that dreaded DRE (digital rectal exam) too. My PSA, which wasn't tested until after the DRE gave an abnormal result, was only 2.7. My biopsy came back positive for prostate cancer. I was treated five years ago and I'm doing fine now.

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PSA testing is absolutely essential if a man has had any type of surgery where the anus has been removed, thus preventing any digital rectal exam of the prostate. Even with the anus intact and a seemingly "normal" digital exam, an elevated PSA could signal an early prostate cancer. A urologist once told me that if your PSA doubles in a year, even if it's in the normal range, it still warrants investigation.

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