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The Importance of the PSA Test: A Key to Prostate Health

3 Key Takeaways:

  • The PSA test is recommended for any man between the ages of 55-70 who expects to live for at least another 10 years, but should be discussed with any man who has a greater than 10-year expected survival.
  • PSA tests should start at age 50, or at 40 if you are African American or have a family history of the disease.
  • Changes in the level of PSA are far more indicative than the level itself; beginning the test early can provide invaluable information for monitoring changes and trends over time.

The Importance of the PSA Test: A Key to Prostate HealthIn the vast landscape of cancer screening, the Prostate-Specific Antigen (PSA) test often provokes a great deal of controversy. Nevertheless, it is an essential tool in the hands of urologists, particularly those based in Florida, where the risks associated with prostate cancer are undeniably significant. You need to understand why this tool is critical and when you should consider taking it.

Listen to the Experts

Dr. Martin B. Richman, a Board Certified Urologist based in Safety Harbor, FL and New Port Richey, FL, discusses this very topic. He notes that while there’s debate about PSA screening, the current consensus is clear. The screening is recommended for any man between the ages of 55-70 who expects to live for at least another 10 years, “but to also have the discussion of prostate cancer screening with any man who has a greater than 10-year expected survival,” Richman stresses.

The conversation about the PSA test should start as early as 40, particularly if you are potentially at risk due to a strong family history of the disease. “Any man who has a first-degree relative, father, grandfather, uncle with prostate cancer has a higher risk of developing prostate cancer,” Richman points out.

Individualized Assessment and Monitoring

Adding to this, Dr. Ketan Kapadia, a Board Certified Urologist based in St. Petersburg, FL, offers a nuanced perspective on the PSA test. He recommends starting the PSA test at age 50, or at 40 if you are African American or have a family history of the disease. “But typically, I usually recommend even before 50 getting a PSA to get a baseline,” Kapadia reveals.

However, it is important to remember that decisions regarding PSA tests are not solely based on the level of PSA. It’s the changes in the level that are far more indicative. As Kapadia explains, “The changes of the level are far more accurate in determining who has cancer than not because you can have a normal PSA and still have prostate cancer.”

This means that beginning the PSA test early can provide invaluable information, allowing urologists to monitor changes and trends over time and proactively respond to any concerning evolutions. “So getting them even if you’re, you know, if you’re 40 would be, I think, reasonable,” Kapadia concludes.

Your Prostate Health is in Good Hands

Don’t let controversy overshadow the importance of this life saving tool. Your health is too important to get lost in the debate. Instead, consider partnering with highly experienced urologists who can help you navigate the intricacies of the PSA test and prostate health care.

At Advanced Urology Institute, the largest urology practice in Florida, you will find a team of dedicated professionals who continually track the latest research, controversies, and advances related to the PSA test. With their offices in Safety Harbor, FL, St. Petersburg, FL, and New Port Richey, FL, they offer a helping hand in your journey to maintaining and enhancing your prostate health. Prostate health matters, and so does your life. Get ahead, get informed, and take action with the right team of experts at your side.

References:

Transcription:

Martin B. Richman, MD (Board Certified Urologist at Safety Harbor, FL and New Port Richey, FL):
There is a lot of controversy about PSA screening and when to start. The current guidelines are to screen any man who has a 10 year or more expected survival who’s between the ages of 55 and 70, but to also have the discussion of prostate cancer screening with any man who has a greater than 10 year expected survival. 

We begin that discussion with most men starting at age 40 and offer the opportunity to undergo PSA screening if they’re either concerned about the risk of prostate cancer or have a strong family history of prostate cancer. Any man who has a first degree relative, father, grandfather, uncle with prostate cancer has a higher risk of developing prostate cancer. 
 
Ketan Kapadia, MD (Board Certified Urologist at St. Petersburg, FL):
Well the recommendation is first PSA at 50 unless you’re African American you should get it at 40 and if you’ve got a family history it should be 40. But typically I usually recommend even before 50 getting a PSA to get a baseline. If it’s very low then it can be, you know, put off for a few years. But the main thing about PSA is not just what the level is but the changes in the level. 
 
The changes of the level are far more accurate in determining who has cancer than not because you can have a normal PSA and still have prostate cancer. So I encourage people to get it as early as possible. We may not do a biopsy on you if we think it’s not exactly where we want it to be but we like to see trends. So getting them even if you’re, you know, if you’re 40 would be, I think, reasonable.

 

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