PSA test
 

We are delighted to be owners in TV for the past 3 years. Prior to moving here, our GP in NY did an PSA test. Since we have been in TV, none of the GP's do this test. What have other experienced? Do we need to use a urologist to do the PSA test? If so, any recommendations for a good urologist are welcome.

Since it's just a blood test any lab or Dr. office can do that but a urologist is likely better for a physical exam.

Your GP should order a PSA test but perhaps doesn't because the test has been questioned for its' worth recently. I would discuss it with him/her.

Why do you want one?
 

Americans love their tests but hate the cost of the medical system. The tide seems to have gone out on the utility of the PSA as a routine screening test. It leads according to the experts to more harm than good resulting in patients being biopsied and treated for a disease that is less likely to hurt them than the treatment. There are exceptions to the recommendation not to test. If you have a strong positive family history or you are in a higher risk group (African American) then the risk benefit ratio may favor testing. So back North you were tested when testing was still suggested, and now here you are not when PSA's are no longer routinely recommended. This new recommendation is controversial but was not lightly made. If you want a PSA test many doctors would order one to keep you happy even if they accept the evidence against it. If you want to read the recommendation it is at Screening for Prostate Cancer: U.S. Preventive Services Task Force Recommendation Statement

I have been having psa tests each year usually ordered by my gp. My psa was elevated and I was referred to a urologist who test me and found that of the 12 probes one detected cancer so presently I will be treated by radiation. Fortunately it was caught early so my prognosis is excellent. In any event without the psa test cancer would not have been detected or at least not detected earlier. Just wanted to throw my experience out there.

John

I know my husband's dr. here does not offer to do it. BUT, in MA our best friend's life was saved by having it done yearly. His PSA went from a 1 to a 4 from one yearly physical to the next and he had the radioactive seeds implanted and is now well. For peace of mind, ck your insurance co. for coverage, and if not covered offer to pay for it.

Over the past couple of years there have been articles in the newspaper stating that PSA tests are of little value, if any. They claim that prostate exams don't save lives when compared to groups of men who never get tested. One problem with the PSA test is that there are too many false positives and false positives lead to needless (invasive) biopsies.

There's a tendency toward over treating. Let's say you get a PSA test that is positive and calls for a biopsy. The biopsy then reveals the presence of cancer. Many men choose to get it treated, even though the cancer may be the type that is slow growing and never would kill them.

First of all, the biopsies cause scaring and can lead to problems like infection. Some doctors have even stated that biopsies can spread the cancer because of the needle being inserted and the presence of bleeding. Then cancer treatments can cause all kinds of damage leading to incontinence and erectile dysfunction.

The bottom line is that they have determined that PSA tests do more harm than good. They rarely say anything about the value of digital exams. Digital exams only work when the cancer is advanced. In that case, I suppose some kind of treatment is justified.

If you ask a urologist if a PSA test is a good idea, of course they will say yes. A good portion of their income comes from PSA tests and biopsies, not to mention needless operations.

His life was saved? They usually say that the patient is in remission. In the mean time I believe the seeds can have damaging side effects like ED. I just would be careful about painting too rosy a picture without knowing all the details. He may have done just as well by changing his diet. Clinical studies have shown that men with a 4 or 5 (and even higher) PSA have had great success in lowering their numbers through diet.

I am not going to comment on anything that's been stated about PST, but I am going to suggest reading the ABC article at the following link. I don't believe this issue is a black and white as one readiing this thread might think: PSA Tests for Prostate Cancer: More Harm Than Good? - ABC News

That is a clear established fact.

Dr. Barnard

Life are saved from any of the treatments.Age is a factor if younger you do not play around with diet to cure cancer,I had surgery at a great teaching hospital met with a lot of drs. and all said the same thing if older can keep a eye on but at my age no choice must do some type of treatment the risk is to great to wait and see.With treatment of any kind about 7% will die in 10 yrs from prostate cancer what would it be with out?Biopsy is done in office not that bad.Just because you have a high psa doesn't mean you have cancer but would still have biopsy to change diet and wait would just be stupid.

Diet is NOT a substitute for treatment.

In conjunction with it there are greater results.

Diet will lower the risk of development in first place.

Most prostate cancer is the slow growing kind and one can try diet without great risk. Clark Howard, the consumer advocate who has his own radio program, has prostate cancer. He's in his 50s and has chosen not to have any treatment. I believe he calls it "watchful waiting". He announced this about 2 or more years ago and is still working and doing well. Whether diet is a part of his plan or not, he didn't mention.

I am reading the same thing about TSA tests not being ordered as much as they were.
 

There was a post on this thread by a MD who I respect and by several folks with their own ideas.

I know which is who but others don't. But I am sure that people have figured this all out.

But still I hear that people follow what I think are crazy things by people who really don't have the full picture of cancer as many diseases.


Gracie wants each reader to seek the best medical advice that they can get and do what their qualified physicians say to do.

There is NO diet anywhere that can cure cancer. AMEN.

PSA Testing
 

IMO Early detection, early diagnosis and early treatment saves lives. PSA is an easy test and has saved many men from terminal prostate cancer (which can easily spread to the bones). I'm a woman, but work in the medical field, and see everyday that lives are saved by this simple test. But, to each their own opinion.