When Should You Start Getting Prostate Exams

Related Articles

What Would You Say To Men Who Dont Want To Get A Prostate Check

When should Men get Screenings for Prostate Cancer?

A rectal exam is recommended but optional. We recommend both, but if theyll just let you do a blood test, thats better than not doing anything at all.

If concern about the rectal exam is the only reason youre not getting screened, talk to your doctor about it. We can discuss the risks and benefits. None of the evaluation tests are mandatory, but the reason we do that is that it improves our ability to detect cancer. So, if thats why youre not being evaluated, we can talk and decide if we can do other tests.

Health & Wellnessprostate Cancer Warning Signs: What Doctors Say You Need To Know

Dr. Behfar Ehdaie, a urologic surgeon specializing in prostate cancer at Memorial Sloan Kettering Cancer Center in New York, said that these varying guidelines are due to the different risk factors that each person faces. Things like family history, environmental factors, race and more can all come into play when it comes to assessing prostate cancer risk.

âThere are specific patient level factors that have to go into that decision, including family history, comorbidities, and life expectancy,â said Ehdaie, who said that people who are not expected to live more than another decade may not be advised to get screened. âAnd of course, the patientâs own preferences are taken into account, their goals, what they want to achieve.â

You May Like: Can Women Have Prostate Cancer

What Is A Prostate Cancer Exam

There are two primary ways doctors may examine whether there are abnormalities in the prostate: a PSA blood test and a digital rectal screening test.

A prostate cancer exam is a medical examination used to observe and feel the prostate for any lumps or changes in size. The prostate gland is a small, walnut-shaped gland located just below the bladder in men. The exam usually involves the doctor feeling the prostate through the rectum.

One type of prostate cancer exam is the prostate cancer screening test. The PSA test is a blood test that measures the level of prostate-specific antigen in the blood. If the value falls between 2.0 to 4.0 ng/mL, the doctor may advise you to get tested yearly, although that figure isnt alarming.

If the value is above 4 ng/mL, it may also be subject to a more thorough investigation as it could indicate conditions such as:

Recommended Reading: Phone Number For Psi Exams

The Risks Of Prostate Screening Include The Following:

Finding prostate cancer may not improve health or help a man live longer.

Screening may not improve your health or help you live longer if you have cancer that has already spread to the area outside of the prostate or to other places in your body.

Some cancers never cause symptoms or become life-threatening, but if found by a screening test, the cancer may be treated. Finding these cancers is called overdiagnosis. It is not known if treatment of these cancers would help you live longer than if no treatment were given.

Treatments for prostate cancer, such as radical prostatectomy and radiation therapy, may have long-term side effects in many men. The most common side effects are erectile dysfunction and urinary incontinence.

Some studies of patients with newly diagnosed prostate cancer showed these patients had a higher risk of death from cardiovascular disease or suicide. The risk was greatest in the first weeks or months after diagnosis.

Follow-up tests, such as a biopsy, may be done to diagnose cancer.

If a PSA test is higher than normal, a biopsyof the prostate may be done. Complications from a biopsy of the prostate may include fever, pain, blood in the urine or , and urinary tractinfection. Even if a biopsy shows that a patient does not have prostate cancer, he may worry more about developing prostate cancer in the future.

False-negative test results can occur.

False-positive test results can occur.

What If My Test Results Are Abnormal

When Should I Start Getting Prostate Exams

If the results of early detection tests like the PSA test or the digital rectal exam suggest that you might have prostate cancer, your doctor will conduct further testing. The PSA may be repeated, or you may be sent to a specialist for more tests such as a transrectal ultrasound and a prostate biopsy.

In a prostate biopsy, a tissue sample is taken from your prostate. Cancer can only be diagnosed with a tissue sample.

In addition to a PSA test, DRE , and a biopsy, research has yielded additional tests that can detect if cancer is present, and if so, how aggressive that cancer might be:

  • The Prostate Health Index combines three blood tests that give a more accurate Phi Score, which gives accurate information based on a high PSA to better determine the probability of finding cancer during a biopsy.
  • A urine test that more accurately detects the possibility of prostate cancer by examining the expression of PCA3 a gene specific to prostate cancer. The PCA3 score is used to determine the need for repeated biopsies. Research has continued for years to look into whether PCA3 can replace or serves as a substitute for the PSA test.
  • A simple, non-invasive urine test to assess your risk of having clinically significant high-grade prostate cancer. The ExoDx Prostate Test does not require a digital rectal exam and provides an individualized risk score that can help determine to whether to proceed or defer a prostate biopsy.
  • Also Check: How Hard Is The Hesi Exam

    Prostate Cancer Screening Ages 40 To 54

    The PSA test is a blood test that measures how much of a particular protein is in your blood. Its been the standardfor prostate cancer screening for 30 years.

    Your doctor will consider many factors before suggesting when to startprostate cancer screening. But hell probably start by recommending the PSAtest.

    While the general guidelines recommend starting at age 55, you may need PSAscreening between the ages of 40 and 54 if you:

    • Have at least one first-degree relative who has had prostate cancer
    • Have at least two extended family members who have had prostate cancer
    • Are African-American, an ethnicity that has a higher risk of developing more aggressive cancers

    What You Need To Know About The Prostate What Age Should You Start Getting Prostate Exams

    A enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlargement of the prostate may have pain in his lower abdomen and genitals. If pain is present, a digital rectal examination will reveal hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.

    While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. Some men have minimal or no symptoms at all. Some men will have a very enlarged prostate, whereas others will have a mild enlargement. Generally, the symptoms can stabilize over time. Some men may have an enlarged prostate but not notice it. If they have an enlarged colon, their physician can perform a TURP procedure.

    Don’t Miss: Why Are Clinical Breast Exams No Longer Recommended

    There Are Risks To Getting Prostate Cancer Tests And Treatments

    If your PSA is not normal, you will probably have a biopsy. The doctor puts a needle through the wall of the rectum and into the prostate to take a few samples. Biopsies can be painful and cause bleeding. Men can get serious infections from biopsies, and they may need hospital care.

    Surgery or radiation are the usual treatments for prostate cancer. They can do more harm than good. Treatment can cause serious complications, such as heart attacks, blood clots in the legs or lungs, or even death. In addition, 40 men out of 1,000 will become impotent or incontinent from treatment.

    What You Need To Know About The Prostate When Should You Get Prostate Exam

    Avoid prostate biopsies with new cancer screening

    A enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlargement of the prostate may have pain in his lower abdomen and genitals. If pain is present, a digital rectal examination will reveal hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.

    While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. Some men have minimal or no symptoms at all. Some men will have a very enlarged prostate, whereas others will have a mild enlargement. Generally, the symptoms can stabilize over time. Some men may have an enlarged prostate but not notice it. If they have an enlarged colon, their physician can perform a TURP procedure.

    Read Also: How To Lower Risk Of Prostate Cancer

    You May Like: What Age To Start Prostate Exam

    When You Experienced Symptoms

    Although prostate issues are more common in older men, they can strike at any age. You should, therefore, look out for symptoms of prostate problems. If you do notice any, you need to make an appointment to have your prostate checked. One of the common symptoms that could indicate a prostate issue is frequent urination.

    Specialist Referral And Biopsy

    Your doctor will discuss your prostate check results with you. If the PSA and DRC results suggest you have a high risk for prostate cancer, your doctor will refer you to a urologist .

    The specialist will discuss having a prostate biopsy, in which a small sample of your prostate gland cells are taken for examination.

    The aim of the biopsy is to confirm whether or not you have prostate cancer and, if so, whether it needs treatment. The treatment options will then be discussed with you.

    If the biopsy shows no evidence of cancer, you may be advised to attend future check-ups.

    Recommended Reading: Lenscrafters How Much For Eye Exam

    Weighing Your Options For Treatment

    If you test positive for prostate cancer, you have some options as to what youd like to do about it. Until recently, nearly everyone opted for surgery or radiation, while some patients choose not to undergo treatment, instead opting for active surveillance, during which the cancers are left alone but regularly monitored to be certain that theyre not growing.

    Certainly, screening can lead to earlier prostate cancer detection, and with earlier detection, youre eligible for multiple different treatments or active surveillance, said Sia Daneshmand, MD, director of urologic oncology at USC Urology of Keck Medicine of USC and associate professor of urology at Keck School of Medicine of USC. So we encourage patients who are candidates for screening to discuss it with their urologist and/or primary care physician so that we can determine whats the best course of treatment for them.

    There also is a new option for those seeking prostate cancer treatment. Its called High-Intensity Focused Ultrasound , which uses ultrasound beams to non-surgically destroy prostate tumors.


    What Is Cancer Screening

    When Should You Start Having Your Prostate Checked ...

    Screening means testing people for early stages of a cancer, or for early changes that could develop into cancer if left untreated. For screening to be useful the tests:

    • need to be reliable at picking up cancers that need treatment
    • overall must do more good than harm to people taking part
    • must be something that people are willing to do

    Screening tests are not perfect and have some risks. The screening programme should also be good value for money for the NHS.

    Recommended Reading: The Bar Exam From Within

    Why Members Skip The Exam

    Men skip prostate exams for many different reasons. Members may:

    • Be uncomfortable with the stigma surrounding the exam
    • Fear a cancer diagnosis
    • Believe the downsides of a false positive outweigh the benefits
    • Not believe theyre at risk
    • Equate being asymptomatic to being cancer-free

    Some members could simply be confused by the changing recommendations for testing. This is why medical professionals suggest consulting a doctor.

    Also Check: What Are The Side Effects Of Prostate Cancer Radiation Therapy

    Prostate Exam Vs Colonoscopy: Whats The Difference

    At first glance, it might seem that a prostate exam is similar to a colonoscopy. After all, both exams involve your rectal area. However, these two tests are quite different.

    While a prostate exam involves feeling the prostate with a gloved finger, a colonoscopy examines the walls of your colon by inserting a flexible camera into your rectum. The prostate is not examined at all during this procedure unless your healthcare provider manually performs an exam.

    A prostate exam is a fairly quick procedure performed in an office setting. A colonoscopy, on the other hand, is an outpatient procedure in the hospital that requires IV sedation.

    Also Check: Police Written Exam Study Guide

    Can A Swollen Prostate If Untreated Cause Prostate Cancer

    We have no evidence of that. Theyre completely unrelated problems. The area of the prostate that causes urinary symptoms is usually a different part of the prostate than where cancer is likeliest to develop.

    Doctors divide the prostate into different zones. The zone that is associated with BPHand the majority of prostate growthis the transition zone. Prostate cancer occurs there much less often than in the peripheral zone, which is the outer area.

    Should I Get Screened For Prostate Cancer

    Elevated PSA: How Soon Do You Need a Prostate MRI?

    This video helps men understand their prostate cancer screening options.

    In 2018, the U.S. Preventive Services Task Force made the following recommendations about prostate cancer screening

    • Men who are 55 to 69 years old should make individual decisions about being screened for prostate cancer with a prostate specific antigen test.
    • Before making a decision, men should talk to their doctor about the benefits and harms of screening for prostate cancer, including the benefits and harms of other tests and treatment.
    • Men who are 70 years old and older should not be screened for prostate cancer routinely.

    This recommendation applies to men who

    • Are at average risk for prostate cancer.
    • Are at increased risk for prostate cancer.

    Also Check: What Doctor Does Prostate Exam

    Who Should Get A Psa Test

    Not everyone should get a PSA test. Why? Because many in this country are treated for low-risk prostate cancer that is discovered through the PSA test, even when it is unlikely that the disease will ever cause symptoms or lead to death. And treatment is associated with significant side effects, including impotence and incontinence . You should discuss whether prostate cancer early detection is right for you with your personal primary care physician.

    To avoid the risks of over-treatment, Roswell Park follows the guidelines established by the National Comprehensive Cancer Network . The NCCN brings together world-renowned experts from 30 of the nations top cancer centers to write guidelines that specify the best ways of preventing, detecting and treating cancer. The guidelines are updated at least every year, on the basis of the latest research.

    Michael Kuettel, MD, PhD, MBA, Chair of Roswell Park’s Department of Radiation Medicine, serves on the NCCN Prostate Cancer Panel.

    If you decide that Prostate Cancer Early Detection is right for you, the NCCN recommends PSA testing as follows:

    How Often Should You Get A Prostate Exam

    How often should you get a prostate exam? Avoidance is always better than cure. We all know this thing very well, but how many of us are those who follow these things? As the age of a person increases, a lot of health related problems start to appear in his body.

    The best way to avoid this is to have a medical screening and physical examination of your entire body at least once a year. An annual examination of the body does not only mean that diseases can be identified and treated, but whether all the organs of the body are functioning properly or not.

    Routine annual check-ups are also called preventive care and help in symptomatic therapy. After any malfunction inside the body, the body gives a lot of signals which are easy to identify and diagnose on time. However, there are some tests that should be done after the age of 50.

    Tests For MenBlood cholesterol test

    A simple test and preventive measure assesses the condition of any type of heart disease you may have. This test shows the level of cholesterol and teryglycyride in the blood. Due to abnormal levels of cholesterol and triglyceride in the blood, the risk of heart attack and other types of heart disease increases many times.

    How often should you get a prostate exam?

    You May Like: Kirkland Signature Medium Nitrile Exam Gloves 200-count 2-pack

    Why Is Active Surveillancethe Wait

    We utilize active surveillance for men who have been diagnosed with a low-grade prostate cancer. The reason we monitor low-grade prostate cancer using active surveillance, rather than treating it aggressively, is that there are cancers that dont need treatment.

    With low-grade prostate cancer, youre more likely to have problems from the treatment than from the prostate cancer. Any treatment we do for prostate cancer is going to affect a mans urinary and sexual function. It may affect it a little bitor a lot. With this type of prostate cancer, we can tell you now that theres very little likelihood the cancer is going to cause you any problems. We have a good and growing amount of evidence that low-grade prostate cancers, on average, progress very slowly and do not appear to spread to the lymph nodes. Active surveillance lets us detect higher grade disease and treat it at that point.

    For us to do anything and treat it is going to change your quality of life. I think thats a powerful thing.

    Popular Articles