Sunday, September 25, 2022

When Should Men Get A Prostate Exam

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Health & Wellnessdiagnosed With Prostate Cancer At 37 Man Shares Story To Erase Stigma

When should Men get Screenings for Prostate Cancer?

This examination lasts “15 to 20 seconds,” according to Ehdaie, and is “uncomfortable” but “not painful.” Rettig noted that on its own, the digital exam is “not going to add very much,” but can be paired with the blood test to give a full picture of the patient’s health situation.

After that exam is completed and the bloodwork is done, the results are “evaluated together.”

“A decision would be made to either pursue further tests because the screenings suggest there may be something that would be of concern, or they would return at the next scheduled ,” Ehdaie said.

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What Do You Say To Patients Diagnosed With Prostate Cancer

Something I say to my patients a lot is that, in treating prostate cancer, we end up trying to extend your quantity of life at the cost of your quality of life. And so, at some point, if the quantity is extended a lot, and we can minimize the effect on quality, that makes sense, but the equation is different for every man. How much decrease in quality of life are you willing to accept if were going to extend your life?

Realistically, a lot of guys who are 70 dont have any sexual function anyway, so thats not a huge loss for them. As men get older theres definitely an increased chance of having erectile dysfunction the guys who have sexual function over 70 are very keen on preserving it. Even for the guys who dont have good sexual function, who are on Viagra, for them its often even more important to preserve what sexual function they have.

Prostate Cancer Screening Ages 55 To 69

This is the age range where men will benefit the most from screening.Thats because this is the time when:

  • Men are most likely to get cancer
  • Treatment makes the most sense, meaning when treatment benefits outweigh any potential risk of treatment side effects

Most men will get prostate cancer if they live long enough. Some prostatecancers are more aggressive others can be slow-growing. Doctors will takeyour age and other factors into consideration before weighing the risks andbenefits of treatment.

You should ask your doctor how often he or she recommends you get screened.For most men, every two to three years is enough.

Depending on the results of your first PSA test, your doctor may recommendyou get screened less frequently.

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Whats The Recommended Age For Your First Prostate Exam

Starting at age 50, all men should discuss getting a prostate exam with their doctor.

The reason for this is prostate cancer. In the UK, about one in eight men will be diagnosed with this in their lifetime. It mainly affects men aged 50 plus, but your risk increases as you get older, and the most common age to be diagnosed is between 65 and 69 years. Most men with early prostate cancer dont have any noticeable signs or symptoms.

The exception to this rule is if you are experiencing symptoms, or if your genetics predispose you as higher risk. Doctors are increasingly finding the tendency towards some prostate cancers can be inherited from your fathers family. Additionally, black men are at a higher risk, with one in four getting prostate cancer in their lifetime.

If youre experiencing no symptoms, heres the recommended age for prostate exam:

  • If you have a family history, first prostate exam at age 40
  • If you are black, first prostate exam at age 45
  • If you have no family history and youre not black, first prostate exam at age 50

Heading In The Wrong Direction

Prostate Exam: Should All Men Get a Prostate Cancer ...

Since the U.S. Preventive Task Force recommended against the blood test portion of the prostate cancer screening process in the mid-2000s, Dr. Harris has seen the gains made in catching prostate cancer early revert to the days before regular screening became the norm.

Between 1992 and 2012, there was a greater than 50 percent reduction in the death rate from prostate cancer in the U.S., thanks to the addition of blood test to the screening process and more aggressive and effective treatments for younger men.

The recommendation against screening has hurt American men, Dr. Harris said.

The average tumor size Dr. Harris was removing in the 90s was 12 grams. By the mid-2000s, the average was down to 3 grams, which means he was removing cancers early, before they could spread or cause more harm.

Since 2008, however, the average cancer size has risen to more than 10 grams, almost back to the pre-screening era. The percent of patients whose cancer has spread beyond the prostate is at least 40 percent right now. Those men have a higher risk of cancer recurrence, too.

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Another Option: Digital Rectal Exams

Most prostate biopsies are driven by PSA results. Urologists also use the digital rectal exam, or DRE.

“The American Urological Association hasn’t recommended rectal exams because there has yet to be a randomized trial in which some men get the rectal exam and some don’t. Based on who lives and dies, this would show if rectal exams have value,” says Dr. Freedland. “Many people, myself included, think they do have value. It’s part of the evaluation that we use even if it’s not officially in our guidelines.”

The DRE may cause momentary discomfort, but it can also detect prostate cancer for those patients with normal PSA levels. “We use the exam because we think it should work and be helpful, even if it hasn’t been studied,” Dr. Freedland adds. “Most people are screened with PSA and DRE.”

Symptoms Of Prostate Cancer

Symptoms of prostate cancer do not usually appear until the prostate is large enough to affect the tube that carries urine from the bladder out of the penis .

When this happens, you may notice things like:

  • an increased need to pee
  • straining while you pee
  • a feeling that your bladder has not fully emptied

These symptoms should not be ignored, but they do not mean you have prostate cancer.

It’s more likely they’re caused by something else, such as prostate enlargement.

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What Is A Prostate Screening

A prostate screening should be done routinely once a man turns a certain age. This in order to detect undiagnosed prostate cancer in someone who may not have any symptoms. There are two main tests that a man must undergo during a prostate screening: A PSA test and digital rectal exam. The PSA test checks the level of prostate-specific antigen in the blood. The digital rectal exam consists of the doctor feeling for any abnormalities within a mans prostate.

Both types of prostate screening tests are important to have because they test for different things. This means that complete confidence regarding the state of your prostate health requires both tests. As the most common cancer for men, it can be detected early and treated.

Why Are Prostate Exams Performed

Should Men Get the PSA (prostate specific antigen) blood test?

A lot of men do not realize the importance of a frequent prostate exam. When a man goes for a general check-up with his doctor, a prostate exam may be advised. This is considered part of a general health check-up.

It is generally advised that men undergo frequent health screenings once they reach the age of 40 . Research shows that this is the time when the risk of several prostate conditions increases.

For this reason, after 40, a man should ensure they obtain a prostate exam as part of their health screening.

The main reason why a doctor may advise on a prostate exam is to feel for any abnormalities with the mans prostate. This helps detect prostate disease. It is usually possible for a doctor to determine the health of the mans prostate through this examination. Further testing may be needed too.

The doctor can detect different prostate problems through a prostate exam. It is often considered the initial diagnostic option. The prostate exam itself can give a doctor an indication if there is an enlargement or swelling in the prostate gland. It also helps to determine prostate health.

In most cases, a prostate exam alone will not be the only diagnostic tool. After a digital rectal exam is done, the doctor will order additional tests if abnormalities are identified. This will help to diagnose problems like cancer and prostate enlargement.

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Prostate Exam In Concord Mint Hill And Charlotte

Some men are hesitant about getting tested, but a skilled urologist will give you confidence and knowledge about maintaining your prostate health. Dr. Richard Natale is here to help you maintain optimum sexual health and overall health as well.

If you have any questions or would like to schedule an appointment with Dr. Natale, contact our friendly staff at Carolina Urology today by calling 786-5131 or by filling out our appointment request form online now. We look forward to serving you.

Annual Prostate Exams Might Save Your Virility Your Continence Your Life

Its something most men of a certain age dread and has served as a popular topic of jokes for years, but one leading urologist for OSF HealthCare St. Francis Hospital & Medical Group in Escanaba, Michigan, sees a decline in men getting properly screened for prostate cancer as a real danger.

According to urologist Michael Harris, MD, all men over the age of 50 with a life expectancy greater than 10 years should get screened for prostate cancer every year. If you have a family history of prostate cancer or youre African-American, you should begin getting screened annually at the age of 40. Prostate cancer is very treatable, and the earlier its detected, the better.

The prostate sits in front of the rectum and below the bladder. It wraps around the urethra and makes the fluid part of semen. If you catch prostate cancer when the tumor is small, surgery to remove the tumor will result in less damage to the nerves and sphincter, which means you can better maintain your potency and continence.

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What Is The Prostate

The prostate is a small gland in the pelvis, found only in men.

About the size of a satsuma, it’s located between the penis and the bladder, and surrounds the urethra.

The main function of the prostate is to produce a thick white fluid that creates semen when mixed with the sperm produced by the testicles.

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

10 Reasons to Schedule Your Prostate Exam Today

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.

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Living With Prostate Cancer

As prostate cancer usually progresses very slowly, you can live for decades without symptoms or needing treatment.

Nevertheless, it can affect your life. As well as the possible side effects of treatment, a diagnosis of prostate cancer can understandably make you feel anxious or depressed.

You may find it beneficial to talk about the condition with your family, friends, a family doctor and other men with prostate cancer.

Financial support is also available if prostate cancer reduces your ability to work.

Why Should I Get Both Prostate Cancer Screenings

Both screenings provide valuable information about your health that can detect prostate cancer, even at an early stage. One result without the other may not provide enough indication of whether or not treatment is necessary.

There are many reasons why a mans prostate may be enlarged, and prostate cancer is only one. When paired with a PSA blood test, results can better indicate whether further testing is needed to determine a diagnosis.

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What Happens After The Exam

When abnormalities are found with the rectal exam, the doctor will order a PSA test. After the results for PSA testing are returned, the doctor will analyze the measurements of prostate-specific antigen in the patients blood.

The findings of the PSA test determine what the doctor will do next.

If the doctor suspects prostate cancer, other tests may be requested. A transrectal ultrasound is often requested. This gives the doctor a visual view of the patients prostate gland.

Cancerous growths can be observed through this type of ultrasound test. The test is also relatively quick to perform. Men may experience discomfort when an ultrasound is performed. The discomfort should not last long, however.

A prostate biopsy is sometimes done. This helps to provide a more accurate test for cancer. A colonoscopy is sometimes needed too. This is especially the case when prostatic carcinoma is suspected.

Men: Cancer Screening Exams By Age

What to Expect from a Prostate Exam

These exams are for men at average risk of cancer.

Take this checklist to your next doctors appointment. Your doctor can help you develop a more tailored screening plan if needed.

These exams are for men at average risk of cancer. If you believe you may be more likely to develop cancer because of your personal or family medical history, visit our screening guidelines page to learn about exams for men at increased risk.

Ages 40-49

  • Beginning at age 40, you should speak with your doctor about the benefits and limitations of prostate screening.
  • If you choose prostate cancer screening, you should get a digital rectal exam and PSA test every year starting at age 45 to check for prostate cancer if you are African American or have a family history of prostate cancer.

Ages 50-75

Age 76 and older

If youre age 76 to 85, your doctor can help you decide if you should continue screening. MD Anderson does not recommend cancer screening for men age 85 and older.

All Ages

Speak with you doctor about cancer screening exams for lung and skin cancers. Exams are available for those at increased risk.

Regardless of your age, practice awareness. This means you should be familiar with your body so youll notice changes and report them to your doctor without delay.

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An Abnormal Psa Test: What Comes Next

If your PSA score is in the abnormal range, your doctor may recommend yourepeat the PSA test. If your levels are still high, your doctor mightrecommend one of the newer prostate cancer screening tests available today.

These tests can help better assess your risk for prostate cancer anddetermine whether a biopsy is necessary. Only a prostate biopsy candefinitively diagnose prostate cancer.

For individualized recommendations that suit you, ask your doctor about:

  • What age you should start prostate cancer screening
  • New blood, urine and imaging tests that are available
  • Improved biopsy techniques, if applicable

Benefits And Risks Of Screenings

The benefit of any cancer screening test is to find cancer early, when it easier to treat. But the value of PSA screening for prostate cancer is debated. No single answer fits all men.

Prostate cancer often grows very slowly. PSA levels can begin to rise years before a cancer causes any symptoms or problems. It is also very common as men age. In many cases, the cancer will not cause any problems or shorten a man’s life span.

For these reasons, it is not clear if the benefits of routine screenings outweigh the risks or side effects of being treated for prostate cancer once it is found.

There are other factors to think about before having a PSA test:

  • Anxiety. Elevated PSA levels does not always mean you have cancer. These results and the need for further testing can cause a lot of fear and anxiety, even if you do not have prostate cancer.
  • Side effects from further testing. If your PSA test is higher than normal, you may need to have a one or more biopsies to find out for sure. A biopsy is safe, but can cause problems such as an infection, pain, fever, or blood in the semen or urine.
  • Overtreatment. Many prostate cancers will not affect your normal life span. But since it is impossible to know for sure, most people want to get treatment. Cancer treatment can have serious side effects, including problems with erections and urinating. These side effects can cause more problems than the untreated cancer.

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Should I Get Screened For Prostate Cancer

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 screeningexternal icon

  • 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.

Other organizations, like the American Urological Association,external icon the American Cancer Society,external icon and the American College of Physiciansexternal icon may have other recommendations.

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