Cancer screening with PSA testing is repeatedly criticized: The costs are immense, and often there are unsettled false alarms for the patient. Dr. David Samadi, expert urologic oncologist points out that patients should have a consultation to discuss the pros and cons. In one his latest YouTube videos, Dr. Samadi discusses PSA Tests and Screenings.
Early Detection With PSA Screenings
Early detection is good, right? Dr. David Samadi believes men should have PSA testing every year. A very low percentage of men take precautions and have these screenings. The internationally recognized expert offers advice and helpful answers on his weekend televised health special, “Sunday Housecall”, which broadcasts on Sundays at 12:30pm.Specific antigens called PSA was discovered in 1970. It’s a protein that is made by the prostate glands, however, these antigens also occur in healthy men, but is also useful as a tumor marker. Concentrations of the PSA are measured to determine malignant cells of a prostate cancer. Carcinoma cells produce significantly more — up to 10 times– more PSA than normal prostate cells. Therefore, the PSA is also well suited as a tumor marker. Since the risk of prostate cancer increases with the overall PSA, men must discuss the advantages or even disadvantages of testing, biopsy, and treatment. Nevertheless, some critics consider it unnecessary to determine the PSA value for all men. Doctors question if all men need treatment for moderate to high PSA levels.
Many Doctors Speak Out Against The Tests
PSA tests remain controversial because cancer is not the only reason for high PSA levels. Inflammation or the size of the bladder will release these prostate-specific antigens into the blood. Critics urge that, statistically, far too many men have to be tested and distressed by a slightly increased PSA score and biopsies for a prevented death. Far too many are being treated and have to live with side effects – without these strains affecting their own life expectancy. Some experts say men should go without the yearly test, because the benefits are not guaranteed. But wouldn’t you rather have the test, and then have experts rule out cancer?A cancer diagnosis becomes more likely with increasing PSA value. However, it also matters how reliable the tests themselves are. Therefore, even a comparatively low value never fully excludes a carcinoma. Many say removal of the prostate, which is often associated with urinary tract incontinence and / or erectile dysfunction, can be an over-treatment.For the most part, doctors agree that PSA tests are beneficial. Advocates of early detection with the PSA test believe, among other things, that there is a subset of patients whose tumors grow rapidly and aggressively, and they are convinced that the test can save lives. Keep in mind, for every year a prostate cancer is detected by an early PSA screening, there is an estimated 7 to 9 percent reduction in prostate cancer-specific mortality.There is an easy way to keep up with the latest developments by visiting Dr. David Samadi on Facebook or Dr. Samadi TV.
— Dr. David Samadi (@drdavidsamadi) March 30, 2018