Gold Coast Urologist, prostate cancer, prostate surgeon, PSA, BPH

PSA - Prostate specific antigen

SCREENING

 

There is no agreed worldwide standard on when to begin screening PSA or whether to screen PSA at all for prostate cancer detection.  

 

The USANZ (Urological Society of Australia & NZ)

 

PSA TESTING POLICY SUMMARISED

 

- 50-70 y.o men 

- PSA + DRE annually offered

 

- 40-50 y.o men

- PSA + DRE spot test

 

   --> If + FHx (father, brother, mother breast cancer)

   --> or Concerned pt

   --> or  if PSA > 0.6 (median)

 

            Then begin annual testing from that date onwards.

 

   --> If PSA < 0.6 then,

 

     Annual test from 50yo

 

 

TESTS:

• PSA age specific

• PSA Kinetics (annual rise)

• DRE

• Free/total PSA

• PSA density, PSA – chi

REFER:

• PSA > upper limit age specific

• PSA > 0.375ng/ml/year (if PSA 0-4)

• PSA > 0.75ng/ml/year (if PSA 4-10)

• DRE abnormal 

• Young pt (< 50)

+ FHX

+ median PSA > 0.6