Prostate cancer screening has been a topic of debate in recent years, with some primary care physicians cautioning against routine PSA tests due to concerns about false positives and unnecessary procedures. Dr. Roach, an expert in prostate cancer screening, sheds light on the current guidelines and recommendations.
PSA testing is a blood test that measures the levels of prostate-specific antigen (PSA) in the blood. While it has been used for decades as a screening tool, its effectiveness and potential risks have led to ongoing discussions among medical professionals. Dr. Roach explains that the PSA test can help identify prostate cancer, but it also produces false positives, which could result in unnecessary surgeries.
The American Urological Association (AUA) recommends PSA testing for men aged 50-70, with some exceptions. The test is beneficial for high-risk groups, such as those with a family history or genetic predispositions. Dr. Roach emphasizes that the primary goal of screening is to identify rare, aggressive tumors before they spread.
Another screening tool is the digital rectal exam (DRE), which involves examining the prostate through the anus. While it has its limitations, Dr. Roach notes that it can add value to PSA testing, particularly for men who are hesitant to undergo a rectal exam. However, most DREs result in false positives, making them less reliable.
Dr. Roach emphasizes that not all men should be screened at the same age, and recommendations vary depending on individual risk factors. He advises patients to discuss their specific circumstances with their primary care physician and understand the potential benefits and risks of screening.
In conclusion, while PSA tests and DREs are not without controversy, Dr. Roach recommends a balanced approach that considers individual risk factors and medical history. By understanding the current guidelines and recommendations, men can make informed decisions about their prostate cancer screening.
Source: https://eu.detroitnews.com/story/life/advice/2025/06/10/dr-roach-understanding-how-psa-tests-and-dres-help-to-identify-cancer/84009162007