PSA screening intervals

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Veteran Member

Date Joined Sep 2008
Total Posts : 744
   Posted 7/27/2009 12:10 AM (GMT -6)   
Tonight I was watching a Discovery Health segment on prostate cancer. A question arose about screening intervals for high risk men, such as men whose father had prostate cancer. There was a recommendation that those men perhaps should be at screened at shorter intervals, instead of one year intervals. An interval wasn't given, but it got me thinking, perhaps men with a family history should be screened every 6 or 9 months apart, instead of a year. What do you think?

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4834
   Posted 7/27/2009 5:42 AM (GMT -6)   
They should start screening at age 40...It'd also depend on the results of the tests to help determine how often...

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

New Member

Date Joined Jul 2009
Total Posts : 6
   Posted 7/27/2009 10:52 AM (GMT -6)   
I'm telling everyone I know to do what Steve n Dallas just told you. PC grows slowly almost all the time, so you can get a bit nutty about insisting on a test every couple of months--not to mention how much you will be thinking about the next test during the intervals. Some guys I know are doing the two-month testing, and they're always on edge a little. I'd say if the history shows it in the family, get two opinions from urologists at the very least. Then go with the average for screening.

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 7/27/2009 11:03 AM (GMT -6)   
Since my father, my brother and myself all had PC, I asked my urologist what I should tell my three sons. His recommendation was to get a "baseline" reading at 40, test every two to three years until 50 and then discuss annual testing with your regular doctor.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads

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