A PSA test never hurt anyone..It's what happens AFTER the PSA test, that's where problems start to develop...It makes no sense to shoot the messenger..
Seems to me, the REAL problem here is the COST of providing treatment and that fact that much of this treatment was unnecessary or ineffective..
But those problems are not the result of PSA screening...
A wonderful point. Exactly what is the harm DIRECTLY inflicted by a PSA test? It's just a simple blood test that can be included with other bloodwork involved with a standard physical. As you said, it is what might happen AFTER the PSA test that matters.
And THAT is what the topic of the discussion among medical professionals should be.
Every time I hear about
PSA testing should not be done, it seems like I subsequently read a post somewhere from someone who's life was probably saved from a PSA test.
This discussion (I mean the medical association discussion -- not OUR discussion here) is among the silliest I've ever heard of among medical professionals.
Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Abdominal drain removed the morning after surgery.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, PSA <0.1. PSA tests now annual.
Semi-firm erections now happening 14 months post-op & VERY slowly getting a bit stronger.