I've always maintained that the PSA test is absolutely the wrong target. The problem has always seemed to me to be what occurs after the prostate test. We seldom solve a problem when we fail to identify the root cause and concentrate our efforts on events which may be associated with the problem but not the actual cause of the problem. Thanks, Yoop.
I think Clock is spot on with this post. I have always felt that the problem lies with lack of guidelines for what to do after the PSA test rather than horsing around with guidelines for when to test.
And, I also thank Yoop for sharing the original comments from Dr. Sholz. I find little to argue with and much to praise in his assessment. These MRI tests are more and more common/available and the urological community needs to get on board rather than continue the same old routine of PSA test/biopsy/treat.
And, while some may question our never ending debate on these matters, I personally see a lot of value. While the horse has left the barn for most of us here we unfortunately have a continuous stream of new members. If the regulars and veterans have a good understanding of state of the art and alternatives, we are better prepared to give meaningful advice to newbies. I can use AS as an example. In the not too distant past on this forum, AS was treated with disdain by many of us. Now, even the most ardent pro-treatment guy will usually tell a newbie with low-grade cancer to consider AS. That is progress, IMHO.