If you are only doing this to 40 yo men with a family history or perhaps African- Americans, that is fine. However, it is naive to think that other 40 yos won't over-react. The patient, in whom anxiety is a natural reaction, pushes his doctors. And his doctors, who wish to accommodate patients, complies. The recent 400,000 man UK study proved that population-based screening of 50-59 yo men is useless, let alone for younger men.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 9 yr onc. results
•SBRT 7 yr QOL results
•treated 10/2010 at age 57 at UCLA,PSA now: 0.1,no lasting urinary, rectal or sexual SEsmy PC blog