Prostate Cancer Screening (part 2 of 3) | HealthiNation

Uploaded by HealthiNation on 19.09.2011

HOST There are a number of different ways to detect
prostate cancer and finding it early will help you to best treat it. Let’s here from
Dr. Paul Knoepflmacher about these options.
PHYSICIAN All men need to get regular checkups. However,
if you are at risk given your, race and family history, you should talk to your doctor about
starting screening earlier. Keep in mind there is some controversy about
when men should be screened, but here are some guidelines.
The American Urological Association recommends that men get an annual digital rectal exam
starting at age 40.
PHYSICIAN “Digital” in this case means using the
digits of the hand…so it may be slightly uncomfortable, but this exam is very important
and could save your life. For this test, your doctor will use his or her finger to feel
your prostate through the rectal wall.
PHYSICIAN They are looking for hard spots or clusters
that may be densely packed cancer cells. A second test, the PSA level, measures the
amount of Prostate Specific Antigen in the blood.
You’ll hear different recommendations about when to start it: the American Urological
Association says your first PSA level should, generally speaking, be done around age 40.
The American Cancer Society says that at age 50, you should talk to your doctor about the
pros and cons of test so you can decide if it’s right for you.  
Now, if you have a family history of prostate cancer, or if you’re African American, you
may want to talk to your doctor about starting screening earlier.
PHYSICIAN Depending on the results of these two tests,
your doctor may recommend a prostate biopsy.
Basically, he or she will take samples of your prostate and send them to a lab to be
tested for the presence of cancer. If any cancer cells are detected, the biopsy will
determine what is called the Gleason score
PHYSICIAN Which will tell your doctor how aggressive
or fast moving your cancer is.