PSA Testing "Yes" or "No"
#127
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Joined: Aug 2010
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From: Colorado-California-Florida-(hopefully soon): Panama
Bikes: Vintage GT Xizang (titanium mountain bike)
#128
Full Member

Joined: Mar 2005
Posts: 441
Likes: 29
If anybody has posted this link before, I apologize. It's from one of the foremost urologists in the U.S. https://urology.jhu.edu/prostate/PSA_controversy2.php
I'm in the position where the PSA test flagged a biopsy, which in turn found cancer. The biopsy wasn't fun, but it also wasn't the worst thing in my life. It's something you get over in a short time and get on with things. Same with the surgery. The surgery has created side effects, but not horrible, and getting better all the time. Had I not had PSA testing, I probably wouldn't have had symptoms for 4-5 years, and a less favorable long term prognosis.
I'm beginning to believe this task force is getting overly driven by statistics, which can't reasonably be extrapolated out to encompass everybody. First the mammogram recommendation of a few years ago, the PSA recommendation, now their pap smear recommendation for women over 65.
I'm in the position where the PSA test flagged a biopsy, which in turn found cancer. The biopsy wasn't fun, but it also wasn't the worst thing in my life. It's something you get over in a short time and get on with things. Same with the surgery. The surgery has created side effects, but not horrible, and getting better all the time. Had I not had PSA testing, I probably wouldn't have had symptoms for 4-5 years, and a less favorable long term prognosis.
I'm beginning to believe this task force is getting overly driven by statistics, which can't reasonably be extrapolated out to encompass everybody. First the mammogram recommendation of a few years ago, the PSA recommendation, now their pap smear recommendation for women over 65.
#129
If anybody has posted this link before, I apologize. It's from one of the foremost urologists in the U.S. https://urology.jhu.edu/prostate/PSA_controversy2.php
I'm in the position where the PSA test flagged a biopsy, which in turn found cancer. The biopsy wasn't fun, but it also wasn't the worst thing in my life. It's something you get over in a short time and get on with things. Same with the surgery. The surgery has created side effects, but not horrible, and getting better all the time. Had I not had PSA testing, I probably wouldn't have had symptoms for 4-5 years, and a less favorable long term prognosis.
I'm beginning to believe this task force is getting overly driven by statistics, which can't reasonably be extrapolated out to encompass everybody. First the mammogram recommendation of a few years ago, the PSA recommendation, now their pap smear recommendation for women over 65.
I'm in the position where the PSA test flagged a biopsy, which in turn found cancer. The biopsy wasn't fun, but it also wasn't the worst thing in my life. It's something you get over in a short time and get on with things. Same with the surgery. The surgery has created side effects, but not horrible, and getting better all the time. Had I not had PSA testing, I probably wouldn't have had symptoms for 4-5 years, and a less favorable long term prognosis.
I'm beginning to believe this task force is getting overly driven by statistics, which can't reasonably be extrapolated out to encompass everybody. First the mammogram recommendation of a few years ago, the PSA recommendation, now their pap smear recommendation for women over 65.
#130
Senior Member

Joined: Jan 2008
Posts: 12,940
Likes: 363
I wouldn't presume to tell anyone whether they should have either a digital exam or the PSA laboratory test. Personal choices are just that. As for me I have both yearly, Primary Care MD does the manual exam as a matter of normal business. It has never showed up on any itemized statement. I'd pay anyway. The PSA is tested yearly at my request.
I have a family history of extremely aggressive prostate cancer and for cancer in general through my mother's linage. Her brother died after having the cancer detected early, the radioactive seeds implanted and all follow up treatment. The cancer still spread, and spread very quickly. He died in a year. My mother, her brother I detailed above and 2 sisters have had cancer and 1 died from ovarian cancer in less than 8 months from diagnosis. My mom has had cancer of the colon twice and once in a kidney.
I'll take the test exam as scheduled and should cancer ever be found I'll do my usual in depth research (I am an engineer and have really severe Engineer's Disease
) and get other doctor's opinions before I would decide which course of treatment to use. After all of the problems I have had since 2000 and 16 major surgeries (12 having small intestine resections) I want to know what is lurking early and take action as I find fit.
Each of us has to make their own decision on tests and exams as well as treatment should it become necessary. This discussion in the thread is good and gives a lot of things to think about, read and research. Dnvr did us a favor on bringing this up and every reply has been something for me to consider. I always come back to Stapfam when I think of prostate cancer and his case sends me a strong message.
Thanks to everyone for letting me respond and for everyone's input in this thread.
Bill
I have a family history of extremely aggressive prostate cancer and for cancer in general through my mother's linage. Her brother died after having the cancer detected early, the radioactive seeds implanted and all follow up treatment. The cancer still spread, and spread very quickly. He died in a year. My mother, her brother I detailed above and 2 sisters have had cancer and 1 died from ovarian cancer in less than 8 months from diagnosis. My mom has had cancer of the colon twice and once in a kidney.
I'll take the test exam as scheduled and should cancer ever be found I'll do my usual in depth research (I am an engineer and have really severe Engineer's Disease
) and get other doctor's opinions before I would decide which course of treatment to use. After all of the problems I have had since 2000 and 16 major surgeries (12 having small intestine resections) I want to know what is lurking early and take action as I find fit.Each of us has to make their own decision on tests and exams as well as treatment should it become necessary. This discussion in the thread is good and gives a lot of things to think about, read and research. Dnvr did us a favor on bringing this up and every reply has been something for me to consider. I always come back to Stapfam when I think of prostate cancer and his case sends me a strong message.
Thanks to everyone for letting me respond and for everyone's input in this thread.
Bill
#131
Link to comments about the new testing recommendations from Dr. William Catalona, one of the most highly regarded Uros treating PCa.
https://malecare.org/william-j-catalo...ostate-cancer/
Dan
https://malecare.org/william-j-catalo...ostate-cancer/
Dan
#133
Agree. As mentioned before, we're Big Boys now and can read the instructions and make up our own minds...and live with the decision. This applies to our own health, politics, religion and all other aspects of our lives. [Gods, I've GOT to stop watching 50+ forum and focus on real cycling! Note to self.]
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