Prostate Screening: The Pros and Cons
by Jennifer Bunn, RN
New guidelines for prostate screening state that men aged 50 and older should discuss their risk of prostate cancer with their physician and decide whether the benefits of screening for prostate cancer is greater than the risks. Prostate cancer is the second-leading cause of cancer deaths in men; in 2009, approximately 27,000 men lost their lives to prostate cancer.
The problem lies in the fact that really effective prostate screening tests have not been developed. At present, prostate screening consists of performing a rectal exam to check for prostate irregularities and a blood test, the PSA, or prostate-specific antigen. The problem with the PSA blood test is that it can yield false-positive results. Many prostate cancers are slow growing and not immediately life-threatening, meaning that men may undergo treatments for prostate cancer that can have potentially devastating side effects, such as impotence and incontinence. The other side of the coin is that not testing may result in some cancers not being diagnosed.
The American Cancer Society is focusing on education, recommending that screening counseling should be provided prior to screening taking place, so that men are aware of the shortcomings of prostate screening, as well as the risks of not screening. The bottom line? Men should be armed with the most current information and should decide for themselves whether or not they should be screened for prostate cancer.
Source: Let men decide on prostate screening, cancer society says
