This is the second in our prostate cancer series of podcast episodes.

The quick summary of the episode, the action items are:

1. Talk with your doctor and decide if PSA blood tests are right for you.
2. If your PSA test is elevated, get a second test.
3. If your test is persistently elevated find a good urologist.

Here is the link to the AUA guidelines on Early Detection of Prostate Cancer. https://www.auanet.org/guidelines-and-quality/guidelines/early-detection-of-prostate-cancer-guidelines

Here are the guidelines discussed in this episode.

1. Clinicians should engage in shared decision-making with people for whom prostate cancer screening would be appropriate and proceed based on a person’s values and preferences.
2. When screening for prostate cancer, clinicians should use PSA as the first screening test.
3. For people with a newly elevated PSA, clinicians should repeat the PSA prior to a secondary biomarker, imaging, or biopsy.
4. Clinicians may begin prostate cancer screening and offer a baseline PSA test to people between ages 45 to 50 years.
5. Clinicians should offer prostate cancer screening beginning at age 40 to 45 years for people at increased risk of developing prostate cancer based on the following factors: Black ancestry, germline mutations, strong family history of prostate cancer.
6. Clinicians should offer regular prostate cancer screening every 2 to 4 years to people aged 50 to 69 years.
7. Clinicians may personalize the re-screening interval, or decide to discontinue screening, based on patient preference, age, PSA, prostate cancer risk, life expectancy, and general health following SDM.
8. Clinicians may use digital rectal exam (DRE) alongside PSA to establish risk of clinically significant prostate cancer.

Find more episodes at soundsurological.com or more of what I am working on at tburology.com.