Which examinations are useful for the early detection of prostate cancer?
June 2, 2024 | 80,00 EUR | answered by Otto Wolf
Dear Doctor,
My name is Bernhard Bacigalupo and I am reaching out to you because I have major concerns about my health. There have been several cases of prostate cancer in my family, which is why I am now wondering which screenings are advisable for the early detection of this disease.
I am 55 years old and have not experienced any symptoms related to the prostate so far. However, I want to ensure that my risk for prostate cancer is detected early, so that I can potentially start treatment in a timely manner. My worries stem from the fact that prostate cancer often shows no symptoms for a long time and is only discovered in advanced stages.
Therefore, I would like to know which screenings you recommend for the early detection of prostate cancer. Which tests or screening methods are particularly reliable and informative? Are there specific risk factors that I should consider? And what measures can I take myself to reduce my risk for prostate cancer?
I would greatly appreciate it if you could provide me with specific information and recommendations for the early detection of prostate cancer, so that I can look towards the future with more peace of mind.
Thank you in advance for your help.
Sincerely,
Bernhard Bacigalupo
Dear Mr. Bacigalupo,
Thank you for your message and your trust. It is understandable that you are concerned, especially due to the family history of prostate cancer. Early detection of prostate cancer is indeed very important, as the disease often progresses asymptomatically for a long time and only causes symptoms in an advanced stage.
For men over 50, it is recommended to regularly undergo preventive examinations. For men with an increased risk, such as in your case due to a family history, preventive measures should start as early as age 45. Recommended screenings for early detection of prostate cancer include the PSA test and the digital rectal exam.
The PSA test measures the level of prostate-specific antigen in the blood. An elevated PSA level may indicate changes in the prostate that could be cancerous. However, it is important to note that an elevated PSA level does not necessarily indicate prostate cancer, as it could have other causes as well. Therefore, the PSA test should always be considered in conjunction with other examinations.
The rectal exam allows the doctor to assess the size, shape, and consistency of the prostate. The doctor will gently insert a finger into the rectum to feel the prostate. This examination can provide clues to possible changes in the prostate.
In addition to these screenings, there are other diagnostic procedures such as transrectal ultrasound or prostate biopsy that can be performed if needed. It is important to regularly undergo preventive examinations and discuss your family history with your urologist to determine the best course of action for you.
To reduce the risk of prostate cancer, you can also take some measures yourself. A healthy diet, regular physical exercise, and avoiding risky behaviors such as smoking can lower the risk of prostate cancer. Additionally, you should ensure adequate fluid intake and monitor your weight, blood pressure, and blood sugar levels.
I hope this information is helpful and reassuring to you. If you have any further questions or would like a more detailed consultation, I am happy to assist.
Best regards,
Otto Wolf
