There is not yet universal agreement on whether prostate screenings are necessary for all men. As the debate continues, our recommendations for physicians practicing in the Berkshires come in the form of a best practices statement. Any man that would like to have a PSA obtained for prostate cancer screening should be given the opportunity. We do recommend that patients be counseled about the pros and cons of prostate cancer screening.
Best Practice for Prostate Screening
All men should receive a baseline PSA by the time they're 50.
At that age, men should talk to a doctor about the pros and cons of testing to decide if testing is a right choice for them.
African American men and any man whose father or brother had prostate cancer before age 65 should have this talk with a doctor starting at age 40.
If men decide to be tested, they should have the PSA blood test with or without a rectal exam.
Patients with significant lower urinary symptoms should also be offered the PSA blood test.
Regular annual screening should be left up to a decision between the patient and his doctor.