Thursday, May 31, 2012

The Great PSA Debate!!

By Jay Motola, Health Pro Monday, March 22, 2010
In a recent Op-Ed in the NY Times, a non-clinician PhD, announces another fix to the health care crisis.  Lets do away with PSA testing and save the government a lot of money! Brilliant, or is it?   Most Urologists in clinical practice clearly remember those days when the wards of a Uro...
Advance Disease in Urology...End of Life Care
Anonymous
PSA Rising
4/15/10 1:37pm

In full agreement with you. The same idiotic argument has been made recently about mammograms.

 

What treatment options would you recommend for a 50 year-old man whose PSA has doubled from 1.8-3.6 in two years with a recent negative biopsy and whose psa has now started to reclimb after a course of avodart reset the baseline?

 

 

Jay Motola, Health Pro
4/23/10 5:07pm

The rising PSA after a negative biopsy is always a dilemma, especially when someone is already using Avodart.  I would give it another 3-6 months and if the PSA continues to rise, I would recommend a repeat biopsy.

Anonymous
Ben
6/21/10 3:45pm

Don't mess with profit margins even if most men who had their prostrate removed did not need the procedure and in fact did not have cancer. Testing no testing the results are the same. Your best choice to a healthy prostrat  and life is to eat green, give up the animal and stay away from the doctor who is, according to the JAMA, the 5th leading cause of death in the USA.

12/23/10 4:51am

I've heard that PSA may raised because of prostatitis. Is that true? How to recognize if a 59 years old man, with negative digital examination but a slightly high PSA (5,2) has cancer or not? Does he need to do biopsy? His doctor put on uva ursi and diet regime until next appoitment (which is in the 29th December).

 

To my personal opinion, these debates are such a waste of time. The most important thing is that we are giving hope to people and alleviating their problems. Yesterday, one could stay in doubt for all the entire life; today's can get solutions, although the tough (and sometimes unfair) competitions between pharmaceutical companies as sponsors of many 'drug-studies".

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By Jay Motola, Health Pro— Last Modified: 02/25/12, First Published: 03/22/10