About one in every six men will develop prostate cancer which, apart from skin cancer, is the number one cause of cancer deaths in men. For this reason it is vitally important for men to monitor the health of their prostate with regular testing. Some of the prostate health tests available today include:
The Digital Rectal Exam (DRE). The digital rectal exam has been the benchmark of testing for both benign prostate enlargement and prostate cancer for many years and is a simple examination in which your physician can feel the prostate gland with a gloved finger to assess its size and condition.
The Prostate Specific Antigen (PSA) Test. The PSA blood test was approved for use by the FDA in the mid 1980s and is now widely in use. This test looks for the presence of a prostate specific protein in the blood and it is recommended that all men over the age of 50, together with 'at risk' men over the age of 40, have an annual PSA test.
Urine Testing. Urine testing can not only check for diabetes and liver and kidney disease but can also check the condition of the prostate by looking for signs of infection in the blood.
Hyperplasia Intrvenouspyelogram (IVP). This test is a form of x-ray examination in which a dye is injected into the bloodstream and monitored as it passes through the body's vital organs. As far as the prostate is concerned this test follows the flow through the kidneys, bladder and ureter tubes which drain the kidneys and thus looks for any possible restriction caused by an enlargement of the prostrate gland interfering with the flow or urine out of the bladder.
Bladder Ultrasound. This simple non-invasive procedure which can be carried out in the doctor's office can detect whether or not the bladder is emptying fully following urination and thus whether or not an enlarged prostate is narrowing the urethra.
Prostate Ultrasound. A prostate ultrasound is useful for estimating the size of the prostate gland and is also important if further testing using a biopsy is recommended.
Uroflow. A uroflow is another very simple test in which the patient urinates into a container and the strength of the flow of urine is measured.
Cystoscopy. A cystoscopy allows the doctor to make a visual examination of the urethra and the bladder using an instrument which is inserted through the urethra.
In general your doctor will normally recommend PSA screening and will also usually carry out a digital rectal examination as these two tests together are without doubt the best way to detect the presence of possible prostate cancer or of other developing prostate problems. One or more or the other tests mentioned here (or indeed several which we have not listed) may also be ordered but, at the end of the day, the only sure way to confirm the presence of prostate cancer is by carrying out a biopsy.
A prostate cancer biopsy take a number of very small tissue samples from different areas of the prostate for microscopic examination and can not only definitively confirm the presence of prostate cancer, but can also give an indication of the size and type of any cancer.
Testing For Prostate Cancer
Add to that the fact that these statistics may not account for those that have not been diagnosed, and you have a full fledged "epidemic", if you look at it from a percentage of population standpoint. In fact, many people reading this probably know someone that has been diagnosed with this cancer, or may have even had a brush with it themselves.
Aside from the fact that it is a leading cancer form in men, it also is considered in males to be a second leading cause of death. It's no wonder that prostate cancer is at the forefront of men's health and prevention in medical research when it comes to prevention, detection and treatment.
Researchers have been hard at work to come up with alternative testing to the still most popular form of testing, the PSA test. PSA stands for Prostate Specific Antigen, which is an enzyme that is released by this male-specific gland, which tends to be released in much higher amounts when the gland is inflamed or enlarged, or is fighting cancer.
It is a test combined with a digital rectal exam, that many men find uncomfortable for obvious reasons, and may want to naturally avoid after they reach the age of fifty years old. This is the age when doctors recommend their male patients start getting this test, since after fifty years old the risk of getting this cancer increases significantly.
The PSA test itself is actually a simple blood test, and has been criticized for sometimes being unreliable and creating false positives and false negatives, hence the search for better screening methods. The screening method that is being worked on currently is one that may be more spot-on than the current mode of detection via rectal exam combined with the PSA test.
It is the new buzzword in the scientific community for a variety of diseases and cancer in the world of detection : genetic testing. Genetic testing has proven to be a very promising method of finding cancer markers in individuals because it can be more detailed in it's individual assessment, and finding genes responsible for cancers and other diseases is pretty much a fool proof method of detecting likelihood of cancer or actual cancer itself.
While genetic testing can definitely help either to rule out prostate cancer or to give the doctor and patient a pretty good idea if further prevention or treatment should take place, it cannot as of yet be used in and of itself as a test, but instead is a stepping stone to determining the validity of PSA screenings and digital rectal exams.
It's basically giving a more complete answer as to whether tests that are done are actually an accurate predictor of whether a patient has it, and whether treatment should be commenced. Many doctors and patients feel that with a more complete and definitive answer in testing, they feel more comfortable with diagnosis and prevention testing, and more confident that they are getting the correct results. This renewed confidence could lead more men to take part in prevention and detection screening.
Currently the largest studies in genetic testing for prostate cancer are being carried out in Sweden, and are looking promising, but as of yet they are not conclusive and the method needs more defining and sharpening.
One thing is for sure, that genetic testing is proving to be an up and coming tool in the definitive and more accurate detection of many different kinds of cancers, including breast cancer in women. With continued research and refining, genetic testing may prove to be of great benefit for men in the prevention of prostate cancer advancement.
Both Donald Saunders & Danna Schneider are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
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