How often should a 70 year old have a PSA test?

The American Cancer Society recommends that men over 50 years of age should have an annual rectal examination and PSA.

texasurologyspecialists.com - PSA Testing | Texas Urology Specialists

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PSA Testing

PSA stands for prostate specific antigen. The prostate is the only place in the male body where this "hormone" is made. Women, therefore, do not have any PSA detectable in the blood. The prostate is a walnut-sized gland that sits below the bladder and surrounds the urethra. It contributes about 50 percent of the ejaculate volume, which helps the sperm survive for reproduction. PSA has a role itself in reproduction and also helps the sperm survive. The PSA is detectable in the blood through a special blood test. The prostate can "leak" PSA into the bloodstream that we can then measure. There are several instances where the PSA may be elevated. As men age, the prostate tends to get bigger and therefore the prostate of an 80-year-old man will usually secrete more PSA than a man in his forties. An infected prostate will tend to "leak" more PSA and may cause the level to be falsely elevated. In this situation the man is usually treated with antibiotics and a PSA is redrawn at a different date. Another situation where the PSA can be elevated is prostate cancer. A rectal examination should also be performed to identify any abnormalities. A prostate biopsy is often necessary to differentiate these three situations and rule out prostate cancer. The normal PSA value is usually stated to be less than 4.0. However, because of the fact that benign enlargement of the prostate gland tends to occur as men get older, an age-adjusted scale has been developed:

0-2.5: Normal for a man 40-50 yrs.

2.5-3.5: Normal for a man 50-60 yrs.

3.5-4.5: Normal for a man 60-70 yrs.

4.5-5.5: Normal for a man 70-80 yrs.

The PSA is not a perfect test but it can aid in detecting prostate cancer. Other factors that may falsely elevate the PSA value include a prostate biopsy, cystoscopy, vigorous rectal examination and ejaculating 48 hours before the sample is drawn. A new PSA test has been developed to better distinguish whether the PSA is elevated from prostate cancer or benign prostate disease and is called a free PSA. This test is based upon the fact that some of the PSA in the blood is bound to proteins, while some freely circulates in the blood. The lower the percentage of free to total PSA (<15 percent), the greater the worry that an individual has prostate cancer. Newer, more sensitive PSA tests are on the horizon and may help us in detecting prostate cancer more efficiently in the future. The American Cancer Society recommends that men over 50 years of age should have an annual rectal examination and PSA. Individuals of African-American descent or those with a family history of prostate cancer should begin screening at age 40.

Can you check your prostate by yourself?

“Since the prostate is an internal gland, it's extremely important that only licensed medical professionals conduct the exam. At-home self-exams...

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What not to do after TURP surgery?

Most people can return to work or many of their usual tasks in 1 to 3 weeks. But for about 6 weeks, try to avoid heavy lifting and strenuous activities that might put extra pressure on your bladder. Most people still can have erections after surgery (if they were able to have them before surgery).

myhealth.alberta.ca - Transurethral Resection of the Prostate (TURP): What to Expect at ...

Your Recovery

Transurethral resection of the prostate (TURP) is surgery to remove prostate tissue. It is done when an overgrown prostate gland is pressing on the urethra and making it hard to urinate. You may need a urinary catheter for a short time. It is a flexible plastic tube used to drain urine from your bladder when you can't urinate on your own. If it's still in place when you go home, your doctor will give you instructions on how to care for your catheter. For several days after surgery, you may feel burning when you urinate. Your urine may be pink for 1 to 3 weeks after surgery. You also may have bladder cramps, or spasms. Your doctor may give you medicine to help control the spasms. You may still feel like you need to urinate often in the weeks after your surgery. It often takes up to 6 weeks for this to get better. After you have healed, you may have less trouble urinating. You may have better control over starting and stopping your urine stream. And you may feel like you get more relief when you urinate. Most people can return to work or many of their usual tasks in 1 to 3 weeks. But for about 6 weeks, try to avoid heavy lifting and strenuous activities that might put extra pressure on your bladder. Most people still can have erections after surgery (if they were able to have them before surgery). But they may not ejaculate when they have an orgasm. Semen may go into the bladder instead of out through the penis. This is called retrograde ejaculation. It does not hurt and is not harmful to your health.

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How does the prostate get infected?

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Last updated May 28, 2018

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What are the symptoms of uric acid increase?

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How many cranberry pills equal a glass of cranberry juice?

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