Prostate Screening

Date Published: 
Wednesday, November 16, 2022
Duration: 
37:28

In this episode, urologist Jason Du discuses prostate screening. PSA - to screen or not to screen.

 

Topics:

00:01 intro
01:06 case study
01:34 first consult with Mr B.
03:15 rectal examination?
03:59 patient resources
05:05 next steps after testing
06:47 oner year on PSA is increased
07:46 rate of rise is important
08:17 development of mild symptoms
09:54 abnormal rectal examination
11:09 what happens when we refer?
14:12 options for treatment
19:42 PSA testing, how often for low-risk patient?
21:46 high risk prostate cancer diagnosis - what next?
24:06 Surgical options
28:50 robotic surgery - finding the right surgeon
32:01 follow up plans and testing
35:26 take-home messages

 

Take-home messages

  • PSA screening does reduce prostate cancer mortality.
  • Having the discussion even as a single test allows for risk stratification for your patient.
  • There has been a frame shift in how we approach men with elevated PSA. Multi-parametric MRI rather than straight to prostate biopsy, with the aim of improving detection and reducing harm.
  • Management has changed with a focus on reducing harm. Active surveillance for low-risk patients.
  • Treatment for intermediate and high-risk patients in now very successful.

Resources

Presenter

Jason Du
Urologist & Urology Surgeon

Jason is a New Zealand trained urologist and urologic surgeon with a special interest in urologic oncology. Jason also has extensive experience in managing kidney stone disease, benign prostatic hyperplasia (the enlarged prostate) and provides a full range of general urological services.

This webinar is supported by an unrestricted educational grant from:

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This presentation is intended for qualified health practitioners professional development and should not be relied upon for any other purpose. Any opinions offered are those of the presenter or other speaker and do not necessarily represent the views of Goodfellow Unit.