Prostate Cancer - Why is the PSA Test Important?

There is a notorious positive sign of aging that all men should be aware of - PSA. If you're a man or a woman who cares for a man, it's crucial to add PSA to your annual list of reminders, especially if you're over 40. This positive sign of aging, while not a medical term, refers to the prostate, a gland that plays a significant role in men's health. Statistics reveal that one in six men will develop some form of prostate cancer in their lifetime, and one in 35 will succumb to it. The PSA test, which should be a part of every man's annual physical exam, serves as a valuable tool to monitor the condition of the prostate. PSA stands for Prostate Specific Antigen, a term that some men may be unfamiliar with, but it's essential to understand its significance.

It is alarming that there are men who haven't even heard of the PSA test. Lack of awareness can be dangerous when it comes to prostate cancer. Additionally, there are instances where individuals who have been conscientious and well-informed about their health still end up developing prostate cancer. I personally experienced this situation. Last year, following a routine check-up, my primary care physician referred me to a urologist due to elevated PSA numbers. This came as a surprise since I had always received clean reports throughout my life, even at the age of 68.

The urologist conducted a biopsy, and the results revealed the presence of prostate cancer. At this stage, most people may not necessarily be alarmed. However, when consulting with an oncologist or urologist, they shared the biopsy results and informed me that my cancer was very aggressive. To assess the aggressiveness of the cancer, medical professionals often use the Gleason Scale or Score, which measures how fast the cancer is growing and spreading. In my case, my Gleason Score was a concerning 9. This indicated the seriousness of my condition. Later, my physician informed me that if I had not chosen to have my prostate removed, I would have died in my early 70s, and the quality of life would have been severely compromised.

PSA, therefore, played a crucial role in detecting my prostate cancer. The good news is that I am now free and clear from the disease, having opted for prostate removal surgery without the need for radiation therapy. However, I continue to monitor my PSA levels frequently to ensure that there are no lingering cancer cells. It's important to note that treatment options may vary depending on the patient, but as the Gleason score increases, the available choices may become limited. Given the circumstances, I didn't hesitate to proceed with the recommended surgery, and within a month of diagnosis, the procedure was completed, setting me on a path towards the rest of my life.

Now, what does all of this mean for you, the reader? It highlights the importance of taking several proactive steps:

1. Be disciplined: Make sure you have an annual check-up, and ensure that the PSA test is always included. Additionally, don't be embarrassed to undergo a rectal exam, as it provides valuable information about the size and condition of your prostate. Although it may be briefly uncomfortable, it is an essential part of the examination.

2. Be aware: Start gathering information about prostate cancer regardless of your age. Men, like women with breast cancer, are at risk of developing this form of cancer. Understanding the disease and its risk factors can help you take preventive measures and detect any potential problems early on.

3. Be alert: Pay attention to any changes in your urinary habits and overall well-being. Monitor the frequency of urination, particularly during the night, and observe any changes in your urine stream. It can be helpful to involve your spouse or partner in maintaining vigilance and discussing any concerns that arise.

By being disciplined, aware, and alert, you can take charge of your prostate health and potentially detect and address any issues before they progress. Remember, early detection and timely intervention are crucial in the battle against prostate cancer. Don't ignore the importance of the PSA test—it may just save your life.