GPs have received expert guidance, from the UK and the USA, that they can ‘improve the health of their patients by advising them AGAINST having the PSA test’. This is because, based on research involving hundreds of thousands of people over many years, we now know that:
- The test is unlikely to prevent you dying from prostate cancer over the next 10 or 15 years or help you to live longer
- Elevated PSA levels are common and lead to additional tests which can be harmful
- PSA testing finds cancers which may never cause problems. But once these cancers are found it is hard not to treat it. These treatments can result in significant side effects such as impotence and urinary incontinence
- By choosing not to have a PSA test you can have a similar length of life and avoid the potential harms associated with tests, procedures and treatments
- For every 1,000 men who are screened with a PSA test:
-1 death from prostate cancer will be prevented
-100 will receive a false positive and will need prostate biopsy
-100 will be diagnosed with prostate cancer and most likely receive potentially harmful treatment, which they may never have needed
The UK does not recommend screening for prostate cancer at any age as the benefits of screening for prostate cancer by measuring PSA does not outweigh harms.
If despite this advice, you still want to have a PSA blood test then it is recommended that the test is restricted to men aged from 55 to 69. In order to arrange a blood test, please speak to Reception who will book this for you.
Ideally, you will also need a direct examination of the prostate. This will involve an internal feel of the prostate through the rectum. The rationale for this is that the blood test can be normal despite having prostate cancer. If you choose not to have the internal examination and just the blood test, please be aware that this may cause you to have unnecessary investigations OR potentially risk missing prostate cancer if the blood test is normal.
At your blood test appointment, the Health Care Assistant / Nurse will ask you to confirm that you have read and understood the risks of having a PSA blood test and whether or not you would like to be booked in for the prostate examination. If you would also like the examination, please book a face to face appointment with the GP at least 10 days AFTER your blood test appointment.
If you are having a PSA test, there are numerous conditions which can cause a falsely high reading. We ask that patients should delay their test in the below conditions which can cause an incorrect result:
-Treated for a urine infection within the last 4-6 weeks
-Ejaculated in the previous 48 hours prior to the test
-Vigorous exercise in the previous 48hrs prior to the test
-Had a rectal examination in the previous 1 week prior to the test
-Had anal intercourse in the previous 1 week prior to the test
-Had a prostate biopsy in the previous 6 weeks prior to the test
