A PSA test should not be the only indicator to follow in prostate cancer detection as a Prostate Specific Antigen Test (PSA test) is not a specific protein test for prostate cancer. It only indicates certain developments in the prostate.
Prostate cancer is only detected in 30% of patients with a PSA score over 4. Sometimes an elevated PSA could be a result of an infection in the prostate gland which could be treated with an antibiotic.
In conjunction with the PSA test, Urologists like Dr. David Samadi will also examine a man’s prostate. Factors such as the size of the prostate gland will be evaluated before a diagnosis is made. Approximately 15% of the time, a doctor will feel a nodule. Typically, a prostate will feel very soft and smooth similar to the palm of someone’s hand. If the prostate feels similar to a knuckle the doctor will know that there is a problem and further test will be performed.
MRI, MRI fusion biopsy & urine based PCA3 genetic testing are some available options for patients.
Dr. Samadi is a board-certified urologic oncologist trained in open and traditional and laparoscopic surgery and is an expert in robotic prostate surgery. He is chairman of urology, chief of robotic surgery at Lenox Hill Hospital. He is a medical correspondent for the Fox News Channel’s Medical A-Team.