Have a look at this video, interesting take, may get deleted sadly

 

https://youtu.be/ERkDLRd9pTM?si=RD0vvh10QMcAaBSU

She fails to mention imaging such as CT scans which can identify potentially clinically significant lesions prior to performing a biopsy.

 

If PSA is elevated, but nothing significant is shown on the scan, I suspect a biopsy may not be recommended. No reason to jump straight from PSA test to biopsy.

The video is a few years old and just popped up but I've seen it discussed before. I've not read anyone mention ct scans before for this, interesting

1 minute ago, scubascuba3 said:

I've not read anyone mention ct scans before for this, interesting

 

Sorry, it is MRI, not CT scans, but the imaging allows for the assignment of a PI-RADS score that measures the probability that a lesion seen on a scan is PCa.

 

https://www.cityofhope.org/hope-matters-blog/pirads-score

One of my best school friends — a former nuclear medicine director who later diagnosed my prostate cancer — told me at lunch he’s never had a PSA test, avoiding the merry-go-round of tests, biopsies, and treatments when the odds are he’ll die of something else first.

For me, the jury is still out.

My friend's view seems to be in line with mainstream guidelines, which advise shared decision-making for men aged 55–69 and recommend against routine screening at 70+, largely due to over-diagnosis.
 

 

20 minutes ago, scubascuba3 said:

I've not read anyone mention ct scans before for this, interesting

 

Later, after the MRI and once prostate cancer is confirmed by biopsy, a PSMA PET-CT scan can show whether cancer cells have escaped the capsule, making it invaluable for staging and treatment planning.
 

I had a negative one myself — though it did reveal the lung damage from years of smoking.

2 minutes ago, LosLobo said:

One of my best school friends — a former nuclear medicine director who later diagnosed my prostate cancer — told me at lunch he’s never had a PSA test, avoiding the merry-go-round of tests, biopsies, and treatments when the odds are he’ll die of something else first.

For me, the jury is still out.

My friend's view seems to be in line with mainstream guidelines, which advise shared decision-making for men aged 55–69 and recommend against routine screening at 70+, largely due to over-diagnosis.
 

 

Yeah, it is difficult to make a decision as an individual based upon statistics used for public health policy purposes. 

 

Routine screenings probably should stopped at age 70, but if one has symptoms or is otherwise high risk, then It's another story.