I?m not arguing that a person who wants the PSA test shouldn?t be allowed to get it, but??
The whole prostate cancer topic is very complex because detection and cure for prostate cancer apparently have a vastly different relationship than detection and cure for most diseases.
Most men with prostate cancer will die from something else, not the cancer; in fact, the chances are quite good that elderly men will have prostate cancer when they die from something else. Also, the treatment of prostate cancer is far from risk-free.
From what I?ve read (all serious material, but sorry, I don?t have the links), on average aggressively treating 96 men diagnosed with prostate cancer will save or extend the life of two of them, but one of the 96 will die as a consequence of treatment; plus, the chances of treatment causing life-altering incontinence and/or impotence are something like 30%.
Until the medical gurus come up with far better ways of telling the difference between indolent prostate cancers (the very common ?who cares?? kind) and aggressive prostate cancers (the killers), I?m pretty sure I?d opt to avoid treatment and opt for watchful waiting instead.
These links are far from an exhaustive look at the topic of testing and outcomes, but they are very interesting.
http://commonhealth.wbur.org/2012/05/prostate-screening-chart
http://commonhealth.wbur.org/2012/05/feelings-psa-test
Again, I?m not arguing with those who want to have PSA testing done
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