Complete medical history that includes
any symptoms you are experiencing. Physical examination
that includes a digital exam to examine the prostate.
DRE or digital rectal examination
works well because the prostate lies in front of the rectum.This
simple procedure allows your MD to determine whether the
prostate is enlarged or has abnormal lumps and texture.
The examination is minimally uncomfortable but not painful.
Men over the age of 50 should have a rectal exam once
every year. African American men or any with a family
history of prostrate cancer should begin these annual
exams at age 40.
A urinalysis or semen analysis is sometimes
done to check urine for the presence of infection or blood
In addition to the rectal exam, the PSA
test is an important tool in prostate cancer detection.
PSA stands for Prostat e-Specific Antigen and is produced
only by the cells of the prostate. PSA can be released
into the bloodstream in higher than normal amounts when
there is prostrate enlargement, infection, or cancer.
Because PSA can be higher than expected for a number of
reasons it is important that your doctor interpret your
PSA with your family history, prostate size, and urinary
symptoms in mind. PSA testing should also be done once
a year for men over the age of 50 and for African American
men or men with a family history of prostate cancer should
consider prostate cancer after age 40. It is important
to do this test every year because over 25% of all prostate
cancers occur in men with a PSA in the "normal"
range. These cancers are often