New AUA Prostate Cancer Screening Guidelines

We are happy to provide a link to the AUA's (American Urologic Association) latest prostate cancer screening guidelines. Just visit the site and you can download a copy of their guidelines brochure.

I would like to note that the guidelines recommend an annual PSA for men beginning at 40, along with a DRE (digital rectal exam). Although I am not a physician and do not provide medical advice, I suggest that men have a Free PSA test if their PSA test comes back positive. I say this because in my case my two tumors were located on top of the prostate where they could not be felt by DRE. Fortunately, my urologist requested a Free PSA test (your Free PSA value should be equal to or greater than .25 (25%) of your total PSA, and the tumors were detection prior to metastasis. If your Free PSA/total PSA is less than .25, it is an indication that a tumor may be present and you should consult your physician. If you do not have a physician (and you should!), you can obtain these tests on your own from an independent laboratory.

Remember, it is not the absolute PSA value that matters most, but the change from year-to-year. Should your PSA value change approximately .75 or more from one year to the next, you should see a physician immediately.

Want a little adventure in your life? Join us for all or part of the 2010 Tour de USA for prostate cancer awareness or join us on the Tour de Skyline Drive this August 22-24.

What About Prostate Cancer Recurrence?

This is the opening post in my personal process of determining if my prostate cancer is recurring. As is the case with PSA testing, there are differing views concerning when recurrence can be detected. Most PSA testing is done at the one decimal sensitivity level, i.e., at a sensitivity of ".1". Newer ultrasensitive tests can detect PSA levels at a sensitivity of ".01," which is an order of magnitude more sensitive. The Clinical Practice Guidelines in Oncology for prostate cancer (according to the National Comprehensive Cancer Network) indicate additional treatment for men who have had a radical prostatectomy (I had an RP in 2003) if they have a detectable PSA level of >.3 ng/ml that increases in two or more subsequent measurements following a period of no detectable PSA. I fall into that category, expect that I my PSA measures over the past 18 months have risen from undetectable, to .01, to .08 with the most recent test at .06. Having spent a career in the military, I'm always focused on proactive response, so I am in the process of meeting with a physician that believes in early detection and treatment. My current task is getting my medical records sent from my surgeon (who believes I am 'cured') to my new physician. So far, my written request has been lost twice. If you are reading this post and are in a similar situation, I would enjoy hearing from you. Test. Track. Treat. Live.(TM)