Key questions to ask 2019-08-21T05:37:01+00:00

Key questions to ask

Key Questions

Have PSA testing (every 2 years from 50 to 69 years of age)

Do not have PSA testing (from 50 to 69 years of age)

What are my chances of dying from prostate cancer? 4 out of 1000 men die from prostate cancer. 5 out of 1000 men die from prostate cancer.
What are my chances of being diagnosed with advanced prostate cancer? 1 out of 1000 men are diagnosed with advanced prostate cancer. 2 out of 1000 men are diagnosed with advanced prostate cancer.
What are my chances of being diagnosed and treated for a prostate cancer that would not have caused harm? 25 out of 1000 men are diagnosed and put on active surveillance or treated for a prostate cancer that would not have caused harm (over-diagnosis). Men who do not have PSA testing will not experience over-diagnosis caused by testing.
What are the chances I will have a false positive test result that leads to extra testing? 93 out of 1000 men have a false positive result and extra testing, when they do not have cancer. Men who do not have PSA testing will not experience a false positive test result.
What are the chances I will develop unwanted side effects if I am treated for prostate cancer? About 20% of men who have a radical prostatectomy have long-term inabilty to hold their urine;
About 70% of men who have a radical prostatectomy have long-term difficulty getting an erection;
About 50% of men who have radiation therapy have long-term difficulty getting an erection;
About 17% of men who have radiation therapy have long-term bowel problems (including bowel urgency and loss of bowel control).1
Men who do not have PSA testing will not experience these problems as a result of testing.
Can I expect to live long enough (about 7 years or more) to benefit from PSA testing? Healthy Australian men age 50 to 69 have better than a 94% chance of living another seven years; but men with some health conditions and older men may be less likely to live this long. Men who do not have testing do not need to know how long they can expect to live.
What do I need to do after making my choice? If you choose to start PSA testing, you should consider another PSA test every 2 years after the first (as per Australian guidelines). Every time you consider having a PSA test you should consider your chances of living another seven years. If you decide not to start PSA testing now, you can always reconsider starting testing in the future.

With PSA testing every 2 years from 50 to 69 years of age 4 out of 1000 men die from prostate cancer.

Without PSA testing from 50 to 69 years of age 5 out of 1000 men die from prostate cancer.

With PSA testing every 2 years from 50 to 69 years of age 1 out of 1000 men are diagnosed with advanced prostate cancer.

Without PSA testing from 50 to 69 years of age 2 out of 1000 men are diagnosed with advanced prostate cancer.

With PSA testing every 2 years from 50 to 69 years of age 25 out of 1000 men are diagnosed and put on active surveillance or treated for a prostate cancer that would not have caused harm (over-diagnosis).

Without PSA testing from 50 to 69 years of age men will not experience over-diagnosis caused by testing.

With PSA testing every 2 years from 50 to 69 years of age 93 out of 1000 men have a false positive result and extra testing, when they do not have cancer.

Men who do not have PSA testing will not experience a false positive test result.

About 20% of men who have a radical prostatectomy have long-term inabilty to hold their urine;
About 70% of men who have a radical prostatectomy have long-term difficulty getting an erection;
About 50% of men who have radiation therapy have long-term difficulty getting an erection;
About 17% of men who have radiation therapy have long-term bowel problems (including bowel urgency and loss of bowel control).1

Men who do not have PSA testing will not experience these problems as a result of testing.

Healthy Australian men age 50 to 69 have better than a 94% chance of living another seven years; but men with some health conditions and older men may be less likely to live this long.

Men who do not have testing do not need to know how long they can expect to live.

If you choose to start PSA testing, you should consider another PSA test every 2 years after the first (as per Australian guidelines). Every time you consider having a PSA test you should consider your chances of living another seven years.

If you decide not to start PSA testing now, you can always reconsider starting testing in the future.

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