MEN’S HEALTH: YOUR “FIRST PROSTATE CHECKUP” (UCLA)

Dr. Jesse Mills, Director of The Men’s Clinic at UCLA talks about what to expect during a first prostate checkup.

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COMMENTARY

Prostate checking, especially by PSA, has been controversial in recent years.

The naysayers have cited statistics that show too many unnecessary operations on slow-growing, non-life threatening cancers lowering quality-of-life.

My old urologist was following a prostate nodule with yearly checks with PSA tests. He retired, and the enlightened, younger urologist, who replaced him, thought PSA superfluous.

A friend, also a Doctor, was similarly advised, dropped the PSA screening, developed high grade prostatic Cancer, and died of it.

I continued checking my PSA every 6 months, risking a positive test, leading to biopsy, leading to unnecessary treatment.

The UCLA prostate checkup video touts Prostate MRI as an intermediate step, and, in my mind validates my choice of continuing PSA screening.

—Dr. C

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