Have You Had A Formal Prostate Exam?

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Men who are 40 and older should have an annual prostate exam as part of their overall prostate health routine.

It's important for men 40 and older to have a formal prostate exam on an annual basis. To book an appointment with world renowned urologist and prostate expert, Dr. David Samadi, call 212.365.5000.

It's important for men 40 and older to have a formal prostate exam on an annual basis. To book an appointment with world renowned urologist and prostate expert, Dr. David Samadi, call 212.365.5000.

Prostate-related diseases such as prostatitis, BPH or elevated PSA can occur for a number of reasons. They mainly affect older men because as we age, the prostate gland increases in size, which can cause issues.

When a man reaches the age of 40, he should make an effort to have a formal prostate exam. Prostate diseases mainly affect men 50 and older due to changes in the prostate size as we age.

“Prostate-related diseases such as prostatitis, BPH or elevated PSA can occur for a number of reasons. They mainly affect older men because as we age, the prostate gland increases in size which can cause inflammation of the prostate and affect urinary control,” noted Dr. David Samadi, Chairman of Urology and Chief of Robotic Surgery at Lenox Hill Hospital.

Here is what a formal prostate exam should include.

Prostate Specific Antigen (PSA) Blood Test: Considered the gateway to prostate cancer, the PSA is the main prostate cancer screening tool used to gauge activity around the prostate gland. Prostate Specific Antigen is a protein produced by cells in the prostate gland. A PSA test is a simple blood test that measures how much PSA there is in a man’s blood. This type of test is most often done by a urologist when men turn a certain age or when men possess certain symptoms or risk factors relating to prostate conditions. The blood test is then sent to a laboratory to be analyzed.

  •     Baseline PSA should be determined at the age of 40, then taken every year
  •     A “normal” PSA level is generally between 1.0 and 4.0 ng/mL. Anything above 4.0ng/mL is considered “abnormal” or elevated.
  •     If you have an elevated PSA, you should see a urologist. A urologist will do a number of tests to determine exactly what is causing the elevated PSA. Additional tests may include another PSA test, a urinalysis test, post-void residual, assessment of medical history and family history, and possibly a prostate biopsy or cystoscopy.

Digital Rectal Exam (DRE): A digital rectal exam is an examination of the lower rectum area. The urologist uses a gloved, lubricated finger to check for any abnormal activity around the prostate.

  •     This test is key to understanding if the prostate is enlarged.
  •     It also provides key insights into the anatomy of the prostate gland and can identify any abnormal bumps or other changes.
  •     If the PSA comes back normal, the DRE may assist further in diagnosing a prostate condition such as BPH or inflammation of the prostate that the blood test did.

“The DRE exam and PSA test are an essential part of a man’s prostate health. These should be assessed on an annual basis as part of a man’s physical exams,” stressed Dr. Samadi.

Post Void Residual Test (Optional): For patients who express issues with urinary control or emptying their bladder, a prostate exam may also call for a PVR exam. This urine test measures the amount of urine left in the bladder after urination.
This test helps evaluate:

  •     Incontinence (accidental release of urine)
  •     Urination problems
  •     Enlarge prostate (benign prostatic hyperplasia, or BPH)

To schedule a formal prostate exam today with renowned urologist and prostate expert, Dr. David Samadi, call 212.365.5000 or contact via ProstateCancer911.com. If you’ve been diagnosed with prostate cancer and would like a second opinion, call or visit RoboticOncology.com.

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Lauren Guerrieri

Ann Angcaya
@drdavidsamadi
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