LUTS aren’t an indication for prostate cancer screening

Another useful pointer from the 5th May BMJ; It is not clear whether LUTS in men are associated with prostate cancer, so, given the potential harms of screening, LUTS should not be used as an indication for checking PSA as a screening test.

(That said… I’ve read that a PSA over 4.2 (I think that was the figure) is an indication for finasteride or equivalent, as it indicates an increased risk of eventual urinary retention. So I do tend to do them for that reason. It’s worth being aware of the drawbacks, though.)

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About Dr Sarah

I'm a GP with a husband and two young children.
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