By rray, 2 August, 2024 Rescreen interval or d c of screening based on pt preference age PSA prostate CA risk life expectancy and general health following shared decision making CR AUA B 6
By rray, 2 August, 2024 AUA Use age specific cut thresholds 6 nbsp nbsp Age 40 49 yo 2 5 ng mL nbsp nbsp Age 50 59 yo 3 5 ng mL nbsp nbsp Age 60 69 yo 4 5 ng mL nbsp nbsp Age 70 79 yo 6 5 ng mL
By rray, 2 August, 2024 If PSA 4 ng mL or very suspicious DRE bx and further w u indicated 2A 12 Validated risk calculators may be used to inform shared decision making process for prostate bx CR AUA B 6
By rray, 2 August, 2024 AUA May d c screening or substantially lengthen rescreening interval for pts 75 yo if PSA
By rray, 2 August, 2024 NCCN says very healthy pts 75 yo w little or no comorbidity esp if they ve never had PSA testing or if their PSA is rising 2B PSA
By rray, 2 August, 2024 Factors that might lower PSA levels 12 15 meds 5 reductase inhibitors herbal mixtures dietary supplements but not saw palmetto aspirin statins thiazides
By rray, 2 August, 2024 Factors that might raise PSA levels 15 older age BPH prostatitis ejaculation bike riding urological procedures meds testosterone or meds that raise testosterone levels
By rray, 2 August, 2024 Follow same guidance in transgender women regardless of hormone tx or gender affirming surgery 13 14 if digital exam indicated neovaginal approach may be more effective than rectal 14