Is Screening for Prostate Cancer Always the Right Decision?

By Matthew D. Young, MD, MBA

One of my recent blogs [1] talked about the controversy behind prostate cancer screening, and recently I came across a great article that unpacks this discussion [2] and takes it a step further.

More healthcare is not necessarily better healthcare, and when it comes to screening for cancer in older patients this can certainly be the case.

There is near universal agreement among medical professionals that men over 75 or with less than a ten-year life expectancy should not have routine PSA testing (prostate specific antigen – which is the prostate cancer screening test). Our society has worked hard to get across the message that early detection of cancer saves lives, but the simple fact is that not everyone will benefit from it and there are several reasons why this is:

Every patient needs to look at their own situation and have a discussion with their personal medical professional, but sometimes less is actually more.


Matthew D. Young, MD, MBA, is the Chief of Urology at Mission Health.

To learn more, visit mission-health.org/urology [3] or call Victoria Urological Associates at (828) 254-8883.