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Medical Forum / Diseases and Disorders / Prostate BPH / January 2005

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PSA (article translated into English

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drberry - 26 Jan 2005 03:43 GMT
     
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1: Ann Urol (Paris). 2004 Dec;38 Suppl 2:S43-5.     Related Articles, Links

    [PSA and benign prostatic hyperplasia]

    [Article in French]

    Grall J, Corbel L.

    Cabinet medical, 3, place de la Republique, 21000 Dijon, France.
j-s.grall@wanadoo.fr

    In the opinion of many urologists, prostate-specific antigen
(PSA), which is not specific of any disease, is not considered in the
diagnosis and follow-up of benign prostatic hyperplasia (BPH).
Nonetheless, prostate cancer diagnosis is based on PSA screening. PSA
value is thus available for a majority of men above 50. Recent data
suggest that there is a link between PSA value and BPH natural
history, turning PSA into a tool for BPH management and prevention of
complications such as retention. It hasn't got into practice so far,
as recommended criteria for PSA screening in BPH have not been issued.
The debate over this topic is only at its beginning.
Derek F - 26 Jan 2005 10:24 GMT
Do an advanced Google groups search on PSA Terrorism and you will find
indignant replies to my post underneath from October 1999 when I quoted a
coversation with a urologist after I was detained in hospital overnight
after passing much blood after my third biopsy. From 1995 till now now my
PSA has varied between 5.2 ans 9.0 and is at present 7.5.
Derek.

"Sitting around at the hospital after my last biopsy, I got into
conversation
with a passing doctor. He asked what I had been getting done. When I told
him he exclaimed "PSA terrorism" He said that this was the conclusion in a
paper by a Norwegian doctor. In other words he was saying that  PSA tests
were forcing men into biopsies and panicking them into treatments that might
>   Show:
>
[quoted text clipped - 18 lines]
> got into practice so far, as recommended criteria for PSA screening in BPH
> have not been issued. The debate over this topic is only at its beginning.
 
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