What consequences will result from healthy men skipping PSA screening?

What consequences will result from healthy men skipping PSA screening?

Oncologist Robert Princenthal Transcript

Opening Title: What will be the consequences of no regular PSA screening for healthy men?

And I can’t stress enough that the US Task Force guidelines refuting of the value of PSA is going to create big harms in the next four or five years. The people that I have spoken to have already seen a big drop in the men getting PSA screening. The inadvertent consequence of that is fewer men are being referred to urologists for biopsy. The pathologists aren’t making the diagnosis. The hospitals are telling us their volumes of radical prostatectomy are going way down and the health insurance business people are saying, look this is a good thing, we’re lowering costs. But we all know what’s going to happen. The incidence of prostate cancer hasn’t changed. There’s still 250,000 men who should be diagnosed each year with prostate cancer, and 28,000 men have died. For these men who are not getting screened, they’re going to be presenting with T-3 disease or extracapsular disease, or metastastic disease and we’re going to be dealing with a whole host of different problems due to the lack of screening now.

Closing Title: The US Task Force guidelines do not apply to men already diagnosed

Dr. Robert Princenthal describes how skipping PSA testing will inevitably lead to more cases of advanced disease.
Robert Princenthal, MD,
Radiologist

Robert Princenthal is a board-certified radiologist with over 25 years of expertise in diagnostic medical imaging. He has read and evaluated more than 3,000 prostate MRI studies. He attended medical school at Penn State College of Medicine. His internship was completed at Hartford Hospital in Harford, Connecticut. A diagnostic radiology residency was completed at Yale University School of Medicine at New Haven Hospital and a fellowship in interventional radiology at the University of California, San Diego.
Video reviewed and approved by Dr. Robert Princenthal, August 1, 2015