Approach to Elevated PSA in Family Practice

Approach to elevated PSA in the Family Practice Dr. Ho Siew Hong Consultant Urologist S H Ho Urology and Laparoscopy Centre Gleneagles Hospital

What do they have in common? Arnold Palmer Norman Schwartzkopf Rudolph Guiliani Harry Belafonte Nelson Mandela

PSA ,[object Object],[object Object],[object Object],[object Object]

Causes of raised PSA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Who should have a PSA check? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What to do with a raised PSA? ,[object Object],[object Object],[object Object]

How is raised PSA evaluated? ,[object Object],[object Object],[object Object]

Transrectal Ultrasound and Biopsy

Complications of TRUS ,[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment Options for Early Prosate Carcinoma ,[object Object],[object Object],[object Object],[object Object]

Advanced Prostate Carcinoma ,[object Object],[object Object],[object Object]

Hormonal Manipulation ,[object Object],[object Object],[object Object],[object Object],[object Object]

PAW 2004 Singapore ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cancer detection rate (based on serum total PSA): 1.2 % (43/3415)

Overview of the screened Population

PAW 2004 Singapore ,[object Object],[object Object],168 Total 7 (4.1%) 20.01 and above 26 (15.5%) 10.01 - 20.0 135 (80.4%) 4.01 - 10.0 No of subjects PSA level (ng/dl)

Approach to Elevated PSA in Family Practice

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Approach to Elevated PSA in Family Practice