When should we do Prostate Screening?◇Prostate Ca screening guidelines/Toronto Notes/Dr Kainat Mirza

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1. Prostate Cancer Screening Guidelines (00:00 - 03:51):
- - Prostate cancer screening guidelines differ between general guidelines and those
specified by the Urology Association.
- - Individuals with urological symptoms should consider PSA screening.
- - Screening decisions depend on specific urological features and associations.
2. Abdominal Aortic Aneurysm Screening (03:51 - 06:52):
- - Guidelines recommend ultrasound screening for abdominal aortic aneurysm.
- - Screening criteria vary based on age, gender, and risk factors like smoking and
cardiovascular disease.
- - Repeat ultrasound in 10 years if aortic diameter exceeds 2.5 cm.
3. Osteoporosis Screening (06:52 - 09:42):
- - Screening criteria include age-related factors, medical conditions, and medication use.
- - Initial bone mineral density testing is followed by fracture risk assessment.
- - Pharmacotherapy decisions are based on low, moderate, or high fracture risk levels.
- - Factors like rapid bone loss, medication use, and specific conditions influence screening
and treatment decisions.



The recommended age for prostate screening varies based on individual risk factors:

Average Risk: Men at average risk of prostate cancer should start discussing screening with their healthcare provider at age 50.

High Risk: Men at high risk, such as African American men and those with a first-degree relative diagnosed with prostate cancer at an early age, should start discussing screening at age 45.

Higher Risk: Men with more than one first-degree relative who had prostate cancer at an early age should start discussing screening at age 40.

The decision to start screening should be made after discussing the potential benefits, risks, and uncertainties with your healthcare provider. Regular screening intervals can vary, but generally, men with a PSA level of less than 2.5 ng/mL may only need to be retested every two years, while those with higher levels may need annual screening.
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Category
Urology
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