Prostate Cancer / PSA Counselling and Advice

Prostate cancer is now the most common form of cancer in men in Australia.

The PSA blood test (prostate specific antigen) is an important marker of prostate cancer though it is not cancer specific. It may also be raised in benign enlargement or prostatitis. It is useful to assess whether a man’s risk of having prostate cancer is more than the average risk for his age.

Normal values for PSA blood test results are available for different age groups, and levels lying well above these “normal” values, or rapid changes in PSA, suggest that there is a higher risk of having prostate cancer. Men below the median (or average) level of PSA for their age are probably at low risk.

Treatment of prostate cancer is complex and the decision on the most appropriate treatment involves many factors including patient age, tumour characteristics and patient preference.

The choices are watchful waiting, radical prostatectomy, radiotherapy, brachytherapy, hormone therapy and chemotherapy.

Decisions regarding the most appropriate treatment require close consultation with your urologist.