In recent years, the diagnosis and management of prostate cancer has undergone a paradigm shift, particularly in the UK.
Traditionally, for a man who was worried about prostate cancer, he would have a rectal examination performed, and a blood test for a PSA (prostate specific antigen level). If this was found to be elevated he would be referred to a specialist such as myself who would then propose a biopsy of the prostate.
That traditional route was carried out through the rectum, which often resulted in a lot of post-operative symptoms such as bleeding, and relatively serious rates of infection of between two and three percent. This would sometimes even leave people in hospital. It was also a highly inaccurate test.
Now, we have much more precise ways of diagnosing prostate cancer. An MRI scan can be carried out before any biopsies for men with an elevated PSA level. This can pinpoint exactly where any areas of interest are located, and allow for much more targeted biopsies which are no longer carried out through the rectum.
The combination of MRI and new precision biopsies has led to a paradigm shift in the way The Prostate Experts diagnose cancer.
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