Prostate and testicular cancer screening
Prostate cancer is the most common cancer in men in the UK and accounts for 26% of all male cancer diagnoses in the UK
There is currently no screening programme on the NHS for prostate cancer. The London General Practice offers thorough examinations to check for testicular cancer in younger men and for prostate cancer in more mature male patients. We have access to the latest diagnostics and treatment methodologies and we are linked to leading world-renowned experts in men’s health and uro-oncology who work together to give you evidence-based care with the quickest recovery.ts.
What happens when you book your Prostate or Testicular Screen at The London General Practice?
Your prostate or testicular screen will be tailored to your personal health background so we make sure that any concerns you may have are answered, whilst at the same time ensuring that your screen is bespoke to your needs and requirements.
The session includes:
30 minutes with one of our experienced Practice Nurses who will carry out a series of base-line checks on your health including taking bloods to test for:
- Height and weight
- Blood pressure
- Haemoglobin (anaemia)
- Blood sugar levels (diabetes)
- Kidneys and liver function
This is then followed by a 45-minute consultation with a doctor to discuss your personal health history, and family or genetic pre-dispositions and any other health concerns, plus an examination.
Depending on the outcome of this consultation, and potentially your blood or genetic tests, the diagnostic examination options include:
- Physical examination
- Blood test for prostate specific antigen (PSA)
- Rectal examination
- Trans-rectal ultrasound scan
And the Doctor will discuss the benefits of each with you. Once complete you will receive from the Doctor a complete report on your health.
There is currently no screening programme on the NHS for prostate cancer. However, an individual’s risk is assessed by their doctor and further tests are initiated.
This is a blood test. It is normal for men to have some PSA in their blood, but high levels can also indicate prostate disease, both cancerous and benign. A raised PSA can be due to BPH, urinary tract infection and other benign conditions as well as cancer.
Testing Free and Bound PSA
There is also a test available that calculates the ratio of ‘free’ and ‘protein bound’ PSA in the blood. Free PSA is associated with benign conditions whilst bound PSA is associated with malignancy. Research has shown that the proportions of free and bound PSA are different in men with prostate cancer compared to those that have benign disease. PSA testing is not diagnostic and further investigations would be required to diagnose prostate cancer.
If more than 25% of the total PSA is free then there is less chance of having prostate cancer. However, PSA testing is not diagnostic and further investigations would be required to diagnose prostate cancer.