Prostate cancer is one of the most common cancers affecting men worldwide. According to the Indian Council of Medical Research (ICMR), prostate cancer accounts for 7.1% of all male cancers in India, with rising incidence due to aging populations and improved diagnostic methods. Early detection is crucial for effective treatment, and the Prostate-Specific Antigen (PSA) test plays a vital role in screening.
Despite its importance, many men avoid or delay PSA testing due to misconceptions or lack of awareness. As a leading urologist and uro-oncologist in Bhubaneswar, I strongly advocate for regular PSA screenings, especially for high-risk individuals. Here are five compelling reasons why you should consider getting a PSA test.
1. Early Detection Saves Lives
Why Early Diagnosis Matters
Prostate cancer often develops without symptoms in its early stages. By the time symptoms like urinary difficulties, blood in urine, or bone pain appear, the cancer may have already progressed to an advanced stage.
The PSA test measures the level of prostate-specific antigen in the blood. Elevated PSA levels can indicate:
Prostate cancer
Benign prostatic hyperplasia (BPH – non-cancerous enlargement)
Prostatitis (inflammation of the prostate)
Statistics Supporting Early Screening
A study published in the New England Journal of Medicine found that PSA screening reduces prostate cancer mortality by 20%.
The American Cancer Society reports that the 5-year survival rate for localized prostate cancer is nearly 100%, compared to 30% for metastatic cases.
Real-World Example
A 58-year-old patient in Bhubaneswar had no symptoms but opted for a routine PSA test due to a family history of prostate cancer. His PSA was slightly elevated (4.2 ng/mL), leading to further tests and an early-stage cancer diagnosis. He underwent robotic surgery and is now cancer-free.
Dr. Rahul Jena’s Insight: “Waiting for symptoms can be dangerous. A simple blood test can catch cancer early when treatments are most effective.”
2. High-Risk Groups Need Proactive Screening
Who is at Higher Risk?
Men over 50 (or 40-45 for high-risk groups)
Family history of prostate cancer (risk doubles if a father or brother had it)
African-American men (higher incidence and aggressiveness)
Obese individuals (linked to aggressive prostate cancer)
Expert Recommendations
The National Comprehensive Cancer Network (NCCN) advises annual PSA tests for men over 45 with risk factors.
The European Association of Urology recommends PSA screening from age 50, or earlier for high-risk individuals.
Dr. Rahul Jena’s Insight: “If prostate cancer runs in your family, don’t wait—get screened early. Prevention is always better than cure.”
3. PSA Testing Helps Differentiate Between Cancer and Benign Conditions
Not All High PSA Means Cancer
An elevated PSA level does not always mean cancer. Other conditions that can raise PSA include:
BPH (Benign Prostatic Hyperplasia) – Common in aging men
Prostatitis – Infection or inflammation of the prostate
Recent ejaculation or vigorous exercise – Can temporarily increase PSA
Advanced Diagnostics Improve Accuracy
If PSA is high, doctors may recommend:
Digital Rectal Exam (DRE)
MRI-guided biopsies
PCA3 test or Prostate Health Index (PHI) for better risk assessment
Case Study: Avoiding Unnecessary Panic
A 62-year-old patient in Odisha had a PSA of 6.5 ng/mL and feared cancer. Further tests revealed BPH, not cancer. He was relieved and managed with medication.
Dr. Rahul Jena’s Insight: “A high PSA isn’t a death sentence—it’s a signal for further investigation.”
4. Minimally Invasive Treatment Options Are Available for Early-Stage Cancer
Advancements in Prostate Cancer Treatment
If cancer is detected early, treatment options include:
Active Surveillance (for low-risk cases)
Robotic Prostatectomy (minimally invasive surgery)
Radiation Therapy (IMRT/SBRT)
Focal Therapy (HIFU, Cryotherapy)
Why Early Treatment Matters
Less invasive procedures with fewer side effects
Lower risk of urinary incontinence and erectile dysfunction
Higher cure rates
Success Story: Robotic Surgery Saves a Patient
A 55-year-old man in Bhubaneswar was diagnosed with localized prostate cancer (Gleason score 3+4). He underwent robotic-assisted surgery, preserving urinary and sexual function. Today, he leads a normal, cancer-free life.
Dr. Rahul Jena’s Insight: “With robotic surgery, recovery is faster, and complications are minimal. But early detection is key.”
5. Peace of Mind and Better Long-Term Health Planning
Psychological Benefits of Testing
Reduces anxiety about undiagnosed cancer
Empowers men to take control of their health
Long-Term Health Benefits
Early lifestyle changes (diet, exercise, smoking cessation)
Regular monitoring if PSA is borderline
Patient Testimonial
A 65-year-old man avoided testing for years due to fear. When he finally got screened, his PSA was normal, giving him immense relief. Now, he gets annual check-ups without fear.
Dr. Rahul Jena’s Insight: “Knowing your PSA status—whether normal or high—helps you make informed health decisions.”
Conclusion: Don’t Wait—Get Tested Today
Prostate cancer is treatable if caught early, and the PSA test is a simple, effective screening tool. Whether you’re at high risk or simply proactive about health, a PSA test could save your life.
Key Takeaways:
Early detection = higher survival rates High-risk groups should start screening at 40-45 Not all high PSA means cancer—further tests clarify Minimally invasive treatments are available for early-stage cancer Peace of mind is invaluable
Dr. Rahul Jena’s Final Advice: “Prostate cancer is silent but deadly if ignored. A PSA test takes minutes but can add years to your life. Schedule yours today.”
About the Author:
Dr. Rahul Jena is a Consultant Uro-oncologist and Robotic Surgeon at Bagchi Sri Shankara Cancer Centre and Research Institute, Bhubaneswar, specializing in prostate cancer diagnosis and treatment. With expertise in robotic and minimally invasive surgeries, he is dedicated to improving cancer outcomes in Eastern India.
Book a consultation today for a PSA test or prostate health evaluation.