Navigating PSA Testing for Prostate Cancer

In this podcast Dr Camilla Janssen talks with Dr Jenny Rattray, GP Retainer and GP advisor at Wessex Cancer Alliance. She has an interest in urological cancers and has just completed the Prostate Cancer UK Primary Care Programme.

They discuss:

• The new consensus statement on PSA testing for prostate cancer.
• The background of prostate cancer and the diagnostic challenges, i.e. trying to catch it early without over diagnosing.
• Looking at which patients are at high risk.
• Thinking about when it's appropriate to test men without symptoms and how to counsel them before giving them a PSA test.
• The pros and cons of the PSA test itself.
• What symptoms would make clinicians think about offering a PSA test.
• Evolution in the diagnostic pathway and the implications of this.
• When interpreting a PSA test what additional things to take into account.
• Older patients and the implications of testing and referring into fast track pathways.

Wessex Cancer Alliance - https://wessexcanceralliance.nhs.uk/

Consensus Statement on PSA Testing for Prostate Cancer 2025.pdf