What are the AUA guidelines on prostate cancer screening?

Updated: Jan 14, 2019
  • Author: Lanna Cheuck, DO; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Answer

American Urological Association (AUA) recommend against routine screening for the following groups [2] :

  • Any man with a life expectancy less than 10-15 years
  • Men under 40 years
  • Men between ages 40 to 54 years at average risk
  • Men over age 70

For men 55 to 69 years of age, the AUA advises that the decision to undergo PSA screening involves weighing the benefits and risks. The guidelines strongly recommend the following [2] :

  • Shared decision-making for men age 55-69 years who are considering PSA screening, and proceeding based on patients’ values and preferences
  • A routine screening interval of 2 years or more in those men who have participated in shared decision-making and decided on screening.

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