PSA Pathway

 

 

Patient request a PSA test

Consider appropriateness of the test, including:
• Life expectancy
• Age
• Family history of prostate cancer
• Risk factors for prostate cancer, including: black ethnic origin, family history of prostate cancer, increasing age, germline mutations (HOXB13, BRCA1/2).
• Previous diagnosis of prostate cancer 

 

Note PSA results should be doubled for interpretation if patient on 5-alpha reductase inhibitor (finasteride / dutasteride)

For asymptomatic men with a life expectancy of less than 10 years, PSA testing is not recommended as it is unlikely to benefit them, unless requested by a urologist 

 

Please see pathway attached for further information.