Now let’s remove the screening for breast cancer and see how quickly people scream about it.
MrLime93 on
What the hell?
Why? Imagine they removed a woman’s right to get tested for HPV or cervical cancer? There would be a massive uproar.
This is absolutely going to cost lives.
VillageHorse on
From LBC:
The statement said that previous guidance had to be “retired” because it was ambiguous, adding: “Every man still has the right to ask their GP for a PSA test and it remains the case that the final decision rests with GPs.”
Seems dangerous to me. There will be people who would have been picked up as having cancer under the old system, who may be symptomless and therefore would not make the request of the GP. Or the GP would make a “final decision” that tye patient is in good health and doesn’t need it.
Wondering_Electron on
It’s £79 if you want to get it done.
It isn’t inaccessible.
nikhkin on
Prostate cancer accounts for 25% of all diagnoses in men over the age of 50. Certainly seems like something that should have a universal screening programme.
Dry_Association2836 on
Just demand one anyway if you think you want one and you’re in the age range. If they refuse get a second opinion under the “right to choose”. I guarantee a GP is going to order a quick and easy blood test rather than having to get into a battle over it.
No_Onion_8612 on
I get it. If you aren’t displaying symptoms and the doctor can check by a finger up the bum, then it seems a bit wasteful to give out blood tests when a physical examination will be just as good.
However, a lot of men will refuse the finger in the bum check, so a blood test is better to detect problems earlier.
Hopefully GPs will use common sense and offer the blood test straight away when the finger in the bum method is refused, and hopefully men will be mature enough to take the finger in the bum method to reduce the load on the NHS.
Prize-Meeting-7101 on
So, since it looks like you will need symptoms now, here they are courtesy of Claude. ….. it be prepared for the doctor to stick their finger up your bum ….
A GP would typically weigh a mix of urinary/sexual symptoms alongside risk factors, since PSA can be raised by things other than cancer. Symptoms that would prompt a GP to consider a PSA test include:
**Urinary symptoms**
**•** Increased urinary frequency, especially at night (nocturia)
**•** Urgency or difficulty starting to urinate
**•** Weak or intermittent urine stream
**•** Feeling of incomplete bladder emptying
**•** Straining to urinate
**Other red-flag symptoms**
**•** Blood in urine or semen (haematuria/haematospermia)
**•** Erectile dysfunction (new onset)
**•** Unexplained pain in the lower back, hips, or pelvis (can suggest advanced disease if bone involvement is a concern)
**•** Unexplained weight loss alongside urinary symptom
Digital rectal exams **Where it falls short**
**•** Sensitivity is poor — a normal DRE doesn’t rule out cancer, especially early or small tumours, or ones located in areas the finger can’t reach
**•** It can only feel the back/side surface of the gland, missing tumours in the anterior (front) portion entirely
**•** It’s operator-dependent — accuracy varies a fair bit between examiners
**•** Studies generally show DRE alone has low sensitivity (some report well under 60%) for detecting clinically significant prostate cancer, and it performs worse than PSA testing as a screening tool on its own
BorzoiDesignsok on
If you have a prostate, you are at risk. This is the beginning of the end for the NHS
New_Jackfruit3020 on
It’s funny, I’ve always wished for parity of healthcare between the sexes, but I never wanted that to be achieved by devolving what men already had access to…
Th4tR4nd0mGuy on
Men already are less likely to schedule a GP appointment once they spot symptoms, and now even if we do our due diligence there is now an increased risk of being shooed away with antibiotics or painkillers.
I work in the NHS and see the incredible steps forward taken every day, yet they choose to cut corners in cancer screening of all places. How can a service justify becoming more expensive whilst simultaneously becoming both less effective and comprehensive? Discouraging to say the least.
H7H8D4D0D0 on
Former UK GP here, the PSA blood test is a terrible test. It misses aggressive prostate cancer, and it picks up slow growing prostate cancers that will never kill the patients affected.
Whenever you do a blood test, any positive result necessitates MRI and potentially invasive prostate biopsy (ultrasound probe + needle up your arse). Why expose men without symptoms who will never die of prostate cancer to such tests?
PSAs are quite helpful in men with a very strong family history but as a test for men without symptoms it’s terrible.
Odd_Government3204 on
Cancer testing and care is notoriously poor in the nhs. My wife repeatedly asked the gp to refer her due to a worrying mole and the gp repeatedly dismissed it as unnecessary. Eventually we paid for private care and cancer was diagnosed and removed within a week at a cost of a couple thousand which we are now trying to recover from our local nhs trust.
TessaFractal on
It’s hard to judge the decision without the data on how precise the test is and how common the cancer is. Being freely available to over 50s could have been hugely over-testing that group and missing out on anyone younger.
A lot of the time these tests aren’t as simple as „You either have it or you don’t“, it can result in treatments for cancers you don’t have.
I think I trust a national screening council to know the balance.
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[Prostate cancer is now the most common cancer in the UK, with record numbers of men receiving a diagnosis.
The most recent NHS figures show a huge rise in prostate cancer cases, jumping from just under 52,000 in 2021 to more than 64,000 in 2022.
That’s an increase of 24 per cent, which means prostate cancer is now more commonly diagnosed than even breast cancer.
Over the last decade, the number of men diagnosed with prostate cancer has shot up by 42 per cent – from around 45,000 cases in 2012. ](https://prostatecanceruk.org/about-us/news-and-views/2026/01/prostate-most-common-cancer)
Now let’s remove the screening for breast cancer and see how quickly people scream about it.
What the hell?
Why? Imagine they removed a woman’s right to get tested for HPV or cervical cancer? There would be a massive uproar.
This is absolutely going to cost lives.
From LBC:
The statement said that previous guidance had to be “retired” because it was ambiguous, adding: “Every man still has the right to ask their GP for a PSA test and it remains the case that the final decision rests with GPs.”
Seems dangerous to me. There will be people who would have been picked up as having cancer under the old system, who may be symptomless and therefore would not make the request of the GP. Or the GP would make a “final decision” that tye patient is in good health and doesn’t need it.
It’s £79 if you want to get it done.
It isn’t inaccessible.
Prostate cancer accounts for 25% of all diagnoses in men over the age of 50. Certainly seems like something that should have a universal screening programme.
Just demand one anyway if you think you want one and you’re in the age range. If they refuse get a second opinion under the “right to choose”. I guarantee a GP is going to order a quick and easy blood test rather than having to get into a battle over it.
I get it. If you aren’t displaying symptoms and the doctor can check by a finger up the bum, then it seems a bit wasteful to give out blood tests when a physical examination will be just as good.
However, a lot of men will refuse the finger in the bum check, so a blood test is better to detect problems earlier.
Hopefully GPs will use common sense and offer the blood test straight away when the finger in the bum method is refused, and hopefully men will be mature enough to take the finger in the bum method to reduce the load on the NHS.
So, since it looks like you will need symptoms now, here they are courtesy of Claude. ….. it be prepared for the doctor to stick their finger up your bum ….
A GP would typically weigh a mix of urinary/sexual symptoms alongside risk factors, since PSA can be raised by things other than cancer. Symptoms that would prompt a GP to consider a PSA test include:
**Urinary symptoms**
**•** Increased urinary frequency, especially at night (nocturia)
**•** Urgency or difficulty starting to urinate
**•** Weak or intermittent urine stream
**•** Feeling of incomplete bladder emptying
**•** Straining to urinate
**Other red-flag symptoms**
**•** Blood in urine or semen (haematuria/haematospermia)
**•** Erectile dysfunction (new onset)
**•** Unexplained pain in the lower back, hips, or pelvis (can suggest advanced disease if bone involvement is a concern)
**•** Unexplained weight loss alongside urinary symptom
Digital rectal exams **Where it falls short**
**•** Sensitivity is poor — a normal DRE doesn’t rule out cancer, especially early or small tumours, or ones located in areas the finger can’t reach
**•** It can only feel the back/side surface of the gland, missing tumours in the anterior (front) portion entirely
**•** It’s operator-dependent — accuracy varies a fair bit between examiners
**•** Studies generally show DRE alone has low sensitivity (some report well under 60%) for detecting clinically significant prostate cancer, and it performs worse than PSA testing as a screening tool on its own
If you have a prostate, you are at risk. This is the beginning of the end for the NHS
It’s funny, I’ve always wished for parity of healthcare between the sexes, but I never wanted that to be achieved by devolving what men already had access to…
Men already are less likely to schedule a GP appointment once they spot symptoms, and now even if we do our due diligence there is now an increased risk of being shooed away with antibiotics or painkillers.
I work in the NHS and see the incredible steps forward taken every day, yet they choose to cut corners in cancer screening of all places. How can a service justify becoming more expensive whilst simultaneously becoming both less effective and comprehensive? Discouraging to say the least.
Former UK GP here, the PSA blood test is a terrible test. It misses aggressive prostate cancer, and it picks up slow growing prostate cancers that will never kill the patients affected.
Whenever you do a blood test, any positive result necessitates MRI and potentially invasive prostate biopsy (ultrasound probe + needle up your arse). Why expose men without symptoms who will never die of prostate cancer to such tests?
PSAs are quite helpful in men with a very strong family history but as a test for men without symptoms it’s terrible.
Cancer testing and care is notoriously poor in the nhs. My wife repeatedly asked the gp to refer her due to a worrying mole and the gp repeatedly dismissed it as unnecessary. Eventually we paid for private care and cancer was diagnosed and removed within a week at a cost of a couple thousand which we are now trying to recover from our local nhs trust.
It’s hard to judge the decision without the data on how precise the test is and how common the cancer is. Being freely available to over 50s could have been hugely over-testing that group and missing out on anyone younger.
A lot of the time these tests aren’t as simple as „You either have it or you don’t“, it can result in treatments for cancers you don’t have.
I think I trust a national screening council to know the balance.