This week, the news broke that former President Joe Biden, at 82, has been diagnosed with an “active” form of prostate cancer, which has understandably raised concerns nationwide.
While the overall five-year survival rate for prostate cancer is a striking 97%, that figure dramatically decreases to about 37% once the cancer spreads beyond the prostate, as noted by the American Cancer Society.
This announcement has led Dr. David Shusterman, a board-certified urologist and founder of Modern Urologist, to offer free prostate-specific antigen (PSA) blood tests at his Midtown East office until the end of June.
Although follow-up care may be needed if PSA levels are elevated, the initial tests don’t require insurance.
Men interested in getting screened can schedule an appointment by calling (212) 991-9991.
Dr. Shusterman emphasized the importance of these tests, stating, “The time it takes to check your phone allows providers to perform screenings that could make a big difference to their future health. Take pride in taking that step.”
Understanding Prostate Cancer
Biden’s diagnosis has garnered a lot of attention, but prostate cancer itself is quite prevalent. It ranks as the second most common cancer among American men, with one in eight expected to face it at some point in their lives, per the National Institutes of Health.
It’s also quite serious, ranking second only to lung cancer in cancer-related deaths among men.
Prostate cancer arises when the cells in the prostate grow uncontrollably and form tumors.
Anyone can develop prostate cancer, but the risk generally increases with age, with most cases diagnosed after the age of 65.
Furthermore, Black men are disproportionately affected, often diagnosed at younger ages and with more aggressive forms of the disease.
Interestingly, prostate cancer can progress slowly and might not present noticeable symptoms in its early stages, leading many men to remain unaware of their condition for years.
Initial symptoms can often overlap with other prostate issues like prostatitis. Possible warning signs include:
- Blood in urine or semen
- Frequent urination
- Difficulty starting urination
- Waking up at night to urinate
As the cancer advances, symptoms may become more severe, manifesting as:
- Unintentional leakage of urine
- Back or bone pain
- Erectile dysfunction
- Extreme fatigue
- Unexplained weight loss
- Weakness in arms and legs
According to Biden’s medical team, his diagnosis came after he reported experiencing an increase in urinary symptoms, leading to a physical exam that detected small nodules in his prostate.
Screening Recommendations
While prostate cancer can be elusive, early screening increases the chances of detecting it while it’s still treatable. Unfortunately, once it spreads to bones, it becomes incurable.
Experts suggest that men start discussions about screening with their doctors at age 50. However, if there is a family history or if the individual is Black, it’s advised to begin at 40 or 45.
Most health organizations used to recommend against screening for men over 70 because the potential benefits often didn’t outweigh the risks.
Routine screening typically involves PSA blood tests, which check for elevated levels that could indicate inflammation, hypertrophy, or cancer, often paired with digital rectal exams.
Dr. Shusterman acknowledged that this part can be nerve-wracking, but reassured that it’s generally short and painless. He described how ultrasound technology uses small lubricated probes for a closer examination of the prostate.
Preparing for the First Screening
Feeling anxious about your first prostate test is completely normal, but taking the step is crucial for health, according to Shusterman. Here are his tips for those preparing for their first screening:
- Don’t hesitate: It’s a straightforward test that could provide life-saving insights.
- Share your concerns with your doctor: A competent provider should help alleviate any fears you have.
- Choose an appropriate time: Opt for an earlier appointment to avoid feeling rushed.
- Dress comfortably: This makes the procedure easier.
- Empty your bladder beforehand: This can enhance comfort during the test.
- Consider bringing support: If allowed, having a friend or partner can help ease tension.
- Practice deep breathing: A little calm breathing in the waiting room can go a long way in reducing stress.
- Focus on the facts: Many men undergo this, and it’s a routine procedure conducted by medical professionals.
