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Westgerman Prostate Center
Klinik am Ring
Hohenstaufenring 28
D-50674 Cologne, Germany

Fon.: +49-221-92424-470
Fax:  +49-221-92424-460
info@wpz-koeln.de

PSA-Test

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The only chance for early detection

Aside from palpation and the ultrasound examination, PSA testing for early detection of the prostate carcinoma has been available since 15 years.
Fortunately, since the introduction of the PSA test, prostate cancer is generally detected five years earlier than would be possible through conventional examinations or ultrasound, meaning that today tumors can be detected more often in their early stages, and can consequently be cured through appropriate treatment measures. 

The blood test evidences the concentration of the so-called prostate specific antigen. This protein is only produced by the prostate gland, and serves to liquefy the semen.

The level can increase depending on changes in the prostate. Responsible for the changes are in particular:

- Ejaculation
- Bicycle riding
- Inflammation of the prostate
- Rectal Examination
- Cystoscopy

and troublesome enough

- Prostate Cancer

Prior to each evaluation of the PSA score within the scope of a preventive care screening, it should be ruled out that the before mentioned „changes of the prostate”, have indeed affected the PSA level. Ideally, you should refrain from these kinds of activities for at least two or three days prior to the screening.  If the level is still elevated regardless of these precautions (in older patients more than 4 ng/ml, in younger men even under 4 ng/ml), or if the PSA increases within one years time more than 0.5 ng/ml in comparison to the result of the previous year, it is strongly recommended that additional examinations are performed in order to rule out or determine a prostate cancer.

Also following a prostate cancer therapy, the PSA testing is best suited for a so-called post care, e.g. follow-up care. Tumor cells, which have spread outside of the prostate, are producing PSA, so that with the PSA screening the recurrence of cancer can be detected significantly earlier than with other examinations.