How does prostate cancer screening work in Singapore?
At the moment, there is no standard test or exam to screen for prostate cancer, however, there are two types of tests that are used to screen for prostate cancer.
Digital Rectal Examination (DRE)
A DRE test involves the doctor inserting gloved and lubricated fingers into the rectum and feeling the surface of the prostate. Through the bowel walls, the doctor will be able to feel for any abnormalities that could indicate the possibility of prostate cancer.
Prostate-Specific Antigen (PSA) blood test
A PSA blood test is done for men seeking to know if they have prostate cancer before symptoms start to show. It can detect prostate cancer in its early stage and is especially useful for men who have high risks of developing prostate cancer. A PSA screening may detect slow-growing prostate cancer cells. It is important to note that PSA tests may not be completely accurate with some PSA levels being elevated when cancer is not present or not elevated when cancer is present.
The healthcare provider will be able to recommend you the best course of action if prostate cancer is suspected to be present followed by treatment, if necessary.
Benefits of prostate cancer screening in Singapore
Men above the age of 50 to 65 have the highest chance of having prostate cancer. It is rare for men to have prostate cancer if they are aged 40 and under. About 6 in 10 men are found to have prostate cancer when they are older than 65 years old.
Although prostate cancer is slow-growing, some prostate cancers may be at a higher risk of spreading. By undergoing prostate cancer screening, it can be treated before it grows more and spreads to other parts of the body. The chances of mortality are lower for men who detect prostate cancer in its precancerous stage or early stage.
What results can I expect from prostate cancer screening?
If a prostate cancer screening detects any abnormalities, the doctor may recommend further tests in the following ways:
- Ultrasound
- Magnetic resonance imaging (MRI)
- Prostate biopsy (collecting samples from the prostate)
Other abnormalities which are not prostate cancer may be detected during a prostate cancer screening. Afterwhich, the doctor may recommend follow-up tests or treatment.If all test results return negative, a man can get prostate cancer screening again after two or three years.