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Should Men Receive PSA Testing to Screen For Prostate Cancer?

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Fox News

A federal panel has established new guidelines regarding prostate-specific antigen (PSA) screening for healthy men of all ages.  Dr. David Samadi, prostate cancer expert; robotic prostatectomy surgeon; and PSA screening advocate, provides his opinion on this controversial new decision.

The new guidelines state that healthy men should no longer undergo routine screening for prostate cancer.  The PSA blood test is the primary form of prostate cancer screening and is used alongside the digital rectal exam (DRE) and a review of family history to determine when a biopsy for prostate cancer may be necessary.

The federal panel has claimed that the PSA blood test may do more harm than good.  This is due to the fact that prostate biopsies, often done due to PSA test results, have the potential to cause impotence and incontinence in those treated.

Dr. Samadi states that this recommendation that men not be tested is irresponsible and may ultimately lead to more prostate cancer related deaths.  Dr. Samadi states that it has been shown that in the last two decades PSA testing has reduced prostate cancer mortality rates by 40%.

Currently the PSA test is the only blood test available to monitor men for potential prostate cancer; a disease that affects approximately 240,000 U.S. men annually.  Dr. Samadi advises that men speak to multiple doctors with regard to PSA testing to get as much information as possible.

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* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.

Elyse & Andrew G.

Dr. Samadi is not only an incredibly insightful and talented surgeon, he is  genuine in both his thoughts and actions.  Throughout our experience which had some challenges, Dr.  Samadi was there and in touch with us every step of the way.


It has been nearly two weeks since Dr. Samadi performed my SMART prostatectomy!  Every day since the surgery  Dr. Samadi and his skill as a surgeon have soared in my estimation. I feel humbled and privileged to have experienced such great care.

Moshe T., Israel

לפני זמן קצר, כחודשיים אחרי שעברתי כריתה רדיקלית של בלוטת הערמונית בשיטה הרובוטית, בביצוע ד" דיויד סמאדי, מביה"ח "מאונט סיני" בניו יורק, שאל אותי אחד מחברי הטובים: "היום, בראייה לאחור, האם היית מחליט לעשות אותו דבר? אותה פרוצדורה? אצל אותו רופא?" "בדיוק אותו דבר!" עניתי מיד וללא כל היסוס. לא הייתי צריך לחשוב אפילו שנייה.

Ann, G

My husband and I have been extolling the virtues of Dr. David Samadi and Mt. Sinai Hospital since my husband’s robotic prostatectomy March 11, 2009, and we thought you would like to know of our positive experience...