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Approach to elevated PSA in the Family Practice Dr. Ho Siew Hong Consultant Urologist S H Ho Urology and Laparoscopy Centre Gleneagles Hospital
What do they have in common? Arnold Palmer Norman Schwartzkopf Rudolph Guiliani Harry Belafonte Nelson Mandela
PSA ,[object Object],[object Object],[object Object],[object Object]
Causes of raised PSA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who should have  a PSA check? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What to do with  a raised PSA? ,[object Object],[object Object],[object Object]
How is raised  PSA evaluated? ,[object Object],[object Object],[object Object]
Transrectal Ultrasound and Biopsy
Transrectal Ultrasound and Biopsy
Complications of TRUS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Options for Early Prosate Carcinoma ,[object Object],[object Object],[object Object],[object Object]
Advanced Prostate Carcinoma ,[object Object],[object Object],[object Object]
Hormonal Manipulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
PAW 2004 Singapore ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cancer detection rate  (based on serum total PSA):  1.2 %  (43/3415)
Overview of the screened Population
Thank you
PAW 2004 Singapore ,[object Object],[object Object],168 Total 7  (4.1%) 20.01  and above 26 (15.5%) 10.01  -  20.0 135 (80.4%) 4.01  -  10.0 No of subjects PSA level (ng/dl)

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