Age during the last prostate exam

I am 70’s old,I wonder if I still have prostate and genital exam every year?

Female doctor/nurse had checkup how oldest age of man?

Recommendations vary. For rectal prostate screening itself the guidelines are not clear on upper age limits like they are for PSA screening which is itself very controversial. Some of it depends on what you want done. The only guideline I'm aware of that's relevant for oldest age for screening is 75 for PSA screening. The theory is that if prostate cancer were to be discovered at that age, the life expectancy on average would exceed 10 years. So doing a major intervention on a 75 year old to fix something when he's likely to pass on earlier of something else anyway doesn't make much sense. It's all playing the numbers. In the end, you listen to your doctor's recommendation, then make your own decision.

Thanks for your reply.I think you are right,so I needn't a new checkup/

In Belgium PSA screening begins at 50 - 55 years, and is checked every year to control the evolution of that value.

If you are peeing with difficulty better to visit a urologist for further exams.

One thing that goes on in older men is the concept of expected mortality. Let's face it, our years are limited, we can maximize our lifespan, but not forever. Prostate cancer (the main reason for a digital rectal exam) is usually a very slowly developing cancer.

If you're expected to live for another 15 years, finding a cancer that will kill you in 30 years is meaningless. As men get older, the prostate concerns shift from cancer to BPH, a condition that has definite symptoms and that can be treated in many ways. If you're not having urinary problems, the DRE becomes less important.

Same with the testicular exam. Testicular cancer is much more prevalent in men under 35. With age and without a medical complaint, this exam becomes less important.

Perfect advice from Jds4med

K & L to you

I think a DRE with occult blood should be done on every thorough exam. Besides prostate pathology GI bleeding as a sign of malignancy or ulcers can be picked up.

Mine was a year ago this week.Im due for a Physical again soon!

My next DRE is due in March. I see my PCP every six months. In the fall, it's primarily a check up for my BP meds, etc. In the Spring, I get a full physical. Then again, I'm only in my early 50's

61. I have had them regularly since I was 40. I have had prostate issues over the years and some years it has been a frequent exam. Had laser surgery last year so hopefully back to a once a year routine

I don't experience for this exam. I think is nessasary to do this exam. It hurt for me?

Father had prostate cancer, so I have a checkup every year. I will be 70 in a couple of months.

In Belgium PSA screening begins at 50 - 55 years, and is checked every year to control the evolution of that value. …

Manda&tory to make a record or to " save as " the PSA values from exam to exam , so you have an accurate vision on the evolution of your PSA , a such list is really more indicative than only one value .

@arthur I suspect the “false positivity” comes from doctors only looking at one value. Velocity or change over time is what matters. There are other complicating factors. One is the way a lab processes the blood used to determine the PSA value. If you change labs be sure to get more than one test before concluding your PSA level is really rising.

Whith 59 last month i had PSA screening, an ultrasound and at last a rectal examination done by my female genral practioner

I was diagnosed with prostate cancer at age 59. My PSA had increased by slightly less than one unit in a year. Also, my DRE indicated some slight asymmetry and enlargement but nothing alarming. Still the urologist recommended a biopsy since I also had family history of prostate cancer. The biopsy showed the cancer, which subsequently turned out to be stage 3A. All the docs were surprised it was that advanced. But I'm fine now.

I was diagnosed with prostate cancer at age 59. My PSA had increased by slightly less than one unit in a year. Also, my DRE indicated some slight asymmetry and enlargement but nothing alarming. Still the urologist recommended a biopsy since I also had family history of prostate cancer. The biopsy showed the cancer, which subsequently turned out to be stage 3A. All the docs were surprised it was that advanced. But I'm fine now.

That‘s good you’re OK now. I’ve been there, too. I was treated with radiation a few years ago. You? My PSA never was that high (3.3), but my urologist felt an anomaly with a DRE, so I had a trans rectal biopsy done where early cancer was found. Tests of the cancer cells revealed it was a “slower growing” type that would take more than 10 years to kill me. So we waited another year and found my PSA actually dropped to 2.9, but he still felt the anomaly via DRE. A second biopsy showed some slight advancement of the cancer, so I chose to have it taken care of with radiation. Now, after being nuked, I‘m totally impotent. But….After all the medically related “attention” my asshole has been through during this time, I’ve really come to enjoy serious anal play with plugs, dildos and hopin’ for the ”real thing“ someday!

I am 65 and female practitioner just completed my physical last month which included Prostate exam, hernia, testicular and skin exam in genital area.

Im over 40 now, and been having increasing symptoms of more frequent urination, as well as difficulty starting and finishing, and even some occasional discomfort/light pain, so decided to talk to my doctor about it, and I got a urine test and a PSA test, both were OK so she concluded its probably just BPH and is going to start me on flomax. No actual prostate exam though.

Age 62 … last prostate exam was two weeks ago during my annual physical exam.

Im 57 had some blood in my poop went to the doctor he examined my rectal area and also gave me a prostate exam at the same time

Mine was at 70. At this point I doubt there's a need for either PSA or DRE's unless I notice something change. Lots of other things can kill me first!!