The pendulum swing of PSA testing

The old grandfather clock in your surgery chimes 11 o’clock. You call in your 10:15am appointment — it’s already been one of those days.

He is a 55-year-old man who presents for a routine general check-up, a well man with no urinary symptoms.

As he’s getting dressed after the examination, you start ordering the usual array of tests: full blood count, U&Es, cholesterol…

How about a PSA? Do you just add it to the list? Do you add it and spend the next