Uploaded March 2026 | Updated September 2026, 3 weeks ago
Not every test adds value and some create more pressure than clarity.
I no longer recommend routine rectal exams as a meaningful screening tool. Tests like PCA3 and SelectMDx require rectal manipulation and have limited practical impact in guiding long-term strategy.
On the other hand, blood-based tests like EpiSwitch PSE offer a high-or-low risk framework without a rectal exam. That simplicity can be helpful but it still should not push you automatically toward biopsy.
Tune in to this episode of Intellectual Medicine if you want to understand which tests support smart decision-making.
#PSAClarity #ProstateScreening #BiopsyDebate
Not every test adds value and some create more pressure than clarity.
I no longer recommend routine rectal exams as a meaningful screening tool. Tests like PCA3 and SelectMDx require rectal manipulation and have limited practical impact in guiding long-term strategy.
On the other hand, blood-based tests like EpiSwitch PSE offer a high-or-low risk framework without a rectal exam. That simplicity can be helpful but it still should not push you automatically toward biopsy.
Tune in to this episode of Intellectual Medicine if you want to understand which tests support smart decision-making.
#PSAClarity #ProstateScreening #BiopsyDebate
