Clinical Case Database / Category: Case Based Discussion

Prostate cancer screening: the ongoing debate

Publication details

Miss Faith McMeekin MBBS, BSc (Hons), MRCS (Lond)
Foundation Years Journal, volume 4, issue 4, p.38 (123Doc Education, London, April 2010)


A 67-year-old gentleman presented to his GP with worsening lower urinary tract symptoms (LUTs) of poor flow and nocturia. On referral to Urology he was found to have Gleason grades 3 and 4 localised prostate cancer and underwent radical prostatectomy. During his postoperative follow-up for erectile dysfunction he asked me "why is there no screening programme for prostate cancer, when women have both breast and cervical cancer screening?" To which I found that I did not have the evidence to support my answer. Currently there is no prostate cancer screening in the UK. This article outlines the evidence to suggest why no such screening programme exists. After reading this article you will be provided with the evidence to answer such a question should you be asked in the future.

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Miss Faith McMeekin MBBS, BSc (Hons), MRCS (Lond)

Uro-Oncology Research Registrar
Musgrove Park Hospital
Taunton and Somerset NHS Foundation Trust
Somerset TA1 5DA


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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