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Related Experiment Videos

Prostate screening--the Singapore experience

K P Tay1, C M Chin, P H Lim

  • 1Department of Urology, Toa Payoh Hospital, Singapore.

International Journal of Urology : Official Journal of the Japanese Urological Association
|March 1, 1996
PubMed
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This study screened 799 elderly men for prostate health, finding high rates of abnormal urinary symptoms and elevated PSA levels. The screening successfully raised public awareness about benign prostatic hyperplasia (BPH) and available treatments.

Area of Science:

  • Urology
  • Public Health
  • Geriatrics

Background:

  • Benign prostatic hyperplasia (BPH) significantly impacts elderly men's quality of life.
  • Many older men are unaware of available treatments for lower urinary tract symptoms.
  • Prostate health screening aims to educate, assess BPH prevalence, detect prostate cancer, and establish population-specific reference values.

Purpose of the Study:

  • To educate the elderly male population about prostate health abnormalities and available treatments.
  • To determine the prevalence of BPH within the study population.
  • To detect potential prostate cancer and establish normal prostate-specific antigen (PSA) and uroflowmetry values.

Main Methods:

  • A free prostate screening exercise was conducted over eight days in April 1994.

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  • 799 men aged 50 years and above volunteered for the study.
  • Assessed parameters included PSA level, American Urological Association (AUA) symptom score, uroflowmetry, and digital rectal examination (DRE).

    • Main Results:

    • 13.1% of participants had elevated PSA levels (>4 µg/L), with 2.9% above 10 µg/L.
    • 67.6% reported abnormal AUA symptom scores (moderate to severe).
    • 10.0% had clinically enlarged prostates on DRE, and 39% showed impaired maximal uroflow rates (<10 mL/s).

    Conclusions:

    • Prostate screening, despite controversy, yielded positive outcomes in this experience.
    • The screening exercise effectively enhanced public awareness regarding prostate health.
    • The initiative successfully informed the community about treatable prostate conditions.