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Male Cancer Screening in London: Why PSA Testing Matter?

By Tharb Faisl

Prostate cancer affects nearly 1 in 6 UK men during their lifetime. Early-stage disease often presents no symptoms, which is why timely detection through PSA screening can make a significant difference in treatment outcomes and long-term health.

What Is PSA & Why It Matters

PSA (Prostate-Specific Antigen) is a protein produced by the prostate gland. Elevated PSA levels in the blood may indicate prostate cancer, though they can also rise due to benign conditions such as:

  • Benign Prostatic Hyperplasia (BPH)
  • Prostatitis (inflammation of the prostate)
  • Recent ejaculation
  • Vigorous cycling or exercise

Learn more: Cancer Research UK – PSA Test

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psa test importance, key notes

PSA Testing in the UK: The NHS Approach

While the NHS does not offer a routine PSA screening programme, men over 50 can request a test after discussing the pros and cons with their GP.

“There is no national screening programme because the test has limitations.” — NHS: PSA Testing

At Marylebone Diagnostic Centre (MDC), we offer private PSA screening that prioritises clarity, consent, and clinical accuracy.

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PSA Screening: Benefits vs Harms

Screening can be life-saving, but it’s not without drawbacks. Here are findings from UK studies:

OutcomeWithout Screening (per 1,000 men)With PSA Screening (per 1,000 men)
Prostate cancer diagnoses~865 cases~1,158 cases
Deaths from prostate cancer8871 (17 lives saved)
Overdiagnosis (harmless cancers found)~338~653

Source: Prostate Cancer UK

“While more lives are saved, many men also face unnecessary biopsies and treatment for cancers that wouldn’t have caused harm.” — BJGP Open

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Our PSA Testing Process at MDC

At Marylebone Diagnostic Centre, we approach PSA screening with informed, patient-centric care:

  • Review of your family history and personal risk
  • Detailed explanation of PSA’s limitations and benefits
  • Private PSA blood test with fast turnaround (results within 48 hours)
  • Personal follow-up from our clinicians
  • Next-step guidance (e.g. mpMRI or urology referral if needed)

We never treat blindly. Every result is reviewed and explained clearly.

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Who Should Consider PSA Testing?

You may benefit from PSA testing if:

  • You are a man aged 50 or older
  • You are Black and aged 45 or older (Duke Cancer Institute)
  • You have a family history of prostate cancer (father or brother)
  • You’re experiencing urinary changes or pelvic discomfort
  • You want a proactive check-up for peace of mind

Check your risk here: Prostate Cancer UK Risk Checker

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FAQs: What You Should Know

What is a normal PSA level?
Most healthy men have a PSA level under 3 ng/mL. Levels above this may need investigation.
Source: Patient.info
Are there risks to the test?
The test itself is safe and simple. The main risks relate to overdiagnosis, leading to unnecessary biopsies.
Source: Science Based Medicine
What happens if PSA is high?
We follow NICE guidelines and typically recommend mpMRI before biopsy to avoid overtreatment.
Source: NICE Guidelines
How often should I be tested?
Every 1–2 years depending on your risk level. We personalise your screening frequency.
Is PSA testing covered by the NHS?
Not routinely. But any man over 50 can request it via their GP after informed discussion.
Source: PHE Screening Guidance

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Why Choose Marylebone Diagnostic Centre?

  • Located in Central London (near Baker Street & Marylebone)
  • Expert clinicians offering personalised explanations
  • Fast, discreet testing in a private setting
  • Access to additional men’s health checks
  • Trusted by individuals seeking clarity, not confusion
Marylebone diagnostic centre main

“Early detection could save your life — but understanding what to do with your results is even more important.”

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73 Baker Street, London W1U 6RD
Call us: +44 7495 970109
Book Online at Marylebone Diagnostic Centre

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