Interest in prostate cancer has grown considerably since Sir Chris Hoy shared his diagnosis of prostate cancer that had already spread. Many men have since asked how they can check their own prostate health. In response, Professor Dasgupta has launched a smart screening programme for prostate cancer. This article explains why smart screening for prostate cancer is different from a single PSA test, what it involves and who it is designed for.
Why there is no national screening programme
The UK does not currently have a national screening programme for prostate cancer. The main concern is overdiagnosis: finding slow-growing cancers that would never have caused harm, which can lead to unnecessary treatment and side effects. A PSA test on its own is also imperfect, as it can be raised for reasons other than cancer and can miss some cancers.
Instead, men over 50 can ask their GP about a PSA test after discussing the pros and cons. Men with higher risk, such as those with a family history, may be advised to consider testing earlier. The NHS explains PSA testing and its limitations.
What smart screening involves
Smart screening combines several tests to give a more complete picture than PSA alone:
- PSA profile: a blood test looking at PSA in more detail than a single standard reading.
- Urine analysis: to check for infection, blood or other signs that may need attention.
- 3 Tesla MRI scan of the prostate: a high-resolution scan that can show areas of concern within the gland.
- Flow test and ultrasound: measuring the strength of the urine stream and, with an ultrasound scan, how much urine is left in the bladder afterwards.
You would then see an expert urologist to discuss the results. Depending on the findings, further investigations may be recommended, such as prostate biopsies or advanced imaging with a PSMA PET scan.
Who it is for
The programme is available for:
- Men over 40 with risk factors, such as a family history of prostate or breast cancer, or African-Caribbean heritage.
- Men over 45 with urinary symptoms, such as a slowing stream or waking at night to pass urine.
- Men over 50 who would like to check their prostate, even without symptoms.
Prostate Cancer UK offers an online risk checker and more information on these risk factors.
Why combining tests helps
Each test answers a different question. PSA gives a broad signal; MRI shows whether there is an area that looks suspicious; the flow test and ultrasound help explain urinary symptoms, which are often caused by benign enlargement rather than cancer. Looking at them together, with an expert's interpretation, helps avoid both missed cancers and unnecessary biopsies. It also means that common, non-cancerous causes of symptoms can be identified and treated at the same time.
Genetic information can add further detail. Our articles on genetic risk scores and BRCA testing explain how inherited risk can guide monitoring.
If something is found
Most men who have smart screening will be reassured. If the results suggest cancer, further tests will confirm the diagnosis and its stage, and treatment options will be discussed with you. Our overview of prostate cancer explains the treatments available. If urinary symptoms are caused by an enlarged prostate, our page on benign prostatic enlargement describes the options for relief.
Taking the first step
Smart screening offers a structured, expert-led way to check your prostate health, especially if you have risk factors or symptoms. Each assessment is reviewed by an expert urologist, who explains the results and any next steps in person.
To arrange smart screening or discuss whether it is right for you, please use the booking form or email 145harleystreet@gmail.com. Professor Dasgupta coordinates the programme himself.