Experts discussed about the appropriateness of the implementation of the screening of prostate cancer.

– 40% of cases, without that screening, the patient would not be aware of his illness, because this would not give any sample

– almost 50% of cases the diagnosis of cancer not contribute a great benefit to the patient, because the evolution of the tumor does not vary

– Although the tumor is more prevalent in males in Spain, prostate is the third cancer with regard to mortality rate

-30% of the tumors that occur in Spain are prostate, but only between 9% and 10% of cancer mortality is caused by him

-prostate cancer screening, it must provide those men with a family history of first-grade prostate cancer and in patients of African-American race

Oviedo, November 2011- prostate cancer screening is a contentious among the specialists in primary care. Different studies published by the most important European and American societies give updates for conflicting on its usefulness and desirability.

That is why, within the framework of the National Congress, which the Spanish society of physicians in primary care (SEMERGEN) held in Oviedo from 2 to 5 November, primary care doctors debate on if really necessary in all cases addressing the diagnosis with this technique.

In this regard, Dr. Francisco Bermudez, medical family of Llefìa primary care of Badalona Centre and coordinator of the Working Group, urology of SEMERGEN Brenes explains that the pathology discovered the technique does not always is serious; in fact, it is known that 40% of the cases, without this diagnosis the patient not notary at all the presence of the disease because this would have not given any problem ”.

Even ”, adds Dr. Brenes, in 40-50% of the cases we know that the diagnosis of cancer we will not provide a great benefit, because the evolution of the tumor will be the same ”.

Although the tumor is more prevalent in Spain, prostate is the third cancer with regard to mortality rate. Thus, approximately 30% of the tumors that occur in Spain are prostate, but only between 9% and 10% of male mortality from cancer in Spain is caused by him.

Pros and cons of prostate cancer screening

Screening presents some problems inherent in their practice, including the differential envelope and envelope treatment of the patient, as well as own postoperative complications, including postoperative mortality. Is also not stipulated the time that has to be done or stages, which increases the controversy over their use.

However, it is indispensable for an early diagnosis technique when there are certain risk factors, including, as indicated by Dr. Brenes, family history grade of prostate cancer, especially at young ages, and in patients of African American race from 45 or 50 years ”.

Symptoms of lower urinary tract and pelvic floor rehabilitation

In addition to discussing the advantages and disadvantages of screening in cancer prostate, held Urology Congress classroom aims for the family physician to know identify different lower urinary tract symptoms, badly called prostatism, because not long as a man presents the symptoms due to benign prostatic hyperplasia, there are other diseases of bladder, prostate or neighbouring organs which may relate to the lower urinary tract symptoms. Proof of this is that women have a same percentage of symptoms of the lower urinary tract than males of the same age group.

Applying diagnostic tools available to primary care physicians, you can diagnose and implement the best treatment in the vast majority of the male patients with lower urinary tract symptoms.

Also in the classroom of Urology, raised the importance of the work of the primary care physician for early intervention in urinary incontinence. Especially in young women, and without using drugs or complex techniques, the doctor can avoid approximately half of the losses of only urine learning to strengthen the muscles of the pelvic floor ”, concludes Dr. Brenes.

Spanish society of physicians in primary care (SEMERGEN)

SEMERGEN is the pioneer of primary care in Spain, with 37 years of experience. He was established with the objective of promoting family medicine through the maintenance and improvement of the professional competence of physicians, promoting research and facilitating the continuing education of the physician in order to maintain the quality in the care of the health of citizens.

Currently, SEMERGEN has more than ten thousand members, and is present in all professional fields, being the scientific society that brings together the most doctors work in primary care.

It has 17 regional delegations and held democratic elections every 4 years. SEMERGEN Foundation was established in 1999. This year it celebrated its thirty-third Congress as well as dozens of regional conferences.