Prostate cancer: testing, and the importance of getting tested

Written by: Mr Dimitrios Moschonas
Published: | Updated: 01/06/2023
Edited by: Conor Lynch

In one of our latest articles here, Mr Dimitrios Moschonas, a highly revered consultant urologist, tells us why it is of utmost importance for men to get tested for prostate cancer, before detailing what tests are performed to detect or rule it out, and how they are performed.

Why is testing for prostate cancer so important?

In the UK, roughly one in eight patients will develop prostate cancer during their lifetime, and there are about 48,000 new cases of prostate cancer diagnosed every year. The unique thing about prostate cancer is that, oftentimes, there are no symptoms until the disease is at an advanced stage.


Therefore, it is hugely important to test for prostate cancer, as this will increase the chances of treatment success. Prostate cancer mainly affects men over the age of 50. The risk is even higher for black men and men with a family history of prostate cancer.


What tests are performed to diagnose prostate cancer?

There is no definitive test that single-handedly diagnoses prostate cancer, but there are multiple tests that can be carried out to either diagnose or rule out prostate cancer. These tests include a digital rectal examination and a prostate-specific PSA test.


What tests are carried out by prostate cancer specialists?

The prostate cancer specialist will have a look at the tests carried out by the GP. They will then go through your medical history and will also discuss with you the possibility and risks of prostate cancer.


Then, the specialist will suggest further detailed tests that are recommended if prostate cancer is suspected. An MRI scan and prostate biopsy will be the most common tests performed at this stage in the diagnostic process.


How do these tests differ from traditional biopsies?

These advanced prostate biopsies that we carry out today are carried out by an ultrasound probe through the back passage, which will allow us to examine the perineum of the patient. This was not possible previously with more conventional and traditional biopsies before.


How can patients prepare for these tests?

These tests are usually done under general anaesthetic, and won’t typically last longer than 20 minutes.


If you would like to get tested for prostate cancer, make sure to schedule an appointment with Mr Dimitrios Moschonas via his Top Doctors profile today

By Mr Dimitrios Moschonas

Mr Dimitrios Moschonas is a renowned consultant urological surgeon, based in Guildford and also practising in London. Thanks to his extensive training, he is experienced in treating many urology problems that affect both men and women. He specialises in the diagnosis and treatment with robotic surgery of prostate and bladder cancer, benign prostatic enlargement, gallstones, kidney stones, recurrent infections, and foreskin issues.  

Mr Moschonas obtained his MD from the University of Patras, Greece in 2003 and undertook specialist training in urology in Athens, Greece. Upon completion of his thesis in 2014, he earned his PhD from the University of Athens. He then moved to the UK where he conducted sub-specialist training in urological oncology at Oxford University Hospitals. Following this, he was selected for a fellowship in robotic pelvic uro-oncology at the Royal Surrey Hospital, where he later became a consultant.  

Mr Moschonas treats patients with innovative and new techniques such as Rezum, for benign prostate hyperplasia. He offers transperineal  fusion-guided targeted prostate biopsies. For patients whose test results indicate there is a higher chance of cancer, he overlays MRI to ultrasound imaging to make an accurate and precise diagnosis. He also treats paediatric patients aged eight or above.  

Mr Moschonas’s NHS base is at the Royal Surrey Trust, where  he is the coordinator of the robotic urology fellowship. His research has been widely published, and he has made presentations at both national and international meetings.


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