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Background <p>Establishment of an organized, risk-adapted prostate cancer screening program in Germany could serve as a&#xa0;key entry point for preventive men’s health.</p> Objectives <p>How can the introduction of an organized, risk-adapted prostate cancer screening program in Germany shape preventive urology of the future?</p> Materials and methods <p>This narrative review article is based on guidelines and expert consensus supported by a&#xa0;literature search in PubMed. The cited studies represent the most relevant work on this topic and were selected to illustrate developments and fundamental concepts; however, completeness is not claimed.</p> Results <p>Serum prostate-specific antigen (PSA) levels and prostate MRI not only identify patients at increased risk for prostate cancer but also offer insights into other urological conditions, such as lower urinary tract symptoms and hypogonadism. In analogy to other early detection strategies, PSA testing at the age of 45–50&#xa0;years could serve as a&#xa0;simple triage test to guide risk-adapted follow-up and timely referral to urological care. Lifestyle factors—including regular physical activity, a&#xa0;balanced diet, and pelvic floor training—may favorably influence urological health and related outcomes. While organized prostate cancer screening has already been shown to improve cancer-specific mortality to a&#xa0;level comparable to mammography, a&#xa0;more holistic approach may further enhance its overall benefit.</p> Conclusion <p>Urology has significant opportunities to actively promote healthy behaviors among aging men. The establishment of an organized prostate cancer screening program provides an ideal entry point for this purpose. Modern screening concepts should incorporate holistic health promotion for aging men alongside direct oncological endpoints.</p>

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Vorbeugen statt nachschieben – Früherkennung, Lebensstilberatung und Prostatavorsorge 2.0 – Wandel der Urologie zum Gesundheitscoach

  • 期刊论文

  • 发表日期：

    2026年6月26日

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  • Fabian Falkenbach,
  • Rouvier Al-Monajjed,
  • Philipp Reimold,
  • Johannes Huber,
  • Sigrid V. Carlsson

摘要

Background

Establishment of an organized, risk-adapted prostate cancer screening program in Germany could serve as a key entry point for preventive men’s health.

Objectives

How can the introduction of an organized, risk-adapted prostate cancer screening program in Germany shape preventive urology of the future?

Materials and methods

This narrative review article is based on guidelines and expert consensus supported by a literature search in PubMed. The cited studies represent the most relevant work on this topic and were selected to illustrate developments and fundamental concepts; however, completeness is not claimed.

Results

Serum prostate-specific antigen (PSA) levels and prostate MRI not only identify patients at increased risk for prostate cancer but also offer insights into other urological conditions, such as lower urinary tract symptoms and hypogonadism. In analogy to other early detection strategies, PSA testing at the age of 45–50 years could serve as a simple triage test to guide risk-adapted follow-up and timely referral to urological care. Lifestyle factors—including regular physical activity, a balanced diet, and pelvic floor training—may favorably influence urological health and related outcomes. While organized prostate cancer screening has already been shown to improve cancer-specific mortality to a level comparable to mammography, a more holistic approach may further enhance its overall benefit.

Conclusion

Urology has significant opportunities to actively promote healthy behaviors among aging men. The establishment of an organized prostate cancer screening program provides an ideal entry point for this purpose. Modern screening concepts should incorporate holistic health promotion for aging men alongside direct oncological endpoints.