By Dr. David Samadi
Prostate cancer is a serious health concern every man should be aware of, but for Black men, the stakes are even higher. While cancer itself doesn’t discriminate, Black men face some unique challenges when it comes to prostate cancer. And though the exact reasons aren’t fully understood, the statistics paint a clear picture:
- Black men have a 50% higher likelihood of receiving a prostate cancer diagnosis.
- They’re more likely to face aggressive forms of the disease.
- And they’re twice as likely to die from prostate cancer compared to white men.
With these odds, Black men must be proactive and thoughtful about their health. Thankfully, you can take steps to stay ahead of the game and outwit this disease.
- Start Screening Early and Do It Regularly
All Black men should be screened early beginning at age 40 and more frequently. Just like women should get a yearly mammogram for breast cancer, all men should undergo screening process for prostate cancer that includes a PSA (prostate-specific antigen) blood test along with a digital rectal exam. While these tests may not sound fun, they’re quick and essential for early detection.
The reality is that many men will live long lives with prostate cancer without even knowing it. But for Black men, the cancer can be more aggressive, which makes regular screening all the more important. Early detection gives you the best shot at effective treatment.
- Be Your Own Advocate
If your doctor tries to tell you that you don’t need a PSA test yet, don’t be afraid to push back. Advocate for your health—after all, it’s your life! If necessary, find a doctor who aligns with your concerns and is willing to listen.
It can also help to bring a loved one with you to appointments. Having someone by your side can offer support and make it easier to ask tough questions. And don’t forget: encouraging other Black men in your community to get tested can have a significant impact, too. Be a role model and share how quick and straightforward the screening process is.
- Understand Your Treatment Options
For men diagnosed with prostate cancer, it’s essential to understand the treatment options available. One approach, known as active surveillance, is often used for slow-growing, low-risk prostate cancer. This means keeping a close eye on the tumor through regular check-ups instead of opting for immediate surgery or radiation.
However, since Black men are more likely to develop aggressive prostate cancer, active surveillance might not always be the best choice. Robotic surgery, like the da Vinci system, can be more appropriate. This minimally invasive procedure can remove the cancer while preserving important functions like urinary continence and sexual health.
Always have an in-depth conversation with your doctor about the pros and cons of each treatment. Ask all the questions you need to feel confident in your decision.
- Find Support from Other Men
Prostate cancer is the second most common cancer among men, but it’s not often talked about—especially within the Black community. If you’ve been diagnosed, connecting with others who have gone through the same experience can be incredibly helpful. Whether in person or through online support groups, sharing your journey and hearing others’ stories can offer hope and encouragement.
- Consider Joining a Clinical Trial
Research and clinical trials are how medicine moves forward. Unfortunately, Black men are underrepresented in these studies, making up only 6.7% of participants in prostate cancer trials. But by joining a trial, you can contribute to a better understanding of the disease, which could benefit future generations of Black men.
The Prostate Cancer Health Education Network (PHEN) offers resources like Clinical Trial Learning Sessions that explain how these studies work. You can also talk to your doctor about trials in your area or search for opportunities at clinicaltrials.gov.
By being proactive, informed, and involved, Black men can outsmart prostate cancer. It’s about taking control of your health and helping others in your community do the same.
Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy. Dr. Samadi is a medical contributor to NewsMax TV and is also the author of two books, Prostate Cancer, Now What? A Practical Guide to Diagnosis, Treatment, and Recovery, and The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, both available online at Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncology and prostate cancer 911.