An esteemed urologist for more than 20 years, Saeid Shamsian, MD, treated patients at several New York hospitals over the course of his career. Dr. Saeid Shamsian had a special interest in the surgical treatment of prostate cancer, a disease that often produces no warning signs in its earliest stages. Symptoms sometimes present only after a cancerous tumor causes swelling of the prostate gland and may include difficulties with urination, blood in the urine or semen, pain during urination or ejaculation, and generalized pain in the pelvic area.
Routine screening for prostate cancer is a controversial issue in many medical circles. Some organizations recommend screening when a man reaches his 50s, or sooner if he has risk factors such as obesity or a family history of prostate cancer. Black men are also at a higher risk. Screening tests include a digital rectal exam (DRE), in which the physician inserts a gloved finger into the rectum to detect abnormalities in the prostate’s shape, size, or texture. A test to detect prostate-specific antigen (PSA) in the blood may also be advised, as men with prostate cancer often have high PSA levels. If both of these tests show abnormalities, a biopsy of the prostate can be performed to obtain a definitive diagnosis.