Prostate cancer: The PSA conversation every GP should be having

GPs Rebecca and Sarah are joined by consultant urologist at Salford Royal and former Director of Urology for the Greater Manchester Cancer Alliance, Mr Sotonye Tolofari to unpack the complexities of prostate cancer screening, PSA testing, and referral pathways in primary care. This episode covers risk factors—including family history, BRCA variants, Black ethnicity, and age—alongside in-depth discussion on when to offer PSA and DRE, the implications of screening, and the latest updates on targeted programmes. The hosts and guest also address patient counselling, overdiagnosis, and the evolving landscape of evidence and policy around early prostate cancer detection. GPs Talk Cancer is the podcast series from GatewayC is the free early cancer diagnosis resource funded by the NHS and is part of The Christie NHS Foundation Trust. DISCLAIMER: We know this podcast might be of interest to anybody, however it is aimed at primary care health professionals. All patient cases are based on real stories from our clinical practice as GPs. They are fully anonymised with no identifiable patient data. All featured statistics are accurate at the time of recording. All views expressed by guest speakers are their own.