Only men have a prostate gland. The prostate is usually the size and shape of a walnut and grows bigger as you get older. It sits underneath the bladder and surrounds the urethra - the tube men urinate (pee) and ejaculate through. Only men have a prostate gland. The prostate is usually the size and shape of a walnut and grows bigger as you get older. It sits underneath the bladder and surrounds the urethra - the tube men urinate (pee) and ejaculate through. The PSA test in isolation is not considered by itself to be a totally accurate tool in diagnosing prostate cancer, as levels can be raised due to benign prostate disorders. Elevated levels of PSA can lead to unnecessary biopsies and intervention which may decrease quality of life. However, a raised PSA level should always be investigated further.
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