Men's Health

Prostate cancer and testicular cancer screening

Prevention over Treatment - For a healthier and longer life.

Living life to the fullest starts with taking care of yourself. Good health is the foundation that allows you to build new opportunities, pursue your passions, and enjoy the very best life has to offer.

Systematic screening for conditions that cause premature disease is one of the most effective public health measures in developed countries. Perhaps surprisingly, Cayman does not have any national screening programs. In fact, current approaches to screening in Cayman could be described as haphazard and inadequate by modern standards. Ideal screening programs are universal, systematic, cost-effective, and optimized. Thankfully, cost-effective and evidence-based screening is relatively easy for Dr. Kwinter to provide to individual patients. In his practice in Canada where comprehensive screening was implemented he diagnosed innumerable cases of chronic diseases and cancers. In Cayman, Dr. Kwinter provides his patients with significant value in terms of early detection and management of potential problems through the same systematic approach to screening that is improving health outcomes in other developed countries.

Prostate and Testicular Cancer

Prostate Cancer

About 1 in 8 men (and 1 in 4 men of African descent) will be diagnosed with prostate cancer in their lifetime. It is rare in men under 40, with 6 out of 10 cases diagnosed in men who are 65 or older. Prostate cancer screening is primarily done with PSA (blood) tests, with or without a supplementary digital rectal examination. Screening starts at 40, 45, or 50 years of age depending on ancestry and family history of prostate cancer.

Prostate Cancer Screening Guidelines
American Cancer Society [2023]1 Canadian Urological Association [2022]2
Start screening 40 years old for:
  • Men with more than one first-degree relative who had prostate cancer earlier than age 65
45 years old for:
  • African Americans
  • Men with a first-degree relative (father or brother) diagnosed with prostate cancer earlier than age 65
50 years old for:
  • Men at average risk
45 years old for:
  • Men with a family history of prostate cancer in a first- or second-degree relative
50 years old for:
  • Average risk men
Screening interval If PSA < 2.5 ng/mL:
  • Every 2 years
If PSA = 2.5 ng/mL:
  • Annually
If PSA < 1 ng/mL:
  • Every 4 years
If PSA 1-3 ng/mL:
  • Every 2 years
If PSA > 3 ng/mL:
  • More frequent PSA testing and adjunctive strategies if PSA rises further
End screening When life expectancy is less than 10 years 70 years old

If you have any concerning symptoms, questions, or want to get screened for prostate cancer, book an appointment with Dr. Kwinter or call us at (+1 345) 623-1000.

Testicular Cancer

Testicular cancer is relatively rare (about 1 case per 300 men). Most cases occur in males in their late 20s and early 30s. There are no standardized screening programs for early detection. Thankfully, its cure rate is greater than 95%. Most cases are found by men by chance. Each testis contains irregularly shaped structures that are entirely normal parts of male anatomy, such as the epididymis and spermatic cord. This can make it difficult for an individual to determine whether something found incidentally is abnormal or not. Generally, anything that is new or changing is more likely to need medical attention. This is where an experienced family physician can make a big difference. In his high-volume ER and clinic work in Canada, Dr. Kwinter diagnosed many cases of testicular pathology and can differentiate normal from concerning physical exam findings.

If you have any concerning symptoms, questions, or want to get screened, book an appointment with Dr. Kwinter or call us at (+1 345) 623-1000.

Family Medicine and Urgent Care

Full Scope Family Medicine with Care for All Ages in the Cayman Islands

Dr. David Kwinter, MD, CCFP(EM)


Dr. Kwinter has extensive experience working in a rural general practice, which included his own family medicine clinic and a regional single-physician emergency department. He provides comprehensive medical care for all people, ages, and presentations.

Dr. Kwinter's services include:

Dr. Kwinter invites you to make an appointment to meet him in his clinic and to see how he can help ensure you achieve your health goals.

Clinical Chief of Primary Care and Concierge Medicine.

Call our clinic (623-1000) or Text/WhatsApp Dr. Kwinter (324-2424) or Request more info