There always was inherent controversy in that we are often screening men whose cancers would never pose a serious risk to their health, men whose cancers are clinically insignificant.

As a urologist, I've found it's easier to do the PSA test and then sit down with the patient and say here's what the results mean for you. Given what we know right now, that seems a very sensible approach.

Proponents of PSA screening will point to that.

This is an important recommendation because evidence now exists that screening high-risk men for abdominal aortic aneurysms can reduce deaths from aneurysm. One of the most important things men and women can do for their health is to never start smoking and to quit if they do. People who have a family history and might be at risk for abdominal aortic aneurysm should discuss their concerns with their physician.

In both men and women, there was an approximately 70 percent increase in the risk of bleeding associated with the taking of aspirin. And it is known that the bleeding risk associated with aspirin is dose-related.

Controversy equalizes fools and wise men - and the fools know it