(UroToday.com) The Society of Urologic Oncology (SUO) annual winter meeting included the 2021 Richard D. Williams, MD Prostate Cancer Research Excellence Award Lecture with this year’s recipient being Dr. Gerald Andriole. As part of his receipt of this prestigious award, Dr. Andriole provided a discussion of considerations to improve screening in prostate cancer. Dr. Andriole started by highlighting that in the 2018 AUA prostate cancer early detection guidelines, recommendations for screening include (i) shared-decision making for men age 55-69 years of age, (ii) an interval of two years or more to reduce the harms of screening, and (iii) not recommending routine PSA screening for men more than 70 years of age, or for any man with a less than 10-15 year life expectancy. In the 2.2021 NCCN prostate cancer early detection guidelines, it states that clinicians should start the discussion of risks and benefits of prostate cancer early detection by obtaining a baseline PSA and strongly considering a baseline digital rectal examination.