Sperling Prostate Center

Is it Time to Dump the Digital Rectal Exam?

Active Surveillance: What Difference Does One Word Make?
What’s every man’s least favorite medical exam? For many, it’s the digital rectal exam, sometimes called the urologist’s handshake. Beyond the discomfort, the exam can only reach one surface of the prostate and misses most tumors. Now a 2026 study of more than 4,000 men suggests MRI-based staging can replace it without losing accuracy. keep reading

Focal Laser Ablation vs. Active Surveillance for Low-Risk Prostate Cancer: How to Choose?

headshot of man with hand on chin looking into the camera
For years, men with low-risk prostate cancer had two options and nothing in between: remove or irradiate the whole gland, or leave it alone and watch. About half who chose watching later quit, and most of them had no evidence their cancer had changed at all. Focal laser ablation closes that gap, and it changes the calculation entirely. keep reading

Focal Laser Ablation vs. Radiation: What Patients Should Know

older man at hospital
No study has ever compared focal laser ablation and radiation head to head. The two fields even define failure differently, one by the need for retreatment and the other by a rising PSA. That makes a fair comparison harder than it looks, and makes understanding what each number actually measures essential before choosing. keep reading