An Update on the Current Role for Prostate Multiparametric MRI
A prominent urologist wrote an articulate article on how the U.S. Preventive Services Task Force made a recommendation against broad PSA screening based on an oversimplification of a complex issue. He made an eloquent declaration on several ways in which urologists are “embracing strategies to preserve, or even further decrease, prostate cancer mortality while minimizing keep readingMultiparametric MRI Adds Value to Surveillance Monitoring
It’s always reassuring to receive affirmation, especially when offering a leading edge medical program to prostate cancer patients. Such was the case for us at the Sperling Prostate Center with the December, 2015 publication of a UCLA Medical Center study on the value-added of multiparametric MRI during Active Surveillance (AS). The authoritative Journal of Urology keep readingConcern Regarding Radiation Overuse
Here’s a little quiz: Which whole gland therapy for prostate cancer has the highest risk of recurrence? Radical prostatectomy Radiation therapy Cryotherapy of the whole gland HIFU of the whole gland If you answered radiation, you are correct. According to a recent article, the rate of prostate cancer coming back after conventional external beam radiation keep readingThe Right Way to do Active Surveillance
We know that the use of Active Surveillance (AS) as a way to hold off on prostate cancer (PCa) treatment is on the rise. Concerns about overtreatment, such as doing a prostatectomy on a patient who only has a small Gleason 3+3 tumor, stem from two recognized realities: Insignificant PCa may be slow-growing (indolent) and keep readingThe Time For Focal Laser Ablation Is Here
Until about 10 years ago, conventional prostate cancer treatments were based on the assumption that prostate cancer is a multifocal disease. All conventional treatment modalities (surgery, radiotherapy, and thermal ablation) were “radical” because they were directed at the removal or destruction of the whole gland. Such treatments, however, put urinary and sexual function at risk, keep readingGleason Pattern 4: Active Surveillance or Focal Laser Ablation?
The strategy of using active surveillance (AS) is increasingly recommended to low-risk prostate cancer (PCa) patients as a way to avoid or delay overtreatment. This is a new way of thinking; before the New Millennium, PCa was assumed to be multi-focal and most men with more than 10 years of life expectancy were hurried into keep readingProstate Cancer: Family History and Focal Laser Ablation
At the Sperling Prostate Center, we believe family history matters, and patients who have a hereditary history of any kind of cancer, especially first degree relatives deserve special counseling. keep reading
