Excess Toxicity? Radiation Dose Creep after Prostatectomy
What goes up may not come down. At least, that’s what a new trend in prostate radiation therapy might lead you to believe. The trend is radiation dose escalation. It is occurring in patients who have a radical prostatectomy but whose clinical factors are considered to be a high risk for recurrence. By clinical factors, keep reading4 Questions You Should Ask About ED Drugs and Prostate Cancer Risk
Every man over a certain age knows about “the little blue pill” or the major brands Viagra, Cialis and Levitra. These medications are part of a class of drugs called PDE5 inhibitors, which are the first effective oral products to treat erectile dysfunction (ED). ED is a problem that commonly occurs as men get older. keep readingProstatectomy is on the Decline for Low-risk Prostate Cancer
For decades, thousands of men with insignificant PCa have been overtreated with prostatectomies. A new study raises questions about the practice and sheds light on the prostatectomy's decline. keep readingThe Harsh Economics of Prostate Cancer
Over the years, I have written on various topics related to prostate health. The obvious ones include prostate cancer (PCa): how to detect, diagnose and treat it without wrecking quality of life and masculinity, nutrition, exercise, stress management, and even new drugs like metformin and rapamycin that were developed for other conditions but turn out keep readingHow to Increase the Odds for Successful Active Surveillance
Let’s start with a short quiz: What is the current preferred strategy to manage low-risk prostate cancer? a) Nerve-sparing robotic prostatectomy b) Focal treatment c) Active Surveillance d) Vitamin E, saw palmetto supplements, and avoid red meat If you answered “c) Active Surveillance,” you are correct. According to a 2017 joint guideline statement from four keep readingMore Than One Prostate Cancer in a Single Prostate?
Multifocal prostate cancer In the not-too-distant past, medical schools taught young urologists that all prostate cancer (PCa) is multifocal – scattered throughout the gland. The belief was, “If you find it in one place, it must also be in other places even if undetectably small.” As a result, they carried this belief into their clinical keep readingThe National Rollercoaster of Testosterone Use
“…once drugs are proven effective and approved for the specific population in which they are tested, they quickly end up getting prescribed to a wider body of patients than is likely needed or safe.” Health News Review Testosterone and aging If you’re a guy, the word hypogonadism is likely not a part of the words keep readingIs Radical Prostatectomy on the Decline?
“Overtreatment is a cause of preventable harm and waste in healthcare.” This statement opens a published study[i] of physician perspectives on overtreatment. The article is based on a survey of 2,106 doctors. The study authors reported the MDs’ opinions as follows: 6% of overall medical care is unnecessary 0% of prescription medications are unnecessary 1% keep readingDoes Bike Riding Cause Prostatitis?
Prostatitis, or inflammation of the prostate gland, ranges from an annoying dull ache to a chronically painful nightmare. Diagnosis is challenging because its symptoms overlap with those of other pelvic and prostate conditions. The four main prostatitis symptoms are pain, difficulty urinating, sexual dysfunction, and general health concerns such as fatigue and flu-like feelings. Roughly keep reading
