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Tell Me What’s Going On

By: Dan Sperling, MD “Big boys don’t cry.” How many of us, as young boys, got that message one way or another? Perhaps the world is changing and we no longer expect our sons to “tough it out” when they get scrapes and bruises, or a favorite toy break. But common sense tells us that keep reading

Diet and Prostate Cancer

By: Dan Sperling, MD In 1826, a Frenchman named Anthelme Brillat-Savarin published a text on gout from which we derive the quote, “Tell me what you eat and I will tell you what you are.” A century later, a 1923 newspaper advertisement for beef preceded the same sentiment with a word of caution: “Ninety percent keep reading

Repeat HIFU Has More Urinary Side Effects

By: Dan Sperling, MD Prostate cancer patients seeking an alternative to surgery or radiation are attracted to treatments that are minimally invasive (less pain, rapid recovery), repeatable if necessary, and able to be done focally (fewer side effects). Of course, not everyone will qualify for a focal treatment, but patients who require a whole-gland treatment keep reading

MRI vs. the Partin Tables

By: Dan Sperling, MD This year’s annual meeting of the American Urological Association (Orlando, FL) brought numerous papers and presentations on multiparametric MRI (3T mpMRI) of the prostate. I interpret this to mean that the value of radiologic imaging for the detection, diagnosis and guided treatment of prostate cancer has gained considerable—perhaps even definitive—recognition by keep reading

The Risks of TRUS Biopsy

By: Dan Sperling, MD I have to credit the content of this blog to a fellow blogger. He is the Sitemaster at The “New” Prostate Cancer Infolink[i], a site dedicated to informing prostate cancer patients about their disease and their options, as well as other facets of living with prostate cancer. Although the posting I’m keep reading

Does Radiation Therapy for Prostate Cancer Cause Rectal Cancer?

By: Dan Sperling, MD Perhaps because I am a radiologist, I have been asked by prostate cancer patients whose urologists are recommending proton beam or IMRT if radiation can cause rectal cancer. In a sense, this is a tricky question because there is a difference between “causality” and “correlation.” Radiation is everywhere around us. Here keep reading

Complementary and Alternative Medicine (CAM) for Prostate Cancer

By: Dan Sperling, MD Did you know that, according to one study, more than 50% of men diagnosed with prostate cancer turn to complementary and alternative medicine (CAM) as a health resource?[i] And the same study reports that many of them do not even tell their doctors. Men who take vitamins, minerals, herbs and other keep reading

The American Urological Association 2014 meeting

By: Dan Sperling, M.D. As I write this, I’m preparing to attend the 2014 Annual Meeting of the American Urological Association (AUA). As a radiologist who specializes in detection, diagnosis and focal treatment of prostate cancer, my work and that of urologists overlaps considerably. I have previously written about my commitment to professional collaboration between medical specialties, keep reading

Making 3TmpMRI More Accessible

By: Dan Sperling, MD I recently spoke with a Florida patient whose healthcare coverage is through a PPO. Two years ago, the urologist he sees through his PPO performed a TRUS biopsy two years ago that found two small areas of early stage cancer. He chose to go on Active Surveillance, and monitor using PSA. keep reading

We’ve Come A Long Way

By: Dan Sperling, MD I was a bit shocked when I came across an older research study titled “Two Consecutive Sets of Transrectal Ultrasound [TRUS] Guided Sextant Biopsies of the Prostate for the Detection of Prostate Cancer.”[i] I could hardly believe my eyes—two consecutive TRUS biopsies? The study is from 1998, and it gave me keep reading

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