Prostate cancer Archives - Page 20 of 22 - Sperling Prostate Center

How to Detect Cancer in Large Prostate Glands

There are so many benefits to detecting prostate cancer (PCa) using multiparametric MRI that it’s hard to single out just one. However, the merits of mpMRI to find PCa in large glands deserve a spotlight. First, a word about prostate size. An average adult gland in younger men is about 30 – 40cc, roughly the keep reading

Why Choose the Sperling Prostate Center for Active Surveillance?

With Active Surveillance on the rise, one would think that doctors who support AS for their prostate cancer patients have similar commitment and protocols. A new study (Sep. 2016) in the British Journal of Urology International (BJUI) spells out 8 areas of qualitative differences among AS doctors: physician comfort with active surveillance protocol selection beliefs keep reading

British Study Confirms the Role of mpMRI Before Biopsy

Terrific news and a great way to start off 2017! On January 17, the prestigious medical journal The Lancet issued online publication of a British study, “Diagnostic accuracy of multi-parametric MRI and TRUS biopsy in prostate cancer (PROMIS): a paired validating confirmatory study” (Ahmed et al., 2017[i]). This large trial validated the importance of multiparametric keep reading

MRI Outperforms PHI for Patients Considering Active Surveillance

When it comes to Active Surveillance (AS) decisions, there’s good news and bad news. The good news: based on biopsy results, more doctors are recommending AS for prostate cancer (PCa) patients with insignificant disease. The bad news: the biopsy might have missed significant PCa so the patient can’t know for sure if AS is a keep reading

Photodynamic Therapy with TOOKAD®

A new approach to focal treatment for prostate cancer has made its entrance onto the world stage and has patients talking. It is called photodynamic therapy (photo for light, dynamic for action) or PDT. It involves administering a light-sensitive chemical called TOOKAD® by a 10-minute IV injection, which is quickly taken up in the prostate keep reading

Multiparametric MRI Shows Safety of Testosterone Replacement During Active Surveillance

Testosterone has important benefits for men. When it’s at a normal level, it helps develop muscle mass, decrease fat, avoid depression, keep bones strong, maintain libido, improve erections, and may help reduce risks of cardiovascular and cognitive disease. However, about 40% of men over the age of 45 have symptoms of reduced blood levels of keep reading

Patients Need to Know about Focal Alternatives

One of the most respected robotic surgeons, Dr. David Samadi, is an active online participant, with regular blogs on relevant prostate cancer topics. The New York Daily News recently (Sep. 22, 2016) carried an article by Dr. Samadi, “Prostate Cancer Means Deciding between Surgery or Radiation.”[i] In talking about the necessity of doing research in keep reading

Potential Complications of Cryotherapy

Cryotherapy, or freezing, is a method of destroying prostate cancer by subjecting the prostate gland to the extreme temperature of -40° Celsius. The procedure, done under anesthesia, consists of using ultrasound image guidance to insert thin hollow needles into the prostate gland through the perineum (skin between the scrotum and anus). When argon gas is keep reading

A Critique of Transperineal Biopsy Study On MRI/Ultrasound Fusion Guidance

I read a study on the accuracy of prostate MRI for predicting that no prostate cancer (PCa) is present. This is called the negative predictive value (NPV), and the authors make a great point in their introduction: The reliability of a negative MRI is a key clinical metric – if the MRI is reported as keep reading

MRI/Ultrasound Fusion: Not Ready for Prime Time

When an authoritative person weighs in on a topic, we sit up and take notice. Dr. Ardeshir (Art) Rastinehead is an Interventional Urologic Oncologist and he is impressively credentialed. His experience includes fellowship training at the National Cancer Institute (NIH) with. Peter A. Pinto and Bradford J. Wood, pioneers in the research and development of keep reading

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