It is always gratifying for a doctor when something he or she wholeheartedly believes in gets affirmed by published research. For me, this is the case with a new Italian study, “The Roles of Multiparametric MRI, PCA3, and PHI: Which Is The Best Predictor of Prostate Cancer After a Negative Biopsy?”[i] The authors recognize the keep reading
When you’re cruising along in good health, it’s easy to take that smooth road for granted. An annual physical with a PSA is a little like stopping at a red light and waiting till the light changes. When the physical ends, you figure it’s a green light and leave the office, expecting to go on keep reading
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 reading
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 reading
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 reading
On November 18, 2015 the New York Times carried an article titled “Early Prostate Cancer Cases Fall Along With Screening.” Ever since the U.S. Preventive Services Task Force recommended against broad PSA screening on the grounds that it leads to overdetection and overtreatment, two opposing positions have been created. One position favors the recommendation on keep reading
Roughly 14% of American men will be diagnosed with prostate cancer (PCa) in their lifetime. It is the second leading cause of death in men, after lung cancer—yet it is a highly curable disease if caught early, and if choice of treatment matches the disease. This year, over 220,000 new cases will be diagnosed. Today, keep reading
I have written past blogs about physical factors that increase the risk of dying from prostate cancer: genetic history, exposure to toxic agents, alcohol abuse, smoking, too much red meat, precursor conditions such as high grade PIN and ASAP, etc. However, there’s another risk factor that does not occur within the body, but certainly affects keep reading
“Everyone is keeping up with the Joneses, and there are more Joneses than ever.” This statement from art critic Jerry Saltz refers to the buying habits of a public hungry for trendy art. However, it could as easily apply to MRI technology, where the strength of the magnet—measured in units called Tesla, or T—makes all keep reading
Treating prostate cancer by thermal ablation uses extreme heat or cold to destroy the tissue. Prostate ablation was originally performed as a radical (total gland) treatment because prostate cancer was considered a multifocal disease. In other words, ablation was used as a substitute for surgical removal (prostatectomy) or radiation of the whole gland. It wasn’t keep reading