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  1. Replies
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    Hi Sushi, You'll see from the chart on this...

    Hi Sushi,

    You'll see from the chart on this page that PIRADS 4 are classified as "probably malignant," but only a biopsy can tell for certain. The biopsy will take cores from around the prostate...
  2. Age and aggressiveness of localized PCa [2019 study]

    Age and aggressiveness of prostate cancer: analysis of clinical and pathological characteristics after radical prostatectomy for men with localized prostate cancer [2019, Full Text]



    [Emphasis...
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    [#149] Age and aggressiveness of prostate...

    [#149]
    Age and aggressiveness of prostate cancer: analysis of clinical and pathological characteristics after radical prostatectomy for men with localized prostate cancer [2019, Full Text]
    ...
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    [#60] Robot-assisted radical prostatectomy vs....

    [#60]
    Robot-assisted radical prostatectomy vs. open radical prostatectomy [2019]

    https://journals.lww.com/co-urology/Abstract/publishahead/Robot_assisted_radical_prostatectomy_vs__open.99046.aspx
  5. How to choose proper local treatment in men aged...

    How to choose proper local treatment in men aged ≥75 years with cT2 localized prostate cancer? [2019, Full Text]
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    [#130] HDR Prostate Brachytherapy [2019, Review,...

    [#130]
    HDR Prostate Brachytherapy [2019, Review, Full Text]

    https://www.sciencedirect.com/science/article/pii/S1053429619300578
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    Great news, Bulldog! Djin

    Great news, Bulldog!

    Djin
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    Best of luck times an oodle, Adam! Djin

    Best of luck times an oodle, Adam!

    Djin
  9. Replies
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    And here's to many, many more great results! ...

    And here's to many, many more great results!

    Djin
  10. Radical prostatectomy in patients aged 75 years...

    Radical prostatectomy in patients aged 75 years or older: review of the literature [2019]



    ROBOT-ASSISTED RADICAL PROSTATECTOMY IN THE ELDERLY: A PROPENSITY-MATCHED COMPARISON OF ONCOLOGICAL...
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    I certainly needed them for a relatively short...

    I certainly needed them for a relatively short period. Some guys are more fortunate and much less leaky at first, but I wouldn't count on it. I'd have a small supply at hand. You'll see the first few...
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    There is an argument to be made to wait until...

    There is an argument to be made to wait until one's PSA is higher than 0.2 for the very reason that higher PSAs are more likely to result in positive scans. SRT done in the 0.2-0.5 range is still...
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    I would suggest that when typing decimal numbers...

    I would suggest that when typing decimal numbers less than one, we always use a leading zero. For example, 0.2 rather than .2, 0.34 rather than .34, and <0.1 rather than <.1 -- this is the way these...
  14. Thread: MRI Results

    by DjinTonic
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    I don't see a way out of risk categories because...

    I don't see a way out of risk categories because (1) numbers aren't usually available, and (2) professional organizations and journal papers/studies use these precisely defined risk categories.
    ...
  15. Thread: MRI Results

    by DjinTonic
    Replies
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    1,249

    Yes, we each may evaluate risk differently. I...

    Yes, we each may evaluate risk differently. I would point out that the AS vs. treatment risk isn't all-or-nothing. Extremely few men who have to leave AS programs do so because of mPCa -- at the...
  16. Thread: MRI Results

    by DjinTonic
    Replies
    39
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    1,249

    Genomic testing, especially of biopsied tissue,...

    Genomic testing, especially of biopsied tissue, is not a prefect predictor by any means. But we shouldn't confuse genomic risk/prediction with Gleason score. We now know that low, average, and high...
  17. Thread: MRI Results

    by DjinTonic
    Replies
    39
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    1,249

    Whether or not a man of a certain advanced age...

    Whether or not a man of a certain advanced age with given PCa lesions needs treatment is an issue that's separate from the incidence of high-grade or aggressive lesions. If age is correlated with...
  18. Thread: MRI Results

    by DjinTonic
    Replies
    39
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    1,249

    With regard to age at diagnosis: More...

    With regard to age at diagnosis:

    More Aggressive Prostate Cancer in Elderly Men [2013, Full Text]



    Definitive Radiotherapy for Older Patients with Prostate Cancer: Experience of a Medical...
  19. Anticholinergics like oxybutynin are...

    Anticholinergics like oxybutynin are hit-and-miss. I had excruciating bladder spasms in the hospital after my TURP (triggered by tension put on the catheter to press again the surgical wound to stop...
  20. I posted the two sides of the recent Canadian...

    I posted the two sides of the recent Canadian debate to show that this is still just that -- an ongoing debate -- Also, for the near future at least, there may or may not be one treatment that has a...
  21. Primary treatment of the fossa is nonetheless...

    Primary treatment of the fossa is nonetheless recommended in many cases of mPCA because it leads to better outcomes. "Effective" is relative -- for some, it could mean a few years extra of...
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    Oligometastic PCa can be limited to the fossa and...

    Oligometastic PCa can be limited to the fossa and pelvis nodes and show PSA levels very much higher. (a PSA of 40 is not "ballistic"). All is not lost -- We don't have to speak about a "cure," but...
  23. BT-boost studies were indeed discussed, and I...

    BT-boost studies were indeed discussed, and I believe there were good reasons SBRT studies were not. Klotz points out the problems with using PSA recurrence rates rather than PCa-specific survival,...
  24. The High-Risk PCa Debate: Surgery vs Radiation

    CUOS 2019: High-Risk Prostate Cancer Debate: Surgery [2019, Full Text]

    [CUOS = Canadian Uro-Oncology Summit]



    (See Full Text)

    CUOS 2019: High-Risk Prostate Cancer Debate: Radiation [2019,...
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    [#148] CUOS 2019: High-Risk Prostate Cancer...

    [#148]
    CUOS 2019: High-Risk Prostate Cancer Debate: Surgery [2019, Full Text]

    [CUOS = Canadian Uro-Oncology Summit]
    ...
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