Systematic counseling and rates of acceptance of active surveillance

According to a newly published paper in European Urology, a simple, hour-long lecture and training session can improve the ability of physicians to counsel patients systematically about active sureveillance and, at one major center, improved patient acceptance of active surveillance by as much as 17 percent. … READ MORE …

Real care beyond medical treatment, and impact on quality of life

A small, recent pilot study in Geneva, Switzerland, has shown that radiation therapy (RT) + androgen deprivation therapy (ADT) can be given safely to frail patients with non-metastatic, locally advanced or aggressive, intermediate prostate cancer, if and when a multidisciplinary care program is implemented to help such frail patients to limit risk for and manage predictable side effects. … READ MORE …

Informed patient counseling and the effect on PSA testing

We know that a family history of prostate cancer and the presence of certain genetic/genomic markers are associated with increased risk for prostate cancer in general and for some types of clinically significant prostate cancer in particular. … READ MORE …

Well — this is a sort of progress, one hopes!

According to the abstract of a newly published paper by Krouwel et al. in Urology (“the Gold Journal”), we now have formal evidence that most urology residents in at least The Netherlands feel that they receive insufficient training in the management of men with erectile dysfunction. … READ MORE …

Sticks and stones can break your bones, and words can really hurt you

Smart physicians have always been extremely conscious that how they present information can have a profound impact on exactly how patients will react to that information. … READ MORE …

Coping skills, emotional trauma, and living with prostate cancer

The authors of a newly published paper on stress management and coping skills among men on active surveillance as a first-line management strategy for prostate cancer begin the abstract of their paper with the following sentence: … READ MORE …

Counseling and support associated with active surveillance: highly necessary for some

It is well understood that some (perhaps even many) men diagnosed with low-risk disease have difficulty accepting active monitoring of any type as an effective and safe management strategy for deferring immediate, unnecessary treatment  — and perhaps being able to avoid treatment at all. … READ MORE …