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 …

Clinical use of nomograms and other tools in prostate cancer counseling and prognosis

Clinical guidelines from such organizations as the American Urological Association (AUA) and the National Comprehensive Cancer Network (NCCN) call for measures designed to improve quality of care and facilitate better treatment decisions for men newly diagnosed with prostate cancer. The degree to which this really happens, however, is not well understood. … READ MORE …

“How to select the optimal therapy for early-stage prostate cancer”

The title of this commentary is also the title of a review article just published in Critical Reviews in Oncology/Hematology. While this is hardly a “first tier” journal for the average urologist or radiation oncologist, it is still gratifying to see an increase in this type of article in the peer-reviewed literature. … READ MORE …

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