Expectation management and sexual/erectile outcomes after radical prostatectomy

A newly published paper in BJU International has helped to make clear that many surgical patients have unrealistic expectations about their recovery of erectile and sexual function after radical prostatectomy. … READ MORE …

Some refreshing truths about erectile function post-surgery

A refreshingly honest article published this year in Translational Andrology and Urology, and reprinted in full on the Medscape web site, offers a somewhat depressing assessment of the state of the art of prevention of erectile dysfunction and/or rehabilitation of erectile function in men undergoing radical prostatectomy. … READ MORE …

What everyone needs to expect about recovery post-surgery

Slowly but surely we are seeing increasing recognition in the clinical community of the need to ensure that prostate cancer patients and their spouses/partners really understand the likely consequences of treatment. … READ MORE …

The “cure” word and its use … by oncology specialists and their patients

As many readers will be aware, the word “cure” has to be used with caution in talking about any form of cancer — prostate cancer included. While “curative” therapy can be offered to a high proportion of men diagnosed with this condition, achieving a true “cure” is a less predictable opportunity, especially for men diagnosed with intermediate- and high-risk disease. … READ MORE …

Have we lost all economic sense of reality about cancer treatment in America?

There may be a very small number of regular readers of this column that would consider it perfectly OK to spend $200,000 to have exclusive personal use of a high performance car like a Maserati GranTurismo MC Stradale for a single year. Good luck to them; they clearly have the annual income to afford it. For most of us, it ain’t gonna happen, and we know it. … READ MORE …

What DID the doctor actually tell you about your prostate cancer?

It is well understood that there can be big differences between what we are told and what we later say and think that we heard. It is also the case that what we are told may commonly reflect the beliefs of the person doing the telling (as opposed to actual, factual information). … READ MORE …

Patients’ decisions, patients’ expectations, and surgery for localized prostate cancer

Two articles and an associated editorial, currently in press in the Journal of Urology, offer insight into the pre-treatment expectations and the post-treatment realities of men who decide to have surgical treatment for localized prostate cancer. … READ MORE …