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Video // Prostate Cancer Essential Facts

What is the Prostate?

Biopsy or No Biopsy?

PSA or No PSA?

Prostate Cancer Surgery & Penile Shortening

What is Focal Therapy?

HIFU Solution

Leading the Field in Prostate Cancer Management

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The statement is ominous for most men. For most people, the word “cancer” means an illness that leads to a fatal outcome  sooner or later.

The dictionary definition of cancer is “a serious disease caused by cells that are not normal, and that can spread to one or many parts of the body; something bad or dangerous that causes other bad things to happen.”

"You have Prostate Cancer"

The immediate thought is

"why me?"

The next thought is let me agree to whatever my trusted urologist says so long as it cures my cancer. After all, my doctor just diagnosed me with cancer and is trying to save my life. My primary care physician recommended him as  a good urologist and he should know best what to do. When told we have cancer, many of us would immediately get our affairs in order and proceed with immediate treatment. Standard treatment for prostate cancer is radiation or radical prostatectomy. Both

these treatments, but especially surgery leave men with life altering complications of impotence and incontinence. But this doesn't always have to be the case. This website will help you get educated about prostate cancer.The management of prostate cancer has many controversies. Although the cancer is common and 1 in 7  men will get prostate cancer during his lifetime only 1 in 35 will die from it. For many men the cancer does not pose a threat during his lifetime but in a few it may be deadly. So you need to be very aware of all issues relating to this condition in order to know if and when you need treatment.There  are differences of opinion on management of prostate cancer even among doctors who specialize in treating the disease.

What are the current recommendations for early detection of prostate cancer?

By Perinchery Narayan, M.D

There are several National Guidelines for when men should get screened with PSA. All recommend that men make a shared decision with their doctor about whether to be tested for presence of prostate cancer, based on age, life expectancy and general health status. Among these, the one that I use is recommended by American Cancer Society.    

The American Cancer Society recommends that men "make an informed decision with their health care provider about whether to be screened for prostate cancer. The decision should be made after getting information about the uncertainties, risks, and potential benefits of prostate cancer screening." 

The discussion about screening should take place at:

  • Age 50 for men at average risk of prostate cancer and are expected to live at least 10 more years.

  • Age 45 for men at high risk of developing prostate cancer. This includes African Americans and men who have a first-degree relative (father, brother or son) diagnosed with prostate cancer at an early age (younger than age 65).

  • Age 40 for men at even higher risk (those with more than one first-degree relative who had prostate cancer at an early age).

After these discussions have taken place, men who still want to be screened should get the PSA blood test. The digital rectal exam may also be used as a part of the screening.