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Treatment for hormone refractive prostate cancer
Nov 14, 2009 08:24PM in the Prostate Cancer Expert Forum
Thank you for your question. Nearly all prostate cancers become resistant to hormone therapy after a few months or years of treatment. In short, hormone therapies should be reevaluated after the PSA starts to rise. If you are currently taking bicalutamide you could switch to flutamide or nilutamide. The next step may be to move to secondary therapy ketoconazo...
Lump on my scrotum (Pics included)
Nov 14, 2009 02:16PM in the Prostate Cancer Expert Forum
Thank you for your question. From your picture it look like the lumps are the result of a skin condition. It could be one of several conditions such as molluscum contagiosum, warts or milia. Followup with your primary care provider. Gential lesions should be treated to prevent spread. Ashutosh (Ash) K. Tewari, MD www.cornellroboticprostate.org This ...
Not Healing after Prostrate surgery
Nov 14, 2009 02:07PM in the Prostate Cancer Expert Forum
Thank you for your question. In my experience, several of my patients are immediately continent after catheter removal; approximately 6 weeks after surgery. Obviously, I am not familiar with this case, but given the chronic incontinence, they may be discussing the use of an artificial urinary sphincter. Ashutosh (Ash) K. Tewari, MD www.cornellrobotic...
elevated psa
Nov 14, 2009 02:03PM in the Prostate Cancer Expert Forum
A PSA 0.02 does not necessarily mean that metastases are present. ED drugs probably would not cause a PSA elevation. At 0.02 a retest may not be unreasonable. Although the definition of biochemical recurrence after prostate cancer surgery is 0.2 ng/mL. Prediction of disease recurrence is based on several factors. Several investigators (including myself) h...
radiation following prostate surgery
Nov 14, 2009 01:53PM in the Prostate Cancer Expert Forum
Thank you for your question. Please see this reference as a nice review of seminal vesicle involvement after radical prostatectomy. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1476128/ In short, SVI alone shouldn't be used as a prognostic variable to predict longterm outcomes. Gleason score, and surgical margin status should also be considered. You may ...
Diagnosed cancer
Nov 14, 2009 01:42PM in the Prostate Cancer Expert Forum
Thank you for your question. You have biopsy confirmed cancer. Your PSA remains elevated and a drop in the level can be attributed to several causes, inflammation BPH, medications, etc. Given your early stage disease, it would be prudent to proceed with curative therapy (i.e. surgery or radiation). Ashutosh (Ash) K. Tewari, MD www.cornellroboticprostat...