Secondary Hormonal Ablation in Hormone-Independent Prostate Cancer

So how long does it usually take for men undergoing hormone therapy (ADT) to progress from being hormone dependent to hormone independent? Clearly, we should always remember that this is a very individual, case-by-case time. However, there was a recent time analysis published in the February 2009 edition of Urology. These researchers found that after [...]

Salvage Radical Prostatectomy for Recurrent Prostate Cancer after Radiation Therapy.

I often discuss the use of salvage radiation after surgery has failed and the PSA begins to rise. Although often mentioned, but seldom used, men who fail radiation as a primary treatment can also benefit from salvage surgery. When I first was deciding what to use as my primary treatment modality I was led to [...]

Toxicity and Efficacy of Intermittent Docetaxel Chemotherapy for Hormone Refractory Prostate Cancer

Once we become hormone refractory (HRPC) there remains only one approved drug to treat our prostate cancer, docetaxel. As with hormone therapy (ADT) docetaxel also stops working after a period. There have been different strategies used to try to deal with this untenable situation, including the use of docetaxel on an intermittent schedule. A recent [...]

To Cure Urinary Incontinence: An Artifical Sphincter is Better than A Sling

Urinary incontinence is a common problem suffered by many of us post both surgery and radiation therapy for prostate cancer. The degree of incontinence varies from no problem all the way to having no control of the urinary function. Men having surgery find that as time progresses post treatment, they do regain levels of urinary [...]

Clinical Trial Using HIFU for Men with Advanced Prostate Cancer After Radiation Failure

HIFU (high-intensity focused ultrasound) is one of the newer treatments for prostate cancer. Although not yet approved in the United States it has received a lot of press and growing popularity as a primary treatment option. There are a number of European countries already using it as a regular treatment modality and there are a [...]

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