Home » Andrology » What’s up on #ProstateCancerAwarnessMonth 2015 “Controversies of prostate cancer”?

What’s up on #ProstateCancerAwarnessMonth 2015 “Controversies of prostate cancer”?

The 7 controversy surrounding the prostate cancer.

If the prostate was an appendix, all men have an appendectomy. But the prostate is a reproductive organ and is actively involved in sexuality, ejaculation and sexual pleasure. In the era of PSA, we urologists generation of the twentieth century,we have done probably too easily prostatectomies.

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https://www.flickr.com/photos/rwassell/ Posing for his photograph for The Belle Tout Builder Boys charity calendar, in aid of Everyman by Cancer Research, the charity that hopes to stamp out prostate and testicular cancer

If the prostate was an appendix, all men have an appendectomy. But the prostate is a reproductive organ and is actively involved in sexuality, ejaculation and sexual pleasure.In the era of PSA, we urologists generation of the twentieth century,we have done probably too easily prostatectomies.

“that is sans sin Among you, let him first cast a stone” …

The data have evolved and we understood. Prostatectomy patients and also helped us.

We know many things about the prostate cancer, but we still have not found answers to critical questions! Here are 7 questions or controversies described in an excellent post published by @NewPCaInfoLink.

The 7 controversy surrounding the prostate cancer.

P as PSA

1. P as PSA! Who should we do a PSA as a screening?

This is the biggest controversy ?At what age, symptomatic or not,abnormal digital rectal examination of the prostate, men with a hereditary risk ?! Other factors may help discriminate a population at risk? Bald men for example?


2. P as PREVENTION! Is there a way to prevent prostate cancer?

The answer is definitely no! There is nothing.

Despite many advertising, there is no proven way to prevent cancer of the prostate.


We also know that there is not one but cancers of the prostate, and in particular prostate cancer at high risk to low risk.

Credit photohttps://www.flickr.com/photos/april-mo/

3. L as LOW RISQUE.
The cancers classified as low risk — when to treat and how to identify patients?

If he does not treat these cancers immediately the deal is how reliably identify patients?
Find more factors to improve the classification in hazard classes, use nomograms to reduce the range of predictions for a given individual, it is the challenge for the XXIst century urology.


And what about the HIGH RISK!

https://www.flickr.com/photos/starside/

4. C as CURE! Can be treated with curative intent and cure a patient with cancer prostate at high risk?

The trouble with high-risk forms and the probability of underestimating the extent of the cancer status with locally advanced and micro-metastatic non- diagnosable with current diagnostic methods.


5. B as BEST !Best benefit/risk ratio treatment for the low-risk prostate cancer?

By anatomic location in the urinary genital junction and urinary and sexual roles, prostate treatment have a number of side effects. When therapeutic choice for a low-risk form of questions posed to the urologist and the choice of the best treatment carcinologic and with less morbidity, urinary and especially sexual.

https://www.flickr.com/photos/evoo73/

6. Q is for Quantity and Quality (of life)!

Quantity versus Quality of life! The Hormone therapy is not the vitamintherapy! There are side effects that impact the quality of life negatively! If hormone therapy does not improve life, but decreases its quality it must be ripen its decision. And we don’t know.


7. I as Intermittent!

Also in the quantity versus quality ! Hormone therapy not being a vitamin, is that intermittent treatment is as effective as continuous treatment. Studies say yes, but not certain. So, I must admit once again that we do not know exactly.

https://www.flickr.com/photos/amid/

For further consideration I invite you to read the post on :

http://prostatecancerinfolink.net/2014/09/23/seven-critical-prostate-cancer-controversies/

The images used are under creative commons license.

I appreciate your comments in advance! Let go you!


1 Comment

  1. Hupertan says:

    Reblogged this on Les cancers, les femmes et le sexe and commented:

    Parlons CANCER DE LA PROSTATE – que savons nous? Plus de controverses que des certitudes!

    Like

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