Tuesday, October 30, 2012

Is brachytherapy plus external radiation a good Prostate Cancer treatment option ?

In the following video, Dr. Gerald Chodak discusses a recent large study which reports on men treated by combining seed implantation and external radiation. There are many flaws with the report and it provides very misleading information about the effectiveness of this treatment while completely omitting any information about side effects. Men should be very concerned if their doctor advises this combination as it is more likely to be good for the doctor than for you, the patient.



 

Treating for Fracture Risk when on Prostate Cancer Hormone Therapy

Treatments to lower testosterone levels are often given to patients with Prostate Cancer.

The lower levels of testosterone can often result in osteoporosis which predisposes patients to fractures.

Patients are often advised to take calcium and vitamin D supplements to minimise the risk of osteoporosis but the actual dosage can be difficult to determine.  Some patients may be taking insufficient amounts of these supplement to make a difference whilst other patients may be taking doses which are so high that they may be causing their own health problems.

This issue is unfortunately made more difficult by a lack of scientific/clinical studies into what dosages  of these supplements are in fact effective.

In the following video, Dr. Gerald Chodak discusses these issues and also talks about a new treatment called Prolia.


Sunday, October 28, 2012

Which is better - Immediate or Delayed Radiation After Radical Prostatectomy ?

Many men who undergo radical prostatectomy are found to have cancer growing outside the gland.

Often, doctors recommend radiation to the prostate bed after urinary control returns.

 A previous well done study showed that immediate radiation did improve survival at 10 years but it never answered the question whether radiation could be delayed.

Now a good study has addressed this question and it is discussed by Dr. Gerald Chodak in the following video:

Is Intermittent Hormone Therapy for Rising PSA a Good Option ?

When the PSA begins to rise after surgery or radiation, many men are told to begin hormone therapy. Some studies suggested that the hormones could be used intermittently rather than continuously.

Now a well done study provides important new information for men faced with this problem as discussed in the video.

Dr Gerald Chodak discusses: