Does a prior HoLEP change your treatment recommendation for incidentally discovered intermediate-favorable risk prostate cancer?
Specifically, does it shift you toward radiation over radical prostatectomy, or does active surveillance remain equally reasonable despite the altered anatomy?
2 Answers
Mednet MemberInvited Expert
Urology · Northwestern
Answered on · Updated on
Active surveillance (AS) is now the preferred management for most men with low-risk prostate cancer (PC) and is also increasingly recommended for carefully selected men with intermediate-risk (IR) PC, which now comprises most newly diagnosed cases. A recent Veterans Affairs (VA) study found that ~90...
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Mednet Member
Urology · Center For Urology
Answered on
The question itself highlights the importance of proper prostate cancer screening prior to undergoing any BPH surgery. Assuming the patient had undergone proper screening (PSA, DRE, +/- MRI, +/- biopsy) and was deemed to have low suspicion for cancer or no cancer on TRUS biopsy prior to undergoing H...
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