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Profile picture for Jeff Marchi @jeffmarc

@brianjarvis
I was having dinner with one of my wife’s best friends and her husband. He is 90 she is 77. We had talked 16 years ago when I was having my prostate cancer surgery. He was talking about the fact that he had a prostatectomy as well, But didn’t mention that it was nine years before. He is an OB/GYN, who just retired at 89.

25 years ago he was told he had prostate cancer because he had a 3+3 Gleason score. Because he was a physician, he wanted the best surgeon in the country to do his prostatectomy. Turns out his prostate was almost 200 cc. He found a surgeon At Johns Hopkins that said he would do nerve sparing. He was an innovator in the technique. He went there to have his surgery and it was a fiasco. Nerve sparing was not done, and he thinks that the surgery was done by a trainee. When he asked to see the medical report on the surgical procedure, he received a report that was about a half a page long. As a doctor, he’s familiar with having reports that are 10 pages covering every single step of the surgery. To say he is furious, would put it mildly. After surgery, they biopsied his prostate and found out he was only a 3+2 something I’ve never heard of.. They should’ve never touched him. This kind of treatment is what led to the ending of PSA testing.

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Replies to "@brianjarvis I was having dinner with one of my wife’s best friends and her husband. He..."

@jeffmarc I attended a webinar of urologists a few years ago. Many of them were sadly commenting on how many thousands of unnecessary prostatectomies they had done over the years for 6(3+3) disease.

But, doctors will often do whatever they’re asked to do. I knew a guy who had a bilateral orchiectomy because he didn’t want to suffer the low-testosterone side effects of Lupron……

Hi folks. Just to repeat. According to my uro and my own research fully one third of Gleason 6(3/3) pts require intervention over 5-10 yrs. Ie one out of three. So yes you should NOT intervene on all Gleason 6 pts.BUT. as I've previously outlined I went from Gleason 6(3/3). To 7(4/3) with nasty pathology. PLEASE folks. As imperfect as diagnostic testing is currently don't throw baby out with bathwater.