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Jeff Marchi avatar

Is hormone therapy necessary with radiation?

Prostate Cancer | Last Active: Jul 19 8:36pm | Replies (104)

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@brianjarvis
Brian, you’re correct. Medicine advancements happen daily. A quick example: I went to a symposium at Stanford in the early 90’s where Dr Schatz was discussing his new invention, the heart catheter stent. I sat next to Dr Norman Shumway. Dr Shumway was a world renowned thoracic/heart surgeon. Dr Shumway was in total denial that stents were a good option. I think everyone knows how that went. The “gold standard” was open heart surgery and a very long recovery process. Cath labs were being built all over the US. I wouldn’t call radical prostatectomy a gold standard today. It’s certainly a focused mindset for urologists. I commend you on asking all the questions back in 2012. It would take too long to list all the new tech for prostate cancer over the last 14 years. Unfortunately, doctors need 5, 10, 15 survival rates before making decisions.

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Replies to "@brianjarvis Brian, you’re correct. Medicine advancements happen daily. A quick example: I went to a symposium..."

@cbball
Like you said advancements are constantly happening and as the prostatectomy was falling out of favor due to side effects and better radiation , boom it’s back now state of the art single port robotic, Retzius sparing technique, home same day as surgery, good chance of immediate continence for many, less ED. I think today treatment can be so tailored, with results becoming more comparable , it’s deciding between side effects you might need to live with, even the rectal issues from radiation have been minimized.