A Patient forwarded me your superb site and your article on PSA. Thanks for including our articles on AS (active surveillance) for low risk PC (prostate cancer).
I agree we very much overRx (over-treat) PC in general. Even if Rxs (treatment) is well done, there is a lot of ED (erectile dysfunction) that alters QOL (quality of life) in men who are at little risk of progression.
Currently I have >250 men on AS and only 14% have been treated. No patient with metastatic Prostate Cancer, and no deaths from Prostate Cancer in this group.
regards,
Mark S. Soloway, M.D. Professor and Chairman Chief of Service Department of Urology University of Miami Leonard M. Miller School of Medicine (305) 243-6090 (800) 380-2554
Thanks for your kind words and comment on your ongoing experience with Active Surveillance for patients with prostate cancer.
For all of our readers, I might add that Dr. Soloway is very highly regarded by the medical community here in South Florida, both for his technical expertise and also his clinical judgement regarding Urology. Over the years, I have referred a number of patients to Dr Soloway for a second opinion, and have always been impressed with the high level of care they received.
For those of you in the South Florida area who have been diagnosed with prostate cancer on ultrasound guided biopsy, and wish to be followed with Active Surveillance, I strongly recommend Dr Soloway. For those in need of an appointment with Dr Soloway, the number to call is (305) 243-6090.
warmest regards, Jeffrey Dach MD 4700 Sheridan Suite T Hollywood Fl 33021 954-983-1443
The reader is advised to discuss the comments on these pages with his/her personal physicians and to only act upon the advice of his/her personal physician. Also note that concerning an answer which appears as an electronically posted question, I am NOT creating a physician -- patient relationship. Although identities will remain confidential as much as possible, as I can not control the media, I can not take responsibility for any breaches of confidentiality that may occur.
Copyright (c) 2009, 2010 Jeffrey Dach MD All Rights Reserved. This article may be reproduced on the internet without permission, provided there is a link to this page and proper credit is given.
FAIR USE NOTICE: This site contains copyrighted material the use of which has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of issues of significance. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes.
I still believe early detection of prostate cancer has merit. Compare the chance of finding a clinically localized PC between men in Mexico (no screening) and the neighboring USA.
No chance of cure with early detection for the masses in Mexico and overtreatment possibly but high cure rate in USA. Key is to identify who has PC then understand that all men do not require treatment but can be carefully followed. Thus men with aggressive cancers can and should be offered a curative approach.
mark soloway md Professor and Chairman Chief of Service Department of Urology University of Miami Leonard M. Miller School of Medicine (305) 243-6090 (800) 380-2554 _________________________________________________________
I still believe early detection of prostate cancer has merit. Compare the chance of finding a clinically localized PC between men in Mexico (no screening) and the neighboring USA.
No chance of cure with early detection for the masses in Mexico and overtreatment possibly but high cure rate in USA. Key is to identify who has PC then understand that all men do not require treatment but can be carefully followed. Thus men with aggressive cancers can and should be offered a curative approach.
mark soloway md
Professor and Chairman
Chief of Service
Department of Urology
University of Miami Leonard M. Miller School of Medicine
(305) 243-6090
(800) 380-2554
_________________________________________________________
Reply to this