Sky Overview

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Sky Overview

Prostate cancer grows at a snail’s pace compared to other cancers. It’s such a common condition, it would be illogical to assume every case is deadly. PSA, Gleason score, imaging studies, and new genetic tests enable us to accurately identify a...

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Accessing The Medical Chart | Sky

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Accessing The Medical Chart | Sky

Many treatments have irreversible consequences, so it is worth doing it right the first time. It is commonly understood in medical circles that long-term survival is improved by receiving optimal treatment up front...

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The PSA Blood Test | Sky

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The PSA Blood Test | Sky

PSA plays a variety of roles, the most familiar being screening to detect prostate cancer at an early stage. PSA also helps to define the Stages of Blue. Another role of PSA is to detect cancer relapse after surgery or radiation. Lastly, rises or declines in PSA after hormone therapy or chemotherapy help determine whether a treatment is working...

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Prostate MRI and Targeted Biopsy | Sky

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Prostate MRI and Targeted Biopsy | Sky

Multiparametric MRI (MP-MRI) provides a three-dimensional image of the prostate, giving important information about the cancer’s location, size, and how “aggressive” it appears. MP-MRI also greatly increases the confidence that higher-grade cancers are not being overlooked in men on active surveillance. MP-MRI is usually performed without an endorectal coil...

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Color Doppler Ultrasound and Targeted Biopsy | Sky

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Color Doppler Ultrasound and Targeted Biopsy | Sky

In Chapter 4, MP-MRI technology combined with a targeted biopsy was discussed.  This chapter will discuss an alternative type of imaging, called color Doppler ultrasound (CDU). Unfortunately, CDU followed by targeted biopsy is available in only a few centers around the United States. Even so, this chapter will expound the many advantages of CDU for the diagnosis and staging of prostate cancer...

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Introduction To Treatments | Sky

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Introduction To Treatments | Sky

Once the proper Stage of Blue is assigned (Chapter 1), the different treatments appropriate for that Stage can be considered. Overall, there are four broad categories of treatment available for prostate cancer: observation, local treatments, systemic treatments, and combination therapy...

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The Science Behind Active Surveillance

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The Science Behind Active Surveillance

If every available candidate in North America and Europe pursued active surveillance, close to 300,000 men could be spared from unnecessary surgery and radiation every year. In one observational study of men on active surveillance with Gleason 3+3=6 or low-volume...

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Focal Cryosurgery

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Focal Cryosurgery

It is estimated that as many as a third of newly-diagnosed men have only one spot of cancer. These patients may be candidates for focal treatment. Focal cryotherapy is defined as the destruction of a section of the prostate gland by freezing...

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Summary Of Sky

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Summary Of Sky

In 2012, a survey from the Mayo Clinic and Harvard was sent to 1,439 physicians. The conclusion was that even though active surveillance is widely viewed as effective, most urologists continue to recommend surgery, while most...

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Side Effects From Treatment, an Overview

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Side Effects From Treatment, an Overview

Patients in Sky are still frequently advised to have treatment. It behooves them, therefore, to learn about its side effects. Unlike the other Stages of Blue, men in Sky have a choice—the option of postponing treatment by pursuing active surveillance. Therefore...

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Sexual Dysfunction

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Sexual Dysfunction

Erectile dysfunction (ED) is a risk with every type of treatment for prostate cancer, but the exact risk is very specific to each patient. The better a man’s erections are before prostate cancer treatment, the better chance he has of preserving function...

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Surgical Side-Effects Affecting Urination

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Surgical Side-Effects Affecting Urination

Loss of bladder control (urinary incontinence) after surgery can be a devastating complication with a very negative impact on quality of life. The good news is that, with appropriate evaluation and treatment, incontinence is usually treatable. Bladder control problems for...

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Side Effects From Radiation Therapy

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Side Effects From Radiation Therapy

Radiation for prostate cancer may cause short- or long-term side effects. Even though radiation targets the cancer cells, normal body tissues near the tumor can be affected. Specifically, we are talking about...

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Health Issues For Men With Prostate Cancer

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Health Issues For Men With Prostate Cancer

The surveillance policy, after surgery or radiation, is to check PSA quarterly for the first two years, biannually for the next three, and annually thereafter. For radiation patients, a yearly digital rectal examination is also recommended. After treatment with...

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Whole Nutrition For Prostate Health & Recovery

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Whole Nutrition For Prostate Health & Recovery

Ideally, the bulk of human food intake should be from whole food sources (unprocessed, unadulterated, natural), with only a small percentage of food products (processed, refined, boxed, bottled, canned, packaged, and powdered). Whole foods provide...

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Fitness and Longevity

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Fitness and Longevity

The risk of a sedentary lifestyle is about the same as a pack-a-day smoking habit. “Sitting is the new smoking.” After age 60, just through the normal aging process, men lose 1% of their muscle every year. Hormonal treatments accelerate...

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