“After nearly 20 years of follow-up among men with localized prostate cancer, surgery was not associated with significantly lower all-cause or prostate-cancer mortality than observation. Surgery was associated with a higher frequency of adverse events than observation but a lower frequency of treatment for disease progression, mostly for asymptomatic, local, or biochemical progression.”

http://www.nejm.org/doi/full/10.1056/NEJMoa1615869?query=featured_home#iid=f01

A bloke I went to school with had radical prostate surgery years ago, he also on hormone drugs.
He’s still going alright and he’s got nice tits now, apparently.

Peak Warming Man said:

A bloke I went to school with had radical prostate surgery years ago, he also on hormone drugs.
He’s still going alright and he’s got nice tits now, apparently.

just the watch, thanks.

poikilotherm said:

“After nearly 20 years of follow-up among men with localized prostate cancer, surgery was not associated with significantly lower all-cause or prostate-cancer mortality than observation. Surgery was associated with a higher frequency of adverse events than observation but a lower frequency of treatment for disease progression, mostly for asymptomatic, local, or biochemical progression.”

http://www.nejm.org/doi/full/10.1056/NEJMoa1615869?query=featured_home#iid=f01

I might not show that to my brother. On the other hand, I have had patients, only a couple over 36 years of practising, who got the fast and furious form of prostate cancer. Doesn’t matter what anyone does, you go downhill fast.

buffy said:

poikilotherm said:

“After nearly 20 years of follow-up among men with localized prostate cancer, surgery was not associated with significantly lower all-cause or prostate-cancer mortality than observation. Surgery was associated with a higher frequency of adverse events than observation but a lower frequency of treatment for disease progression, mostly for asymptomatic, local, or biochemical progression.”

http://www.nejm.org/doi/full/10.1056/NEJMoa1615869?query=featured_home#iid=f01

I might not show that to my brother. On the other hand, I have had patients, only a couple over 36 years of practising, who got the fast and furious form of prostate cancer. Doesn’t matter what anyone does, you go downhill fast.

This study excluded those types, it was those where metastases had been ruled out/weren’t present.

poikilotherm said:

buffy said:

poikilotherm said:

“After nearly 20 years of follow-up among men with localized prostate cancer, surgery was not associated with significantly lower all-cause or prostate-cancer mortality than observation. Surgery was associated with a higher frequency of adverse events than observation but a lower frequency of treatment for disease progression, mostly for asymptomatic, local, or biochemical progression.”

http://www.nejm.org/doi/full/10.1056/NEJMoa1615869?query=featured_home#iid=f01

I might not show that to my brother. On the other hand, I have had patients, only a couple over 36 years of practising, who got the fast and furious form of prostate cancer. Doesn’t matter what anyone does, you go downhill fast.

This study excluded those types, it was those where metastases had been ruled out/weren’t present.

So the take-away is….if you get prostate cancer, you might as well just go into watchful waiting. If it’s the horrible one, no treatment helps anyway. If it’s the other one, it’s more or less the old adage of “you will die with this, not from it”.

buffy said:

poikilotherm said:

buffy said:

I might not show that to my brother. On the other hand, I have had patients, only a couple over 36 years of practising, who got the fast and furious form of prostate cancer. Doesn’t matter what anyone does, you go downhill fast.

This study excluded those types, it was those where metastases had been ruled out/weren’t present.

So the take-away is….if you get prostate cancer, you might as well just go into watchful waiting. If it’s the horrible one, no treatment helps anyway. If it’s the other one, it’s more or less the old adage of “you will die with this, not from it”.

Not quite, prostatectomy can cure the nasty one if caught early enough, it’s all in the timing. If you’ve just got a swollen prostate and elevated PSA (but not too elevated) you should be right with no surgery.

buffy said:

poikilotherm said:

buffy said:

I might not show that to my brother. On the other hand, I have had patients, only a couple over 36 years of practising, who got the fast and furious form of prostate cancer. Doesn’t matter what anyone does, you go downhill fast.

This study excluded those types, it was those where metastases had been ruled out/weren’t present.

So the take-away is….if you get prostate cancer, you might as well just go into watchful waiting. If it’s the horrible one, no treatment helps anyway. If it’s the other one, it’s more or less the old adage of “you will die with this, not from it”.

Attended a school mate’s funeral a fortnight ago. Had the very aggressive incurable form.

poikilotherm said:

“After nearly 20 years of follow-up among men with localized prostate cancer, surgery was not associated with significantly lower all-cause or prostate-cancer mortality than observation. Surgery was associated with a higher frequency of adverse events than observation but a lower frequency of treatment for disease progression, mostly for asymptomatic, local, or biochemical progression.”

http://www.nejm.org/doi/full/10.1056/NEJMoa1615869?query=featured_home#iid=f01

Is lack of sex associated with prostate cancer?

Can men get prostrate cancer with regular sex?

Just wondering.

Tau.Neutrino said:

Is lack of sex associated with prostate cancer?

No. But there are some claims that frequent ejaculation in older men (50+) is good for the prostate.

Bubblecar said:

Tau.Neutrino said:

Is lack of sex associated with prostate cancer?

No. But there are some claims that frequent ejaculation in older men (50+) is good for the prostate.

depends how thorough the Doc is when checking your prostate…

probably every male over the age of fifty has cancer cells in their prostate, but then I guess everyone has cancer cells somewhere and the immune system’s cleaning them up.

then there’s the nasty replicators the immune system can’t clean up.

there’s been some conversation around now for maybe fifteen years about unnecessary surgery. Some of it’s (the excesses of surgery have been) driven by the witchdoctors’ growing liabilities and bad press. You know you visit one and then they’re sorta responsible for everything bad that might happen afterward.

from a story told me recently some of the side effects of surgery may go understated, even unsaid, like the possibility of continuous urinary incontinence after prostate surgery. I guess sometimes this aspect might be a bit muted so as not to discourage the patient from having surgery.

I have been on “Active surveilance since early 1997, still haven’t had the urgent surgery I was told I needed then, PCa may well still get me but I don’t give a fuck now, I have saved my self from years of misery and worry. Basically I gave up red meat, dairy products and alcohol, and used meditation, I am an atheist, but I see a strong connection between prayer and meditation.