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    if nothing lasts forever then why is love the exception.outkast What do you think about this “review” of my book by someone on Amazon? An informative book if the reader is trying to decide between radiation or surgery only. But if you want to explore other avenues like Hormone Therapy as well as Traditional Chinese Medicine and other alternative modalities, there is no info at all. This is strictly a prostate cancer surgeon talking about which one of these treatment options he eventually chose. The reviewer is right in some respects…my book is limited primarily to the two most common modalities of treating prostate cancer in the USA. This was the intent…take a very complicated decision and go about showing ways to arrive a decision that would be best for the individual taking into consideration the risks of each modality and the specifics of the prostate cancer. It was not meant to be an “end all do all” but “an arrow in one’s quiver” and that is stated in the book. Another thing it does is focus on the abnormal urinary symptoms inherent to each of the treatments and why that is important to consider in any prostate cancer treatment decision. Well he gave me 3 stars and now I am below 5 stars…boo hoo hoo! Can someone throw me a bone and if you found my book helpful write a review for amazon…but not for who you’d think?  The reviews I feel really do help the newly diagnosed prostate cancer in their journey to the decision that best suits them. Reviews tell the reader  a bit about the reviewer (this reviewer is an alternative medicine type) but issues that were important to him and this in turn clues the newly diagnosed patient into issues that may be relevant to them. Finally, hormones are used not for cure and hence don’t have a role in the person making “the decision.” They are used occasionally by the radiation therapist as an adjunct but not as primary treatment option unless the disease is metastatic or the patient’s underlying health dictates its use. Don’t know much about Chinese remedies for prostate cancer.theprostatedecision.wordpress.com


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    HIFU Prostate The following are the overall summary of the probabilities of patients throughout every stage of HIFU prostate cancer treatment. Take notes for future reference you can impart to others who have concerns in Prostate Cancer treatment. HIFU Prostate Pre-Treatment Before heading for the actual surgery, you will have to begin with Clear Liquid diet the day before the operation and absolutely nothing should be taken orally around midnight before the process or surgery starts. Also, you are required to use two enemas two hours earlier of HIFU prostate procedure. A comprehensive directive is regularly verified the day before the surgery during the patient’s appointment. HIFU Prostate Treatment: During the period of therapy Next are the steps performed during the hifu prostate treatment. Once the anesthesia has processed by the anesthesiologist to the patient, the exploration that produces ultrasound waves straight to prostatic tissue is injected going inside the patient’s rectum. Primarily, the surgeon will catch simultaneous pictures of the prostate and the neighboring areas of it and he will then list the treatment section based on the captured images. An action is taken place beneath live ultrasound imaging to guarantee precision. The period of medication differs depending on the prostate’s dimension uncovered when the ultrasound is performed. But usually it takes only one to four hours. Swelling might occur in the patient’s prostate resulting from tissue annihilation and hence a (suprapubic) catheter is injected and is usually worn between 1-4 weeks just to certify that the bladder will be cleared as the patient’s body is recovering. But some patients can instantly return to their regular diet and everyday life after the therapy. Not even a mandatory hospital stay and the process include only a 4 mm opening. When HIFU Treatment Is Done Instantly when HIFU prostate treatment is done, you will have a one to two hour period of healing at the therapy facility and then you will be dismissed to recuperate restfully in your own home or hotel. Before leaving USA, the surgeon will commend specific antibiotics to patients and extra prescriptions after HIFU if it happens they can’t endure pains after the process. But generally, patients don’t encounter any substantial aches at all. Although you may happen to feel some anxiety or body pains after the process, which are typical aches but are just momentary. Furthermore, during two weeks after HIFU prostate treatment, you might encounter just extremely insignificant urinary indications such as occurrence or determination to void, which are correspondingly common and short.hifuprostatecancertreatment.com


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    Hifu Treatment A lot of patients were speculating just how they can have the treatment since a lot of benefits of High Intensity Focused Ultrasound HIFU treatment option for prostate cancer. And now to those interested patients will have to be resourceful to have the HUFU treatment benefits. What Is Hifu Treatment? HIFU treatment is a medical process with the use of ultrasound waves terminating hard to reach tissue in the prostate gland. The ultrasound waves annihilate the whole prostate gland through ablating and heating the tissue. This efficient HIFU treatment controls the chance of prostate cancer therapy choices side effects, perfect to those who want to keep their life condition as they combat the danger of localized prostate cancer. Who are Qualified for Hifu Treatment?   Find a specialist who works with medical or worldwide tests and is familiarized with HIFU treatment. Inform your doctor your Gleason score, recent PSA, the amount of your prostate and other therapies you have attempted and other features like overall health, the location of the prostate tumors your age. HIFU Treatment Discovering The leading approach to get HIFU treatment is to look for a specialist operates with the medical experiments and inquire if you can contribute so you do not need to travel outside the United States anymore and can have HIFU treatment for your prostate. But if cannot find a specialist, you need to travel outside the US and look for HIFU treatment clinic since most top urologists frequently travel. Because HIFU treatment is an outpatient process, some patients can travel back and forth from their home to receive the treatment. Some treatment centers provide accommodations for patients before and after the HIFU treatment and a follow up is advised after the therapy. What is to Expect in HIFU Treatment? Not like other prostate cancer treatment alternatives, recuperation after HIFU treatment is nominal. HIFU patients are required to use a catheter between one to four weeks letting the bladder to totally drain as the patient’s body repairs. Catheter will need to be detached through check up with an urologist. Minor anxiety is regular, but no acute discomfort though if there is any it is remedied using analgesics. Some patients are capable to move normally in a few hours after the treatment. Like frequency, or urinary discomfort, urgency or urinary symptoms are normal and are momentary and will relax themselves in just a few days of HIFU treatment.hifuprostatecancertreatment.com


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    BACKGROUND:During the first 3 years after prostate cancer treatment with radiation therapy, benign prostate-specific antigen (PSA) bounces are difficult for clinicians to distinguish from a biochemical recurrence, which can result in unnecessary interventions and erroneous predictions of outcomes. The objective of this study was to evaluate a commonly used PSA failure definition in a multinational, multi-institutional study after monotherapy with prostate brachytherapy.METHODS:Participants were selected from 2919 men who underwent permanent prostate brachytherapy at the University Medical Center Utrecht, Princess Margaret Hospital, or Seattle Prostate Institute between 1998 and 2006. Inclusion required not having received androgen-deprivation therapy and having at least 30 months of follow-up. Failure was defined as any post-treatment use of hormone therapy, clinical relapse, or prostogram-defined biochemical (PSA) failure. Cases in which the nomogram predicted biochemical failure were evaluated at each institution to verify biochemical status over time and the actual clinical outcome at 5 years.RESULTS:The median follow-up for the 1816 patients was 5.2 years. Concordance between the prostogram-predicted and actual outcomes, as measured by the Harrell c statistic, was 0.655 (95% confidence interval [CI], 0.536-0.774; P = .010) for the Princess Margaret group, 0.493 (95% CI, 0.259-0.648; P = .955) for the Seattle group, and 0.696 (95% CI, 0.648-0.744, P < .001) for the Utrecht group. The overall mean difference in biochemical recurrence-free survival at 5 years between actual outcomes and prostogram-defined outcomes was 9.2% (95% CI, 7.7%-10.6%). The total numbers of prostogram-defined and actual biochemical failures were 312 and 157, respectively (P = .001).CONCLUSIONS:The widely used prostogram could not adequately distinguish a benign PSA bounce from a biochemical recurrence after prostate brachytherapy and could not be used to counsel patients about their predicted outcomes after treatment. The authors conclude that, to avoid unnecessary active interventions after treatment, clinicians should monitor PSA levels for at least 3 years and provide reassurance to patients that a PSA rise during this time is common and may not indicate a treatment failure. Cancer 2011;. © 2011 American Cancer Society.dx.doi.org


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    Academic research into the side effects of different treatments for localized prostate cancer have long been hampered by the lack of consistently used criteria for the assessment of those side effects at baseline and at defined time-periods post-treatment. There are two new methods that have recently been developed specifically for use in prospective studies of prostatecancerinfolink.net


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