pca

Introduction Conclusion

Sanoj Punnen, MD, highlights the importance of assessing and managing cardiovascular risk when initiating androgen deprivation therapy for patients with prostate cancer.

I turned 40 back in October. I am not on TRT or any other hormones. I noticed that in the past six months or so that my ejaculate has noticeably decreased. Any thoughts on why that would happen and can I do anything about it?

* Electrical neurostimulation of the penis, they explain, targets the penile-nerve supply that may be impaired by disease, injury, or aging, thus promoting authentic nerve functioning. The authors argue that this approach may address limitations of existing treatments by acting as a restorative...

* It is a minimally invasive MRI-guided procedure that destroys cancerous tissue while minimizing side effects. * Having completed over 200 procedures, he has performed more TULSA procedures as an independent urologist, in the absence of a radiologist, than any other urologist in the world...

In this episode, Dr. Brandon and Dr. Morgentaler talk about the groundbreaking moments that defined Dr. Morgentaler’s career—from challenging long-held medical dogmas about testosterone and prostate cancer to reflecting on courage, science, and the evolving state of modern medicine. Chapters...

* The conversation also tackles testosterone therapy in men with prostate cancer, a complex and sometimes controversial issue. Gonzalgo emphasizes individualized decisions, noting that for men with lower- to intermediate-risk disease, continuing therapy may be reasonable. Both physicians stress...

In this episode, Dr. Morgentaler talks about how low testosterone—not high—might actually be the real risk factor for prostate cancer, challenging decades of outdated beliefs. 00:28 – Historical Beliefs and Misconceptions For decades, doctors thought testosterone fueled prostate cancer like...

* the truisms are that most men die with rather than of prostate cancer, if you live long enough almost all men will get a couple of cancer cells in the prostate Dr. Matthew Cooperberg takes us on a candid journey through Active Surveillance for prostate cancer—starting with its...

In this episode, Dr. Geo sits down with renowned urologist and men’s health expert Dr. Mohit Khera—professor at Baylor College of Medicine with over 160 peer-reviewed publications—to unpack the facts, myths, and future of testosterone treatment. They cover oral options, including Kyzatrex, how...

Dr. Burnett true legend in the field! Can you really keep your erections after prostate cancer surgery? In this episode of the Dr. Geo Prostate Podcast, Dr. Geo sits down with world-renowned urologist Dr. Arthur “Bud” Burnett — the Patrick C. Walsh Distinguished Professor at Johns Hopkins...

https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(25)00091-9/fulltext Really big prostate cancer news today with the release of very interesting results from the Neurosafe Proof trial at the EAU Annual Meeting in Madrid. Also simultaneously published in Lancet Oncology so...

Prostate cancer surgery is a rapidly evolving area of medical research as researchers refine the removal of the prostate gland to try and spare men from the unwanted side effects of surgery. This has led to major breakthroughs including the world’s first dual-robot surgery to remove the prostate...

In this episode, Dr. Geo sits down with Yale’s Dr. Preston Sprenkle to explore cutting-edge organ-sparing treatments—like IRE, cryoablation, and Tulsa Pro—that precisely target cancer while preserving urinary and sexual function. Learn how focal therapy is transforming prostate cancer care, who...

Are we entering a new era of prostate cancer testing? In this episode, Dr. Geo speaks with Dr. Jeffrey Tosoian—urologist, researcher, and lead author behind MyProstateScore 2.0 (MPS 2.0)—a cutting-edge urine test that may outperform PSA and even MRI in identifying clinically significant prostate...

Is testosterone truly the villain in prostate cancer, or have we been misled for decades? In this episode of Optimized Health, Josh Porter sits down with world-renowned urologist and testosterone researcher Dr. Abraham Morgentaler to unravel one of the most persistent myths in medicine. They...

Discover how exercise can be a powerful form of medicine for cancer patients—especially men with prostate cancer. In this inspiring episode of the Dr. Geo Prostate Podcast, Dr. Geo interviews Dr. Karen Wonders, PhD, founder of the Maple Tree Cancer Alliance, a global leader in exercise oncology...

Chapters 0:26 What is micro-ultrasound and how does it work? 3:09 How well does micro-ultrasound compare to 3T MRI's? 4:57 How well does micro-ultrasound compare to PSMA-PET scans? 6:03 How does micro-ultrasound fit into the realm of biopsies for prostate cancer? 7:38 Is there a chance...

UROONCO PCa chief editor Dr. Giancarlo Marra talks to Prof. Phil Cornford on the updated EAU Prostate Cancer Guidelines for 2025, specifically on diagnosis and localised disease.

Dr. Richard Lam, of Prostate Oncology Specialists, a double board-certified internist and oncologist who has dedicated his career to the specialized treatment of prostate cancer at Prostate Oncology Specialists since 2001. Renowned for his expertise, Dr. Lam will delve into the latest...

In "Episode 2" of the series on "Present and future of diagnostics in prostate cancer," Prof. Monique Roobol (NL) and Dr. Tamás Fazekas (HU) review the ongoing debate surrounding prostate cancer screening. They review the history and development of screening strategies, including the key...

Chapters 0:48 John's story 3:34 40-core biopsy? 4:55 Cryotherapy outcomes 6:00 How was your experience with hormone therapy? 8:00 How did hormone therapy "rewire your brain"? 10:22 Did you need penile injections? 12:35 What was your experience with Trimix? 15:32 Injection specifics 19:09 Is...

Bringing you the latest and greatest! Nelson's house is where it's at! 15:47-17:57 (T levels on therapy/sides) * The right answer is you've got to keep testosterone within the normal range which is 200/300-1000 ng/dL but its very hard to do and make the patient feel well, they will feel...

Introduction Men remain at risk for prostate cancer after simple prostatectomy. Despite our understanding of this, no parameters exist to inform urologists of prostate specific antigen (PSA) monitoring after surgery. This study aimed to compare initial postoperative PSA measurements and PSA...

Penile implants provide a permanent solution for erectile dysfunction, including in patients recovering from prostate cancer treatment. In this video from the ISSM and Movember, Dr. Gerald Brock interviews Dr. Eric Chung about how penile implants work, when they are presented as a treatment...

Intracavernosal injections (ICI) are a highly effective treatment for erectile dysfunction, including after prostate cancer treatment. In this video from the ISSM and Movember, Dr. John Mulhall interviews Dr. Sidney Glina about how ICIs work, how they are integrated into prostate cancer care...

Vacuum erection devices (VEDs) offer a non-invasive option for managing erectile dysfunction after prostate cancer treatment. In this video from the ISSM and Movember, Dr. Gerald Brock interviews Dr. Run Wang about how VEDs work, how they are integrated into prostate cancer care, and best...

Erectile dysfunction is a common concern for prostate cancer patients, and PDE5 inhibitors (PDE5is) are a common treatment option. In this video from the ISSM and Movember, Dr. John Mulhall interviews Dr. Hossein Sadeghi-Nejad about how PDE5 inhibitors work, how to choose the right medication...

Penile rehabilitation plays a key role in sexual recovery after prostate cancer treatment, but what does it involve? In this video from the ISSM and Movember, Dr. Gerald Brock interviews Dr. John Mulhall about the science behind penile rehabilitation, its core principles, and the goals of...

Facing prostate cancer treatment can be emotionally challenging, especially when it comes to sexual health. In this video from the ISSM and Movember, Dr. Daniela Wittmann interviews Dr. Chris Nelson about the psychological distress patients often experience before treatment, the importance of...

Recovery of sexual function after prostate cancer surgery is a major concern for many patients. In this video from the ISSM and Movember, Dr. Gerald Brock interviews Dr. Andrea Salonia about assessing pre-operative erectile function, what happens in the months following surgery, and the...