In depth discussion on High-Intensity Focused Ultrasound (HIFU) for Prostate Cancer

madman

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In this engaging episode, Dr. Geo sits down with Dr. Behfar Ehdaie, a renowned urologic surgeon from Memorial Sloan Kettering Cancer Center, for an insightful discussion on prostate cancer treatment. The focus is on High-Intensity Focused Ultrasound (HIFU) as a focal therapy for prostate cancer, including patient selection criteria and the future of minimally invasive treatments.




Key points covered include:


Prostate Cancer: Understanding active surveillance for Gleason 6 and Gleason 7 prostate cancers, who qualifies, and why active surveillance is an essential tool in patient management.

Focal Therapies: Exploring HIFU technology, the benefits of preserving quality of life, and minimizing risks like erectile dysfunction and incontinence.

Communication with Patients: Dr. Ehdaie shares his unique approach to patient communication, emphasizing the importance of trust and understanding patient priorities when navigating treatment decisions.

Innovations in Prostate Cancer: Dr. Ehdaie discusses the exciting future of prostate cancer treatments and his research on personalized approaches using advanced imaging and biomarkers.

Personal Experiences: The episode also delves into personal stories of patients on active surveillance and how lifestyle changes can positively affect health outcomes.




This episode is a must-listen for those interested in the latest advancements in prostate cancer treatment and improving doctor-patient communication. Tune in to gain valuable insights into proactive management of prostate health.




Chapters


00:00 In-depth discussion on HIFU for Prostate Cancer with Dr. Behfar Ehdaie
04:57 The Importance of Communication in Patient Care
06:16 Negotiation Techniques in Medical Communication
07:29 Negotiation Techniques in Medicine
13:20 Applying Negotiation to Patient Care
14:31 Implementing Communication Strategies in Prostate Cancer Care
29:18 Expanding Active Surveillance
30:06 Expanding Active Surveillance Criteria
35:00 Understanding Cancer Cell Phenotypes
35:17 Biopsy Analysis and Cancer Patterns
36:02 Advancements in Cancer Measurement
37:42 Challenges with Biopsy Percentages
39:26 Research on Cancer Volume Measurement
43:10 Focal Therapies for Prostate Cancer
47:46 Clinical Trials and Patient Selection
53:18 Future Directions in Prostate Cancer Treatment
 

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A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

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Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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