If you have not seen it, watch our AnCan seminar with Dr. Steve (BPH) Kaplan, "It Aint Your Grandpa's BPH!" ... Dr. K is one of the country's leading physicians in treating benign prostate cancer complaints. Moderated by your own Mark Lichty .... watch here. https://ancan.org/special-presentation-it-aint-your-grandpas-bph/
although recent data is hard to find it is interesting to me that the example and case history given the patient was more interested in being in control, calling the shots that he had three invasive procedures (two laser, one turp) that traditionally have and infection rate near 9% but refused a transrectal biopsy because it had a 3-4% infection rate....only to find that his irritative symptoms are still there. He probably has an irritation syndrome like interstitial cystitis which is treated completely differently than obstruction. Sometimes being in charge and in control leads to three major prostate procedures which have arguably not helped. So much for being in control. That is where Chodak was so good, he looked at the whole picture, took into account the need for patient control, proceeded with share decision making but took into account other possible conditions. Or not, maybe the surgery just needs several months to calm down!!! You see medicine is not always a straight forward process, ie SHARED DECISION MAKING, not patient control to suit their psch. needs
Thanks. Also mentioned in the editor's note.
If you have not seen it, watch our AnCan seminar with Dr. Steve (BPH) Kaplan, "It Aint Your Grandpa's BPH!" ... Dr. K is one of the country's leading physicians in treating benign prostate cancer complaints. Moderated by your own Mark Lichty .... watch here. https://ancan.org/special-presentation-it-aint-your-grandpas-bph/
although recent data is hard to find it is interesting to me that the example and case history given the patient was more interested in being in control, calling the shots that he had three invasive procedures (two laser, one turp) that traditionally have and infection rate near 9% but refused a transrectal biopsy because it had a 3-4% infection rate....only to find that his irritative symptoms are still there. He probably has an irritation syndrome like interstitial cystitis which is treated completely differently than obstruction. Sometimes being in charge and in control leads to three major prostate procedures which have arguably not helped. So much for being in control. That is where Chodak was so good, he looked at the whole picture, took into account the need for patient control, proceeded with share decision making but took into account other possible conditions. Or not, maybe the surgery just needs several months to calm down!!! You see medicine is not always a straight forward process, ie SHARED DECISION MAKING, not patient control to suit their psch. needs