Latest / Intellectual Medicine
Say NO to Prostate Cancer Biopsies, Surgery, and Radiation
Strong outcomes often come from slowing down—not rushing into irreversible decisions.
In this episode, Dr. Stephen Petteruti questions the automatic path from elevated PSA to biopsy, surgery, and radiation. He explains that biopsies can disseminate prostate cells, while the true impact on long-term metastatic risk remains uncertain. His approach favors sequential PSA monitoring, imaging, and disciplined observation over immediate intervention.
Evidence does not clearly show that surgery or radiation extend life for many men, yet the side effects are well known which are sexual dysfunction…
The skinny
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