Latest Prostate Cancer discussions http://www.cancercompass.com/message-board/cancers/prostate-cancer/1,0,119,2.htm Thu, 15 May 2008 00:00:00 GMT Thu, 15 May 2008 00:00:00 GMT http://backend.userland.com/rss RSS.NET: http://www.rssdotnet.com/ Hello,I've been on Lupron for about three months and the hot flushes are really a drag. I get them very often.I've read that a Doctor can prescribe something that helps with them. Has anyone done this?My concern is...........A.,,,,,,,,,,does it work? B. .......Does it mess with the effectiveness of the Lupron?Many thanks...................Stan. http://www.cancercompass.com/message-board/message/all,23984,0.htm shep42 Tue, 13 May 2008 00:00:00 GMT Greetings to all.I would be obliged if anybody, Dr or patient who can give me some valuable advice about the diff between brachytherapy or HIFU.  If HIFU, would Ablatherm or Sonablate Machine which one is better.Was diagnosed PC - PSA 5, GScore 7.  Wondering which treatment bet these two is better.Appreciated all your kind advice.  Thank you so very much.  http://www.cancercompass.com/message-board/message/all,23957,0.htm patient66 Mon, 12 May 2008 00:00:00 GMT Hello there, What is the best way to get rid of incontenance 3 month after prostate removal?Maxime http://www.cancercompass.com/message-board/message/all,23956,0.htm Maxime Mon, 12 May 2008 00:00:00 GMT Hi, I am interested in any info related to the foley cath used post-seed implants. Friday, 5/9/08, my husband had 82 Theraseedsplaced. Doseage was 103Pd. He is struck with that foley catherer,until Wed., 5/14/08. I would like to hear anyone else's fed-back.Thanks for all support. Blessings and prayers to all.  Beanie http://www.cancercompass.com/message-board/message/all,23921,0.htm tym2play Sun, 11 May 2008 00:00:00 GMT The Mayo Clinic had published an article indicating possibility that high PSA inhibits circulation growth needed by cancers and that this could possibly be one of the reasons for the generally slower growth of prostate cancer.  If that is indeed the case, wouldn't the use of Lupron (or anything else that lowered PSA) have a deleterious effect on outcome? http://www.cancercompass.com/message-board/message/all,23800,0.htm frightenedwife Tue, 06 May 2008 00:00:00 GMT I had robotic prostate surgery 2 weeks ago. I own a restaurant which requires many hrs of standing. Sitting is okay but I really leak standing. Is it to soon to expect minimul leakage? http://www.cancercompass.com/message-board/message/all,23752,0.htm jimmyc Mon, 05 May 2008 00:00:00 GMT ( DJ ) 02/14 09:05AM PRESS RELEASE: EDAP Reports Publication of Head-to-Head Study of Ablatherm-HIFU Versus Other HIFU Technology for Prostate Cancer EDAP Reports Publication of Head-to-Head Study of Ablatherm-HIFU Versus Other HIFU Technology for Prostate Cancer Journal of Endourology Highlights Ablatherm's Unique Sustainable Long-Term Clinical Data Ablatherm's Superior Safety and Efficacy Confirmed LYON, France, Feb. 14, 2008 (PRIME NEWSWIRE) -- EDAP TMS SA (Nasdaq:EDAP), the global leader in therapeutic ultrasound, announced today that the Journal of Endourology published results in its February 2008 issue from a head-to-head study entitled "Transrectal High-Intensity Focused Ultrasound Devices: A Critical Appraisal of Available Evidence." Based on a thorough review of the existing medical literature, the objective of the study was to evaluate clinical outcomes and unique characteristics comparing EDAP's Ablatherm(r)-HIFU versus Sonablate500(r) for the treatment of prostate cancer. The article highlights the clinical superiority of Ablatherm in terms of present and longer-term data available. For the purposes of the study, clinicians referenced six publications on Ablatherm-HIFU featuring 2,032 patients treated, compared to three publications relating to Sonablate500 with 287 patients treated. Reviewed published articles have included Ablatherm patients with up to 10 years of follow up, whereas disease-free rate cannot be reported beyond five years for the competitive technology. Clinicians note that Ablatherm has been used in a greater number of centers for a longer period of time, providing more clinical information regarding its effects. The article also demonstrates the need for additional clinical studies for the use of other HIFU devices in order to draw the same short-term treatment success results as Ablatherm. The article concludes that the availability of more short- and long-term oncologic outcomes with the Ablatherm device creates less uncertainty about the actual efficacy of the device-specific treatment. Although both HIFU devices are built on the same scientific foundation, critical differences exist. Ablatherm-HIFU is unique in offering three specific treatment protocols addressing each of the targeted types of prostate cancer patients: (i) patients diagnosed with prostate cancer who have yet to undergo any previous treatment (primary treatment), (ii) patients who failed radiotherapy and HIFU being their only available therapeutic option, and (iii) patients with recurrence of their cancer. In addition, Ablatherm's probe integrates two ultrasound transducers, one for localizing and imaging the tumor and one for HIFU treatment, thus offering the best imaging quality, while ensuring a safe and efficient treatment. John Rewcastle, medical director of EDAP, commented, "We are pleased this review, in addition to several other positive publications, provides further validation of Ablatherm-HIFU's unique technological merits in comparison to other HIFU devices. Substantial and longer-term data following Ablatherm-HIFU is increasingly available, which allows physicians to accurately discuss outcomes as they guide patients through the treatment selection process. With over 15,000 treatments performed worldwide, we believe Ablatherm is the standard-of-care in HIFU treatment of localized prostate cancer." Marc Oczachowski, EDAP's chief executive officer, said, "We are delighted this review confirms both the unique expertise and experience of our Ablatherm device in treating localized prostate cancer. We are pleased this review has been published at a time when we are actively recruiting patients for our U.S. Phase II/III clinical trial of Ablatherm-HIFU. We are confident that the results of this published study could have a positive effect on the enrollment pace in our ongoing trial. We look forward to confirming Ablatherm's efficacy and safety in the U.S. market and are pleased with the progress to-date." EDAP's Ablatherm-HIFU is not approved for the treatment of prostate cancer in the United States and currently is undergoing evaluation in a multicenter Phase II/III clinical trial under an Investigational Device Exemption granted by the FDA. About EDAP TMS SA EDAP TMS SA develops and markets Ablatherm, the most advanced and clinically proven choice for high-intensity focused ultrasound (HIFU) treatment of localized prostate cancer. HIFU treatment is shown to be a minimally invasive and effective treatment option with a low occurrence of side effects. Ablatherm-HIFU is generally recommended for patients with localized prostate cancer (stages T1-T2) who are not candidates for surgery or who prefer an alternative option, or for patients who failed radiotherapy treatment. Ablatherm-HIFU treatment is in clinical trials, but not FDA-approved or marketed in the United-States. The company also is developing this technology for the potential treatment of certain other types of tumors. EDAP TMS SA also produces and commercializes medical equipment for treatment of urinary tract stones using extra-corporeal shockwave lithotripsy (ESWL). For more information on the company, please visit http://www.edap-tms.com and http://www.hifu-planet.com or http://www.urotoday.com/HIFU . Forward-Looking Statements In addition to historical information, this press release contains forward-looking statements that involve risks and uncertainties. These include statements regarding the company's growth and expansion plans. Such statements are based on management's current expectations and are subject to a number of uncertainties and risks that could cause actual results to differ materially from those described in these forward-looking statements. Factors that may cause such a difference include, but are not limited to, those described in the company's filings with the Securities and Exchange Commission -0- CONTACT: EDAP TMS SA Investor Relations / Legal Affairs Blandine Confort +33 4 72 15 31 72 bconfort@edap-tms.com The Ruth Group Investors: Stephanie Carrington 646-536-7017 scarrington@theruthgroup.com R.J. Pellegrino 646-536-7009 rpellegrino@theruthgroup.com (END) Dow Jones Newswires 02-14-08 0905ETEDAP I/MDV I/XDJGI N/DJIN N/DJN N/DJWB N/ADR N/CNW N/DJPN N/DJWI N/PRL N/RND N/TPCT M/HCR M/NND M/TPX R/EC R/EU R/FR R/WEU Show Headlines  « » http://www.cancercompass.com/message-board/message/all,23689,0.htm jimfin Fri, 02 May 2008 00:00:00 GMT For the last three days I have wrapped my mind around every bit of information I could find on HIFU for prostate cancer.  Most of the websites seem to be or state funding from the companies who make the two different machines, and the Dr's that use them.  Keeping that in mind I decided to look for the Dr's who have the most experience with how many men they treated using HIFU.  More experience = less room for error.  I also came up with a list of questions to interrogate the Dr's.  So here's what I just bounced off a Dr.  PLEASE do not quote me on my interpretation of the discussion.  I am three days into this so for those who are quite more researched please be kind.  These are my thoughts processed in my mind from my 15 conversation written in my words.  Ablertherm was the first machine used.  It's better for larger prostrates because the ultrasound "wave" hits a bigger area.  A smaller prostrate would be more difficult because it would hit outside the prostrate gland. Size matters with ablertherm.  Turp is sometimes done on men with bigger prostrates before ablertherm to shrink the prostrate because Ablertherm has size restrictions or rather specifications. Turp is done sometimes after either machine to shrink the swelling of the "shell" of the prostrate making it easier to urinate and pass the dead cells and tissues.  The ultrasound "wave" heats and destroys the whole prostrate gland and the tissues and cells all work there way out and pass with urine.  Slothing being the side effect.  A hollow shell of the gland is left.  Interesting.  Sonoblate  has been used on 10,000. men in the world since it came out.  The technology upgrades to the 500 software do not have a steep learning curve.  This Dr did 1500. procedures himself.  He said he has used the Ablertherm machine as well and an afterthought was how many times in the 1500 . did he use Ablertherm or were those men a separate number.  He was trained at University of Indiana and went to Europe for additional training.  Makes me think Urology in Indiana and HIFU certified in Europe possibly started using Ablertherm.  It seems like Ablertherm is used more in Europe.  Would the companies themselves keep up on Dr's for how many men they used their machines on?  I heard someone mention somewhere  A top 5 in HIFU urologists.  Where can you correctly find out who the top 5 are?  Top referred to as the most men personally treated.  Is the 2% risk of nerve damage a statistic from both machines or the Sonoblate itself?  Is the 2 % statistic from the updated software on the sonoblate machine (500)?  Who are the Dr's who have had the most experience on men that use one machine and the other?  Finally the “hollow” shell of the gland.  If the dead cells expel though the shell what happens inside.  Can it fill with fluids and or toxins overtime?  Its always difficult to talk with a Dr when you have little time to pull together all of your questions and thoughts.  Even when they are patient and informative there will always be the afterthought of why didn't I ask that. Any kind feedback with different thoughts or resources to get statistics on the most experienced Dr’s would be great.  I am meeting the Dr I spoke with today next week in person so I will have a whole new Mind warp Trivia… http://www.cancercompass.com/message-board/message/all,23687,0.htm imagine Fri, 02 May 2008 00:00:00 GMT For the last three days I have wrapped my mind around every bit of information I could find on HIFU.  Most of the websites seem to be or state funding from the companies who make the two different machines, and the Drs that use them.  Keeping that in mind I decided to look for the Drs who have the most experience with how many men they treated using HIFU with the two different machines.  More experience less room for error.  I also came up with a list of questions.  So here's what I just bounced off a Dr.  PLEASE do not quote me on my interpretation of the discussion.  I am three days into this so for those who are quite more researched please be kind.  These are my thoughts processed in my mind from my 15 conversation written in my words.  Ablertherm was the first machine used.  It's better for larger prostrates because the ultrasound "wave" hits a bigger area.  A smaller prostrate would be more difficult because it would hit outside the prostrate gland.  Turp is usually done on men with bigger prostrates before HIFU to shrink the prostrate because Ablertherm has size restrictions.  Turp is done sometimes after either machine to shrink the swelling of the "shell" of the prostrate making it easier to urinate and pass the dead cells and tissues.  The "wave" heats and destroys the whole inside of the prostrate gland and the tissues and cells all work there way out and pass with pee.  Slothing is a result.  A hollow shell of the gland is left.  Interesting.  Sonoblate  has been used on 10,000. men in the world since it came out.  The technology upgrades to the 500 software do not have a steep learning curve.  This Dr uses Sonoblate 500 and did 1500. procedures himself.  He said he has used the Ablertherm machine and an afterthought was how many times in the 1500 or were those a separate number of men.  He was trained at University of Indiana and went to Europe for additional training.  Makes me think Urology in Indiana and HIFU certified in Europe possibly started using Ablertherm.  It seems like Ablertherm is used more in Europe.  Would the companies themselves give a number for the Drs for how many men they used there machines on?  I heard someone mention somewhere  A top 5.  Where can you correctly find out who the top 5 are?  Top referred to as the number of men personally treated.  Is the 2% risk of nerve damage a statistic from both machines or the Sonoblate?  IS the 2 % statistic from the updated software on the sonoblate machine?  Who are the Dr's who have had the most experience on men that use one machine over the other?  Finally the “hollow” shell of the gland.  If the dead cells expel though the outside what happens inside.  Can it fill with back up overtime possibly with toxins?  My mind is now warped.  I would appricate any feedback  from anyone who has different thoughts or a way to get statistics on the most experienced Dr’s. Next week I will bounce all of this off of the Dr I spoke to today and will have another mind warp trivia! http://www.cancercompass.com/message-board/message/all,23676,0.htm imagine Fri, 02 May 2008 00:00:00 GMT My husband is newly diagnosed, and WW has been recommended by urologist and radiation oncologist. How do we go about finding a highly rated radiation oncologist in NYC? Should he continue with the one he was sent to and if treatment in needed go for second opinion/switch to a someone more highly rated at that time? Or, is it the radiation Dept at the hospital that is the most important variable? And if so what hospitals, aside from Sloan Kettering ( which is not on his plan) are well thought of.thanks in advance- the advice and information I have received has been so clear and valuableNinel http://www.cancercompass.com/message-board/message/all,23649,0.htm ninel Thu, 01 May 2008 00:00:00 GMT Had a radical in 2002 and radio 2004. PSA 0 but cannot retract foreskin. Is this of concern as it causes some ballooning on micturation? I know this is a known complication.  I have a slight incontinence still and total impotence.  Age 68 http://www.cancercompass.com/message-board/message/all,23638,0.htm Kennethnz Thu, 01 May 2008 00:00:00 GMT hi:My Dad had a complete prostate removal in 2005, radiation following.  Now in 2008 had a hip replaced, developed e-coli bladder infection and now what they are saying is infection cleared but he in actuality has Radiation Cystitis.  Had 2 cystocopy surgeries and just underwent alum instillation today, urologist said 65% success rate.  The bleeding and clotting he has is horrible.  Anyone else had such a horrilbe thing and any luck with different treatments!!!!  Thank you.Angel http://www.cancercompass.com/message-board/message/all,23591,0.htm angel0814 Wed, 30 Apr 2008 00:00:00 GMT Hi all, I have not posted a question in some time but would like some opinion on my PSA.I have had prostate cancer and kidney cancer. Surgery for kidney . and hormone treatment and High intensity ultraa sound treatment, Biopsy of prostate in jan 07. All my scans have been clear but my PSA was 9 now down to 6.2 and staying there. Also, my Blood Urea Nitrogen is 27.Drs do not seem concerned??Wondering if i should check further??Feeling fine no symptoms.Skip      http://www.cancercompass.com/message-board/message/all,23574,0.htm Blantyre Wed, 30 Apr 2008 00:00:00 GMT Does anyone have experience using prostasol with prostate cancer metastatic to bone?  Or does anyone know of anyone who has?  I have read about PSA's coming down- I am not sure if this would be helpful with metastatic cancer to bone.If anyone could offer any hopeful insight- I would appreciate it- All answers are greatly appreciated.If anyone has any other insight in reference to possible treatments- please do respond.Thank you! http://www.cancercompass.com/message-board/message/all,23547,0.htm SpringFlower Tue, 29 Apr 2008 00:00:00 GMT How do we find best pathology specialist to get second opinion on biopsy? Are these usually covered by HMOs?With slides I assume location does not matter.thanks,Ninel http://www.cancercompass.com/message-board/message/all,23464,0.htm ninel Sun, 27 Apr 2008 00:00:00 GMT I know that typically UTI's are not common in men. I know that a UTI can be a sign of prostate cancer.But, my question is, after surgery, recovery, post radiation treatment, everything has healed for 6 months; is it common for men to have UTI's? My hubby's symptoms are back pain and burning during urination, he also has had stones in the past....so I'm not sure what we are dealing with. Of course I am going to call his urologist, but I am always happy to hear the "been there, done that" advice that we get here.  http://www.cancercompass.com/message-board/message/all,23411,0.htm Linb1414 Fri, 25 Apr 2008 00:00:00 GMT I am currently 49 and had RP 5 years ago this month.  Gleason 6 with positive margin.  PSA was <.1 until a little over a year ago.  Tests every three months have been .10, .11, .13,.13 and last week .14.  I am getting conflicting information from different doctors and radiologists on whether to start salvage radiation now or wait until the PSA hits .20.  I do not want to have radiation unless I know I need it due to the potential side effects but also do not want to risk waiting too long and having some cancer relocate somewhere else in my body.  Wondering it the PSA rise could possibly be some benign prostate tissue left behind that is growing slightly.Recovered well from the RP and have good erections and no incontinence so I am concerened that radiation will make those areas worse.  If anyone has some opinions please let me know.Thanks http://www.cancercompass.com/message-board/message/all,23409,0.htm wgekw Fri, 25 Apr 2008 00:00:00 GMT Hi all, I am a 49 yo diagnosed with PC last spring confirmed by biopsy.I had a robotic radical in July 07My first post surg PSA in Sept. 07 was 1.4, I was put on Lupron and further diagnositics where performed including prostascint at MUSC (Med Univiersity of South Carolina), it was determined that there was no metastisis.I commenced external beam radiation in November 07, completed first week of Jan, 08.My first post radiation PSA in Feb, 08 was 0.1.My latest PSA 3 months later is 1.0.I am scheduled for another PSA in six weeks.Does anyone have an experience with such persistance of PSA after both a radical and radiation?Thanks much.  Scott      http://www.cancercompass.com/message-board/message/all,23316,0.htm gpgscott Tue, 22 Apr 2008 00:00:00 GMT My husband had a prostectomy in Feb. ,02,followed by radiation.Two yrs. ago psa spiked to 8,so he started hormone therapy.(he got a shot every 4 months) and psa dropped after 1st treatment.Last yr. it started to creep up and he went on Casodex in Jan.Last week his psa was up to 19,it was 10.8 week before.Has anyone had this situation?(The urologist was very surprised by the psa result).He sees a oncologist on May 5th. http://www.cancercompass.com/message-board/message/all,23269,0.htm Carol Mac Mon, 21 Apr 2008 00:00:00 GMT I have completed 41 sessions of imrt as of april 4 and am still getting up nights every two hours minimum. I have been on flomax for a month. Is there a good chance that i will get a full nights sleep in the near future ? http://www.cancercompass.com/message-board/message/all,23254,0.htm Patrick1935 Sun, 20 Apr 2008 00:00:00 GMT I was 63 when diagnosed with prostate cancer. Blood in the urine was the reason for seeking out a urologist. The doctor performed a laser prostatectomy and biopsy during the laser prostatectomy, a gleason 7 was the result The doctor told me he could do a laser treatment to stop any bleeding and get a biopsy at the same time. PSA was 4.4 before the surgery. I changed doctors to take advantage of the robotic surgery, there was a 6 month period between the laser prostatectomy and the robotic  removal of the prostate. The surgeon spent additional time removing connecting tissue during this surgery. The surgery was a success with little  pain and I was back to work in three weeks. The pathology report showed a gleason 10 and cancer was not contained within the prostate and spread to adjoining tissue. Has anyone else had a laser prostatectomy with cancer present and how did you fare? Was this a procedure I should have advoided?Thank You :     East Falls http://www.cancercompass.com/message-board/message/all,23242,0.htm EastFalls Sun, 20 Apr 2008 00:00:00 GMT My father had radiation therapy for prostate cancer last summer and has developed complications from this.  He was having problems with his urine flow and required further surgery that was carried out yesterday.  My dad is 78 years old and I am afraid that sometimes he is not very clear when he tries to explain things to us.  Apparently this complication that he had is quite common for people who have had radiation therapy.My concern now is his account of what his doctor has told him....I have not talked to his doctor myself but plan to.  Anyway I took him up yesterday and he had the surgery performed.  After surgery he was taken to his room and seemed to be a lot of discomfort but was doing okay...then started to complain about pain on the top of his left leg.  I looked to see if there was anything there and found a bandaged section.  He said the nurse told him that the tool or light (that's what he called it) that the doctor uses is hot and he had laid it on top of the material that was covering dad and it burnt through the material and also burnt his leg??  It is not a big burn, the size of a dime or nickle he said, but it has formed a blister and is very painful...I have not seen it.  I stayed with him all day and my sister brought my mom up in the evening.  Things were good and he seemed to be doing well except for the pain and the discomfort from the catheter.This morning however he phoned mom and told her that the doctor had been in to see him and told him they had found further complications that had to be addressed and his prostate collapsed.  Now I am really concerned....does anyone know what this is all about...or what to expect from this?  Will he have further complications as a result of this?  Apparently in all the confusion the "tool or light" was forgotten and that is why the burn resulted.  Like I said, dad can be confused sometime when he explains things so I will not know what happened until I talk to the doctor myself....but right now I am just wondering if anyone has experienced anything like this before or can shed any light on this for me.    http://www.cancercompass.com/message-board/message/all,23207,0.htm needhelpunderstandin Sat, 19 Apr 2008 00:00:00 GMT I have been researching proton radiation as a treatment option for myself. There are few long term evaluations except the one done at Loma Linda.It was a fairly positive account. There is also a web site and the book by Robert Marckini who is on an advisory counsel there. All are quite complimentary.I would appreciate any unbiased or possibly negative feedback ;if there is such a thing. Thanks very much.  Ray. http://www.cancercompass.com/message-board/message/all,23192,0.htm branch987 Fri, 18 Apr 2008 00:00:00 GMT During my diagnosis and treatment for Prostate Cancer,  I recorded a         personal journal of my experiences, free for the downloading.  The journal     is sometimes humorous, sometimes serious, but mostly  informative for those concerned with intimacy issues and the  fear and  reality of sexual dysfunction and those interested in Watchful Waiting.  On-line prostate support groups and forums helped me tremendously years ago. I hope this journal, in part, returns the favor.            Here's the link:   http://www.pcjournal-rrd.blogspot.com http://www.cancercompass.com/message-board/message/all,23186,0.htm gizzmo664 Fri, 18 Apr 2008 00:00:00 GMT My husband took Qucertin Plus (prostasol) from Mexico to lower his PSA.  He had prostate removed in 1999 but recent PSA went up to 5.5 where for years it was always remaining in the 3 range.  His PSA after four weeks of prostasol dropped to 0.0 and his testosterone has dropped to 6 from 200.  The Dr. thinks we should do PSA test monthly and not take prostasol until it begins to climb again.  We are going to MD Anderson next week so we will see what they recommend.  http://www.cancercompass.com/message-board/message/all,23132,0.htm linda4348 Wed, 16 Apr 2008 00:00:00 GMT