Q & A

Q&A with Dr. Daniel Rukstalis on prostatic urethral lift for enlarged prostates

Charlie Schmidt

Editor, Harvard Medical School Annual Report on Prostate Diseases

A new procedure that relieves symptoms without causing sexual side effects As men get older, their prostates often get bigger and block the flow of urine out of the bladder. This condition, which is called benign prostatic hyperplasia, causes bothersome symptoms. Since men can’t fully empty their bladders, they experience sudden and frequent urges to […]

Are testosterone supplements linked to cardiovascular problems?

Charlie Schmidt

Editor, Harvard Medical School Annual Report on Prostate Diseases

A growing number of aging men are trying to hold on to their youthful vigor by taking testosterone. Unsettling study results suggest that men with low but “normal” testosterone levels who take a testosterone supplement may be increasing their risk of having a heart attack, stroke, or developing heart disease.

What is a PSA test?

Nancy Ferrari

Senior editor, Harvard Health

Doctors use this test to screen for prostate cancer, but it does not provide a definitive diagnosis.

Video: Are PSA tests beneficial?

Nancy Ferrari

Senior editor, Harvard Health

Two international and large randomized studies provide the most convincing evidence thus far that PSA based testing does nothing or meaningfully little to reduce the death rate from prostate cancer and confirm many earlier studies that came to the same conclusions. In this video, Marc Garnick, MD, discusses the implications.

Is PSA reliable?

Nancy Ferrari

Senior editor, Harvard Health

That’s a good question, because having an elevated PSA doesn’t necessarily mean that a man has prostate cancer.

Might a PSA test at age 60 simplify decision-making about screening?

Marc B. Garnick, M.D.

Editor in Chief, HarvardProstateKnowledge.org

A Swedish study suggests that a single PSA measurement at age 60 can predict the likelihood that a man will die of prostate cancer by age 85, and that at least half of men no longer need to be screened after age 60. But the study has significant limitations, leaving many experts skeptical.

Eating for prostate health

Marc B. Garnick, M.D.

Editor in Chief, HarvardProstateKnowledge.org

Patients frequently ask for a list of foods they can eat to help shield them from prostate cancer. Although some foods have been linked with reduced risk of prostate cancer, the proof of their effectiveness is lacking.

A patient’s story: Why one man chose robotic-assisted laparoscopic prostatectomy

Nancy Ferrari

Senior editor, Harvard Health

After talking with numerous medical professionals and asking friends about how they treated their prostate cancers, financial services executive Steve Henley opted to have a robotic-assisted laparoscopic prostatectomy. In this interview, he explains what factors went into that decision.

What does a fluctuating PSA mean?

Nancy Ferrari

Senior editor, Harvard Health

If your PSA has varied greatly and biopsies have been negative, you might want to try a different testing regimen.

What is the difference between PSA and free PSA?

Nancy Ferrari

Senior editor, Harvard Health

Kevin R. Loughlin, M.D., M.B.A., director of Urologic Research at Brigham and Women’s Hospital, explains how these tests differ.