Prostate Health Archive

Benign prostatic hyperplasia, also known as an enlarged prostate, occurs in about 50% of men by age 60. It can lead to urination problems like a hesitant, interrupted, or weak urine stream; dribbling after urinating; a feeling that the bladder does not completely empty; and more frequent urination, especially at night. Medication and lifestyle changes are the first-line treatments, but if these don't work, men can choose from several types of surgery or less-invasive procedures to help manage symptoms.

Whether or not to continue PSA testing after age 70 depends on many factors, but especially a man's family history of prostate cancer and how comfortable he is about getting a biopsy or treatment if the test results suggest possible cancer.

After a man has had a radical prostatectomy, sometimes the level of the antigen PSA rises again later, meaning cancer may have returned. A study found that the normal therapy given when this happens is more effective when combined with other forms of treatment.

Active surveillance allows men with low- or intermediate-risk prostate cancer to avoid temporarily the side effects of invasive therapies, but men often feel anxious about their cancer. Emerging evidence suggests there may be a middle path between no treatment and aggressive therapies.

Prostate cancer can progress over long durations, and if a man's tumor has features that predict slow growth, he can opt for active surveillance instead of immediate treatment. But when the time for treatment comes, up to a third of men still decide against it. Now, a new study finds that for some of these men, treatment can be safely delayed.

The FDA has approved a new medication therapy for advanced prostate cancer that is spreading in the body. The new treatment can seek out and destroy tumors that are still too small to be found via conventional medical imaging. Results of a clinical trial showed that this new drug was effective at delaying cancer progression.

Today, most surgeries to remove the prostate gland in men with prostate cancer are performed with robotic assistance, which ostensibly offers quality-of-life advantages. But how does this method compare with traditional open surgery? A recent study provides some clarity.

Many men have questions regarding the testing and screening processes for prostate cancer, such as whether prostate-specific antigen tests are still the standard, when it is time for a biopsy, and what new technologies are available to help with a more accurate diagnosis. Harvard Medical School prostate cancer expert Dr. Marc Garnick provides the answers.