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December 26, 2025 In this episode, Scott, Mark, and Ray Painter answer listener questions about the new 2026 prostate biopsy CPT codes. They clarify global periods, explain the differences between transrectal and transperineal approaches, and tackle the nuances of coding for MRI-guided procedures—especially when using systems like Promaxo. They also break down the use of 55715 for additional targeted lesions, when modifiers like 52 may apply, and how payers might interpret these new codes differently. The team emphasizes caution, payer communication, and the evolving nature of both coding and coverage guidance.Urology Advanced Coding and Reimbursement SeminarInformation and RegistrationPRS Coding and Reimbursement HubAccess the HubFree Kidney Stone Coding CalculatorDownload NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and AdminsPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner. https://www.prsnetwork.com/joinuptp
In this episode, Elle and Vee recap their Joy Family holiday party, aka the Naughty Snowball, at which LOTS of naughty fun was had! This is a revisit from January 2025, and still holds up as one of the naughtiest most exploratory parties they've been at together. Themes/dressing for body confidence (especially after having a baby). (2:23)Prostate play with Daddy: Elle gets a lesson in best practices for milking the prostate, and snowballing cum between five people. (5:22)Rope 101: Vee uses her beginner rope tying skills on Elle! Finding something to do with your hands during the party, and unlocking your inner domme. Reverse Tension; Square Knot Single Column Tie; attaching rope to rope. (11:55)Edging scene while being bound. (18:40)Fisting tips: Vee uses her takeaways from a recent fisting workshop to get wrist-deep with M, two nights in a row. (20:23)Elle: year of the pussy! Double ended dildo strap-on play. Why Elle loves reverse cowgirl. (29:38)Anonymity in a large orgy: at small orgies it feels like there's a spotlight on certain scenes. (40:14)The best sexy white elephant gifts: nipple clamps, penis pumps, ejaculating dildo, sexy art, bed straps. (44:11)Support the showWhere to Find Us & How to Support the Show:
If you're a man in your 50s, 60s, or 70s waking up at night to pee, planning your day around bathroom access, or quietly worrying about erections and testosterone, this episode is for you. Dr. Geo sits down with Dr. Ravi Munver (Hackensack University Medical Center) to break down what's actually driving urinary symptoms, how to tell “prostate vs bladder,” when waiting too long can permanently weaken your bladder, and how today's BPH procedures compare—especially Aquablation (high-pressure, room-temperature waterjet therapy).What you'll learn in this episode• Why BPH symptoms can start earlier than most men think (and why more men are finally talking about it)• Why prostate size does NOT equal symptom severity (big prostate ≠ big problem… always)• How to distinguish “prostate obstruction” vs overactive bladder—and why you can't reliably do this without proper testing• The “danger zone”: when untreated obstruction can lead to a weakened/crippled bladder• Medication options: what each class does, who it's for, and the most common side effects• The full “toolbox” of procedures—from office-based options to the most durable surgical solutions• Why Aquablation is changing the conversation (symptom relief + low sexual side effects + broad size range)Episode chapters (timestamps)00:00:00 00:02:00 Why younger men are showing up with urinary symptoms Prostate growth patterns (growth early, pause, then growth again in the 40s); increased awareness, openness, and access to information.00:07:00 “Blame the organ you have” — prostate vs overactive bladder Why symptoms overlap; why only a clinician can truly differentiate causes.00:10:00 When should a man see a urologist? When symptoms interfere with life (work, travel, sleep). The real issue is often difficulty returning to sleep.00:13:00 The risk of waiting: bladder decompensation How long-term obstruction can lead to a weakened bladder and urinary retention.00:18:00 The holistic patient scenario + why objective testing matters Why symptoms can “seem better” while retention worsens; importance of measuring PVR and other tests.00:21:00 Medications for BPH—pros/cons• Alpha blockers: tamsulosin (Flomax), alfuzosin, silodosin (Rapaflo)• 5-alpha reductase inhibitors: finasteride, dutasteride• Tadalafil (Cialis) daily 5 mg: dual benefits for BPH + erectile function00:31:00 The modern BPH procedure toolbox TURP as the historical “gold standard,” plus lasers, robotic options, office-based procedures, and newer technologies.00:36:00 What men care about most when choosing a procedure Incontinence risk, erectile dysfunction risk, ejaculatory changes, irritative symptoms, and durability/retreatment rates.00:38:00 Robotic Simple Prostatectomy — what “simple” actually means Removing the obstructing inner tissue while leaving the capsule; major symptom relief for large prostates, with tradeoffs (especially ejaculation).00:43:00Aquablation explained (high-pressure water therapy) Image-guided treatment planning + robotic waterjet tissue removal with minimal thermal damage.00:48:00 Durability and size range Discussion of longer-term data vs TURP and why Aquablation can treat very large prostates.00:51:00 If Aquablation isn't available—what's next best? How options shift based on prostate size and the priority to preserve ejaculation vs maximize durability.00:54:00 Final guidance + where to find Dr. Munver Individualized care; find a urologist who can offer a broad set of options.___________________________________
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"The thought of recurrence is also a psychosocial issue for our patients. They're being monitored very closely for five years, so there's always that thought in the back of their head, 'What if the cancer comes back? What are the next steps? What am I going to do next?' It's really important that we have conversations with patients and their families about where they're at, what we're looking for, and reassure them that we'll be with them during this journey and help them through whatever next steps happen," ONS member Clara Beaver, DNP, RN, AOCNS®, ACNS-BC, manager of clinical education and clinical nurse specialist at Karmanos Cancer Institute in Detroit, MI, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about prostate cancer survivorship considerations for nurses. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by December 19, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to survivorship nursing considerations for people with prostate cancer. Episode Notes Complete this evaluation for free NCPD. ONS Podcast™ episodes: Episode 390: Prostate Cancer Treatment Considerations for Nurses Episode 387: Prostate Cancer Screening, Early Detection, and Disparities Episode 201: Which Survivorship Care Model Is Right for Your Patient? Episode 194: Sex Is a Component of Patient-Centered Care ONS Voice articles: APRNs Collaborate With PCPs on Shared Survivorship Care Models Exercise Before ADT Treatment Reduces Rate of Side Effects Frank Conversations Enhance Sexual and Reproductive Health Support During Cancer Here Are the Current Nutrition and Physical Activity Recommendations for Cancer Survivors Nursing Considerations for Prostate Cancer Survivorship Care Regular Physical Activity and Healthy Diet Lower Risk of All-Cause and Cardiac Mortality in Prostate Cancer Survivors Sexual Considerations for Patients With Cancer Sleep Disturbance Is Part of a Behavioral Symptom Cluster in Prostate Cancer Survivors ONS course: Essentials in Survivorship Care for the Advanced Practice Provider Clinical Journal of Oncology Nursing articles: A Patient-Specific, Goal-Oriented Exercise Algorithm for Men Receiving Androgen Deprivation Therapy Incorporating Nurse Navigation to Improve Cancer Survivorship Care Plan Delivery Prostate Cancer: Survivorship Care Case Study, Care Plan, and Commentaries The Role of the Advanced Practice Provider in Bone Health Management for the Prostate Cancer Population Oncology Nursing Forum articles: A Qualitative Exploration of Prostate Cancer Survivors Experiencing Psychological Distress: Loss of Self, Function, Connection, and Control Identification of Symptom Profiles in Prostate Cancer Survivors Sleep Hygiene Education, ReadiWatch™ Actigraphy, and Telehealth Cognitive Behavioral Training for Insomnia for People With Prostate Cancer Understanding Men's Experiences With Prostate Cancer Stigma: A Qualitative Study Other ONS resources: Late Effects of Cancer Treatment Huddle Card Survivorship Care Plan Huddle Card Survivorship Learning Library American Cancer Society (ACS): Living as a Prostate Cancer Survivor ACS prostate cancer survivorship studies To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org. Highlights From This Episode "Some of the most common late side effects [are] urinary, bowel, and sexual dysfunction issues. For urinary effects, it can include urgency and frequency, some incontinence, or a weak or slow urine stream that frequently bothers the patient after treatment. Bowel effects can happen such as constipation, diarrhea, or inflammation of the rectum, which can lead to bleeding or mucus discharge. And then erectile dysfunction is another side effect that patients with prostate cancer often deal with and have to work with their physicians on, depending on what they want with that function. Fatigue, lymphedema, and skin changes can also occur after treatment." TS 1:40 "If we can catch [prostate cancer] and take care of it at an early stage, overall survival is about 90%. If the disease is localized, it's 99%. If we can take out the prostate, radiate the prostate, we can do something with that—localized, 99% survival rate. If there's regional metastasis, it's about 90%. And if there's distant metastasis, it's about 30% survival." TS 3:55 "Prostate cancer recurs in about 20%–30% of patients within the first five years of initial treatment. ... There's not a lot of research out there that shows what can reduce risk, but what has been shown to be effective is regular exercise, quitting smoking, and eating a healthy diet. ... It's really important for our patients to understand the importance of having follow-up visits so that we can catch a recurrence quickly instead of waiting years down the road. Prostate cancer is usually a slow-growing disease, so if we can pick it up quickly in those revisits, we can start another treatment for the patient." TS 6:00 "Sexuality is not something many people are comfortable discussing, but we really need to talk with patients and let them know that this is normal. It is normal that you may have some sexual dysfunction. It's normal that you may not feel the way you did before. Talk to us about it, let us know where you're at, let us know what your goals are, because there are a lot of things we can do. There are medications we can use for impedance. There are devices and implants available to help the patient to support them and give them whatever their goal is for their sexuality." TS 9:41 "Providing survivorship care plans are important for these patients—something that can be sent off to everyone else that's caring for that patient. You have your primary care physician, urologist, oncologist, the oncology nurse, maybe a navigator, and [others] who are looking into this patient. So, giving that patient a survivor care plan and putting it with their files to include a summary of the treatment received, because most of the time a patient is not going to remember exactly what they received. A suggested schedule for follow-up exams—so again, if a primary care provider is not used to dealing with a patient with prostate cancer, they have something to go off of. A schedule of other tests they may need in the future including screening for other types of cancer. Are they a smoker? Do they need lung screening? Do they need any other screenings related to types of cancers? And then a list of possible late or long-term side effects." TS 15:16 "I think a lot of people know about the long-term sexual effects, but what we don't really talk about is the effect that it has on the patient's self-image. How they define themselves, how they look, their body image, their self-image. It's really important that we continue to discuss it with patients and make them comfortable when discussing their sexuality and their goals for sexuality. They may be having these self-image issues after treatment that they're just not telling us about and that can affect their quality of life." TS 18:38
If you're reading this, maybe just don't listen to this one. Jesse and Patrick will return in the sequel. Next week, we talk about Argo (2015), as we head into the end of Spycember.
What if thousands of men are losing their sexual function treating a cancer that was never going to kill them? In this episode, I sit down with Dr. Shawn Zimberg — board-certified radiation oncologist and medical director at Advanced Radiation Centers of New York — to unpack the truth about prostate cancer screening, overtreatment, and what every man over 40 needs to know. Dr. Zimberg reveals that the prostate cancer industry has an overtreatment problem — and genomic testing is exposing which tumors need aggressive treatment and which don't. We break down why PSA is broken, why Gleason scores don't tell the full story, and how cadaver studies show men from their 20s to 80s harbor prostate cancer cells that never become clinically significant. We also dive into the science behind radiation therapy, the BioProtect balloon spacer (Dr. Zimberg has performed nearly 2,000 — more than anyone in the world), and the cutting-edge radioligand therapy changing outcomes for stage 4 prostate cancer. If you're a man, love a man, or work with men in health or performance, this is essential listening. About the guest:Dr. Shawn Zimberg is a board-certified radiation oncologist, medical director at Advanced Radiation Centers of New York, and director of radiation oncology at Bronx Care Hospital. He trained at Memorial Sloan Kettering and has pioneered the use of rectal spacer technology in prostate cancer treatment, having performed nearly 2,000 PioProtect balloon procedures — more than any other physician in the world. *** Reduce your risk of Alzheimer's with my science-backed protocol for women 30+: https://go.neuroathletics.com.au/brain-code-yt Subscribe to The Neuro Experience for more conversations at the intersection of brain science and performance. I'm committed to bringing you evidence-based insights that you can apply to your own health journey. *** A huge thank you to my sponsors for supporting this episode. Check them out and enjoy exclusive discounts: Troscriptions — Get 10% off your first order at https://troscriptions.com/neuro or enter code NEURO at checkout. *** I'm Louisa Nicola — clinical neurophysiologist — Alzheimer's prevention specialist — founder of Neuro Athletics. My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention. If you're committed to optimizing your brain — reducing Alzheimer's risk — and staying mentally sharp for life, you're in the right place. Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0 Instagram: https://www.instagram.com/louisanicola_/ Twitter : https://twitter.com/louisanicola_ *** Topics discussed:00:00:00 Introduction: The Prostate Cancer Overtreatment Crisis 00:02:11 Understanding the Prostate: Anatomy and Function 00:04:43 The Cancer Paradox: Size Does Not Equal Risk 00:07:43 Radiation Oncology: The Specialty Explained 00:11:08 Lifetime Risk and Genetic Factors 00:15:32 PSA Testing: The Gold Standard Screening Tool 00:20:36 The Diagnostic Journey: MRI and Biopsy Techniques 00:25:27 The Ejaculation Study: Myth or Reality? 00:33:15 Gleason Scores Decoded: Understanding Aggressiveness 00:37:03 Molecular Profiling: Looking Under the Hood 00:39:27 Treatment Pathways: Surveillance, Surgery, or Radiation 00:41:02 Active Surveillance: When Watching is Appropriate 00:43:31 Stage 4 and Radio Ligand Therapy: The New Frontier 00:48:21 Testosterone and Prostate Cancer: The Complex Relationship 00:52:38 Radiation Therapy Explained: DNA Damage and Healing 00:55:28 The Bioprotect Balloon: Revolutionary Rectal Protection 00:56:07 The Therapeutic Ratio: Maximizing Cure, Minimizing Damage 00:46:39 Robotic Prostatectomy and Surgical Options 01:06:36 Prevention and Early Detection: What Men Need to Know 01:08:28 Closing Thoughts and Where to Find Dr. Zimberg Learn more about your ad choices. Visit megaphone.fm/adchoices
Episode 209: Do not Do Stephanie Granat (medical student) explains three screenings that are USPSTF Grade D (Do not do): Prostate cancer, genital herpes, and pancreatic cancer. Dr. Arreaza shares some insight about testing patients with lower urinary tract symptoms and genital lesions. Written by Stephanie Granat, MSIV, Ross University School of Medicine. Edits and comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.
On this week's show, Jason talks about the pregress on his new shop build out, Keith has screwed himself again by working on 2 (well actually 3) projects at the same time and Mary needs to take a break from house DIy and is moving on to a very emotional build. Be sure to check out Bits & Bits at www.bitsbits.com and use coupon code MORSELS15 to save 15% on your order of router and/or CNC bits. Be sure to hit up Katz-Moses Tools at www.KMTools.com - cool tools at a fair price. If it's on their website, it's in Jonathan's apron. www.kmtools.com **And check out the new Katz Moses toolless adjustable countersink and new sharpening jig. Oh, and don't forget about his new aluminum channel French Cleat system with some bad azz 3D printed accessories that lock in place!! **WTB Woodworking has a new JET giveaway that includes sweet benchtop lather with variable speed and reverse! The link for the giveaway will be: https://www.wtbwoodworking.com/giveaway , so go sign up and win yourself some sweet kit! DEADLINE is December 19th at MIDNIGHT ET! Be sure to check out WTB Woodworking new store at 390 Pike Road, Unit 2, Huntingdon Valley, PA for lumber, slabs, woodworking tools and MORE!! Or shop online and earn yourself some Burkell bucks for every dollar you spend!Help us support Grit-Grip!! A revolutionary new breed of double-sided sanding sponges that we all three LOVE! Check it out at https://grit-grip.com/ and use code "shopsounds" at checkout to get a free sanding block!The Bourbon Blade: https://www.bourbonmoth.com/shop/p/the-bourbon-blade-original-pocket-chiselIf you'd like to support us on Patreon and have access to our irreverent aftershow, you can sign up here: https://www.patreon.com/shopsoundspodcastYou can find us on Instagram, Youtube, Facebook and TikTok (maybe): Bourbon Moth Woodworking and Keith Johnson Woodworking and Kodamari Design
Send us a textMorning Prayer (Humility; prostate & bladder cancer; breast & uterine cancer; pre-believers) #prayer #morningprayer #pray #jesus #god #holyspirit #aimingforjesus #healing #peace #love #bible #prebelievers #cancer #humble #hymility #uterinecancer #breastcancer #prostatecancer #bladdercancer Thank you for listening, our heart's prayer is for you and I to walk daily with Jesus, our joy and peace aimingforjesus.com YouTube Channel https://www.youtube.com/@aimingforjesus5346 Instagram https://www.instagram.com/aiming_for_jesus/ Threads https://www.threads.com/@aiming_for_jesus X https://x.com/AimingForJesus Tik Tok https://www.tiktok.com/@aiming.for.jesus
David James, Director of Patient Projects and Influencing at PCR talks to host Ben Monro-Davies about the National Screening Committee's draft recommendation that only those men who carry a BRCA1 or BRCA2 gene variant will be offered screening and what PCR will be doing next to ensure high-risk men get the early diagnosis they deserve.
Rak prostate je najpogostejši rak pri moških v Sloveniji, letno za njim zboli okoli 1600 oseb. V sredinem Svetovalnem servisu bomo govorili o simptomih, ki kažejo nanj in testih, s katerimi ga odkrivajo, med drugim tudi o testu Stockholm3, ki predstavlja pomemben korak naprej v diagnostiki raka. Več nam bo v oddaji povedal Jošt Janša dr. med., spec. urologije, ki mu boste lahko zastavili tudi svoja vprašanja.
Dr. Shivani Gupta welcomes board-certified interventional radiologist Dr. Shivank Bhatia, founder of Florida Prostate Centers and Florida Fibroid Centers, to discuss groundbreaking minimally invasive alternatives to common surgeries. Dr. Bhatia, internationally recognized for pioneering embolization therapies, shares his expertise on preserving organs while effectively treating benign conditions. Dr. Gupta opens up about her personal journey battling a 10-centimeter fibroid and almost undergoing unnecessary hysterectomy before discovering embolization. Together, they reveal shocking statistics: 25 million American women have fibroids with 600,000 hysterectomies performed annually (half for fibroids), while over 20 million men face prostate issues with many unaware of minimally invasive options. Learn how these outpatient procedures offer 90% success rates with only 4-5 days recovery versus weeks for surgery, helping patients avoid premature menopause, sexual dysfunction, and other serious complications.Key Highlights:• The dramatic difference between fibroid embolization (4-5 days recovery) vs. hysterectomy (4-6 weeks recovery)• Why 300,000+ women annually may be having unnecessary hysterectomies• The hidden dangers of early menopause and long-term health consequences• How prostate enlargement affects 60% of men over 60 and 80% of men over 80• The three major risks of prostate surgery that embolization avoids• Why over 230 physicians have chosen Dr. Bhatia for their own treatment• Prostate embolization's impressive 5-year efficacy rates comparable to surgical options• Dr. Bhatia's mission to "save your organs" from unnecessary removalWhy You Should WatchThis episode contains potentially life-saving information for anyone facing fibroid or prostate issues. Dr. Bhatia shares alternatives to major surgery that preserve vital organs and maintain quality of life with dramatically shorter recovery times and fewer side effects. Whether for yourself or someone you love, this knowledge empowers you to make truly informed healthcare decisions about benign conditions that affect millions of Americans.
On this episode of Bounced From The Roadhouse:Special Guests in 4B: Amy and Brandon are BOTH gone so Zaccy Moon has Stitch from Shift Happened podcast sit in with him! Christmas Card Day December Things Christmas Movie Rankings Robocop StatueHow Bout Them Vikings Renaming FootballLaundry TempsRich People Be StealinGifting Opinions Cash For Christmas Stitch's Prostate That's A Great QuestionMiley Cyrus is Scared Of PaperChristmas MusicZaccy and Stitch's GoodbyesQuestions? Comments? Leave us a message! 605-343-6161Don't forget to subscribe, leave us a review and some stars Hosted on Acast. See acast.com/privacy for more information.
Most men hear “you need a biopsy” and assume it's the responsible next step. But what if the real risk is the procedure itself?In this episode, Dr. Stephen Petteruti breaks down the painful, under‑recognized consequences of prostate biopsies: lingering pain, infections, hospitalizations, urinary obstruction, erectile issues, and long-term trauma to a vital gland. He highlights research suggesting that disrupting the prostate capsule may allow cancer cells to spread, a risk rarely mentioned in the exam room.Drawing from the ProtecT trial and other pivotal studies, Dr. Stephen makes a compelling case that biopsies do not improve survival and instead create a “treadmill” of anxiety, repeated testing, and unnecessary treatment. He shows how PSA, MRI, and clinical judgment can guide care safely without puncturing the gland.Learn how to protect your health without sacrificing your well‑being. Tune in to the episode of Prostate Biopsies: The Hidden Risk No One Told You About.Enjoy the podcast? Subscribe and leave a 5-star review on your favorite platforms.Dr. Stephen Petteruti is a leading Functional Medicine Physician dedicated to enhancing vitality by addressing health at a cellular level. Combining the best of conventional medicine with advancements in cellular biology, he offers a patient-centered approach through his practice, Intellectual Medicine 120. A seasoned speaker and educator, he has lectured at prestigious conferences like A4M and ACAM, sharing his expertise on anti-aging. His innovative methods include concierge medicine and non-invasive anti-aging treatments, empowering patients to live longer, healthier lives.Website: www.intellectualmedicine.com Website: https://www.theprostateprotocol.com/ YouTube: https://www.youtube.com/@intellectualmedicine LinkedIn: https://www.linkedin.com/in/drstephenpetteruti/ Instagram: instagram.com/intellectualmedine Consultation: https://www.theprostateprotocol.com/book-a-consultation Store: https://www.theprostateprotocol.com/store Community: https://www.theprostateprotocol.com/products/communities/v2/fightcancerlikeaman/home Disclaimer: The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.Produced by https://www.BroadcastYourAuthority.com
We're joined by the hilarious Aaron Putnam and Priya Blunts to break down some of the wildest stories—including a dive into addiction, stealing pills from family, ex-con dates, and the time Priya got hopelessly lost on Bourbon Street without a phone! Plus, we discuss Dominican racism, male comics asking for "favors," and the weird nostalgia of drug tastes.ON THE GATE! ENJOY!Original air date: 12.1.25Join the live chat Wednesday nights at 11pm EST. Uncensored versions of the show streamed Monday and Thursday at 2pm EST on GaSDigital.com. Signup with code OTG for the archive of the show and others like Legion of Skanks, In Godfrey We Trust, and Story Warz. FOLLOWGeo PerezInstagram - https://www.instagram.com/geoperez86/Derek DrescherInstagram - https://www.instagram.com/derekdrescher/On The Gate! A podcast hosted by two jailbird/recovering drug addicts and active comedians Geo Perez and Derek Drescher, who talk each week about their times in jail, what they learned, what you should know, and how they are improving their life or slipping into recidivism each day!00:35 Geo going crazy at Skankfest02:30 Introducing Aaron Putnam and Priya Blunts02:45 Skankfest Naked Roasts05:30 Exhibitionism 08:00 male comics asking female comics for favors10:40 Priyas ex-con date12:15 getting moved to different prisons14:00 russians15:20 Dominican racsim16:45 Derek and Geo's 2 Hand Show18:00 bachelorette parties19:20 Dereks RAP battle 23:10 Aaron's addiction problem24:05 calling BS on people's drug stories25:30 avoiding dope sickness stories26:30 food and drugs27:50 people who don't like drugs28:45 stealing pills from family members30:00 fake pills31:05 union guys32:05 Geo's mosh pit experience 33:15 coke vs pills35:05 nostalgic for drug tastes35:50 realizing you are an addict37:30 lower east side junkies38:38 Skankfest is a loving environment41:00 Priyas lost on Bourbon Street, no phone42:45 Geo and Myles Toe wandering into dangerous NOLA44:30 strip clubs46:10 Mullen and Rochefort episode47:05 Dave Temple48:00 Chicago49:25 plugs50:15 holiday season51:50 Akaash56:50 Prostates and wienersSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
(00:00-8:08) Maybe a QFTA tomorrow? Walk & Talks. Tim's time in Little Rock. What causes enlarged prostates? Jackson's Movie Boi Walk and Talk. Jackson's stamina is brought into question.(8:16-24:10) We got Coach Spags. Time to check the till. The top 100 comedy movies of all time according to Variety. Naked Gun gets the top spot. It's a pretentious list. Prime Kubrick. It's a bad list.(24:20-34:18) E-Mail of the DaySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dr. Jason Vassy, is a primary care physician at the VA Boston Healthcare System. He leads the Genomes to Veterans Research Program, which focuses on bringing genomic tools into everyday Veteran care. His goal is help VA use genetic information in order to improve Veterans health, he emphasizes, “How can we use a Veteran's genetic makeup to help improve their healthcare?” he clarifies that while not all conditions require genetic testing, “in the areas where we know doctors should be using genetic testing… how do we make it easier for them?” This work shows how VA is staying ahead when it comes to health and technology.In Dr. Vassy's VA study on pharmacogenetics for depression, he found that Veterans who received DNA-guided medication choices fared better, stating, “Patients that got that kind of testing were more likely to have a medication that was a better match for their DNA and had lower rates of depressive symptoms.” His team also used data from the Million Veteran Program (MVP) to identify Veterans with a genetic form of extremely high cholesterol, noting, “We reached back out… and got them connected to clinical genetic testing, increased surveillance, and treatment.” These actions helped Veterans and their families reduce their risk of early heart disease.In addition, Vassy leads the nationwide PROGRESS Study, which uses genetic risk to guide prostate cancer screening for men ages 55 to 70. Vetertans can enroll online and submit a saliva kit from home. “Prostate cancer is the most common cancer in men,” Vassy said, and genetic guidance may allow VA to detect dangerous cancers earlier while reducing harm from over-screening. He also stresses that VA protects genetic information with the strictest safeguards: “These data are password-protected, encrypted… only people with a right to access it can do so.”Looking ahead, Vassy believes genomic medicine will increasingly shape preventive care as technology advances and costs fall. He encourages Veterans to start by knowing their family history and talking with their providers about potential genetic risks, noting, “Genetics is just another tool in the toolbox for how to manage a concern you bring to your provider.” Veterans can explore opportunities to participate in ongoing research and learn more about genomic testing throughout VA's national programs.Resourceshttps://www.genomes2people.org/research/genomes2veterans/https://www.research.va.gov/mvp/https://www.progress-study.org/https://www.va.gov/washington-dc-health-care/programs/pharmacogenomics/https://www.va.gov/southern-nevada-health-care/stories/pharmacogenomics-and-how-the-va-is-improving-the-efficacy-of-medicine-through-dna/ https://www.research.va.gov/services/amp/precision_oncology.cfm
Judson is riding high from a health rebound and a proud week at work. Brian's daughters surprise him by saying and doing a number of things that speak both to their maturity and to their being raised by gay dads. The Hookup of the Week comes from a listener at the start of opening his marriage, who shares a fun night out with his husband and others during their anniversary trip to Puerto Vallarta. Brian and Judson are then joined by the leading anal health expert in the United States, Dr. Evan Goldstein. Dr Goldstein is the founder of Future Method, makers of science-backed sex toys and other anal sex products; he's the author of Butt Seriously: The Definitive Guide to Anal Health, Pleasure, and Everything In Between; and he's one of the few surgeons in the world whose practice, Bespoke Surgical in New York City, is dedicated to treating and restoring the human butt. Dr. Goldstein speaks with Brian and Judson about his inspiration for pursuing his particular medical specialty, what brings most patients to his office, how he helps people become more comfortable as bottoms, the shame so many people feel about what their butt does or doesn't do, his guidance for learning to remove that shame, how and why he recommends using toys, the three different types of bottoms, why anal botox is a game-changer and how we should think about protecting the prostate. He also shares his thoughts on aging, what it's like being a dad to two teenage boys, and talking with kids about sex. To close, Dr. Goldstein helps Brian and Judson respond to a Go Ask Your Dad question submitted by a listener who isn't able to ejaculate after a medical procedure and wants help finding ways to communicate that to his sexual partners without making it awkward. Find Dr. Evan Goldstein on Instagram at https://www.instagram.com/drevangoldstein Email your Hookup of the Week, Go Ask Your Dad and Dr. Daddy submissions to dadsanddaddies@gmail.com Dads and Daddies on the Web: https://www.dadsanddaddies.com/ Dads and Daddies on Instagram: https://www.instagram.com/dadsanddaddiespod Dads and Daddies on TikTok: https://www.tiktok.com/@dadsanddaddiespod Dads and Daddies on Bluesky: https://bsky.app/profile/dadsanddaddiespod.bsky.social Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Back from a 4-day break and there was lots to cover! Al Roker got embarrassed by a little girl during the Macy's Thanksgiving Day Parade, actress Kate Beckinsale told a ridiculous story about her daughter's boyfriend, a woman blasted her boyfriend online for cooking her a prostate-healthy meal, and we went inside the mind of a family over Thanksgiving dinner. Plus with Black Friday happening and Cyber Monday in full swing, we hit the phones to hear the craziest thing people witnessed over the weekend! See omnystudio.com/listener for privacy information.
Today, we'll be tackling the future of prostate cancer care. We'll be reflecting on what prostate cancer care means in practice, how the way we think about the disease is shifting, and must continue to shift in the years ahead. Scientific advances have transformed treatment in recent years, yet the lived reality of prostate cancer still extends far beyond the clinic. The disease reshapes daily life, and may leave men and their families grappling with difficult choices about how best to manage it. Dr. Güneş Taylor is joined by three key voices at the centre of this story, following the prostate cancer journey from diagnosis through to long-term management, and asking how patients and clinicians can work together to re-think what patient-centred care could mean in the years to come. This episode is brought to you in collaboration with Bayer, part of their Prostate Cancer Perspectives series. PP-UN-ONC-GB-0168. November 2025 References Bray F, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-263 (Prostate cancer is the second most common cancer in men and the fifth leading cause of cancer death worldwide) James D, et al. The Lancet Commission on prostate cancer: planning for the surge in cases. Lancet. 2024;403(10437):1683–1722 (Each year, around 1.5 million men are diagnosed and nearly 400,000 lose their lives to the disease.1 And the numbers are rising. Diagnoses are projected to double from 1.4 million annually in 2020 to 2.9 million by 2040) Siegel RL, et al. Cancer statistics, 2022. Ca Cancer J Clin. 2022;72:7–33 (In the U.S., the proportion of men diagnosed with advanced-stage prostate cancer has doubled in recent years, due to increasing incidence of advanced-stage disease and changing guidelines regarding the prostate specific antigen screening test, implemented in the U.S. in 2012) Dodkins J, et al. Geographic, socioeconomic and demographic inequalities in the incidence of metastatic prostate cancer at time of diagnosis in England: a population based evaluation. BMJ Oncology. 2025;4:e000643 (In England, nearly one in five men only receive a diagnosis once their cancer has spread) Calvo-Schimmel A, et al. Supportive care interventions and quality of life in advanced disease prostate cancer survivors: An integrative review of the literature. Can Oncol Nurs J. 2021;31(4):412-429 (Advanced prostate cancer is often associated with long-term challenges leading to greater levels of unmet needs in supportive care) Learn more about your ad choices. Visit podcastchoices.com/adchoices
Morse code transcription: vvv vvv Hunter syndrome Boy with rare condition amazes doctors after world first gene therapy Andrew Mountbatten Windsor Council to debate street name change in Carrickfergus Girl, 13, released after murder arrest as woman who died named Has anyone seen Cole A familys search for missing teenager Royal Navy intercepts two Russian ships in English Channel Princess of Wales calls for end to stigma around addiction Prostate cancer symptoms and treatment What to check for First Australian female chef to win a Michelin star dies, aged 62 Budget 2025 What can nervous businesses expect from the Budget David Cameron Former prime minister reveals he had prostate cancer
With the month of November, comes Movember, a cause to raise awareness of men's health issues. That's why there's so many mustaches and facial hair around these days !:)Today, we narrow our discussion on a topic that is close to Sandra' s heart, prostate cancer. One of her favourite roles while working at our local cancer clinic was facilitating nutrition groups for men with prostate cancer who were undergoing pelvic radiation treatment. For over a decade, Sandra connected with at least a dozen men per week, who were part of the community of people who were improving their nutritional health and wellbeing through their cancer treatment journey.We discuss proactive nutrition through diet to help prevent prostate cancer and it's recurrence.Some episodes mentioned include:Ep 22. Men's Health - Spinach is Just the Tip of the Iceberghttps://youtu.be/NtIdidTSrR8?si=0L-YQ39q_M14cMZpEp 5. Cancer Preventionhttps://youtu.be/9Gr75Foq7gU?si=4mCshfMHHN6l9DGQNutrition Nuggets 111. The Hard Truth About Processed Meatshttps://youtu.be/x_We_RAjSWE?si=02OU3je0LSGWDVcYEp 14. The Mind Diethttps://youtu.be/anY72wscg_A?si=CXFNSijAO2fN1z_CEp 128. Meat Anyone - The Carnivore Diet Conversationhttps://youtu.be/uYy7YgR4bDM?si=rVt8slb8LJDhh8WmNutrition Nuggets 129. Should I Eat Meat Everyday?https://youtu.be/L4DuGu-TfYY?si=jB7mleDhj43w7mMqEp 200. Dietitian Goes Full Carnivorehttps://youtu.be/MQpT0PPs0Sw?si=rmP0shiRv8kPlBNyEp 107. Food Is Medicine with Dr. Wesley McWhorterhttps://youtu.be/doju3guWHyc?si=NvRBHQK-w_uCYJxNEp 178. Does Diet Affect Medication?https://youtu.be/toDY_PAmsS0?si=3gZy_CNOOOAG_1SGEnjoying the show? Consider leaving a 5 star review, and/or sharing this episode with your friends and family :)Sign up for our newsletter on our website for weekly updates and other fun info. You can also visit our social media pages. We're on Facebook, Instagram, and YouTube.Your support helps fuel the stoke and keeps the show going strong every week. Thanks!Website: www.mywifethedietitian.comEmail: mywifetherd@gmail.com
Morse code transcription: vvv vvv Prostate cancer symptoms and treatment What to check for Princess of Wales calls for end to stigma around addiction Budget 2025 What can nervous businesses expect from the Budget Hunter syndrome Boy with rare condition amazes doctors after world first gene therapy Royal Navy intercepts two Russian ships in English Channel First Australian female chef to win a Michelin star dies, aged 62 Girl, 13, released after murder arrest as woman who died named Has anyone seen Cole A familys search for missing teenager David Cameron Former prime minister reveals he had prostate cancer Andrew Mountbatten Windsor Council to debate street name change in Carrickfergus
Morse code transcription: vvv vvv Prostate cancer symptoms and treatment What to check for First Australian female chef to win a Michelin star dies, aged 62 Andrew Mountbatten Windsor Council to debate street name change in Carrickfergus David Cameron Former prime minister reveals he had prostate cancer Hunter syndrome Boy with rare condition amazes doctors after world first gene therapy Girl, 13, released after murder arrest as woman who died named Budget 2025 What can nervous businesses expect from the Budget Royal Navy intercepts two Russian ships in English Channel Has anyone seen Cole A familys search for missing teenager Princess of Wales calls for end to stigma around addiction
Morse code transcription: vvv vvv Budget 2025 What can nervous businesses expect from the Budget Prostate cancer symptoms and treatment What to check for Girl, 13, released after murder arrest as woman who died named First Australian female chef to win a Michelin star dies, aged 62 Hunter syndrome Boy with rare condition amazes doctors after world first gene therapy Has anyone seen Cole A familys search for missing teenager David Cameron Former prime minister reveals he had prostate cancer Royal Navy intercepts two Russian ships in English Channel Andrew Mountbatten Windsor Council to debate street name change in Carrickfergus Princess of Wales calls for end to stigma around addiction
Get Fitness Lab, the #1 coaching app for people over 40 that adapts to YOUR recovery, YOUR schedule, and YOUR body. Build muscle, lose fat, and get stronger with daily personalized guidance. https://witsandweights.com/app--Are you over 40 and trying to stay muscular, lean, and strong, but PSA tests and prostate fears leave you confused? Worried that one elevated PSA could derail your strength training with an unnecessary biopsy?In this conversation with men's health expert Dr. Stephen Petteruti, we break down the truth about PSA testing, hormone health, and what most fitness podcasts get wrong about men's health and longevity. We talk about why body recomp and lifting weights matter even more as you age, how certain treatments impact testosterone and weight loss, and what proactive steps keep you training hard for decades.I share how evidence-based fitness shapes my own approach, and Steve gives a grounded perspective on protecting your hormones without sacrificing your physique.Today, you'll learn all about:0:00 – PSA tests and misunderstood prostate risks4:15 – Why biopsy thresholds are flawed9:42 – How lifestyle shapes cancer and longevity14:55 – Understanding atypical dormant cells18:40 – Repurposed drugs and monitoring protocol24:10 – Testosterone, muscle, and men's health31:42 – High-to-low dosing theory explained41:20 – Philosophy of vitality over fear48:05 – Strength training and premeditated nutrition50:37 – Where to find Dr. Petteruti's workEpisode resources:Intellectual Medicine Podcast. Start with this episode – Think Twice Before Getting a BiopsyWebsite: drstephenpetteruti.com Waitlist for his book “Fighting Cancer Like a Man”Instagram: @dr.stephenpetterutiYouTube: @intellectualmedicine Support the show
What if your erection could tell you something deeper about your health—something even your doctor might miss?In this exclusive episode, Dr. Arthur Burnett, one of the leading experts in urology and a key figure in the science behind Viagra, joins the conversation. Together, we explore the real connection between erectile dysfunction, prostate cancer, and overall prostate health. We dive into what's fact, what's fiction, and why ED might be your body's first warning sign of something much bigger. Whether you're dealing with performance issues or concerned about your prostate, this episode is for you.Hit play now. Your health, and your future, may depend on it.--------------About Dr. Arthur BurnettDr. Arthur Burnett is a world-renowned urologist and professor at the Johns Hopkins School of Medicine, where he holds the prestigious Patrick C. Walsh Professorship in Urology. As Director of the Male Consultation Clinic and Vice Chair for faculty development at the James Buchanan Brady Urological Institute, he brings decades of groundbreaking expertise in erectile dysfunction, prostate cancer, and reconstructive urology.A pioneer in the discovery of nitric oxide's role in erections, Dr. Burnett's research was instrumental in the development of Viagra. He has performed over 3,000 nerve-sparing radical prostatectomies and authored more than 500 peer-reviewed publications. With honors from the NIH, FDA, and the American Urological Association, Dr. Burnett continues to lead the field in advancing male sexual and prostate health.Want to connect with Dr. Arthur Burnett? Visit the Johns Hopkins Urology website or find his books on Amazon to learn more about his work in men's health.--------------Resources mentioned:Modern Man CribMediterranean DietGood Morning Wood Smoothie--------------Curious about how you can boost your bedroom game and build lasting confidence? Check out the course at getwoodnow.com and start your journey to feeling like yourself again!--------------If you enjoyed this episode and want to learn more and get more tips, subscribe to The Modern Man newsletter for exclusive content delivered straight to your inbox! https://dranne.co/themodernman--------------Follow Me On:InstagramTwitterFacebookTikTokYouTube--------------For all links and resources mentioned on the show and where to subscribe to the podcast, please visit
Primary care physicians Gary Ferenchick, Kate Rowland, Henry Barry and Mark Ebell want you to know about 4 new studies: the best choice of pharmacotherapy in hypertensive disorders of pregnancy, benefits and harms of intensive BP lowering, elinzanetant for therapy-induced vasomotor symptoms in women with breast cancer, and 23 year follow up of the European Prostate Cancer Screening Trial. Plus a confusing quiz question (thanks Gary!).LinksEssential Evidence Plus: www.essentialevidenceplus.comHTN in pregnancy: https://pubmed.ncbi.nlm.nih.gov/40216176/Intensive BP lowering: https://pubmed.ncbi.nlm.nih.gov/40902616/ Elinzanetant for vasomotor symptoms in patients taking tamoxifen or anastrozole: https://pubmed.ncbi.nlm.nih.gov/40454634/ 23 year follow-up of large European prostate cancer study: https://pubmed.ncbi.nlm.nih.gov/41160819/
The perfect outcome is a treatment that eliminates disease and causes no harm. Radiation is the opposite.In this episode, Dr. Petteruti challenges one of medicine's most accepted treatments, pelvic radiation for prostate cancer, and asks the hard question: Does it actually help, or just cause harm?You'll hear a detailed breakdown of the research showing no proven survival benefit from radiation or surgery in early-stage prostate cancer, along with the real long-term side effects most men aren't told about.Fight cancer like a man! Uncover what the research really says about radiation therapy with Dr. Stephen Petteruti in this episode of Think Twice Before Getting Radiation Treatment For Prostate Cancer.Enjoy the podcast? Subscribe and leave a 5-star review.Dr. Stephen Petteruti is a leading Functional Medicine Physician dedicated toenhancing vitality by addressing health at a cellular level. Combining the bestof conventional medicine with advancements in cellular biology, he offers apatient-centered approach through his practice, Intellectual Medicine 120. Aseasoned speaker and educator, he has lectured at prestigious conferenceslike A4M and ACAM, sharing his expertise on anti-aging. His innovativemethods include concierge medicine and non-invasive anti-aging treatments,empowering patients to live longer, healthier lives.Website: www.intellectualmedicine.com Website: https://www.theprostateprotocol.com/ YouTube: https://www.youtube.com/@intellectualmedicine LinkedIn: https://www.linkedin.com/in/drstephenpetteruti/ Instagram: instagram.com/intellectualmedine Consultation: https://www.theprostateprotocol.com/book-a-consultation Store: https://www.theprostateprotocol.com/store Community: https://www.theprostateprotocol.com/products/communities/v2/fightcancerlikeaman/home Disclaimer:The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.Produced by https://www.BroadcastYourAuthority.com
As little as 3000 steps per day can slow progression to Alzheimer's Disease; Self-reports of memory impairment soaring among young people; New study vindicates unprocessed red meat—and even often-vilified processed red meat—for cancer and overall health. Prostate artery embolization (PAE) offers new non-invasive option for men's age-related urinary problems; Targeting the mitochondria and the microbiome for Parkinson's Disease; Popular prostate and hair loss prevention drugs linked to depression and suicide—while Cialis for urinary symptoms may stave off cardiovascular disease; Discovery that a safe, cheap medication may increase survival after breast cancer surgery.
November is prostate cancer awareness month in Sweden with the prostate cancer society running its' blue moustache campaign using women bikers to shed light on the most common cancer among men in Sweden. We hear from Sweden's intelligence service Säpo after prosecutors announced they've charged an 18-year-old with planning a suicide bomb attack which would have targeted a large music and arts festival which takes place in central Stockholm.We're also discussing the latest cooperation agreement between Sweden and Ukraine and hear about Alexander Skarsgård who'll be appearing at the Stockholm International Film Festival.Presenters: Dave Russell and Michael Walsh.Producer: Kris Boswell
Au cœur de la nuit, les auditeurs se livrent en toute liberté aux oreilles attentives et bienveillantes de Roland Perez. Pas de jugements ni de tabous, une conversation franche, mais aussi des réponses aux questions que les auditeurs se posent. Un moment d'échange et de partage propice à la confidence pour repartir le cœur plus léger.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
Is a big prostate really dangerous? Does it mean prostate cancer—or explain why you're waking up at night to urinate? Not always.In this upgraded replay, Dr. Geo breaks down the real story behind prostate enlargement why size isn't always the issue, how bladder and nerve health factor in, and what questions to ask your doctor before starting medication or considering surgery.
Prostate cancer is one of the most common cancers in men. While treatment options have improved, advanced stages of the disease remain difficult to manage. One promising approach involves a process called ferroptosis. This is a type of programmed cell death that relies on iron and lipid oxidation to kill cancer cells by damaging specific fats in their outer membrane. These fats are especially vulnerable in environments with normal oxygen levels. However, many prostate tumors grow in low-oxygen areas of the body, a condition known as hypoxia, where ferroptosis becomes less effective. A recent study, titled “Hypoxia induced lipid droplet accumulation promotes resistance to ferroptosis in prostate cancer,” and published on Oncotarget (Volume 16), explores how oxygen-poor environments help prostate cancer cells resist treatment and what strategies could help overcome this resistance. Full blog - https://www.oncotarget.org/2025/11/06/how-low-oxygen-shields-prostate-cancer-from-ferroptosis-therapies/ Paper DOI - https://doi.org/10.18632/oncotarget.28750 Correspondence to - Noel A. Warfel - warfelna@arizona.edu, and Shailender S. Chauhan - shailenderc@arizona.edu Abstract video - https://www.youtube.com/watch?v=xFypDT4ALmc Sign up for free Altmetric alerts about this article - https://oncotarget.altmetric.com/details/email_updates?id=10.18632%2Foncotarget.28750 Subscribe for free publication alerts from Oncotarget - https://www.oncotarget.com/subscribe/ Keywords - cancer, hypoxia, lipid droplets, ferroptosis, resistance, prostate To learn more about Oncotarget, please visit https://www.oncotarget.com and connect with us: Facebook - https://www.facebook.com/Oncotarget/ X - https://twitter.com/oncotarget Instagram - https://www.instagram.com/oncotargetjrnl/ YouTube - https://www.youtube.com/@OncotargetJournal LinkedIn - https://www.linkedin.com/company/oncotarget Pinterest - https://www.pinterest.com/oncotarget/ Reddit - https://www.reddit.com/user/Oncotarget/ Spotify - https://open.spotify.com/show/0gRwT6BqYWJzxzmjPJwtVh MEDIA@IMPACTJOURNALS.COM
durée : 00:04:19 - Le Reportage de la rédaction - La HAS déconseille le dépistage généralisé du cancer prostatique faute "de démonstration robuste de son bénéfice" en termes de mortalité ou de qualité de vie. Pourtant, des millions d'hommes sont testés chaque année, note le Dr Desportes, un généraliste parti en guerre contre cette pratique.
"[When] a lot of men think about prostate exams, they immediately think of the glove going on the hand of the physician, and they immediately clench. But really try to talk with them and discuss with them what some of the benefits are of understanding early detection. Even just having those conversations with their providers so that they understand what the risk and benefits are of having screening. And then educate patients on what a prostate-specific antigen (PSA) and digital rectal exam (DRE) actually are—how it happens, what it shows, and what the necessary benefits of those are," ONS member Clara Beaver, DNP, RN, AOCNS®, ACNS-BC, manager of clinical education and clinical nurse specialist at Karmanos Cancer Institute in Detroit, MI, told Jaime Weimer, MSN, RN, AGCNS-BS, AOCNS®, manager of oncology nursing practice at ONS, during a conversation about prostate cancer screening, early detection, and disparities. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.25 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at courses.ons.org by October 31, 2026. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation. Learning outcome: Learners will report an increase in knowledge related to prostate screening, early detection, and disparities. Episode Notes Complete this evaluation for free NCPD. ONS Podcast™ Episode 149: Health Disparities and Barriers in Metastatic Castration-Sensitive Prostate Cancer ONS Voice articles: Gender-Affirming Hormones May Lower PSA and Delay Prostate Cancer Diagnosis in Transgender Women Healthy Lifestyles Reduce Prostate Cancer Mortality in Patients With Genetic Risk Hispanic Patients Are at Higher Risk for Aggressive Prostate Cancer but Less Likely to Get Treatment Leveling State-Level Tax Policies May Increase Equality in Cancer Screening and Mortality Rates Most Cancer Screening Guidelines Don't Disclose Potential Harms ONS book: Understanding Genomic and Hereditary Cancer Risk: A Handbook for Oncology Nurses ONS course: Genomic Foundations for Precision Oncology Clinical Journal of Oncology Nursing article: Barriers and Solutions to Cancer Screening in Gender Minority Populations Oncology Nursing Forum articles: Disparities in Cancer Screening in Sexual and Gender Minority Populations: A Secondary Analysis of Behavioral Risk Factor Surveillance System Data Symptom Experiences Among Individuals With Prostate Cancer and Their Partners: Influence of Sociodemographic and Cancer Characteristics Other ONS resources: Genomics and Precision Oncology Learning Library ONS Biomarker Database (refine by prostate cancer) American Cancer Society prostate cancer early detection, diagnosis, and staging page National Institutes of Health prostate cancer screening page U.S. Preventive Services Task Force prostate cancer screening recommendation statement To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To find resources for creating an ONS Podcast club in your chapter or nursing community, visit the ONS Podcast Library. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org Highlights From This Episode "The recommendations are men [aged] 45 who are at high risk, including African American men and men who have a first-degree relative who has been diagnosed with prostate cancer younger than 65 should go through screening. And men aged 40 at an even higher risk, these are the men that have that one first-degree relative who has had prostate cancer before 65. Screening includes the PSA blood test and a digital exam. Those are the screening recommendations, although they are a little bit controversial." TS 3:42 "You still see PSAs and DREs as the first line because they're easier for primary care providers to perform. ... Those are typically covered by insurance, so they still play that role in screening. But with the advent of MRIs and biomarkers, these have really helped refine that screening process and determine treatment options for our patients. Again, those patients who may be at a bit of a higher risk could go for an MRI or have biomarkers completed. Or if they're on that verge with their Gleason score, instead of doing a biopsy, they may send the patient for an MRI or do biomarkers for that patient. ... These updated technologies put [patients] a little bit more at ease that someone's watching what's going on, and they don't have to have anything invasive done to see where they're at with their staging." TS 4:35 "Disparities in screening access exist based on race, socioeconomic status, gender identity, education, and geography. It's really hard in rural areas to get primary care providers or urologists who can actually see these patients, [and] sometimes in urban areas. So socioeconomic status can affect that, but also where a person lives. African American men with lower incomes and people in rural areas face the greatest barriers to receiving screening. It's also important to encourage anyone with a prostate to be screened and offer gender-neutral settings for patients to feel comfortable." TS 7:50 "I think a lot of men feel like if they have no symptoms, they don't have prostate cancer ... so a lot of patients may put off screening because they feel fine, [they] haven't had any urinary symptoms, it doesn't run in their family. ...With prostate cancer, there usually are not symptoms that a patient's having—they may have some urinary issues or some pain—but it's not very frequent that they have that. So, just making sure our patients understand that even though they're not feeling something, it doesn't mean there's not something else going on there." TS 12:53 "Prostate cancer found at an early age can be very curable, so it's really important for men to have those conversations with their providers about the risk and benefits of screening. And anyone that we can help along the way to be able to have those conversations, I think is a great thing for oncology nurses to do." TS 15:44
Host: Darryl S. Chutka, M.D. Guest: Daniel M. Frendl, M.D., Ph.D. Prostate cancer is quite common in middle age and older men and represents the second most common malignancy diagnosed in this population. Only skin cancer is more common. Early diagnosis is important and carries an excellent prognosis. There are several management options available for localized disease and some new treatments which can be used for both aggressive and more advanced disease. When should active surveillance be used when prostate cancer has been diagnosed? How does radiation therapy compare to surgical prostatectomy regarding long-term outcomes and what are some of the newer treatment options available for advanced disease? These are some of the questions I'll be asking my guest, Daniel M. Frendl, M.D., Ph.D., a urologist from the Department of Urology at the Arizona campus of the Mayo Clinic as we discuss “Prostate Cancer”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts
Send us a textUrologist Dr. Yaw Nyame joins Dr. Michael Koren to discuss bladder and prostate cancers. Dr. Nyame talks about his journey through college - including the choice between rock stardom and medical school - and how he got to the Fred Hutch Cancer Center in Seattle. Dr. Nyame explains symptoms, the history, and treatments for prostate and bladder cancer. He tells us "if you have blood in the urine, you definitely want to get to your primary care doctor." He also expands on gaps in cancer outcomes for Black men. Along the way, we weigh benefits and harms of PSA screening and talk honestly about sexual health after treatment.Show Note: Lynch syndrome is a genetic condition also known as hereditary nonpolyposis colorectal cancer (HNPCC). It represents an increased risk of several cancers, including colorectal, endometrial, gastric, ovarian, and pancreatic cancer. It is caused by an error in the DNA mismatch repair mechanism, which normally corrects for random insertions into the DNA code.Be a part of advancing science by participating in clinical research.Have a question for Dr. Koren? Email him at askDrKoren@MedEvidence.comListen on SpotifyListen on Apple PodcastsWatch on YouTubeShare with a friend. Rate, Review, and Subscribe to the MedEvidence! podcast to be notified when new episodes are released.Follow us on Social Media:FacebookInstagramX (Formerly Twitter)LinkedInWant to learn more? Checkout our entire library of podcasts, videos, articles and presentations at www.MedEvidence.comMusic: Storyblocks - Corporate InspiredThank you for listening!
Host: Darryl S. Chutka, M.D. Guest: Daniel M. Frendl, M.D., Ph.D. If your practice includes middle age and older men, you've very likely diagnosed prostate cancer. It's the most diagnosed non-skin cancer in men in the U.S. Its incidence rises with age, with a median age of around 66 years. When found early, prostate cancer is very treatable, and in most cases, curable. Prostate specific antigen, or PSA is very effective in detecting early prostate cancer, but its use has been controversial due to the risk of overdiagnosis and overtreatment. What are the current recommendations for prostate cancer screening with PSA? What's the role of the digital rectal exam? How should we be using the PSA and what other tests are available for prostate cancer screening? The topic for this podcast is “Prostate Cancer Screening” and I'll be asking these questions to my guest, Daniel M. Frendl, M.D., Ph.D., a urologist at the Arizona campus of the Mayo Clinic. Tune in this Thursday for our next episode on "Prostate Cancer" releasing October 30, 2025. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts
In this conversation, Dr. Dean Elterman, Associate Professor of Urology at the University of Toronto and a sub-specialist in functional urology, discusses benign prostatic hyperplasia (BPH), a common condition affecting men as they age. He explains the causes, symptoms, and various treatment options available, including medications, traditional surgeries, and minimally invasive procedures. The discussion also touches on the role of AI in improving treatment outcomes and the importance of lifestyle changes in managing BPH. Dr. Elterman emphasizes the need for awareness and proactive management of urinary symptoms.#prostatehealth
Urinary incontinence and sexual dysfunction are common side effects of prostate cancer treatment, but both are manageable. Dr. Lindsay Hampson explains the types of incontinence—stress, urge, mixed, and overflow—and how identifying the cause guides treatment. Management strategies include pelvic floor physical therapy, medications, and surgical options like slings or artificial urinary sphincters. For sexual dysfunction, approaches range from oral medications and vacuum devices to injections and implants. Dr. Michael Rabow also highlights the side effects of androgen deprivation therapy, including fatigue, depression, hot flashes, and cardiovascular risk. He outlines evidence-based strategies—like exercise, cognitive behavioral therapy, and medications—to help preserve well-being and quality of life during treatment. Series: "Prostate Cancer Patient Conference" [Health and Medicine] [Show ID: 40869]
Dr. Geo speaks with cancer immunologist Matthew Halpert, PhD about Immunocine, a dendritic-cell platform that “double-loads” patient-specific tumor signals to trigger a strong, physiologic immune response. Discussion includes mechanism, prostate cancer cases, how it can complement ADT and focal radiation, eligibility, workflow, and access.Chapters00:00 How the Immune System Fights Prostate Cancer02:00 Why dendritic cells matter; generals vs NK/T “soldiers”07:00 The “double-loading” breakthrough and fail-safe concept14:00 Trials in difficult cancers; safety and early signals18:00 Prostate cases: CRPC responses; lesions regressing22:00 Combining with ADT and focal radiation; timing27:00 Critical need for viable tissue; preservation tips34:00 Patient journey: review → tissue + apheresis → 3 doses/6 weeks41:00 Peri-lymphatic delivery; what patients feel; follow-up/boosts49:00 Cost, access, insurance help; foundations; closing takeawaysKey TakeawaysDendritic cells orchestrate immunity; NK/T cells execute.Precision double-loading overcomes a built-in fail-safe to amplify activation.Tissue access and preservation are essential for a broad, personalized target set.Pragmatic combination care: ADT and selective radiation can create a therapeutic window and enhance antigen presentation.________________________
Silke, Tom and Brian discuss the prostate and RCC highlights from ESMO 2025
In this episode, Dr. Rena Malik, MD sits down with Dr. Aaron Fischman to explore the latest advances in prostate artery embolization for treating BPH and urinary symptoms. They discuss the types of materials used, procedural innovations, patient evaluation, and success rates, while emphasizing the importance of proper assessment and minimizing sexual side effects. Listeners will gain practical insights into how this minimally invasive procedure can improve quality of life for men with enlarged prostates. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments Stay connected with Dr. Aaron Fischman on social media for daily insights and updates. Don't miss out—follow him now and check out these links! X - https://x.com/bonesz?s=21&t=capJF_nC6iMJjJWqHuZeYw LINKEDIN - https://www.linkedin.com/in/aaron-fischman-md-fsir-fcirse-fsvm-213a234?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app YOUTUBE - https://youtube.com/@aaronfischmanmd?si=wP7jb0Za32H9Y_mE ▶️Chapters: 00:00 Embolization materials used00:31 Particle vs. glue embolization01:50 Technical advances in procedure03:12 Radiation exposure discussion04:37 Patient evaluation process07:39 Success rates and candidacy10:28 Treating urinary retention12:10 Risks and side effects16:11 Symptom relief timeline Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices
Prostate enlargement has become increasingly common in men over 50. In this video, I'll share the best diet for prostate health and the foods you should avoid to prevent or reverse an enlarged prostate. A healthy prostate should be the size of a walnut, but an enlarged prostate can grow to the size of an orange! An enlarged prostate pushes against the bladder, reducing its capacity, which is why one of the most common symptoms of an enlarged prostate is frequent urination at night.One of the most common contributors to an enlarged prostate is insulin resistance. Too much insulin can trigger the hormone IGF-1, which can increase the size of the prostate. Insulin is triggered by the consumption of carbohydrates and frequent eating.The prostate has a lot of vitamin D receptors. Vitamin D regulates the growth of the prostate and helps prevent excessive growth. To increase your vitamin D, get more sun exposure or take at least 20,000 IU of vitamin D daily along with 350 mg of magnesium glycinate.As testosterone decreases, that can sometimes leave you with too much estrogen. DIM is an excellent remedy for hormonal imbalances related to estrogen.One of the most common contributors to an enlarged prostate is insulin resistance. Too much insulin can trigger the hormone IGF-1, which can increase the size of the prostate. Insulin is triggered by the consumption of carbohydrates and frequent eating.Dr. Eric Berg DC Bio:Dr. Berg, age 60, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the Director of Dr. Berg Nutritionals and author of the best-selling book The Healthy Keto Plan. He no longer practices, but focuses on health education through social media.
Dr. Hoffman continues his conversation with Dr. Geo Espinosa, one of America's foremost integrative urologists.
Dr. Geo Espinosa, one of America's foremost integrative urologists, dishes on men's urinary problems, natural support for testosterone, and prostate cancer. Lifestyle factors—diet, exercise, sleep and stress reduction—play an important role in all phases of urological health. Dr. Geo explains how he interacts with conventional urologists on the faculty of NYU Langone Medical Center where he practices. Why are men's urinary problems not just a matter of prostate size? How can natural strategies alleviate urinary difficulties without the need for surgery or drugs? Besides saw palmetto, what nutraceuticals can benefit men with urinary problems? Are there really natural herbal alternatives to testosterone? For men with prostate cancer who are under active surveillance, is there anything more that can be done to minimize their chance of eventually needing surgery or radiation? What nutraceuticals, vitamins and minerals have anti-prostate cancer potential?
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