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PSA Screening and the Radical Prostatectomy

   Multiple organizations, such as the Centers for Disease Control, have decided against using the PSA test as a screening test for prostate cancer, because they say that screening has not been shown to prolong life. What they are really saying is that the radical prostatectomy doesn't work for prostate cancer, because the radical prostatectomy has been the linchpin treatment for the disease. Sadly, the radical prostatectomy failed to prolong life in two randomized controlled studies. And only increased survival in 5% of men in a third study, and it took ten years for that benefit to accrue.

The next randomized controlled study will be the PIVOT trial, a study whose results have been delayed. Now we are told the results will be out in 2010.

Written for Surviving Prostate Cancer Without Surgery by Bradley Hennenfent, MD on August 26, 2007.

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