A Gay Urologist's Changing Views on Prostate Cancer

Abstract

SUMMARY As the voluminous data linking PSA and pathology results have accumulated, more refined diagnostic algorithms have resulted. These paradigms may lead to diagnosis of extremely low volume prostate cancers. The author offers his own conclusions in regard to diagnostic tests, treatment options, and managing lifestyle-impacting side effects of treatment. He offers observations from his own practice as an openly gay urologist about the ways in which prostate cancer affects gay men and his development of an Internet group for gay men with prostate cancer. The importance of active involvement in one's diagnosis and treatment is also stressed.