90% is generous. More like 80%

I don’t think the implication is that you have the secret in your pocket, but rather that’s their way of asking if this is the right choice for them? Affirmation = comfort. I flip it around + discuss how each individual will have a different threshold of risk. And try to help them define theirs.

We did it for the last 12 years in Houston but the Turkey Trot hosted by Baker Ripley is no more.

Great comments here. Sensitivity of rhPSMA is ⬇️ but likely due to population included as cN+ were ineligible
4 the study. Dec’d Prevalence of the population leads to lower demonstrated sensitivity.
*COI: co-PI for BED studies.
Can’t be stated enough that a Neg PET doesn’t = absence of pN+ nodes.

You boys look good in green.

Not doing TURBTs but seems intriguing.

Spoken like a true Uro recon.

Let’s say Patient is wanting treatment and I agree with that. I was leaning toward RT due to risks of incontinence. But interesting to hear others thoughts.

New diagnosis. On meds. Symptoms worrisome that he will have OAB and incontinence issues post surgery.

Parkinson’s worries me for surgery?

PSA is 8.7

Cribiform glands present. 3+4 also on contralteral side. MRI c/w bilateral disease 1.4 cm and 1.0 cm. 40% pattern 4.

And for you, Matt he has a palpable lesion for cT2a and the GG2 larger lesion is also visible on US.

Perhaps. This feels different. And the first I’ve looked into as a late adopter