Ep. 155 Managing Biochemical Recurrence After Prostatectomy with Dr. James Eastham

In this episode of BackTable Urology, Dr. James Eastham, chief of urology at Memorial Sloan Kettering Cancer Center, discusses evolving approaches and treatments in prostate cancer. First, he discusses topics such as patient preparation, pre-treatment discussions, and individualized treatment options based on the patient's risk levels. Dr. Eastham also summarizes crucial advancements in testing and imaging prostate cancers, including the use of genetic and biochemical markers, like PSA levels. Additionally, he emphasizes how advances in radiation therapy have improved treatment outcomes and patient experiences. Finally, Dr. Eastham emphasizes the need for consistent monitoring and communication with patients during and post-treatment. --- CHECK OUT OUR SPONSOR Veracyte https://www.veracyte.com/decipher --- SHOW NOTES 00:00 - Introduction 06:24 - Treatment Strategies and Patient Preferences 11:30 - Exploring the Role of Imaging in Prostate Cancer Treatment 18:29 - Dealing with Persistently Detectable PSA and Pre-op Staging 27:48 - Understanding Prostate Cancer Recurrence 36:08 - The Role of PSA Doubling Time in Treatment Decisions 43:34 - The Future of Personalized Medicine and Genomic Classifiers in Prostate Cancer 52:42 - The Importance of Patient Education and Preparation --- RESOURCES Decipher Prostate by Veracyte: https://www.veracyte.com/decipher-prostate/