Dr. Rolando Rivera of Advanced Urology Institute Re-designated as a UroLift Center of Excellence

Dr. Rolando Rivera of Advanced Urology Institute Re-designated as a UroLift Center of Excellence

About Dr. Rolando Rivera

Rolando Rivera, MD, FACS is an established Urologist in Naples, Florida, who features over two decades of experience in his field. Dr. Rivera’s acclaimed career in medicine began in 1996, when he graduated from the University of Puerto Rico School of Medicine in San Juan. Upon earning his Medical Degree, he completed an internship at Brooke Army Medical Center in San Antonio, Texas, before undertaking his residency at the University of Florida Shands Medical Center in Gainesville. Pursuing advanced medical training, Dr. Rivera then completed a fellowship in Female Urology, Pelvic Surgery and Urodynamics at the University of Miami.

About Advanced Urology Institute

As one of the largest full-service urology groups Florida, our 37 locations offer comprehensive urology services, from evaluation and pre-surgical preparation, to surgery and rehabilitation. We have evaluated numerous patients and performed thousands of urologic surgical and cancer procedures in the last decade with excellent outcomes. We are dedicated to combining clinical excellence, advanced technology, and patient- and family-centered care.

For more information contact AUI at: 855-977-4888

Congratulations to Dr. Jonathan Jay for being selected as Top Doctor in 2021 for Naples Illustrated Magazine

Congratulations to Dr. Jonathan Jay for being selected as Top Doctor in 2021 for Naples Illustrated Magazine

About Dr. Jonathan Jay

Dr. Jay received his Bachelor of Science degree in Physiology from Michigan State University, graduating with Honors. He went on to complete his medical education at the University of Michigan, Ann Arbor. He completed his residency training at Henry Ford Hospital before entering and completing his fellowship training at Beth Israel Deaconess Medical Center, Harvard Medical School in Boston. He received numerous honors and awards throughout his training, including Outstanding Resident Training Award and Lansing School District Distinguished Alumni Award.

He has made national presentations on various urological topics and has published multiple scientific papers in peer-reviewed journals as well as book chapters. He is involved in clinical research, including clinical trials for the minimally invasive correction of bladder control problems.

About Advanced Urology Institute

As one of the largest full-service urology groups Florida, our 37 locations offer comprehensive urology services, from evaluation and pre-surgical preparation, to surgery and rehabilitation. We have evaluated numerous patients and performed thousands of urologic surgical and cancer procedures in the last decade with excellent outcomes. We are dedicated to combining clinical excellence, advanced technology, and patient- and family-centered care.

For more information contact AUI at: 855-977-4888

Janelle Bunce, PA-C of Advanced Urology Institute Re-designated as a UroLift Center of Excellence

Congratulations to Janelle Bunce, PA-C on having been re-designated as a UroLift Center of Excellence in May 2021.

About Janelle Bunce, PA-C

Janelle Bunce PA-C is a nationally certified Physician Assistant who earned her Masters of Medical Science and Physician Assistant studies degrees at Nova Southeastern a University in Davie, FL in 2004. She is a member of the American Academy of Physician Assistants, Florida Urological Society and the American Urological Association. She has participated in multiple medical mission trips. Her specialties include adult and pediatric urology. She is currently a practicing physician assistant in Naples, FL.

About Advanced Urology Institute

As one of the largest full-service urology groups Florida, our 37 locations offer comprehensive urology services, from evaluation and pre-surgical preparation, to surgery and rehabilitation. We have evaluated numerous patients and performed thousands of urologic surgical and cancer procedures in the last decade with excellent outcomes. We are dedicated to combining clinical excellence, advanced technology, and patient- and family-centered care.

For more information contact AUI at: 855-977-4888

Dr. Amar J. Raval of Advanced Urology Institute Recognized as an Axonics® Center of Excellence

Dr. Amar J. Raval is an expert at treating bladder and bowel dysfunction with innovative Axonics Therapy.

June 28, 2021

Advanced Urology Institute (AUI) has been designated an Axonics Center of Excellence by Axonics Modulation Technologies, Inc. The designation recognizes the AUI team and specifically Dr. Amar J. Raval for his expertise with Axonics Therapy and sincere commitment to changing the lives of patients suffering from bladder and bowel dysfunction.

Today, millions of Americans suffer from overactive bladder and fecal incontinence.1 Patients in the New Port Richey and Tampa, Florida areas with chronic and debilitating symptoms related to bladder and bowel dysfunction may seek treatment from the experts at AUI. Axonics Therapy gently stimulates the sacral nerve (sacral neuromodulation), restoring normal communication between the brain and the bladder. Axonics Therapy has been clinically proven to provide rapid and long-lasting relief of symptoms associated with bladder and bowel dysfunction.

In a clinical study, 129 patients with urgency incontinence were treated with Axonics Therapy. At 2-years, 93% of patients had successful therapy and 94% of patients were satisfied with their therapy.2

The Axonics Center of Excellence program recognizes highly trained and experienced physicians (typically urologists, urogynecologists, and colorectal surgeons) and clinical practices that are committed to patient education and providing exemplary care to achieve optimal clinical outcomes and patient satisfaction.

“AUI is proud to be recognized as a Center of Excellence. This designation is a testament to the dedication of our entire team, and in particular to Dr. Amar J. Raval,” said Erica Williams, Chief Administrative Officer. “We are committed to providing the best care to our patients and are extremely pleased to offer Axonics Therapy.”

About Advanced Urology Institute

As one of the largest full-service urology groups Florida, our 37 locations offer comprehensive urology services, from evaluation and pre-surgical preparation, to surgery and rehabilitation. We have evaluated numerous patients and performed thousands of urologic surgical and cancer procedures in the last decade with excellent outcomes. We are dedicated to combining clinical excellence, advanced technology, and patient- and family-centered care.

For more information contact AUI at: 855-977-4888

About Axonics Modulation Technologies, Inc. and Sacral Neuromodulation

Axonics, based in Irvine, Calif., has developed and is commercializing novel implantable SNM devices for patients with urinary and bowel dysfunction. These conditions are caused by a miscommunication between the bladder and the brain and significantly impacts quality of life. Overactive bladder affects an estimated 87 million adults in the U.S. and Europe. Another estimated 40 million adults are reported to suffer from fecal incontinence/accidental bowel leakage. Axonics SNM therapy, which has been clinically proven to reduce symptoms and restore pelvic floor function, is now being offered at hundreds of medical centers across the U.S. and in dozens of select hospitals in Western Europe. Reimbursement coverage is well established in the U.S. and is a covered service in most European countries. The Axonics System is the first long-lived rechargeable SNM system approved for sale in the world, and the first to gain full-body MRI conditional labeling. For more information, visit www.axonics.com.

 

References:

1. Irwin DE, Kopp ZS, Agatep B, Milsom I, Abrams P. Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU Int. 2011;108(7):1132-1138.

2. Pezzella A, McCrery R, Lane F, et al. Two-year outcomes of the ARTISAN-SNM study for the treatment of urinary urgency incontinence using the Axonics rechargeable sacral neuromodulation system [in press]. Neurourol Urodyn. 2021.

What Should You Discuss with Your Doctor about Erectile Dysfunction, According to Dr. Yaser Bassel?

KEY TAKEAWAYS:

  • Dr. Yaser S. Bassel, MD, is a board-certified urologist in Tampa, FL, who specializes in treating erectile dysfunction.
  • Patients should not hesitate to discuss erectile dysfunction with their healthcare provider and should focus on managing risk factors like cholesterol, blood pressure, and diabetes.
  • Medications are typically the first line of therapy for ED, and a conversation with a healthcare provider can help determine the most appropriate treatment option.

Introduction: The Urologist and Erectile Dysfunction

Yaser S. Bassel, MD, a board-certified urologist in Tampa, FL, practices at Advanced Urology Institute, the largest urology practice in Florida. In this article, Dr. Bassel addresses the importance of discussing erectile dysfunction (ED) with your physician and provides insights into managing risk factors and potential treatment options.

Breaking the Silence: Discussing Erectile Dysfunction

Many individuals may feel timid or afraid to discuss erectile dysfunction with their healthcare provider. However, Dr. Bassel emphasizes that ED is a common issue and urges patients to initiate conversations about it. Identifying and addressing the organic sources of ED is a crucial step toward finding appropriate treatment options.

Managing Risk Factors for Erectile Dysfunction

Dr. Bassel advises patients to work closely with their primary care physician to control cardiovascular risk factors that may contribute to ED, such as high cholesterol, blood pressure, and diabetes. By effectively managing these factors, patients can prevent their erectile dysfunction from worsening over time.

Treatment Options for Erectile Dysfunction

Thanks to the development of various medications, there are now easy ways to treat ED. Dr. Bassel explains that the first step in addressing ED is discussing the available medications, their potential side effects, and benefits with patients. Medications are typically tried as the first line of therapy, and the conversation helps determine the most suitable treatment option for each individual.

Advanced Urology Institute: A Leader in Urological Care

As the largest urology practice in Florida, the Advanced Urology Institute provides comprehensive care for patients dealing with a wide range of urological issues, including erectile dysfunction. With a team of experienced, board-certified urologists like Dr. Yaser Bassel, patients can expect state-of-the-art treatment options and compassionate, personalized care.

TRANSCRIPTION: 

My name is Yaser Bassel. I’m a board-certified urologist with Advanced Urology Institute. 

A lot of people are a little timid or a little afraid to bring up that issue with their physician, but it is very common. And oftentimes we try and talk to patients about trying to figure out an organic source of their ED and correcting that. I think for patients, the main thing is that when they’re starting to deal with that, it is important for them to continue to follow with their primary care doctor to control their cardiovascular risk factors, their cholesterol, their blood pressure, their diabetes. And once that’s under control, you can prevent the erectile dysfunction from worsening. The good news is, of course, with the advent of these medications, there are easy ways to treat this issue. And oftentimes we’ll talk to patients about the medications that we have readily available to us, the different side effects and the benefits of each of those medications. And that’s how we typically start the conversation and then see where the patient would like to go. And then usually we try medications as the first line of therapy.

REFERENCES: 

Find Top Urologists Near You in Tampa, FL

Do you endure frequent urine leakage? Are you experiencing a persistent feeling of pressure, heaviness, or lower abdominal pain? Do you have erectile dysfunction, difficulty urinating, or blood in urine? Any of these symptoms may mean you have a urological problem and should see a urologist. 

In the Tampa Bay area, you can find top urologists at Advanced Urology Institute, Westchase office.

What is a urologist?

A urologist is a surgical specialist who diagnoses and treats problems of the male reproductive system and the urinary tracts of both males and females. The doctor tackles conditions of the urinary bladder, kidneys, ureter, adrenal glands, urethra, and male reproductive organs—the testes, vas deferens, epididymis, seminal vesicles, prostate, and penis.

You may need to see a urologist when referred by your primary physician, usually after symptoms persist for a long duration or fail to improve. But you can also go directly to a urologist when you have a recurrent need to urinate urgently, difficulty urinating, weak urine flow, dribbling, urinary leakage, and burning pain or sensation during urination.

Pain in your lower back, pelvis, or sides and the presence of blood in the urine are also reasons to see a urologist. If you’re a man, you may need to see a urologist if there is a decrease in sexual desires, a lump in one of your testicles, trouble getting and keeping an erection, or if you want to undergo a vasectomy.

Conditions treated by urologists include:

  1. Urinary incontinence
  2. Urinary tract infections
  3. Enlarged prostate
  4. Bladder prolapse, painful bladder, and overactive bladder
  5. Kidney or ureteral stones
  6. Erectile dysfunction and
  7. Male infertility
  8. Peyronie’s disease
  9. Urethral stricture
  10. Undescended testes (cryptorchidism)
  11. Interstitial cystitis (painful bladder syndrome)
  12. Kidney disease
  13. Urologic oncology, such as prostate, kidney, testicular, and bladder cancer
  14. Varicoceles (enlarged veins in the scrotum)

What should you expect your urologist to do for you?

Your urologist will examine your medical history and conduct a physical examination. They will order a basic urine test to check for bacteria or other signs of disease. This may be followed by imaging tests, such as MRI scans, ultrasound, or CT scans to locate the problem.

In some cases, the physician will do a cystoscopy—a medical imaging procedure that enables the doctor to examine the inside of your urinary tract. During cystoscopy, the urologist may collect some tissue samples for testing. Urodynamic testing may also be run to indicate how fast urine leaves your body, the amount of urine that is left in your bladder after urinating, and the pressure in your bladder.

After diagnosis, your urologist may opt for different treatment methods depending on the condition. For instance, the doctor may prescribe antibiotics to treat infections, hormone treatment for prostate cancer, chemotherapy drugs for cancer, PDE-5 inhibitors like Tadalafil and Cialis for erectile dysfunction, and other medication to act on the smooth muscles of your bladder to treat urinary incontinence.

When necessary, your urologist may perform surgery to remove a tumor, strictures in the urethra, parts of the kidney, kidney stones, or to relieve stress incontinence. The surgical treatment of choice may be open, laparoscopic, robotic, or laser therapy. Urologists are also responsible for carrying out vasectomy—a surgical procedure for permanent contraception in men.

So how do you find a top urologist in Tampa, Florida?

The easiest way is to speak with your primary care physician to refer you to a good urologist. You can also talk with your family, friends, and coworkers about the best urologists they have seen for treatment. Having recommendations from people you know can help you choose a urologist that suits your needs.

Whether you learn about a urologist from your doctor, acquaintances, or online, you should find out more about the experience and skill level of the doctor before a procedure. A quick indicator of competence is board certification, as it shows the training and expertise of the doctor.

When you are persuaded that a particular urologist may be ideal for you, schedule a visit. It is during the visit that you can ask questions and appreciate the physician’s perspective. It is wise to choose a urologist who speaks openly and candidly with you and who can freely explain to you in detail the procedure you seek and any of its risks and complications.

You should also confirm before the visit that your insurance provider will cover the cost of the services and any treatment you may need.

Notable urologists in Tampa, Florida

One reputable urologist in Tampa is Dr. Yaser Bassel. Based at the Advanced Urology Institute Westchase office, Dr. Bassel is a professional, friendly, board-certified surgeon with years of experience diagnosing and treating urinary incontinence, prostate enlargement, kidney stones, and urologic cancers, among other problems.

His expertise in minimally invasive surgical procedures, including the da Vinci robotic system, makes him one of the most sought-after surgeons by patients with prostate, bladder, and other urologic cancers. 

Dr. Brian D. Hale is another board-certified urologist at the Advanced Urology Institute Westchase office. With his knowledge and experience in laparoscopy and hand-assisted laparoscopic nephrectomy, Dr. Hale achieves excellent results treating male and female urinary tract conditions.

He is a specialist in resolving recurrent urinary tract infections, kidney stones, bladder and prostate cancer, and other genitourinary disorders. Being one of the more experienced surgeons in Florida in conducting radical perineal prostatectomy, you can rely on Dr. Hale to speedily and accurately diagnose and treat prostate cancer.

When you want a doctor in Tampa who will listen to you, explain all the options, and answer all your questions before recommending treatment, you can also see Dr. Amar J. Raval at the Advanced Urology Institute Westchase office. A caring and knowledgeable physician, he is highly skilled in tackling urinary conditions and urinary stone removal. He regularly performs minimally invasive robotic surgery, laparoscopy, endoscopy, and open surgery for various urologic disorders.

A culture of excellence

Advanced Urology Institute has a well earned reputation for medical expertise, the most up-to-date equipment, and a culture of excellence. Through innovation and collaboration, AUI continues to be recognized for offering leading-edge, multidisciplinary, and patient-centered care.

At AUI, Westchase office in Tampa, Florida, we offer treatments for bladder cancer, prostate cancer, male and female urinary incontinence, bladder reconstruction, erectile dysfunction, female sexual dysfunction, renal carcinoma, urinary stone management, and robotic laparoscopic surgery, among others. We continually enhance our diagnosis and treatment techniques to guarantee better success rates for our patients.

Genetic Testing for Cancer Risk

My name is Amar J. Raval and I’m with Advanced Urology Institute.[For] men with prostate cancer or kidney cancer or upper tract urothelial carcinoma of the kidney, all of these can be predisposed to genetic risk factors. So [for example] if there’s family members with colon cancer or family history of prostate cancer or even females with breast or ovarian cancer. There are certain genes that are expressed that can be identified in these family members and so they can be screened earlier and be able to be detected earlier. This is huge in the realm of cancer and oncologic treatment because to be able to identify these patients earlier allows you to avoid bigger surgeries or avoid metastatic disease later in life and treat them so that you can extend years, joyous years in your life.

Dr. Lonnie T. Klein of Advanced Urology Institute in Safety Harbor, FL, designated as a UroLift® Center of Excellence

PLEASANTON, CALIF. (PRWEB) APRIL 27, 2021

NeoTract, a wholly owned subsidiary of Teleflex Incorporated (NYSE:TFX) focused on addressing unmet needs in the field of urology, today announced that Lonnie T. Klein, M.D., Advanced Urology Institute in Safety Harbor, FL, has been designated as a UroLift® Center of Excellence. The designation recognizes that Dr. Klein has achieved a high level of training and experience with the UroLift® System and 
demonstrated a commitment to exemplary care for men suffering from symptoms associated with Benign Prostatic Hyperplasia (BPH), also known as enlarged prostate.

Recommended for the treatment of BPH in both the American Urological Association and European Association of Urology clinical guidelines, the FDA-cleared Prostatic Urethral Lift procedure using the UroLift System is a proven, minimally invasive technology for treating lower urinary tract symptoms due to BPH. The UroLift permanent implants, delivered during a transurethral outpatient procedure, relieve prostate obstruction and open the urethra directly without cutting, heating, or removing prostate tissue. The UroLift Center of Excellence program is designed to highlight urologists who are committed to educating their patients on BPH and the UroLift System as a treatment option and consistently seek to deliver excellent patient outcomes and experiences.

“This designation recognizes Dr. Lonnie T. Klein as a UroLift Center of Excellence for his commitment to providing safe and effective treatment to patients with BPH,” said Dave Amerson, president of the Teleflex Interventional Urology business unit. “We are pleased to see the continued acceptance of the UroLift System as a standard of care treatment that may allow men to discontinue the use of BPH medications and improve their quality of life.”

Over 40 million men in the United States are affected by BPH, a condition that occurs when the prostate gland that surrounds the male urethra becomes enlarged with advancing age and begins to obstruct the urinary system. Symptoms of BPH often include interrupted sleep and urinary problems and can cause loss of productivity, depression and decreased quality of life.

Medication is often the first-line therapy for enlarged prostate, but relief can be inadequate and temporary. Side effects of medication treatment can include sexual dysfunction, dizziness and headaches, prompting many patients to quit using the drugs. For these patients, the classic alternative is surgery that cuts, heats or removes prostate tissue to open the blocked urethra. While current surgical options can be very effective in relieving symptoms, they can also leave patients with permanent side effects such as urinary incontinence, erectile dysfunction, and retrograde ejaculation.

About the UroLift® System

The FDA-cleared UroLift System is a proven, minimally invasive technology for treating lower urinary tract symptoms due to benign prostatic hyperplasia (BPH). The UroLift permanent implants, delivered during a minimally invasive transurethral outpatient procedure, relieve prostate obstruction and open the urethra directly without cutting, heating, or removing prostate tissue. Clinical data from a pivotal 206-patient randomized controlled study showed that patients with enlarged prostate receiving UroLift implants reported rapid and durable symptomatic and urinary flow rate improvement without compromising sexual function*1,2. Patients also experienced a significant improvement in quality of life. Over 100,000 men have been treated with the UroLift System in the U.S. Most common adverse events reported include hematuria, dysuria, micturition urgency, pelvic pain, and urge incontinence. Most symptoms were mild to moderate in severity and resolved within two to four weeks after the procedure. The Prostatic Urethral Lift procedure using the UroLift System is recommended for the treatment of BPH in both the American Urological Association and European Association of Urology clinical guidelines. The UroLift System is available in the U.S., Europe, Australia, Canada, Mexico and South Korea. Learn more at www.UroLift.com.

About NeoTract | Teleflex Interventional Urology

A wholly owned subsidiary of Teleflex Incorporated, the Interventional Urology Business Unit is dedicated to developing innovative, minimally invasive and clinically effective devices that address unmet needs in the field of urology. Our initial focus is on improving the standard of care for patients with BPH using the UroLift System, a minimally invasive permanent implant system that treats symptoms while preserving normal sexual function*1,2. Learn more at http://www.NeoTract.com.

About Teleflex Incorporated

Teleflex is a global provider of medical technologies designed to improve the health and quality of people’s lives. We apply purpose driven innovation – a relentless pursuit of identifying unmet clinical needs – to benefit patients and healthcare providers. Our portfolio is diverse, with solutions in the fields of vascular and interventional access, surgical, anesthesia, cardiac care, urology, emergency medicine and respiratory care. Teleflex employees worldwide are united in the understanding that what we do every day makes a difference. For more information, please visit http://www.teleflex.com.

Teleflex is the home of Arrow®, Deknatel®, Hudson RCI®, LMA®, Pilling®, Rusch®, UroLift® and Weck® – trusted brands united by a common sense of purpose

For Teleflex Incorporated:
Jake Elguicze, 610.948.2836
Treasurer and Vice President, Investor Relations

Media:
Nicole Osmer, 650.454.0504 nicole@healthandcommerce.com

*No instances of new, sustained erectile or ejaculatory dysfunction
1. Roehrborn, J Urology 2013 LIFT Study
2.McVary, J Sex Med 2016

MAC00968-01 Rev A

How Does Dr. Brian Hale Approach Bladder Cancer Treatment?

KEY TAKEAWAYS:

  • Dr. Brian Hale uses a TURBT procedure to treat early-stage bladder cancer.
  • For more advanced bladder cancer, Dr. Hale may need to perform a radical cystectomy to remove the entire bladder.
  • Dr. Hale works closely with oncologists to provide comprehensive cancer care for his patients.

Dr. Brian D. Hale is a board-certified urologist in Tampa, FL, who is part of the Advanced Urology Institute. In this article, we will discuss Dr. Hale’s approach to bladder cancer treatment, including the types of procedures he uses to treat the disease.

Early-Stage Bladder Cancer

Fortunately, most patients with bladder cancer are diagnosed with early-stage cancer that can be cured with a simple outpatient procedure. Dr. Hale will typically remove the tumor using a transurethral resection of bladder tumor (TURBT) procedure. This is a minimally invasive procedure that involves using a cystoscope to remove the tumor through the urethra.

Advanced Bladder Cancer

If the cancer has advanced or is too large to be removed through a TURBT procedure, Dr. Hale may need to perform a more aggressive surgery. In some cases, he may need to remove the entire bladder in a procedure called a radical cystectomy. During this procedure, the bladder is removed along with nearby lymph nodes and the prostate or uterus in men and women, respectively. The urine is then diverted into a bag outside the body or into a new reservoir made from a piece of the small intestine.

Comprehensive Cancer Care

Dr. Hale works closely with oncologists to provide comprehensive cancer care for his patients. He may recommend additional treatments, such as chemotherapy or radiation therapy, depending on the stage and type of bladder cancer. He also provides ongoing monitoring to ensure that the cancer does not return.

Advanced Urology Institute

Advanced Urology Institute is the largest urology practice in Florida, with multiple locations throughout the state, including Tampa. Their team of experienced urologists, including Dr. Brian Hale, is dedicated to providing high-quality care to their patients. If you are in need of urological care, we highly recommend scheduling an appointment with Advanced Urology Institute.

TRANSCRIPTION:

My name is Brian Hale, I’m a board certified urologist working with Advanced Urology Institute.
So fortunately most of the patients that we find with bladder cancer have early stage
cancer that we can cure with a simple outpatient procedure.
If we find the cancer later or the cancer is too large or so large that it’s evading
into the bladder muscle, then we have to do a more aggressive surgery removing the entire bladder.

REFERENCES:

Technological Advancements in Urology

My name is Amar J. Raval and I’m with Advanced Urology Institute.

I love urology. I am privileged to be part of this community of urologists in the United States, and especially with Advanced Urology Institute. I think there are tremendous technological platforms that are available and we’re certainly unique in that field of surgery. From open [surgery] to robotics to laparoscopic to even prosthesis: whether it’s penile prosthesis or Interstim devices in the back to help control urinary incontinence, [and] urethral slings, there’s so much technology available in urology. It’s just a pleasure to be able to treat those patients.

What Treatment Options Are Available for Prostate Cancer – Dr. Amar Raval

My name is Amar J. Raval and I’m with Advanced Urology Institute.

The first is watchful waiting, that’s knowing that you have prostate cancer but you don’t want to really do anything about it.

Active surveillance is when you’re diagnosed with either low risk or low volume intermediate risk prostate cancer, you follow up with PSAs and digital rectal exams every three to six (3-6) months and then biopsies subsequently. If it advances or it’s a higher stage, then you treat it.

There’s also radiation therapy with hormones, brachytherapy, and of course surgery which is a radical prostatectomy that can be done open or laparoscopically/robotically.

So there’s plenty of options out there. It can be a very confusing type of cancer to have and I think it warrants us long conversations with the patients so they know all the options that are available.