Brian F. Chapin

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.

A graphic of a turkey.

We are thankful for our patients, their families, our faculty and staff, our volunteers and our generous donors as we work toward our mission to #EndCancer.

Happy #Thanksgiving to all those celebrating.

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.

Made this with @ddshapiro.bsky.social, reach out if we missed you! @mdanderson.bsky.social @chapinmd.bsky.social

go.bsky.app/NwN3jSo

You boys look good in green.

Not doing TURBTs but seems intriguing.

Words of Wisdom Wednesday: Re: Complications Following Transrectal and Transperineal Prostate Biopsy: Results of the ProBE-PC Randomized Clinical Trial by @boesenlars.bsky.social and @chapinmd.bsky.social
Check out the summary below and read the full article here: https://buff.ly/4fENr7V
#UroSky

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.

Prostate “Bluesky” case of the day.

67 yo recent Parkinson’s dx, on levodopa, GG2 (12mm) PCa w/LUTS (freq/urgency).
UDS->prostatic obstruction + some detrusor OA. Decipher high risk. He desires surgery, but is open to recs. You offer:
1. RARP
2. ADT/RT
3. Prostate procedure + RT/ADT
4. Other

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

a green and yellow parakeet is walking on a glass table ALT: a green and yellow parakeet is walking on a glass table

This is a bit of Deja vu, starting a new adventure in social media and running away from an older version!