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Prostate cancer treatments may cause long term side effects

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    Prostate cancer may be over treated

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This transcript is automatically generated

Yeah.

-- yeah.

While new health warning for men a new study suggesting prostate cancer is over treated and those treatments often have serious long term side effects.

Is this true here to weigh in on that doctor Davis a Monty is a member of the Fox News medical -- team and the chief of the division of robotics at mount Sinai hospital.

And -- we should also point out that you are one of the premier experts when it comes to prostate cancer and understanding.

How men can avoid it.

And prevent that and how they're treated so what about this new studies -- It's a city that's coming from New England Journal medicine they looked at about -- over 3500.

Patients.

Follow them for about fifteen years -- what they're finding out is that there are some -- -- with surgical treatments and radiation.

But this most of these that is coming from -- the -- ninety's -- of that time.

We were doing a lot of open surgeries for prostate cancer radiation was not as sophisticated -- -- this intense modulated radiation therapy etc.

So you have to take it with -- assault I can tell you.

That the answer to that question that you asked there are certain times -- treatment for prostate cancer -- -- over treating it.

The reason why sometimes is or -- -- prosecute -- securities that we don't have a real diagnostic tools meaning that.

You may have many different federal prosecutors as you may have high risk you have.

Moderate Bristol you may have little risks so for moderate risk and high risk of course you have to treated because otherwise they're going to -- the -- in the metastasized.

You -- have about 30000 men died from prostate cancer every year.

The big question of -- comes in when you have a low risk prostate cancer do we do really watched them do we follow that would these PSAs.

Which as we know it's not a very sensitive test are we going to do more biopsies.

And welcome anxiety does it cause for the patients -- truth that is.

That your doctor should be it detective should really look at the history that you have look at the PSA -- the rise of the PSAs how many course of a biopsy are positive.

-- put it and say look I think this is a low risk.

We'll watch it or there's a risk of spread and what -- I I've got to ask you right there because it's -- your question how many doctors.

Were literally take the time to be that detective.

For a patient.

Who may have a low risk.

Prostate cancer situation how do you keep following it and how do you keep developing or does it rely on the patient.

Being his own detective and going back again and again thing -- what's wrong.

I think you're bringing out really excellent points and I think for viewers.

People that are diagnosed with prostate cancer you have to listen to this man next to me I did what I told you he's extremely important.

You have to be -- own doctor you really have to search for the best and most experienced person.

For prosecutors say if you're dealing with prostate cancer I think -- is it has become very complicated and while minute medical doctors family practitioners may know some.

You want to go to the expert for prostate cancer and these are the ones.

That can really.

Dig out and then dissect which ones is going to hurt you and which one we can watch.

Ultimately when it comes to surgery you want to pick the most experienced doctor.

You know I'm the wrong guy if you -- -- mastectomy or other things I may -- be doing them all the time so I have to refer to somebody else.

When it comes to prostate cancer my my eyes my brain my thinking is all concentrated.

During the week with prostate cancer so you lowered their -- now in this study they talk about sexual dysfunction -- -- confidence.

All of that has to do we did experience of -- -- -- the more you do -- practice make perfect.

And the better the result is going to be so far the most experienced doctor -- radiation or surgery.

A right now we'll be joined this lovely young lady to my left -- and faculty tomorrow morning.

For a house call and you bring us more details we look forward to it.

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