One Man’s Journey -Rising Hopes: Shared Decision Making and Therapeutic Advances

In this sixth episode, Michael A. DiSpezio discusses Kegels (aka pelvic floor exercises) and their role in regaining urinary continence. Then, he takes a deeper dive into shared decision making, and why it is essential for all patients to be an active part of this critical process. Michael discusses the advantages of focal therapy (not appropriate for all) as he describes several ablation treatments including ultra-cold temperatures and a relatively new therapeutic option known as HIFU. Michael presents the difficulty in predicting disease progression and response to treatment. He concludes the series referencing the statistics that not only illustrate prostate cancer’s high survival rates, but also highlights the advantage to uncovering the cancer before it has spread to distant sites.