Patients with advanced prostate cancer or high risk disease are placed on shots or implants (lupron, Vantus, Eligard – for example)to deprive the body of testosterone. They block the brains signals to the make precursor hormones that make testosterone. Side effects including breast tenderness and hot flashes. Dr. Grotas can help with these side effects. [...]

pca3 is a urine test to detect prostate cancer. It is supposed to not be affected by large prostate or inflammation/infection. I haven’t routinely ordered this test but it is being used by urologists more and more. Recent articles praise its use in patients with prior negative biopsy to determine if a repeat biopsy should be done