General Internal Medicine

Genitourinary Cancers

Questions discussed in this category

Is there any evidence for amyloid/amyloidosis causing a spurious/false PSA reading?

Would you start anticoagulation in a patient with RCC and related (tumor) thrombus with extension to renal vein and further?

3 Answers available

How do you approach rising PSA following radical prostatectomy and early salvage radiation therapy?

What are your action points in terms of PSA thresholds?

1 Answer available

How do you manage drug-drug interactions between oral anticoagulants and the ARSI agents such as apalutamide and enzalutamide?

1 Answer available

When is it safe for a rectal biopsy in a patient with prior prostate radiation?

Is the patient permanently at elevated risk for rectourethral fistula with rectal biopsy? Do you have any threshold for the GI to biopsy a rectal lesi...

2 Answers available

How do you manage hyponatremia in patients with renal cell carcinoma on cabozantinib and nivolumab?

2 Answers available

Are there any concerns regarding side effects in changing from denosumab to zolendronic acid or vice versa?

1 Answer available

Does recent COVID-19 infection result in elevated PSA?

1 Answer available

Do you stop treatment for a prostate cancer patient diagnosed with acute radiation proctitis with significant pain?

If the diagnosis was made by an outside physicain, how do you confirm/refute the diagnosis? Would an alternative diagnosis like a thrombosed hemorrhoi...

3 Answers available

Do you recommend patients wait to have a total hip sx after salvage radiation for RP?

If so, what is timing after salvage radiation that you would recommend?

1 Answer available

Do you stop PPI when starting patients on immunotherapy?

1 Answer available

When staging prostate cancer, does MRI pelvis/prostate replace CT A/P?

5 Answers available

How soon after completion of salvage RT to the prostate bed do you allow urethral dilation?

Eg patient has been catching for years but now developing stenosis towards end of salvage RT course.

2 Answers available

What is the best way to approach elevated liver enzymes in patients treated with combination TKI and immunotherapy?

Are there any clinical features that can inform etiology/which medication to hold?

1 Answer available

How do you manage acute tenesmus related to SpaceOAR?

Do you manage post radiotherapy onset of tensmus differently?

2 Answers available

How do you interpret and utilize PSA values in patients on dialysis?

How does dialysis affect PSA lab values?

1 Answer available

How do you manage early rectal symptoms such as tenesmus in a patient undergoing pelvic radiation for prostate cancer?

Assume patient has no history of IBD, UC, etc.

1 Answer available

What is a safe time interval from completion of hormones and external beam radiation to TURP in patients who develop refractory obstruction?

1 Answer available

Do you perform a bone health assessment in men who will be receiving short term androgen deprivation for localized prostate cancer?

If so, does it differ from the assessment you would perform in men receiving long term ADT?

1 Answer available

How do you approach rectal spacer for the patient with renal failure?

Given that it is cleared from the body by renal filtration, are you concerned about clearance issues?

2 Answers available

If a patient develops intermittent painless hematuria during standard prostate RT do you attribute this to cystitis or would you work it up further?

1 Answer available

In a patient with a history of treated stage II seminoma with rising bHCG while on surveillance, do you routinely recheck the bHCG with a different assay?

When are you concerned for a false positive? FDA guidelines include a suggestion to try another assay in case heterophile antibodies are causing a fal...

1 Answer available

When does a rising PSA after prostatectomy indicate growth just of normal prostate?

Guidelines dont seem to account for this possibility. Could it just be normal prostate tissue growing back that is leading to PSA, why just assume it ...

1 Answer available

What is your management strategy for patients with positive lymph nodes after radical prostatectomy?

2 Answers available

What is your institution's active surveillance protocol?

1 Answer available