BackTable / Urology / Podcast / Episode #200

Managing Biochemical Recurrence After Prostate Radiation

with Dr. Amar Kishan

Biochemical recurrence of prostate cancer can be difficult to diagnose and treat. In this episode of BackTable Urology, where Dr. Aditya Bagrodia hosts Dr. Amar Kishan, a genitourinary radiation oncologist at UCLA, to discuss the complexities of biochemical recurrence and local failure after radiation therapy for prostate cancer.

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Managing Biochemical Recurrence After Prostate Radiation with Dr. Amar Kishan on the BackTable Urology Podcast

Ep 200 Managing Biochemical Recurrence After Prostate Radiation with Dr. Amar Kishan

00:00 / 01:04

BackTable, LLC (Producer). (2024, November 19). Ep. 200 – Managing Biochemical Recurrence After Prostate Radiation [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Aditya Bagrodia

Dr. Aditya Bagrodia is an associate professor of urology and genitourinary oncology team leader at UC San Diego Health in California and adjunct professor of urology at UT Southwestern.

Dr. Amar Kishan

Dr. Amar Kishan is a radiation oncologist and the chief of the genitourinary oncology service for the Department of Radiation Oncology at UCLA in California.

Synopsis

First, they evaluate alternatives to androgen deprivation therapy (ADT), the benefits and risks associated with ADT, and the role of genetic classifier tests. They also detail the goals of prostate-specific antigen (PSA) monitoring, PSA trends post-radiation, and advancements in PSMA PET scans. Then, the conversation highlights modern treatment options like targeted radiation, low dose rate brachytherapy, salvage radical prostatectomy, and focal therapy. Finally, the doctors emphasize personalized and multidisciplinary treatment plans as they hope to improve long-term outcomes for patients with prostate cancer.

Timestamps

00:00 - Introduction
04:31 - PSA Levels Post-Radiation
13:21 - Local Recurrence and PSMA PET
21:29 - Explaining Radiation Effects to Patients
22:41 - Managing PSA Bounce
26:05 - Imaging and Biopsy Techniques
28:55 - Treatment Options for Local Recurrence
30:16 - Re-Irradiation and Focal Therapy
33:13 - Concluding Thoughts

Resources

Veracyte
https://www.veracyte.com/

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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