Videos

1 expert is featured in this series.

This segment centers on the landmark EMBARK trial, which demonstrated a significant overall survival benefit with enzalutamide plus leuprolide. Freedland discusses the clinical implications of these findings, how they may alter treatment guidelines, and the importance of counseling asymptomatic patients about the benefits of early systemic therapy.

1 expert is featured in this series.

Freedland explores how enzalutamide’s role has expanded from advanced settings to earlier use in high-risk, biochemically recurrent prostate cancer. He discusses the clinical rationale for early initiation, particularly for urologists less familiar with systemic therapy, and compares enzalutamide with other androgen receptor pathway inhibitors in this population.

1 expert is featured in this series.

An expert discusses how he has integrated minimally invasive therapies into his practice workflow through a mutual evolution with his patients, noting that as these procedures became more amenable to office-based treatment, they lowered the bar for patient acceptance and allowed many who would have stayed on medications too long to undergo procedural intervention much earlier. The vast majority of his benign prostatic hyperplasia (BPH) work is now done in-office rather than in hospitals through advanced patient comfort techniques, including specialized lidocaine applications, bladder alkalinization with sodium bicarbonate, prostate nerve blocks, and nitrous oxide that allow about one-third of patients to fall asleep during procedures.