Consult Johns Hopkins' leading specialists
BEFORE you decide on prostate cancer treatment

Introducing …

Choosing The Right Treatment For Prostate Cancer

A detailed prostate cancer treatment guide so you can
LEARN MORE ABOUT YOUR BEST OPTIONS
before making any irrevocable decisions

Written by Jacek L. Mostwin M.D., and colleagues at the world-renowned James Buchanan Brady Urological Institute at Johns Hopkins — the hospital and the urology center ranked #1 year after year by U.S. News & World Report

Has your doctor just said the two words you dread most: prostate cancer?

You are NOT alone.

The American Cancer Society estimates that there will be over 217,000 new cases of prostate cancer in the United States in 2010, with more than 30,000 men dying from the disease.

After skin cancer, prostate cancer is the #1 form of cancer in men and the #2 cause of cancer death (after lung cancer).

But there is GOOD NEWS: for most men, prostate cancer progresses slowly as compared with other cancers.

That means you have time to learn all you can about your prostate cancer test results and options, to make the best prostate cancer treatment choices possible for YOU.

If you're reading this letter now, you've probably just received a diagnosis of prostate cancer.

You need the most current, reliable information on the most successful prostate cancer treatment options available to you, so you can make the best informed decisions possible about your future.

That's why Dr. Jacek L. Mostwin, Dr. H. Ballentine Carter, and a team of top cancer specialists at Johns Hopkins' renowned Brady Urological Institute have gathered together to write Choosing The Right Treatment For Prostate Cancer. This authoritative 95-page special report contains vital information you won't find in any other single source.

Like an in-depth consultation with your personal physician, Choosing The Right Treatment For Prostate Cancer gives you unprecedented access to the extensive knowledge and experience of Johns Hopkins specialists in treating the different stages of prostate cancer successfully.

Knowledge Is Key When It Comes to Treating Prostate Cancer Successfully

Prostate cancer is unusual in that there is NO CONSENSUS among doctors about the best treatment for prostate cancer - - or even whether any type of treatment at all is necessary.

You owe it to yourself to learn as much as you can about prostate cancer and your best treatment options, BEFORE you make any irrevocable decisions. Your prostate cancer treatment choices should not just preserve life, but preserve quality of life for you and your loved ones.

In Choosing The Right Treatment For Prostate Cancer, you will gain the benefits of over a century of Johns Hopkins' research and success in treating prostate cancer. You will learn about the most effective, proven treatment options we use – and have sometimes pioneered - - at the world-renowned James Buchanan Brady Urological Institute, ranked America's #1 Urology Center for years.

You'll discover which options have been proven successful through rigorous study and statistical analysis. These life-saving prostate cancer treatment options have now become more widely available throughout the world thanks to Hopkins' clinical expertise and careful follow-up on patient prostate cancer survival rates.

This is information so crucial to your decision-making process, that Choosing The Right Treatment For Prostate Cancer is available right now as an instant digital PDF download. You can be sure your guide contains up-to-the minute information to help you choose from among the best treatments available, to help you in your quest for the best possible outcome.

Choosing The Right Treatment For Prostate Cancer begins by helping you understand your wide array of test results: your PSA test scores, your prostate biopsy results and Gleason Score, and how your entire group of test results is crucial to take into consideration when choosing your prostate cancer treatment. We know you're wondering:

What do all my scores mean?

What are the most important ones I should take into account when choosing my prostate cancer treatment?

Learn all this and more, so you can carefully evaluate all the options currently available for treating your particular stage of prostate cancer.

Your current treatment options are:

• Proactive surveillance (also known as expectant management)
• Nerve-sparing radical prostatectomy
• Radiation therapy (including EBRT, 3DCRT, IMRT, IGT, and brachytherapy)
• Hormone treatment
• A combination of one or more of these therapies

It's a daunting list. How can you possibly choose which therapy, or combination of therapies, will be right for YOU?

Choosing The Right Treatment For Prostate Cancer takes you step-by-step through your decision-making process. Your guide draws on the considerable expertise of one or more leading Hopkins' specialists in each field. You will also get the latest, up-to-the minute research and studies from all over the world as to the success of each prostate cancer treatment.

You will learn about each one of your options, its pros and cons, and what factors in your own test results and personal circumstances would indicate choosing one prostate cancer treatment over another, and which is likely to help you achieve the best outcome.

With the help of Choosing The Right Treatment For Prostate Cancer, you'll be able to make informed choices. You'll be armed with the information you need to evaluate the impact of each treatment on your daily life, as well as long-term health and quality of life.

If you don't know the answers to all of the questions listed below, you owe it to yourself to order a copy of Choosing the Right Treatment for Prostate Cancer NOW.

REAL Questions from REAL Patients Like You

Choosing The Right Treatment For Prostate Cancer provides you with a comprehensive guide to all the crucial issues to consider in treating prostate cancer, and the most important questions to ask your doctor before taking ANY action:

• How effective is the treatment at eliminating cancer?
• What are the side effects of the treatment?
• What about the long-term risks?
• The psychological implications of treatment?
• The financial costs of each treatment, and the treatment's duration?
• Based on all my test scores, what is my realistic prognosis?

Ultimately, your decision about prostate cancer treatment has to be guided by the clinical stage of your cancer, the extent of the disease, and your age and overall health. You'll learn the answers to such key questions such as:

• How is “low-grade cancer defined?
• How do the experts determine if cancer is "curable"?
• What is the difference between PSA density and PSA velocity?
• Why is PSA velocity a more crucial indicator when choosing the right prostate cancer treatment?
• How does my Gleason score affect my doctor's recommendations regarding treatment?

While controversial, PSA tests are excellent at diagnosing prostate cancer, often long before a DRE (Digital Rectal Exam) would ever discern it (sometimes up to a decade before). Studies show that that about 80% of the prostate cancers detected by PSA testing have the potential to progress and thus warrant treatment. In Choosing The Right Treatment For Prostate Cancer, you will learn:

• What your PSA test scores mean.
• How the Partin tables can help predict your prostate cancer prognosis.
• What your Gleason score means when deciding on your best course of action.
• Why you should consider getting a second opinion.
• How pathologists determine your TNM cancer stage.
• Why your TNM stage is so crucial in choosing prostate cancer treatment.
• Where you can go for more help, support and information as you sift through your prostate cancer treatment options.

Choosing The Right Treatment For Prostate Cancer also offers invaluable advice if you have no definitive test results. Did you know that you can have an elevated PSA density, but negative prostate biopsy results that show no sign of cancer? Johns Hopkins specialists tell you what other factors can cause your PSA to rise, and what steps to take next to be CERTAIN whether you have prostate cancer or not.

Remarkably, a high level of fPSA, so-called "free" PSA, is actually considered a positive sign. Choosing The Right Treatment For Prostate Cancer reports on the latest findings regarding this most crucial diagnostic test.

Should you get a second opinion? YES, say our specialists, and not only from a urologist. In one Hopkins study, 1.3% of the prostate biopsy samples from other pathology labs that Hopkins physicians were asked to re-examine were found to have been incorrectly classified. Getting an incorrect reading can limit your treatment options - - or lead to having treatments that you don't really need.

In Choosing The Right Treatment For Prostate Cancer, you'll also get guidelines on how to assemble the most effective support team to help you in your battle against prostate cancer.

Choosing The Right Treatment For Prostate Cancer is designed with you in mind, to give you access to the same level of expertise in this comprehensive primer on prostate cancer and its successful treatment. You'll get all this in one in-depth report direct from America's #1 ranked urology center, all for the low price of only $49.95 (US). And your order is entirely risk free: If for ANY reason you are not satisfied, simply contact Customer Service for a prompt refund.

In Choosing The Right Treatment For Prostate Cancer, you'll also learn why there is no definitive consensus amongst doctors about the best treatment for your prostate cancer—or even whether ANY type of treatment is necessary.

That's right—many men are now opting for Proactive Surveillance (formerly called expectant management). In the first part of Choosing The Right Treatment For Prostate Cancer, Dr. H. Ballentine Carter, Professor of Urology and Oncology at Johns Hopkins Medical School and a practicing surgeon, takes you through the pros and cons of proactive surveillance, and answers your most pressing questions, such as:

• What’s the difference between proactive surveillance with palliative intent as opposed to proactive surveillance with curative intent?
• What is the goal of a well-designed proactive surveillance program?
• What does a proactive surveillance program entail?
• What are the most important criteria I should consider when deciding with my doctor whether I am a candidate for a program of proactive surveillance?
• How do my needle biopsy readings affect my chances of treating my condition through a proactive surveillance program?
• What are the criteria my doctor should use in accepting me for a proactive surveillance program?
• Do I have to meet all the criteria in order to be accepted for a proactive surveillance program?
• Can my diet affect the success of my proactive surveillance program?
• What are the criteria for going off my proactive surveillance program?
• What is a negative margin?
• What percentage of men opt out of proactive surveillance and choose a more aggressive form of prostate cancer treatment?
• By choosing to follow a proactive surveillance program, am I losing the “window of opportunity” for cure of my prostate cancer?
• What are the side effects of more aggressive cancer treatments?
• If I do decide later to opt for more aggressive cancer treatment, what should my criteria be in choosing a prostate cancer treatment center?

All this and more is covered in Choosing the Right Treatment for Prostate Cancer, available now as a DIGITAL DOWNLOAD for the low price of only $49.95 (US), with a full money-back guarantee, so you can order risk-free and start applying what your learn right away.

Radical Prostatectomy: You’ve Got Choices

What if your prostate test scores indicate that proactive surveillance is not the right choice for you? Should you consider radical prostatectomy? In Choosing The Right Treatment For Prostate Cancer, leading experts in the field answer all your questions about the different options available for radical prostatectomy:

Nerve-Sparing Radical Prostatectomy by H. Ballentine Carter, M.D.

Radical Prostatectomy: The Perineal Approach by Edward James Wright, M.D.

Robotic-Assisted Radical Prostatectomy by Mohamad E. Allaf, M.D.

Laparoscopic Radical Prostatectomy by Christian P. Pavlovich, M.D.

In his chapter on open nerve-sparing radical prostatectomy, Dr. Carter guides you step-by-step through the procedure, explains how to find a competent and caring surgeon, why he favors open surgery (with a scalpel) over robotic-assisted surgery, and what makes the prostate cancer program at Johns Hopkins such a national standout. You'll read answers to many of your most crucial questions:

• What happens during the surgery?
• How important is experience in choosing a surgeon?
• Regarding regular surgery versus robotic or laparoscopic procedures, what is the advantage for a surgeon being able to feel the prostate with his hands when performing a radical prostatectomy?
• What are the possible complications of open surgery for prostate cancer?
• How long does the operation take?
• When the patient return to work after surgery?
• When does post-surgical PSA testing begin?

Is the perineal approach an option for you? While it is rarely performed since the introduction of Dr. Patrick Walsh's nerve-sparing radical prostatectomy, Dr. Edward James Wright, Chief of Urology at Johns Hopkins Bayview Medical Center, details why the radical prostatectomy using the perineal approach is still offered to certain select prostate cancer patients. You'll learn who the ideal candidate is for the perineal radical prostatectomy and what the advantages are of the perineal approach.

Should you choose a robot to perform your surgery? Mohamad E. Allaf, M.D., explores this fascinating technology. Robotic-assisted radical prostatectomy has gained in popularity, although surgical outcomes do not surpass traditional open surgery for prostate cancer. Dr. Allaf, the Director of Minimally Invasive and Robotic Surgery at Johns Hopkins Hospital, describes the benefits of the surgery and takes readers step-by-step through the surgical procedure performed with the assistance of the $1.5 million robot. He also provides a look at future robotic-assisted surgery.

• Is robotic-assisted procedure better than the traditional open surgical procedure?
• What are the potential risks and complications of a robotic-assisted prostatectomy?
• What is the post-operative pain level after robotic-assisted prostatectomy?
• How long is a catheter required after surgery?

The minimally invasive alternative: laparoscopic radical prostatectomy. The laparoscopic radical prostatectomy offers the surgeon excellent visualization and a reasonable level of tactile feedback as he operates through tiny keyhole incisions, says Christian Pavolich, M.D., the Director of Urologic Oncology at the Johns Hopkins Bayview Medical Center. When performed by an experienced surgeon, patients can expect cancer cure as well as preservation of erectile capabilities and continence. You’ll learn:

• Who are the best candidates for minimally invasive laparoscopic radical prostatectomy?
• What are the advantages of minimally invasive laparoscopic radical prostatectomy?
• Is there blood loss with a laparoscopic procedure for prostate cancer?
• How long is hospitalization following laparoscopic radical prostatectomy?
• What are the chances of urinary incontinence following laparoscopic radical prostatectomy?
• What about erectile dysfunction following surgery?

3DCRT, IMRT, IGRT, Brachytherapy:

What Are Your Radiation Therapy Options?

Many cancer patients eschew surgery and opt for radiation therapy for treating their prostate cancer. In this chapter, Hopkins radiation oncology experts explain external beam therapies, including 3DCRT (Three-Dimensional Conformal Radiation Therapy … IMRT (Intensity-Modulated Radiation Therapy) … and IGRT (Image-Guided Radiation Therapy) - - and brachytherapy - an internal radiation treatment in which radioactive seeds are implanted directly into the prostate.

In the chapter on Treating Prostate Cancer With Radiation Therapy, you'll read detailed, authoritative answers to the most frequently asked questions about the use of radiation for treating prostate cancer. Here are just a few of the questions we address:

• Who is the ideal prostate cancer patient for radiation therapy?
• How does radiation therapy actually kill cancer cells?
• How are dosages for external radiation therapy determined?
• What are the risks of radiotherapy?
• How would you guide a patient in selecting external-beam radiation therapy, brachytherapy, or radical prostatectomy as a cancer therapy?
• What happens during an external radiation therapy session?
• After five years of steady PSA readings, can a patient who has had radiation therapy feel that he is cured?
• What happens if the prostate cancer comes back?
• Is there a benefit in adding hormone therapy to radiation therapy in the treatment of prostate cancer?
• What is the impact of external radiation on sexual function?
• How do you find the best treatment facility for your radiation therapy?
• What is the appeal of brachytherapy?
• Who is the ideal brachytherapy patient?
• Is brachytherapy a good option for a patient with high-risk prostate cancer?
• What comes first in a combination radiation therapy protocol for the intermediate-risk patient: brachytherapy or external radiation therapy?
• What type of brachytherapy "seeds" do you use and how many are needed?
• Do the seeds kill cancer cells?
• What is a cold spot and how is it treated?
• What’s a "successful" PSA measurement after radiation treatment?
• What is a PSA "bounce?"
• Why does sexual function often decline after radiation treatment?
• When can a man resume normal activities of daily living after undergoing brachytherapy?
• When is it safe to resume sexual activity?
• What is high-does treatment?

In addition, we discuss the pros and cons of other radiation therapies, including proton-beam therapy, cryotherapy, high-intensity focused ultrasound (HIFU), and CyberKnife.

Use It or Lose It:

What To Expect From a Penile Rehabilitation Program

Still not sure you would benefit from this Special Report? In Choosing the Right Treatment for Prostate Cancer, Jacek Mostwin, M.D., D.Phil. (Oxon.), Professor of Urology and Medical Editor of the Johns Hopkins Prostate Bulletin discusses penile rehabilitation - - an important part of prostate cancer surgery recovery.

If you're like most sexually active men facing surgery for prostate cancer, one of your greatest concerns is whether you'll be able to have sexual intercourse after the operation. The premise behind erection rehabilitation is that achieving erections soon after surgery may help prevent tissue damage and restore normal sexual function sooner. Is erection rehab right for you? Dr. Mostwin will help you decide.

And that's not all … In Choosing the Right Treatment For Prostate Cancer, you will also find a glossary of key terms so you can be on the same page as your doctor when determining your medical care. You will also get charts, tables, diagrams and illustrations, so you can understand your condition and prostate test scores fully. You'll also get a list of resources and contacts for more information, help, support, and advice as you sift through your many options for treating your prostate cancer.

Expert Advice From America's #1 Hospital – Johns Hopkins

Choosing the Right Treatment For Prostate Cancer is designed to give you unprecedented access to the expertise of the hospital ranked #1 of America's Best Hospitals by U.S. News & World Report.

This year, for the 20th consecutive time, Johns Hopkins earned top spot in annual rankings for more than 4,800 American hospitals. And the James Buchanan Brady Urological Institute earned #1 ranking, again! I urge you to put this knowledge and expertise to work for you to make the most crucial decision of your life: how to treat your prostate cancer.

Our No-Strings, Can't Lose, Must-Be-Satisfied Guarantee!

Don't hesitate. Choosing the Right Treatment For Prostate Cancer comes with a risk-free guarantee of satisfaction: if you're not satisfied for any reason, simply contact Customer Service for a prompt refund of your full purchase price of $49.95.

This is information you won't want to do without as you weigh all of your options to treat your prostate cancer. In this report, you will discover the many questions you need to discuss with your loved ones and doctors as you embark on your quest for a cure for your prostate cancer.

Before making any irrevocable decisions - - which have major long-term consequences - - take control of your battle against prostate cancer by arming yourself with this critical treatment guide for the low price of only $49.95, with a full money-back guarantee.

You are NOT alone. Your diagnosis of prostate cancer is shocking. But it does not have to be devastating. We know you have hundreds of questions. This Johns Hopkins' decision guide Choosing the Right Treatment For Prostate Cancer has the answers.

Arm yourself with the FACTS in your battle against prostate cancer. Order now.

Remember, this offer is completely RISK-FREE. If for ANY reason you are not satisfied with your INSTANT DIGITAL DOWNLOAD of Choosing The Right Treatment For Prostate Cancer, simply contact Customer Service for a prompt and cheerful refund.