Professor Vaibhav Modgil

But

you're speaking to someone that's got an inherent bias you know it'll never be enough for me um you know take for example prostate cancer we know so much about prostate cancer now you know so many one in eight men i think it is in england um will be diagnosed with a prostate cancer in their lifetime one in four i think for black men staggering staggering numbers of men

what do we do with these men once they've had treatment?

Well, then there's an absolute vacuum of information, you know, and if you go, you know, and I'm sure you'll know this from Kenny's experience, but, you know, you say to a man, you've got to have a radical prostatectomy now.

And by the way, you know, there's a risk of incontinence.

There's a risk of erectile dysfunction.

And again, if you look at the data, and this is where it amazes me that more men aren't having penile implant surgery because we know we take lots and lots of prostates out for prostate cancer.

And by the way, that's exactly how it should be.

Let's not forget you're dealing with a cancer that could potentially, for that man, shorten their life expectancy.

So do you need to remove it?

Absolutely.

In certain cases, you do.

Not all cases, but in certain cases, you do.

However, if you look at what happens to a man's erections, again, really brilliant study came from Professor Freddie Hamdi's group in Oxford and the New England Journal of Medicine in 2023.

They screened 82,000 men for prostate cancer.

Of those, they ended up randomizing, I think it was 1,643 of these men to three different treatment modalities.

And the three options were, you're going to have something called active surveillance or monitoring, which basically means we'll do blood tests, we'll do scans, but we're not going to do anything to you.

There's a group that's going to have their prostate removed, radical prostatectomy, most commonly done robotically now.

And there's a third group who are going to have

hormones and radiotherapy.