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The Active Surveillor

Howard Wolinsky
Hundreds of paid subscribers

Saving Prostates Daily

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Substack
PricingFreemiumPublishesDaily
Issues732Founded5 years agoLast Issue4 days ago
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Latest Issues

The end of Active Surveillance as we know it? Should we stop diagnosing Gleason 6? And stop surveillance?

(Editor’s note: Andrew Vickers, PhD, the noted biostatistician at Memorial Sloan Kettering Cancer Center, sent me and others a new paper. He told me: “What is new is case note review of every case in which GG1 appears to have spread or recu...

4 days ago
1
13

Prebiopsy MRI is becoming the norm--U.S. catching up, study finds

By Howard Wolinsky, Editor, The Active Surveillor

Here’s a headline for you: In 2026, two-thirds of men undergoing a first prostate biopsy underwent an MRI beforehand. Researchers stressed that any man facing a biopsy should be asking whet...

9 days ago
2
10

Is PSMA ready for prime time for patients with low‑risk prostate cancer?

By Howard Wolinsky, Editor, The Active Surveillor

For years, MRI has been the default for men with elevated PSA, guiding who gets biopsied and who enters Active Surveillance.

But a new analysis from the phase 3 RAPID trial, published in...

11 days ago
2
6

Getting a twofer with Cialis--ED and BPH. Like two mints, two mints, in one, right?

(Editor’s note: A reader recently asked why Cialis isn’t more widely used to manage BPH. I put the question to our columnist, Dr. Kevin Shee, and his answer appears below.

Thanks, Kevin — and congratulations on completing your fellowship a...

13 days ago
2
3

AS27: Four leading voices review changes in prostate cancer during 2026

By Howard Wolinsky, Editor, The Active Surveillor

The science of prostate cancer does not stand still.

During 2026, researchers continued to reshape how we think about Active Surveillance, the cancer label, environmental health, exercise...

14 days ago
4
2

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  • Howard Wolinsky

    I'm a medical journalist. This newsletter contains my views on AS. I don't offer medical advice. Consult with your doctor, and, if indicated, get a second or third opinion.

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