Question 5#

Which of the following is FALSE concerning carcinoma of the prostate?

a. Annual digital rectal examination and serum prostatespecific antigen (PSA) determinations are recommended beginning at age 55
b. Lung metastasis is less common than bone metastasis
c. Radical prostatectomy is associated with a 5% incidence of permanent urinary incontinence
d. Once prostate cancer has spread, it is no longer curable but can be contained by lowering serum testosterone and/ or by administration of androgen receptor blockers

Correct Answer is C


The American Urological Association has advised for screening for men 55 to 69 years of age. The most common site of spread of prostate cancer is the pelvic lymph nodes and bone. Radical prostatectomy is associated with early incontinence and erectile dysfunction (ED) (depending on nerve sparing). Incontinence improves significantly with time, with < 1% of men in experienced hands suffering severe long-term problems with urinary control.