{"podcast":{"title":"General Practice Clinical Sessions Podcast","slug":"general-practice-clinical-sessions-podcast-7705659","podcast_index_feed_id":7705659,"rss_url":"https://feeds.captivate.fm/general-practice/","website_url":"https://www.armchairmedical.tv/","image_url":"https://artwork.captivate.fm/7c6425be-c9cb-43f8-85b1-119cdf34389c/ArmchairMedical-60.png","author":"ArmchairMedical.tv/podcasts","episode_count":121,"summary":"General Practice Clinical Sessions is a GP podcast that removes the need to attend live webinars. Instead of giving up an evening with your family to watch live, or spending a weekend at a training day, you listen to the recordings here at 1.5 times the speed and while you're commuting, exercising, or doing chores around the house. It's the same education, in a fraction of the time and without the sacrifice. New episodes are delivered twice per week, so you'll always have something interesting to listen to. Subscribe to our newsletter to be notified of new sessions. https://www.armchairmedical.tv/","last_synced_at":"2026-09-20T18:22:14.442708+00:00","page_url":"https://stenobird.com/podcast/general-practice-clinical-sessions-podcast-7705659"},"episode":{"title":"Advances in prostate cancer diagnosis and treatment Dr Nick Mehan","slug":"advances-in-prostate-cancer-diagnosis-and-treatment-dr-nick-mehan","published_at":"2026-09-17T19:30:00+00:00","page_url":"https://stenobird.com/podcast/general-practice-clinical-sessions-podcast-7705659/advances-in-prostate-cancer-diagnosis-and-treatment-dr-nick-mehan","show_page_url":"https://stenobird.com/podcast/general-practice-clinical-sessions-podcast-7705659","url":"https://general-practice.captivate.fm/episode/advances-in-prostate-cancer-diagnosis-and-treatment-dr-nick-mehan","audio_url":"https://episodes.captivate.fm/episode/212b676f-c206-48b2-a110-e358cf4f2c4b.mp3","summary":"Host: Michelle Odayan (My Health Academy) Guest Expert: Dr. Nicholas Mehan (Urological Surgeon specializing in prostate cancer, robotic surgery, and laser ablation) Episode Summary Dr. Nicholas Mehan provides an overview of how prostate cancer care has evolved over the past two decades. The discussion covers the shift away from broad PSA screening toward targeted early detection, modern diagnostic tools (mpMRI and transperineal biopsy), updated Australian clinical guidelines (PCFA & RACGP Red Book), and harm-minimizing treatments like focal laser ablation and robotic surgery. Key Discussion Topics & Highlights The PSA Screening Dilemma & Historical ContextPre-PSA Era: Before blood testing in the 1990s, prostate cancer was typically detected at late, metastatic stages with high mortality. Overdiagnosis & Overtreatment: The introduction of PSA testing increased early detection but led to 20–40% overdiagnosis of indolent, low-risk cancers , subjecting many men to aggressive treatments that caused incontinence and erectile dysfunction. Guideline Re-evaluation: Confusion following the 2012 US Preventive Services Task Force (USPSTF) recommendation against PSA testing led to long-term trial analyses that confirmed the value of targeted early detection. Diagnostic Breakthroughs (The Past 10 Years)Multiparametric MRI (mpMRI): Used as a triage tool before biopsy. Federally funded in Australia since 2018, allowing ~50% of low-risk men to safely avoid biopsy altogether . Transperineal (TP) Biopsy: Replaced transrectal (TRUS) biopsies, reducing post-procedure sepsis risk from up to 2–5% down to ~1 in 1,000 . Active Surveillance: Standard of care for low-risk (Grade Group 1) disease, with ~90% of eligible Australian men choosing monitoring over immediate surgery or r…","meta_description":"Host: Michelle Odayan (My Health Academy) Guest Expert: Dr. Nicholas Mehan (Urological Surgeon specializing in prostate cancer, robotic surgery, and laser…","key_points":[],"chapters":[],"topics":[],"duration_seconds":4068,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/general-practice-clinical-sessions-podcast-7705659/episodes/advances-in-prostate-cancer-diagnosis-and-treatment-dr-nick-mehan/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/general-practice-clinical-sessions-podcast-7705659/advances-in-prostate-cancer-diagnosis-and-treatment-dr-nick-mehan.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}