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- THE WEEK, Page 22HEALTH & SCIENCEWait! Don't Cut!
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- A new drug could save some men from prostate surgery
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- For the 10 million mostly older American men who suffer
- from enlargement of the prostate, the condition brings frequent
- and sometimes painful urination and is usually treated by
- surgical removal of the gland. But surgery carries the risk of
- impotence and loss of bladder control -- along with the
- unpleasantness of the operation itself. That explains the
- fanfare with which Merck & Co. announced it had just won
- approval from the Food and Drug Administration for a new drug,
- Proscar, that can shrink prostates without surgery.
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- Can is the operative word. Only one-third of the subjects in
- clinical trials showed a clear benefit from taking Proscar,
- while another third showed limited improvement and the rest
- none at all. Moreover, Proscar can interfere with a blood test
- that is widely used for early detection of prostate cancer, so
- doctors have to be doubly alert. Still, considering that
- prostate surgery sometimes has to be repeated a few years later,
- Proscar (and a variety of other drugs being tested for FDA
- approval) could mean good news for patients -- and big profits
- for Merck.
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