Welcome to Urology Group of New Mexico - Vasectomy and Urology Experts
The Urology Group of New Mexico is dedicated to serving the urological needs of adults and children in the Albuquerque, NM, area. Our urologist, Dr. Frederick Snoy, is committed to providing quality urological care in a patient-friendly setting. Dr. Snoy has performed over 2,000 vasectomies making UGNM a premier vasectomy clinic. We offer vasectomy services using the modern “no scalpel” technique.
Experience has taught our practice to treat each patient as a partner in his or her medical care. Because some urological conditions are accompanied by discomfort or embarrassment, we emphasize sensitivity and discretion with all patients concerns.
Dr. Snoy is pleased to offer a variety of payment options including cash, credit card, cashier’s check and several flexible financing choices (including interest free) through CareCredit. Click the Care Credit logo to learn more or to apply.
At a Glance
- Giving chemotherapy along with hormone therapy can prolong the lives of men with a certain type of metastatic prostate cancer.
- The trial results could change how metastatic prostate cancer is treated.
Prostate cancer is the second most common cancer in men in the United States, after skin cancer. The prostate is a gland that lies just below the bladder in front of the rectum. It surrounds the urethra (the tube that carries urine and semen through the penis and out of the body) and makes fluid that forms part of semen.
Prostate cancer that’s spread (metastasized) is usually treated with radiation or surgery, sometimes along with drugs that block the hormones the tumors rely on to grow and spread. One type of hormone therapy called androgen deprivation therapy (ADT) uses medications to block the action of androgens (hormones like testosterone that promote male sex characteristics).
Chemotherapy isn’t routinely given initially when the metastatic prostate cancer is a type that’s sensitive to hormone therapy. Rather, chemotherapy begins when the hormone therapy is no longer controlling the disease. A team of researchers led by Dr. Christopher Sweeney of the Dana-Farber Cancer Institute conducted a clinical trial to test whether adding the chemotherapy drug docetaxel at the start of ADT treatment would improve survival.
From July 2006 through December 2012, the team enrolled almost 800 men (median age 63, 85% white) with metastatic, hormone-sensitive prostate cancer. The men were randomly assigned to receive ADT alone or ADT plus 6 cycles of docetaxel. The median follow-up time was about 29 months. The study, which was funded by NIH’s National Cancer Institute (NCI), was published on August 20, 2015, in the New England Journal of Medicine.
The median survival in men given ADT plus docetaxel was 13.6 months longer than with ADT alone (57.6 months vs. 44 months). There were 85 prostate cancer deaths in the combination group compared to 114 in the ADT-alone group. Adding docetaxel benefitted all the subgroups analyzed, but had the greatest effect in those with a high burden of metastatic disease. In this subgroup, men given combination therapy had a median overall survival that was 17 months longer than those in the ADT-alone group (49 months vs. 32 months).
Men in the combination group also showed improvement in the prostate-specific antigen (PSA) test, a blood test to detect prostate cancer. More patients in the combination group had very low PSA levels (less than 0.2 ng per milliliter) at 12 months—28% compared to 17% in the ADT-alone group. Side effects of the combination therapy were low, and included fatigue and allergic reaction.
“[This trial] is the first to identify a strategy that prolongs survival compared with ADT alone in men newly diagnosed with metastatic, hormone-sensitive prostate cancer,” Sweeney says.
Longer follow-up of the men and further analyses are planned to better determine which prostate cancer patients would benefit from adding chemotherapy to ADT.
—by Harrison Wein, Ph.D.
- Comparing Treatments for Early-Stage Prostate Cancer:
- Chemotherapy Using Nanoparticles:
- Prostate Cancer:
- Prostate Cancer Treatment:
Reference: Chemohormonal Therapy in Metastatic Hormone-Sensitive Prostate Cancer. Sweeney CJ, Chen YH, Carducci M, Liu G, Jarrard DF, Eisenberger M, Wong YN, Hahn N, Kohli M, Cooney MM, Dreicer R, Vogelzang NJ, Picus J, Shevrin D, Hussain M, Garcia JA, DiPaola RS. N Engl J Med. 2015 Aug 20;373(8):737-46. doi: 10.1056/NEJMoa1503747. Epub 2015 Aug 5. PMID: 26244877.
Urologists like Dr. Fredrick J. Snoy can provide treatment recommendations if you are experiencing symptoms of low testosterone. Please contact our office for an appointment if you would like to discuss with Dr. Snoy, (505) 872-4091.