Pearls & Perspectives: Theranostics and Beyond in Prostate Cancer, with Vahan Kassabian, MD

Pearls & Perspectives: Theranostics and Beyond in Prostate Cancer, with Vahan Kassabian, MD

n this episode of Pearls and Perspectives, Amy Pearlman, MD, speaks with Vahan Kassabian, MD, director of the Atlanta Prostate Cancer Center and Advanced Therapeutics at Advanced Urology in Atlanta, Georgia. Kassabian is a nationally recognized surgeon and pioneer in high-intensity focused ultrasound (HIFU), with a strong focus on advanced prostate cancer and on sustaining private practice models.

Kassabian describes the evolving practice landscape for urologists, contrasting academic medicine, hospital employment, private practice, and private equity-backed models. He emphasizes that modern private practices can mirror academic centers in subspecialization, research, and advanced therapeutics, while still offering physicians greater autonomy. As a board member of LUGPA, he highlights efforts to keep independent practice viable and competitive.

A major focus of the discussion is the integration of advanced prostate cancer therapeutics into urology offices. Kassabian outlines how practices can implement in-office dispensing pharmacies, infusions, and theranostics, such as prostate-specific membrane antigen (PSMA) imaging and lutetium (177Lu) vipivotide tetraxetan (177Lu-PSMA-617; Pluvicto) therapy, noting that even small groups can successfully run oral therapeutic programs. He stresses that urologists—who see patients with prostate cancer daily—are well-positioned to manage the disease across its continuum, often more consistently than medical oncologists whose scope is broader.

The conversation also touches on practical infrastructure needs, from nurse navigators to imaging investments, and on survivorship concerns such as bone health and frailty prevention. Kassabian underscores the importance of exercise, vitamin D, and multidisciplinary collaboration in optimizing patient outcomes.

Looking ahead, he sees PSMA theranostics, focal therapy, and precision medicine via tumor sequencing as transformative. For younger urologists, his message is to remain adaptable—pivoting every decade if needed to stay current—and to embrace innovation while keeping patient-centered care at the core.

Learn more about Kassabian here

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Jaksot(215)

The Expert APProach: Advancing APP Leadership and Expertise in Urology, With Susanne Quallich, PhD, ANP-BC, NP-C

The Expert APProach: Advancing APP Leadership and Expertise in Urology, With Susanne Quallich, PhD, ANP-BC, NP-C

Susanne Quallich, PhD, ANP-BC, NP-C, discusses APP leadership, specialization, professional growth, and expanding the role of APPs in urology.

20 Elo 28min

Pearls & Perspectives: Patient Expectations, Physician Autonomy, and Life Beyond Surgery, With Andrew T. Cohen, MD, FACS

Pearls & Perspectives: Patient Expectations, Physician Autonomy, and Life Beyond Surgery, With Andrew T. Cohen, MD, FACS

In this episode of Pearls & Perspectives, host Amy Pearlman, MD, and plastic surgeon Andrew T. Cohen, MD, FACS, discuss managing patient expectations and the importance of cultivating balance outside ...

12 Elo 39min

The UroOnc Minute: Navigating BCG Maintenance Therapy in NMIBC, With Mark D. Tyson, II, MD, MPH

The UroOnc Minute: Navigating BCG Maintenance Therapy in NMIBC, With Mark D. Tyson, II, MD, MPH

In this episode of The UroOnc Minute, Mark D. Tyson, II, MD, MPH, joins host Adam Weiner, MD, to discuss the importance of BCG maintenance therapy in NMIBC and share strategies for navigating treatmen...

12 Elo 13min

Pearls & Perspectives: Wearable Technology and the Future of Sexual Health, With Elliot Justin, MD

Pearls & Perspectives: Wearable Technology and the Future of Sexual Health, With Elliot Justin, MD

Host Amy Pearlman, MD, and guests Larry Lipshultz, MD, and Elliot Justin, MD, explore the potential of wearable technology to advance the diagnosis, monitoring, and optimization of sexual health for b...

12 Elo 15min

Pearls & Perspectives: From Prostate Cancer Diagnosis to Patient Advocacy, with Gabe Canales

Pearls & Perspectives: From Prostate Cancer Diagnosis to Patient Advocacy, with Gabe Canales

In this episode of Pearls & Perspectives, host Amy Pearlman, MD, is joined by male reproductive specialist Larry Lipshultz, MD, and patient advocate Gabe Canales for a candid conversation about prosta...

12 Elo 15min

The UroOnc Minute: Optimizing Patient Follow-Up in Urologic Oncology, With Jason Hafron, MD

The UroOnc Minute: Optimizing Patient Follow-Up in Urologic Oncology, With Jason Hafron, MD

In this episode of The UroOnc Minute, host Adam Weiner, MD, is joined by Jason Hafron, MD, to discuss how data-driven pathways and patient follow-up systems can improve quality and outcomes in urologi...

24 Heinä 12min

Pearls & Perspectives: Understanding the Long-Term Health Effects of Military Exposures, With Shane Kronstedt, MD

Pearls & Perspectives: Understanding the Long-Term Health Effects of Military Exposures, With Shane Kronstedt, MD

Host Amy Pearlman, MD, and Larry Lipshultz, MD, speak with Shane Kronstedt, MD, about research on the long-term urologic effects of military exposures and how these findings may help improve care for ...

22 Heinä 5min

First Assist: Early Cystectomy in Non–Muscle Invasive Bladder Cancer, with Matvey Tsivian, MD

First Assist: Early Cystectomy in Non–Muscle Invasive Bladder Cancer, with Matvey Tsivian, MD

In this episode of First Assist: GU Oncology Unpacked, host Taylor Goodstein, MD, is joined by Matvey Tsivian, MD, to discuss how patient selection, staging, and quality-of-life considerations influen...

15 Heinä 49min

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