Editorial Comment

    April 2009 in “ Urology
    James E. Montie
    TLDR Finasteride significantly reduces prostate cancer risk.
    The Prostate Cancer Prevention Trial, which included approximately 18,000 men aged 55-70 years, investigated the effects of finasteride (Proscar) on prostate cancer risk. The study found an overall reduction in prostate cancer risk of about 25% when considering all biopsies and about 10% for "for cause" biopsies. After adjusting for the decrease in prostate size due to finasteride, the analysis by Kaplan et al. identified a reduction of about 50% for Gleason score 6 cancer and 20% for Gleason score 7 cancer. These findings suggested a significant impact of finasteride on reducing prostate cancer risk.
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