Steve - I still give pts my standard discussion of options with advantages and disadvantages but I find that I can be more confident with surgery in terms of the anticipated reintervention rates. Pts with an open mind or who’ve had recurrence are more likely to surgery #JHSJC
You’re right Neal. However, there has been a push towards a more hardline stance. I don’t think it is available in Germany due to concerns about it’s being better than other options. #JHSJC