Question

A 52-year-old man sees you in follow-up after a radical prostatectomy. He had been fully informed about the risk of the procedure such as incontinence and impotence. Neither of these adverse effects occurs. While searching on the Web he finds that there is treatment without surgery involving the implantation of radioactive seeds or pellets in the prostate. He files suit against you because of an improper informed consent. What will be the most likely outcome of the suit? a. He will lose because there were no adverse effects. b. He will lose because all the risks of the surgery were explained to him before he signed consent. c. He will lose because radical prostatectomy is a standard procedure. d. He will win because you did not inform him of the risks and benefits of alternative therapy to surgery. e. He will win because radioactive seeds are the superior form of therapy.

    A 52-year-old man sees you in follow-up after a radical prostatectomy. He had been fully informed about the risk of the procedure such as incontinence and impotence. Neither of these adverse effects occurs. While searching on the Web he finds that there is treatment without surgery involving the implantation of radioactive seeds or pellets in the prostate. He files suit against you because of an improper informed consent.
What will be the most likely outcome of the suit?
a. He will lose because there were no adverse effects.
b. He will lose because all the risks of the surgery were explained to him before he signed consent.
c. He will lose because radical prostatectomy is a standard procedure.
d. He will win because you did not inform him of the risks and benefits of alternative therapy to surgery.
e. He will win because radioactive seeds are the superior form of therapy.
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Medical Ethics for the Boards
Medical Ethics for the Boards
Conrad Fischer 3rd Edition
Chapter 1, Problem 45 ↓

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The patient underwent a radical prostatectomy and was informed about the risks associated with the procedure, including incontinence and impotence. He did not experience these adverse effects.  Show more…

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A 52-year-old man sees you in follow-up after a radical prostatectomy. He had been fully informed about the risk of the procedure such as incontinence and impotence. Neither of these adverse effects occurs. While searching on the Web he finds that there is treatment without surgery involving the implantation of radioactive seeds or pellets in the prostate. He files suit against you because of an improper informed consent. What will be the most likely outcome of the suit? a. He will lose because there were no adverse effects. b. He will lose because all the risks of the surgery were explained to him before he signed consent. c. He will lose because radical prostatectomy is a standard procedure. d. He will win because you did not inform him of the risks and benefits of alternative therapy to surgery. e. He will win because radioactive seeds are the superior form of therapy.
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Key Concepts

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Legal Standards in Medical Practice
The legal standards governing informed consent require that all significant risks and benefits of a procedure be communicated to the patient. If a clinician meets these standards by adequately informing the patient, even if alternative treatments exist, a legal claim of improper informed consent is unlikely to succeed.
Informed Consent
Informed consent is a legal and ethical obligation where clinicians must provide patients with information about the benefits, risks, and alternatives of a proposed treatment or procedure. This enables patients to make knowledgeable and voluntary decisions regarding their care.
Disclosure of Alternatives
Within the scope of informed consent, clinicians are expected to discuss reasonable alternative treatment options. However, the depth of this disclosure can depend on the specific circumstances and the standard practices related to the procedure, ensuring that patients understand what is standard and what alternatives may exist.

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