What is the cause of the “rectal refusal syndome” in the early detection of prostate cancer?

  Why men won't have a rectal explained with humor in a cartoon. I have personally heard these examples from patients.  What is interesting about this study is that: Older more educated men more likely to agree to get screened Younger and employed men are less likely Of the men who declined the rectal many would not …

prostate cancer, active surveillance, and “what can you live with?”

Study results showing active surveillance is a reasonable "treatment" option in certain patients. As you surf the net looking for guidance about prostate cancer, pay attention to the "source."  "Consider the source, John," my mother would say. In this article the reference is the Journal of Urology. That is as good as it gets in …

prostate cancer wrong diagnosis? suspicious for but not diagnostic of…what?

A story about a missed prostate cancer diagnosis. Suspicious for but not diagnostic of prostate cancer. I've told patients for years that the diagnosis of prostate cancer is an easy one to make for the pathologist. It is probably the most common biopsy they get on a day to day basis. I refer to it as …

the deal on condom catheters and post prostatectomy urinary incontinence

A popular search that ends  up on my site is "condom catheter."  Here's a primer and then a story about my experience with one.  A condom catheter is a condom like device that is more sturdy  than a regular condom and has a spout at the tip that in turn  can be attached to  a bag, usually …

common search on google that gets to prostate diaries…”sex drive after prostatectomy.”

orators become dumb... when beauty speaketh-shakesphere Okay...one more time.  sex drive is called libido and is dependent on testosterone testosterone is not affected by removing the prostate testosterone is produced by the testicles and gets into the body through the blood stream independent of the prostate potency is the ability to get an erection an …

How would you tell loved ones you have prostate cancer or melanoma? Have you seen “The Big C?”

  Two things. An interesting story about the staging of Melanoma and my thoughts on how one deals with telling others about their having cancer. Clark Level Melanoma New York Times Obituary Melanoma. I am from LaGrange, Georgia because after my mother's divorce we  returned there to live with my grandmother.  My grandmother's husband, Robert …