Prostate cancer detection-To MRI or Not to MRI…that is the question?

If you had clinically insignificant prostate cancer...would you want to know it? If you knew it do you know exactly what that means? Or do you think the doctor or radiologist telling you that can promise you that it won't actually become, or already is, clinically significant? Would you want a biopsy to "prove with …

Prostate biopsies, Prostate Cancer, Psa, Otis Brawley of the American Cancer Society, and Tuskegee- Wow!

Wonder where Otis is now? “The mind of an academic epidemiologist.

Prostate Diaries


Prostate Cancer Planner Never Takes PSA Test

Compares Prostate Screening to Tuskegee Experiment

Opposes Prostate Cancer Awareness Stamp, Says Post Office Should Deliver Mail, Not “Misleading Advice”

By Jacqueline Strax

Dr. Otis Brawley, MDOtis W. Brawley M.D. in the year 2000 was Director of the Office of Special Populations Research and Assistant Director, Office of Science Policy at the National Cancer Institute. When he worked at the Division of Cancer Prevention and Control (DCPC) at the National Cancer Institute, he was part of a team that developed and launched the Prostate Cancer Prevention Trial, an 18,000 man trial looking at screening and epidemiology of prostate cancer and at prevention of benign prostatic hyperplasia and prostate cancer. He also served as chief of the NCI intramural prostate cancer clinic.
This interview, conducted by E-mail January 29 and February 1, 2000, was arranged in Q & A format and edited for length.

PSA Rising:…

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What is Gleason’s score? If you have been told you have prostate cancer and you don’t know…get a second opinion.

What is Gleason's score?-Click Here Here's the thing...if you want to have your prostate removed because you've been told you'd be "done with it" that might not necessarily be true. If your cancer is Gleason's 8 and you elect to remove the prostate there is still a significant chance you'll still need radiation. Knowing this …

Common question: Are blood and clots in the urine after a prostate biopsy normal?

Blog post from years ago is still relevant today.  Patients often times see clots in the urine and worry, that like clots in the blood stream, may go to the heart and lungs and cause a serious medical problem. Clots in the bladder are a problem only if they obstruct the flow of urine i.e. …

Why having no voiding symptoms is irrelevant in the early detection of prostate cancer.

Men commonly will say that they don't feel they need to be tested for prostate cancer because they have no voiding symptoms. As seen below, most prostate cancers occur in the posterior aspect of the prostate well away from the urethra. So one will have voiding symptoms from prostate cancer only if the cancer is …

John’s legbag movie-sometimes you just have to laugh

Prostate Diaries

In Patrick Walsh’s book on prostate cancer there is a very nice chapter on post prostatectomy incontinence. It details how one person might do extremely well and never leak. Another treated the exact same way leak for months (me). During this time I fully felt the meaning of a quote from Osler mentioned in that chapter.

“The well wears a crown that only the sick can see.”  Let me tell you, how I wished to be dry and free of diapers and bags and such.

Below a daily ritual around a month after my prostatectomy.

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