Prostate Cancer Treatment Decision more about potential side effects?
To MRI or not to MRI…that is the question. And on who? I thought we were talking about the cost and “risk” of a PSA. Pepe the Prostate is back!
If you have had a MRI would you comment for me on how much it costā¦both the procedure and the radiologist reading it. Donāt get me wrong. I think the MRI will be very helpful for allā¦but werenāt we just talking about costs of psa, biopsies, treatment, etc and etc. Where is the outrage? USPSTF …
Google search for prostate cancer: Fixing obstructive problems? Good question!
If you have trouble voiding and have been diagnosed with prostate cancer remember you can correct the obstructive symptoms with the GreenLight Laser before radiation but you can’t safely do any surgery on the prostate after radiation.
What makes my book special ( I think ) is the attention that only a urologist who has been through the prostate cancer process and treatment could make of the voiding issues. Thatās what urologists doā¦we are human plumbers. We understand how men void, the difference between obstructive (slow stream) and irritative (frequency, urgency, getting up at night) and the medicines and surgeries used for each. It is confusing. In my book there is a very large chart showing the differences in each and how all the treatments affect each.
I once wrote on a prescription pad the symptoms and the meds for each for another doctor. A year later, he pulled it out of his wallet to use to treat a patient in my presenceĀ and said, ā John, you just would not believe how many times I have used your little cheat sheet!ā
Back to the question. Obstructiveā¦i.e. anĀ ā¦
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Prostate cancer survivor and hero…The Battle of the Bulge. December 16, 1944-January 25, 1945.
One of my favorite pastimes as a urologist is to have my picture taken with WWII vets-truly, to me, the greatest generation. I have pictures of patients who served in Germany, landed on D-Day, fought in all of the significant islands in the pacific, Pearl Harbor and on and on. You can easily recognize WWII vets because most all of them enjoy wearing the hat representing when and where they served. In this instance you see a sophisticated older gentleman, like one you might pass in a grocery store and think nothing of it other than he is older and maybe moving slower than you’d prefer if you were behind him in line. But oh…. yes but oh… he’s a hero, he’s tough as nails and fought for you and put his life on the line.
The best part of this interview done in my office during an office visit unscripted was when he said, “Other than people shooting at me, it was the prettiest Christmas day I have ever seen.” Breathtaking!
The Battle of the Bulge- The bloodiest battle of WWII.
If you listen carefully you have the Mr. CornelssenĀ carrying his machine gun and a 53lb tripod and two other soldiers carrying the ammunition. Walked from Normandy Beaches to Luxembourg, wounded in the Battle of the Bulge, operated on in a field hospital that was attacked (buzzed) and then flown to England across the channel and then to the hospital in Michigan. Are you kidding me? His career, prostate cancer..
Man o man they donāt make em like they used to!
My anniversary and “Its a long long journey” by Louis Armstrong. (Written December 16, 2016)
Louis Armstrong | Long Long Journey So...this is a classic convoluted story told in the fashion of your's truly..."Dad quit skipping around and finish the story.ā My wife and I were married thirty-seven years ago (45) in Augusta, Georgia. She had it in her head that we should recite the vows by memory. I was …
Merry Christmas to dog lovers and prostate diaries!
Prostate cancer: Something to think about.
The following is a comment to a previous post- Who regrets prostate treatment worse... I did my due diligence after diagnosis at age 54 and decided on surgery first, salvage radiation in case of recurrence. Because I was well informed, my oncologist/surgeon was extremely honest and blunt. With my high PSA (40.98) and short doubling …
Continue reading "Prostate cancer: Something to think about."
Best vaectomy joke of all time…period.
From Urological Wit and Wisdom Chapter 56 If I Am Going to Be Impotent Then I Am Going to Look Impotent Okay, there is a classic urology joke that every urologist should have in his armamentarium and never fails to get a good laugh. A man walks into a vasectomy clinic for his vasectomy …
Don’t know much about Tesla MRI… Don’t know if the prostate cancer I got will make me die…
I'm reading a book about Edison suing Westinghouse in the late nineteenth century and the development of alternating current. The Serbian who "conquered" alternating current was a idiosyncratic man named Nikola Tesla. It is very interesting however I am in love with the nineteenth century and the men and women of history of that era. …
Question: Urine leaks around catheter after prostatectomy. Is this normal?
When the bladder spasms urine will go around the catheter. In the big scheme of things – urine getting out… Is a good thing.
When the prostate is removed, the bladder is separatedĀ from the urethra (the tube that runs throughĀ the penis which men void through). After the prostate is out, the doctor then sews the two areas back together. It takes about 7-10 days for this to heal. A catheter is placed through the tip of the penis in urethra, past the junction of the bladder and the urethra, which has been sewed together, and then into the bladder. A catheter (foley) stays in the bladder by a balloon at its tip. The balloon keeps the catheter from falling out and is about the size of a golf ball.
The bladder does not like the balloon in there. It perceives it as a foreign body and wants to āspitā it out. It does so by contracting as it would to make urine.Ā This is a bladder spasm and can result in the loss ofā¦
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