Cocaine and urology

From "101 Aphorisms, adages, and illustrations for the urological resident and nascent physician." 109. The Only Thing E.N.T. Has over Urology is Cocaine   One day in the urology clinic the intern I have previously mentioned in this book (the one that told the BS-ing older patient that he should treat his impotence by abstaining …

Silk purse out of a sow’s ear- penile prosthesis after surgery for prostate cancer

72. (From "101 Aphorisms, adages, and illustrations for the urological resident.") A Silk Purse out of Sow’s Ear   When it comes to advising a patient to have an inflatable penile prosthesis placed, you’d better make sure it is the last resort. I don’t care how hard, or not hard, they push you to skip …

Fog of war

Do your research to take the fog out of the decision making! Ps...that should be a lake behind Penelope.

The significance of the Gleason’s Score and why we “CAN” tell the difference between the slow growing and the bad kind in prostate cancer. The dirty little secret? You have to do the biopsy to know.

This Gleason’s is not funny!

Georgia Vasectomy Reversal Center's avatarProstate Diaries

From the ASC Website

Finding and treating all prostate cancers early may seem like a no-brainer. But some prostate cancers grow so slowly that they would likely never cause problems. Because of an elevated PSA level, some men may be diagnosed with a prostate cancer that they would have never even known about at all — it would never have lead to their death or even caused any symptoms. But they may still be treated for these cancers, either because the doctor can’t be sure how aggressive (fast growing and fast spreading) the cancer might be, or because the men are uncomfortable not having any treatment.

I have read many times on various respected organizations websites that “doctors don’t know which prostate cancers are slow-growing and which are fast growing. Granted there are some Gleason 6’s by virtue of their location at the seminal vesicles that act aggressively…but in general…

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Is the internal sphincter important to post prostatectomy continence in the treatment prostate cancer?

Thoughts on post prostatectomy incontinence.

Georgia Vasectomy Reversal Center's avatarProstate Diaries

What is the internal sphincter in regards to the male bladder, post prostatectomy incontinence and the external sphincter?” Hmmmmmmmmmm? If the internal sphincter is so important to continence then why don’t men leak after a TURP?

Dr. Catalon’s explanation of post prostatectomy anatomy and continence.

There  was  a comment about the internal sphincter and a patient being disappointed that the urologist did not tell him that it would be removed at the time of a prostatectomy. The patient has incontinence and is concerned that if the internal sphincter had not been removed he would not be leaking urine.  Here are my thoughts and my understanding of continence after the prostate is removed..

But first….Walsh’s take on this matter…on in which I am in full agreement.

  • The external sphincter is a defined muscle that one can contract and stop and start the urinary stream.
  • It is the primary sphincter for the control…

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