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prostate cancer and “youth is wasted on the young” and a thousand words are worth a picture.

So it is the fall of 1979 and I am a junior medical student at The Medical College of Georgia in Augusta. I am to be married to my current wife in December of the same year. Because of this I had to scramble to have a place to live for the three months of …

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Bladder neck contracture, prostate cancer, prostatectomy and treatment…

This is a video of a patient who is s/p  a prostatectomy and has developed a bladder neck contracture. He presented with diminution of his urinary stream. If a  patient is voiding well after the prostate is removed and then the stream slowly decreases the likelihood is that he has developed a bladder neck contracture. …

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Regarding Prostate Cancer Decision Making- Does It Matter That You Can Do Radiation After Prostatatectomy But Not Vice Versa?

I mentioned the concept in my book, I think urologists (rightfully or wrongly) use it as a reason for patients to have their prostate removed, patients often use it as a justification to have the prostate removed, it probably pisses off and frustrates the radiation therapist....and that is the concept of: If I remove the …

Continue reading "Regarding Prostate Cancer Decision Making- Does It Matter That You Can Do Radiation After Prostatatectomy But Not Vice Versa?"

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How can one predict the need for radiation after having the prostate removed for prostate cancer?

If you are choosing to have a prostatectomy because "you'll be cured" Or if you think that you'll have the option of having radiation if cancer comes back Or if you think "well if I have the prostate surgery I can have radiation but not vice versa" Or if you think one or the other …

Continue reading "How can one predict the need for radiation after having the prostate removed for prostate cancer?"