the art of “getting away with it”, prostate cancer and Lorenzo Q. Squarf (you couldn’t pay to have a name like that!)

The "art of getting away with it" is a favorite medical saying of mine. If I remove a ureteral stone and don't place a stent and risk extravasation of urine into the patient's retroperitoneum and the patient does just fine....what does that mean? Does it mean that I was brilliant, used seasoned medical judgement, or …

Highlighted excerpts on Amazon’s Kindle about prostate cancer nuances from “The Decision” are revealing….

First of all...how does Amazon know when an individual who has a Kindle marks something as a highlight? I saw these highlights today for the first time on the Kindle page for my book. I go there from time to time to read comments and check ratings. I want to comment on the highlights. Before …

what would charlie sheen do if he were diagnosed with prostate cancer?

First of all, if he had any type of medical problem it would change his perspective on things. From a marketing standpoint, Sheen has been brilliant. Maybe he has been held back by the traditional roles and media (movies and tv) and has been yearning for something new. I understand he has sold out a …

Flooding around my catheter, blood around my catheter after a radical prostatectomy for prostate cancer

When the prostate is removed the surgeon has to put the bladder back together with the urethra. A catheter is placed to "stent" this area of the anastomosis. The reason a catheter is used and left in from 6-14 days is to allow time for this area to heal. In doing so keeping urine from …

Prostate Cancer Blog search question: PSA at 5, prostate removed thirteen years ago. What’s wrong?

 The PSA is variable when used in the diagnosis of prostate cancer. It can be low and someone have cancer, it can be high and not have cancer. It can go down with antibiotics and a person could still have cancer (this happened to me). So the use of the PSA in the diagnosis is …

Top Google Search for Prostate Cancer: What is PIN? Another good question!

Non-Cancerous Prostate Biopsy Results: PIN What percent of atypia results in cancer on followup biopsy? PIN: Prostatic Intraepithelial Neoplasm----Most likely no big deal. Think of the actual individual prostate gland cell...the nucleus  isn't right. For a cell to be "cancerous" it has to invade tissue. In PIN there is no  invasion, just a funny looking nucleus. …

Google search for prostate cancer: Fixing obstructive problems? Good question!

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. That's what urologists do...we are human plumbers. We understand how men void, the difference between obstructive (slow stream) and irritative (frequency, urgency, getting …