prostate cancer….life’s a bitch…and then you marry one… hold on…it’s a good thing… just kidding… making a segway to the story…

From "The Decision."  The rectal exam - The male patient doesn’t want it done and the doctor is easily persuaded not to do it.  This may sound odd to you, but sometimes you have to demand that a rectal exam be performed. A nurse that I work with in the operating room related to me that …

Prostate cancer question: Describe significant PSA pre and post prostatectomy,nanoknife,proton beam,HIFU,radiation therapy.

This was a comment/question a few days ago....this issue is confusing  but I think I can simplify it-here goes. The ongoing debate about the PSA has to do with pretreatment decision-making. The PSA is often times elevated before the diagnosis of prostate cancer is made for many reasons other than prostate cancer. So some want …

PSA and Prostate Cancer: A Fool with a tool is still a fool? I am an advocate of getting one as a baseline in the man about 40 or so, then every two years with the GP’s exam.

You might disagree about PSA's and when and who they are done on...but about 5 times a year a 50 year old man comes into my office for his "first" rectal exam and PSA and it determined that he has asymptomatic advanced prostate cancer. Is it cost effective, are some being checked that are normal. …

prostate cancer, Jerry Okungu and frank zappa-deja vu all over again…and again and again and again…what is the answer?

Otis Brawley: I have never had a PSA and do not desire one. I have had relatives with the disease. I just do not believe it saves that many lives. SEER data show that a large proportion of so called early detected patients with pathologically localized disease (the best prognosis one can have) ultimately relapse …

Nicely put Tubby Smith…reasonable recommendations about prostate cancer early detection and “male awareness. He said “cancer free” he did not say cured…and that’s a big difference.

Tubby Smith says he had prostate cancer, now cancer free 6:56 AM, May 12, 2011  | MINNEAPOLIS -- Minnesota coach Tubby Smith says he's "feeling great" and free of prostate cancer after dealing with the disease for the past year. The university issued a statement from Smith on Wednesday. The 59-year-old had not previously revealed …

For prostate cancer the free PSA is helpful, but not fool-proof and is only one of the arrows in your prostate cancer decision making-quiver.

The below is helpful but not a stand alone type statistic or characteristic of your PSA. I have a friend whose free PSA was very high indicating a low probability of prostate cancer and ....all of his twelve cores showed cancer, however all the cores were Gleason's 6. The free PSA (being very low) was …