Medical insight, personal stories and humor from a urologist who has been where you are now.
PR Web Press Release-Old news but fun to see how some marketing folks manipulate the search engines..etc. The reason this book is number one on Kindle for the subject of prostate cancer is that it is easy to read. The other reason is that there are stories at the end that star the prostate gland. …
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They drank the mushroom koolaid and did not get cancer and I didn't and I got prostate cancer. So the study is correct...right?
Here's a dirty little secret for you....prostate cancer patients often don't choose the treatment that they feel gives them the best chance for cure. They are "I want my cake and eat it too type" patients. By this I mean, "Which treatment will best treat my cancer and limit my potential side effects and complications." In …
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 …
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 …
Common searches about sex that end up on my site and some other various tidbits for you... Having sex the night before having a PSA drawn can elevate the value. Having sex before the Prostatic Acid Phosphatase will probably elevate the value. A rectal exam before having the PSA drawn will not elevate the value. …
A podcast excerpt of a story at the end of "The Decision." I bet you didn't think I knew that much about diapers did you?
Podcast on Internet Only type of patient. After examining a patient one day (PSA and rectal exam) he asked if that was all I was planning to do to him to check for prostate cancer. I said that what I had done was enough for now, the prostate felt fine and the PSA would be …
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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 …
Prostate Diaries 