Medical insight, personal stories and humor from a urologist who has been where you are now.
In my opinion patients have a better feel for what to expect in terms of impotence and incontinence with surgery than with radiation. You better believe that the urologists out there are telling there patients about the possibility of complications, this is innate to all surgeries. Patients understand that surgery means anesthesia, risk of bleeding, and other …
Continue reading "expectations and prostate cancer surgery…what about radiation and….”the proton?”"
The ability to do as she pleases and "calm as a hurricane"...they got that right! Mother's Day circa 1994: You were born in the Depression years. You were named after your fathers' mother - Jennie Cooper. As a child, you could skate faster and ride a bike better than any boy in LaGrange, Georgia. You …
Continue reading "Happy Birthday Jennie Cooper! One hell of a mother."
This article caught my eye because of a story a week or so ago about the GPs in the U.K. and Australia coming out against PSAs and rectal exams in the 40-year-old male. Same old argument...the likelihood of finding a cancer is low, too many men treated, costs, wouldn't have made a difference etc etc blah blah blah. For this to really interesting to …
Continue reading "What do Pathologists know about prostate cancer that the Australian GPs don’t?"
Everything you need to know and ask about a vasectomy "before" you have one done. (If you have a question or issue not addressed, mention it as a comment and I'll address it gladly. I want this to be an "exhaustive" resource to those considering a vasectomy.) Five myths about a a vasectomy often used by …
Amazon search/All Departments for Prostate Cancer Podcast on how to use books on Amazon to help in your decision....oh yea...I forgot, don't forget the counsel of your doctors! To make the right decision about "your prostate cancer" you need to evaluate all the arrows in your quiver. There is no question that Patrick Walsh's book …
what one does betters what's doneSee how the articles written for mass consumption leave a lot to be desired. They paint with "broad strokes." In the young patient below we are not told his PSA, volume on biopsy of disease nor his Gleason's score. Readers of this blog, readers of my book should be able to …
Continue reading "When it comes to prostate cancer…”Just the facts mam, just the facts.”"
Podcast on the Partin Table and the Gleason 8-9 patient. Who are you? http://prostatediaries.podbean.com/mf/web/5q9wj2/partintablesandprostatecancer.mp3
Here is a thought for you...So your PSA is high and you get a biopsy. The biopsy shows PIN. No cancer is seen. You are told, " Uh Oh...you have a higher percentage of having prostate cancer if we do another biopsy. So here is my thought. If you have the bad cancer or the very large volume …
Another round about assault on the early detection of prostate cancer? Systematic "lowering the guard" of the unsuspecting male who sees this and rationalizes decision, after the discussion, not to be screened for prostate cancer. Is this all by design? When recent guidelines questioned benefit of the digital rectal exam in the early detection of prostate …
I live in the county so me and the chlompster, not to be confused with the dumpster, take the trash every Saturday morning. This dumpster is at my office and my thinking is if that I pay for it I can put personal stuff in it (this is much to the chagrin of our cleaning …
Prostate Diaries 