prostate cancer and “killing a fly with a shot gun when a slingshot would have been fine” or ” a doctor prescribes the bark of the quinquinna when the patient would be be obliged to eat the whole tree.”

 This story makes a strong point and one that is not lost on any surgeon who has had a patient not do well and ultimately die after an operation. Particularly in prostate cancer this is a concern because of some prostate cancers being "low risk, slow-growing, die with it not of it type" kind of …

do you have a “mind” for active “but doing nothing about it” surveillance for prostate cancer

For years urologists have been aware of the "upgrading" of the Gleason's score when comparing the biopsy report with the final pathology report. The tricky thing here is that  the urologist and the "surveillance minded" patient are making decisions about surveillance on limited information, i.e. the biopsy report. ( Think of twelve cores about twice …

A new prostate cancer blog toy…polls and surveys….Do you have a question for the viewers?

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 …

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 …