“Mr. Smith I spared your nerves during your prostatectomy for prostate cancer.” As my mother would say,”Oh spare me!”

If you see the nerves better with the robot and "you spared them" why is it then that people still have erection issues? Why is that to date there is no better success rate shown by the robot vs traditional open prostatectomy? The following is quite good. Look at the next video...does it appear that …

CNN and Vasectomy March Madness at Northeast Georgia Urological Associates Gainesville, Georgia.

CNN visits Dr. John McHugh's Urology practice for a Health Minute on March Madness and Vasectomies. The scene with the patient pretending that he is hurting actually occured minutes after the vasectomy. Vasectomies are customarily performed on a Friday so that the patient has the weekend to recover prior to returning to work on Monday. …

Prostate Diaries Search Question:Why do I have to wait three months after prostate biopsy to have a prostatectomy? Think….Denonvillier’s and a surgeon adverse to risk.

Charles-Pierre Denonvilliers When a urologist does a prostate biospy, a ultrasound probe goes into the rectum much like a finger does to examine the prostate. So when a doctor examines the prostate he is feeling the prostate through the rectal mucosa. So when the biopsy is performed, the needle goes from the ultrasound probe, through …

Prostate cancer question for Prostate Diaries: Can you have sex the morning of a prostate biopsy?

Had to get that "moustache dreadful picture of my hair off the main page of the previous post. A nurse of mine asked," Are those plugs?" The answer to the question posed above: Drum roll please...... Yes you can have sex the morning of a prostate biopsy Yes sex before a PSA will make it …

The Lockerbie bomber, Gaddafi, oil, hillary and obama and what? Prostate cancer

Remember the uproar of the doctors missing the timing of the Lockerbie bomber and he  was released to Libya  to die in a predicted three months? No one at the time could figure out why such a missed diagnosis and what pressures Libya could possibly bring to bear on his captors to gain his release? Well...I …

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 …