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 …

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 …

How do prostate cancer patients choosing surveillance do?

In general after five years of pursuing surveillance most patients are still in the program without  progression. You'll see that various studies have various drop out rates, usually with no medical consequence. You'll also notice that some drop out for anxiety issues. The other most common reason for drop out would be a more unfavorable …

Valentine’s Gift…A Prostate Exam? What ever happened to flowers and candy?

This will probably be TMI  (too much information) but I think  it will make a point nicely. When I was a urology resident in 1983, my wife was pregnant with our second child Bess. As a medical student, I had done a rotation in Savannah, Ga in obstetrics. I must have delivered about twenty babies and …

Very candid discussion about prostate cancer and the dreaded two “I” s. Incontinence and Impotence following the treatment of Prostate cancer.

  Prostate removal surgery and sex: 'Very few men... are the same as before'   Incontinence, impotence two possible side effects   By Denise Ryan, Vancouver Sun September 30, 2010 Comments (7)         Francine Hardaway and her husband, the late Dr. Gerry Kaplan. Photograph by: Courtesy, Family VANCOUVER - Francine Hardaway, an entrepreneur …