The more things change about prostate cancer …the more they stay the same.

It has been about five years since "The Decision" has been published. I am working, minimally I might add, on the next edition. Minimally because very little has changed in the decision process. Yes there are new treatments, the robotic removal is performed better with less problems by more experienced urologists, but this fact remains. …

A dog shows up at the lake…dogs can help you get through a lot of stuff…including prostate cancer.

Chapter Two-A dog shows up at the lake John and Karen had two other dogs, Oscar and Tootsie, both of whom they loved dearly, but there was an emptiness around their home without Meg. The couple felt her memory and presence everywhere in and about the house. The couch, the trampoline, the backyard, the bedroom, …

the dreaded prostate biopsy revealed

http://prostatediaries.podbean.com/mf/web/xgfyyv/prostatenodule.mp3 The Real Prostate Cancer Second Opinion-Illustrated "Factors to consider" in your  treatment decision-making process. I had my biopsy done by a partner during lunch. I took an antibiotic and  nothing for pain. My partner did attempt a prostate block but  it did not work. He took about 16 samples and it lasted about 20 minutes. …

Prostate Cancer Blog Prostate Diaries Tops 60,000 Views! It must be the dog pictures.

  The things people search for (it is often a question that comes up "after" they have been diagnosed or treated for prostate cancer) that got them to this  blog. This also provides for me a subject matter or topic for that day's post. "Like taking candy from a baby." Thanks to all for your …

prostate diaries question: do urologists recommend active surveillance for prostate cancer? well….hell yea!

One of my heroes of all time is Will Rogers. If you have not read a book about him....do it. He is the best. He was a Rush Limbaugh of sorts in the early 1900's. My son, Sam is an Eagle Scout, and he and I hiked for two weeks in New Mexico at Philmont. …

“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 …

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 …