Prostate cancer decision making is multi-factorial. It may surprise you that “cure” is not the only thing to consider.
What’s best for the cancer may not be best for you!

The Real...Prostate Cancer Second Opinion



  • When you compare the survival rates at fifteen years regardless of the treatment chosen…it is about the same for all treatment choices.
  • So…if you do about the same as far as curing the cancer then one begins to really look at the side effects of the various choices and what you have to go through to have a particular treatment.
  • Surgery done with the robot takes about three hours, you stay in the hospital a day, you wear a catheter about a week.
  • Radioactive seed therapy takes about an hour and half to do, you don’t wear a catheter, and it is done as an out patient.
  • So far seed therapy is winning in terms of the procedure itself…you have seen the radioactive seed commercials haven’t you? Treatment one day and playing golf soon after. Quite the compelling argument. But let us continue might we?
  • Both removal and seeds…

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Not all prostate cancers are created equally. Not all men are created equally. Not all life situations are created equally.
So…not all prostate cancers are treated equally.
A word to the wise is sufficient.

The Real...Prostate Cancer Second Opinion

Why is it that 30,ooo or so men die of prostate cancer die yearly in the U.S.?

Could it be that men are lulled to sleep by generalizations about the prostate and then apply them “specifically” to themselves?

  • Yes some prostate cancers are slow growing…but not all are.
  • Yes some people die with their prostate cancer but not of it.
  • Yes most prostate cancers are diagnosed and the male has no voiding symptoms…
  • But…if you have prostate cancer and you have symptoms then you are too late.
  • Yes most people do not die of prostate cancer-does that mean you won’t?
  • Yes it is a “disease of old men” in general but you men die from it as well.
  • Yes do your reading, talk to friends and your doctor but don’t general impressions and half-truths guide your judgement.
  • Yes if your chances of dying of prostate cancer is a low percentage…

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“It’s time to pull the trigger…” My wife and I sat in silence, stunned after hearing this. I had anticipated some reassuring words and a suggestion to return in a year, not this. For the past 18 months, I had been on a program of active surveillance for a low grade, low volume prostate cancer. We were now sitting in front of Dr. Eric Klein, Chairman of Urology at the Cleveland Clinic and expert in prostate cancer treatment, hearing these words.

via Prostate Cancer as a Turning Point — jamessmithmdweb

This is actually quite informative. I put this together in 2011.  I hope you enjoy and possibly share with someone newly diagnosed.

Heretofore urologists have been leery to do any procedure on a radiation treated prostate cancer patient. Since Rezum does not cut tissue it may become a procedure for both the patient wanting to improve urination before radioactive seeds and to improve the voiding pattern is this is exacerbated by seeds.

Northeast Georgia Urological Associates


Conclusions: Convective water vapor thermal therapy provides durable improvement to LUTS for 12 months and urinary flow while preserving erectile and ejaculatory functions.

Note: Most all of the treatments for enlarged prostate cause retrograde ejaculation. Because the prostate channel is opened with procedures to allow a better stream, in doing this the semen is not propelled forward and stays in the urethra. It is then voided out at the next urination. Medically this not an issue but some men do not like the fact that it happens. Retrograde ejaculation has not been noted in Rezum therapy. In addition Rezum in some cases improved sexual function which at this time is unexplained.

Convective Water Vapor Energy Tx (Rezum) of LUTS Preserves Sexual Function

Urology – October 30, 2016 – Vol. 34 – No. 9

Convective water vapor therapy provides durable improvement to lower urinary tract symptoms and urinary flow while preserving…

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Urology Times Opines on the Subject