Question:what do you do when the prostate cancer comes back? Did it ever leave?

From The Decision: a small amount of cancer got out of the prostate before the treatment got there, so it never really left at all.   Patients often ask about the cancer coming back.  If the prostate is removed and the cancer is already "silently" in a lymph node or just outside the prostate, then …

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 …

question:do you need a rectal exam after a prostatectomy or radiation for prostate cancer?

Rosamond Johnson Search questions on my blog offer a nice glimpse at the issues that concern prostate cancer patients. Here's another one. Probably not. After you have been  treated, the PSA which is a bit erratic before the treatment of prostate cancer, is very accurate in determining the recurrence of prostate cancer. If your PSA …

bob monkhouse diagnosed with prostate cancer after it was too late. he is still one of the most common google searches that arrive at prostate diaries.

Another top search that gets people to this blog. They all want to know about Elizabeth Thompson, his first wife. Monkhouse on dying of prostate cancer Monkhouse, Albin, Bixby, Zappa, Folgelberg-What do they all have in common?  These are the type of  patients early detection and "early awareness"  are  trying to find. The top ten Bob …

Obamacare and the vasectomy…Obamacare and the elderly male with prostate cancer? Reminds me of a urology joke…

A guy goes to a urologist because of difficulty with sexual function. The urologist greets him and then escorts him to a room. " My nurse will be in, in a moment." The attractive and provocatively dressed nurse enters the exam room, undresses the patient and then "does things to him." "Wow" the patient says. …

One in six men have a vasectomy…one in six men have prostate cancer. Hmmmmmmmmm? No Needle No Scalpel vasectomy and the Madajet.

Have you heard of the "no needle-no scalpel vasectomy?" The technology for the painless part is old but its application to providing needle free anesthesia for a vasectomy is relatively new. If you are of "vasectomy age" you should inquire about it before you choose a vasectomy, particularly if you are needle phobic. Prostate cancer …

Question: Urine leaks around catheter after prostatectomy. Is this normal?

When the prostate is removed, the bladder is separated from the urethra (the tube that runs through the penis which men void through). After the prostate is out, the doctor then sews the two areas back together. It takes about 7-10 days for this to heal. A catheter is placed through the tip of the penis in …