What’s the difference between a radical prostatectomy and a Greenlight Laser prostatectomy?

A lot of patients will come to my office after a positive biopsy of the prostate and after weeks of research tell me they have decided to have their prostate removed by the "laser." Well with all the stuff out there it stands to reason that things can get confusing. The only laser treatment for …

prostate cancer and “youth is wasted on the young” and a thousand words are worth a picture.

So it is the fall of 1979 and I am a junior medical student at The Medical College of Georgia in Augusta. I am to be married to my current wife in December of the same year. Because of this I had to scramble to have a place to live for the three months of …

Bladder neck contracture, prostate cancer, prostatectomy and treatment…

This is a video of a patient who is s/p  a prostatectomy and has developed a bladder neck contracture. He presented with diminution of his urinary stream. If a  patient is voiding well after the prostate is removed and then the stream slowly decreases the likelihood is that he has developed a bladder neck contracture. …

How can one predict the need for radiation after having the prostate removed for prostate cancer?

If you are choosing to have a prostatectomy because "you'll be cured" Or if you think that you'll have the option of having radiation if cancer comes back Or if you think "well if I have the prostate surgery I can have radiation but not vice versa" Or if you think one or the other …

Does removing the prostate for prostate cancer or having a vasectomy make you less of a man?

  Well what makes you less of a man...For the most part it is the male hormone Testosterone. The circulating levels of testosterone do not change after vasectomy or prostatectomy. A vasectomy does not affect erections. A prostatectomy and radiation do potentially negatively affect erections...so in that sense it may very well make someone less …

Prostate Cancer, Impotence, Boy Scouts Wood Badge, and Marriage….

I have a Wood Badge in Scouting...a so-call masters degree in scouting that you get if you spend four weekends or so dressed up like a Boy Scout and learning everything known to man about fires, knots, cooking and getting along in the outdoors. One of the tests we were given in regards to starting …