Urologists are biased...sort of. Radiation therapists say we use "patient selection" to suit us.
Prostate Cancer Blog search question: PSA at 5, prostate removed thirteen years ago. What’s wrong?
The PSA is variable when used in the diagnosis of prostate cancer. It can be low and someone have cancer, it can be high and not have cancer. It can go down with antibiotics and a person could still have cancer (this happened to me). So the use of the PSA in the diagnosis is …
Question: Can you see prostate cancer on ultrasound? If not why is it used?
When I come home from the river the "back way" I always go by this spot and try to take a picture of this tree and the mountain behind it through the window of my van. This is Skitts Mountain and when I pass it going home it is almost always is illuminated by the setting sun. …
Continue reading "Question: Can you see prostate cancer on ultrasound? If not why is it used?"
Good question! Does urgency improve after radiation? Northeast Georgia Urology
"John, don't let short-term gratification out weigh long-term gain." That's what my mother said to me many times and that is why I am a doctor. It is however not why I am a urologist. "Mom....this is John. I have decided to be a urologist." "Ye Gods John. Do you know what they do." Priceless and …
Continue reading "Good question! Does urgency improve after radiation? Northeast Georgia Urology"
Can you get cancer if you have sex with a man who has prostate cancer?
So...A dream I had as a child was a pool with a lap lane. I love to swim and when I was younger , I was actually quite the swimmer. I rarely lost a race in any stroke. There was a boy in Columbus, Georgia who regularly beat me...but no one else. I ruled …
Continue reading "Can you get cancer if you have sex with a man who has prostate cancer?"
The number one tweet for March 1 in regards to prostate cancer. Superior test!
Superior test for prostate cancer. That's what she said! Scientists at the University of Surrey identified a protein called EN-2, which is only produced by prostate cancer cells. Studies show a test for the protein detects 60 to 70% of cancers. But the false positive rate - men who are wrongly diagnosed with cancer - …
Continue reading "The number one tweet for March 1 in regards to prostate cancer. Superior test!"
Question:I am on prostate cancer surveillance. Can I use testosterone?
I have a friend who is a doctor and has prostate cancer. We made the diagnosis about two years ago and he has elected to do surveillance. His level of sexual activity is improved with the addition of Androgel. He was at his internist's office for a blood pressure check yesterday and the internist was …
Continue reading "Question:I am on prostate cancer surveillance. Can I use testosterone?"
question: if the prostate cancer comes back after prostatectomy, do you have to use hormones “and” radiation?
My radiation therapist colleagues often recommend hormone therapy ( although this treatment is often referred to as "hormone therapy" actually they all take away the male hormone testosterone, so it should be "anti-hormone therapy) because they feel it potentiates the effectiveness of the radiation. It is clear that it helps in the unfavorable cancers, the article …
Question: Would the Interstim device from Medtronics help post prostatectomy incontinence like it does for female urinary incontinence? Northeast Georgia Urology
Usually not. But there is a situation where it could be of value. But first an overview of incontinence as it pertains to the male, the sphincter, the bladder, and the body with and without a prostate. The following is an excerpt from my book and explains the caveat about an overactive bladder in the …
question:my prostate was removed-the psa went to .1 and now is rising.
This question comes up often and is an unfortunate situation. I thought of it myself as a possibility when I went through all I went through having my prostate removed. Think about it... the surgery, the catheter, the leaking, the sexual uncertainties and then the PSA begins to rise. The hell? Normal prostate tissue …
Continue reading "question:my prostate was removed-the psa went to .1 and now is rising."
Prostate Diaries 