Prostate cancer rule# 5: Get a baseline line PSA before the age of 50.

Nearly Half Of All Deaths From Prostate Cancer Can Be Predicted Before Age 50 18 Apr 2013 A new design of screening could improve ratio between benefit and harms of screening Focusing prostate cancer testing on men at highest risk of developing the disease is likely to improve the ratio between benefits and the harms …

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. …

Regarding Prostate Cancer Decision Making- Does It Matter That You Can Do Radiation After Prostatatectomy But Not Vice Versa?

I mentioned the concept in my book, I think urologists (rightfully or wrongly) use it as a reason for patients to have their prostate removed, patients often use it as a justification to have the prostate removed, it probably pisses off and frustrates the radiation therapist....and that is the concept of: If I remove the …

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 …