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: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 …

The Decision, a prostate cancer book by a urologist who’s a patient- A book review. Good or bad?

I love the part about, " McHugh got the name of his surgeon from a traveling salesman."  Too funny! Well, the book is about making a decision about what to do...not who will do it. It turns out my drug rep was right on.  The US Review of Books // The Decision: Your prostate biopsy shows cancer... …

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 …