Posts Tagged ‘prostate cancer screening’

when you are young pain is not having pleasure...when you are old pleasure is not having pain...

Patients often choose their treatment for prostate cancer not by which has the best cure of the cancer rather which treatment best blends cure with the risks. Prostate cancer differs in this regard  from most other cancers and why many prostate cancer men choose radiation. Dirty little secret: patients understand and full well know the complications associated with surgery, but often don’t comprehend the potential risks of radiation-both early and late. Paraphrased from “The Decision.”

The five reasons:

  1. You are cut on, you might have impotence and leak urine.
  2. You are cut on, you might have impotence and leak urine.
  3. You are cut on, you might have impotence and leak urine.
  4. You are cut on, you might have impotence and leak urine.
  5. You are cut on, you might have impotence and leak urine.

You could also put at the end of each sentence…”and still not be cured of prostate cancer.”

How do you like them apples!

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when a father helps his son, both smile....when a son must help his father...both cry.

I saw where the American Cancer Society recommends a discussion about the PSA and prostate screening at age 50. How old was Gentry when he was diagnosed? (Hint:47. What do we do with these guys ACS who fall outside your parameters?) Has Otis Brawley had a PSA yet, or was he just talking?

I saw a patient about 4 months ago who said, ” I want to get everything checked out because I just turned fifty.” His PSA was 80 and there was evidence of metastatic pelvic lymph node (no symptoms of pain, voiding, or anything) disease on his CT scan.”

Montgomery Gentry encourages men to get screened for prostate cancer before it is too late with a free concert in Atlanta after the Braves-Texas game.

Country singer Eddie Montgomery, of the superstar duo Montgomery Gentry, was diagnosed with prostate cancer in November. He was able to undergo surgery and have the tumor removed, and is now, at age 47, a cancer survivor. But, he is not pretending that the ordeal wasn’t an important milestone in his life, or that it didn’t frighten him. In fact, Montgomery is speaking out for prostate cancer awareness, and the duo is giving a free concert in Atlanta on Father’s Day.

Montgomery, a father of three, had a typical reaction when he first heard the diagnosis. “When you hear the ‘C’ word, you don’t believe it,” said Montgomery in an Associated Press report. “You don’t know how bad it is. I thought about my kids. It was tough to hear that I had gotten cancer. But we were able to find the cancer in its very early stage and had it removed. … I’m glad I got tested early enough before it was too late.”

Montgomery was actually at the doctor’s office for his son, who had wrecked an off-road vehicle and broken his shoulder, when he told the doctor, a bone specialist, that he had had some soreness in his hip. The doctor offered to give him an X-ray, just to be on the safe side. He was being screened for the sore hip when the doctor saw a spot on the X-ray, which turned out to be a tumor.

The Prostate Cancer Foundation, the leading not-for-profit supporting research for prostate cancer globally, indicates that not everyone has prostate cancer symptoms, and that the disease is often detected when a doctor is doing a routine check-up. However, the PCF indicates, several symptoms are seen by some patients with prostate cancer, including:

  • A need to urinate frequently, especially at night
  • Difficulty starting urination or holding back urine
  • Weak or interrupted flow of urine
  • Painful or burning urination
  • Difficulty in having an erection
  • Painful ejaculation
  • Blood in urine or semen
  • Frequent pain or stiffness in the lower back, hips, or upper thighs

As a way to bring awareness to prostate cancer, Montgomery Gentry will give a free concert after the Atlanta Braves-Texas Rangers match-up on Sunday, June 19, on Father’s Day. Prostate cancer survivors will be able to attend the game for free if they are registered through the Braves’ website. Montgomery Gentry will also take part in an on-field ceremony for the winner of the Major League Baseball contest, “My Dad, My MVP.” Tickets for the concert are included with the purchase of the game ticket, and are available on the official Atlanta Braves website. For an additional cost, fans can purchase a VIP Field Pass, not included with the purchase of the game ticket. A $5 donation to the Prostate Cancer Foundation will be made with the purchase of each VIP Field Pass, to support cancer research.

“I’m a huge fan of these guys,” said Braves second baseman Dan Uggla of Montgomery and his duo partner, Troy Gentry, reported the AP. “Now that I know these guys, I’m proud to say that I’m friends with these guys. They’re very genuine. I hope the people at the concert will be able to grasp their message.”

Image:  Wikimedia Commons


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If what you have done yesterday still looks big to you, you haven’t done much today.~ Mikhail Gorbachev

I have playing around with these Polldadday polls and the question about “which treatment do you think gives you the best chance at cure.” Well the overwhelming response is surgical removal. Well if that is the prevailing opinion, then why all fuss about alternative therapy particularly proton therapy.

Is proton therapy chosen because it is felt to be the very best chance at cure?
Or…could it be that it is that mode of therapy that balances cure vs. risk?
So when you go about evaluating the various forms of therapy for your prostate cancer….”To thine own self be true.” Define exactly what is most important to you and clarify to yourself exactly why you have picked a form of therapy.
Does it mean anything to you that the candidates for proton therapy are in the low/intermediate risk prostate cancer? That one is low risk is based on the prostate biopsy. What if the prostate biopsy doesn’t give the true extent of your disease? Hummmmmmmm!

Penolope has a question: “Which treatment do you feel will make “lunch meat” out of your cancer?

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PR Web Press Release-Old news but fun to see how some marketing folks manipulate the search engines..etc.

The reason this book is number one on Kindle for the subject of prostate cancer is that it is easy to read. The other reason is that there are stories at the end that star the prostate gland. It focuses on the decision-making process, a plan that makes sure that the newly diagnosed prostate cancer patient understands the “voiding consequences” of all of the treatments. It is a starting point, it complements other books, it recommends no treatment, and it tells the prostate journey through the eyes of a urologist who is the patient. It highlights the significance of the wife. Sad humor in parts, fear in others. It’s just an arrow in the ole prostate decision-making quiver. That’s all. It helps the patient define “who they are” because you must know that to make a “customized decision.”


If you have to ask how much it costs...you can't afford it


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the weakest type of fruit falls easiest to the ground

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whether you believe you can or you can't...you're right

From “The Decision.” 

The rectal exam – The male patient doesn’t want it done and the doctor is easily persuaded not to do it.

 This may sound odd to you, but sometimes you have to demand that a rectal exam be performed. A nurse that I work with in the operating room related to me that her husband, who is in his early 40s, was scheduled for a yearly company physical. She told him to be sure to have a rectal exam and a PSA test, but when he asked his doctor, he was told, “You are too young to have prostate cancer.” Upon hearing what transpired, his wife, my co-worker, said, “You go get you another doctor that will do that exam; I work with a bunch of urologists and I know what can happen with prostate cancer!”

Pesky partners save lives?

Posted By On May 26, 2011 @ 12:04 am In Health | No Comments

Men who are married are more likely to live longer than single ones, researchers say. In fact, a recent 40-year study of Japanese-American men found that being married was a key predictor of long life. (See 9 indictors of long life [1].)

Could one reason for this be the dreaded nagging spouse? Or, put another way, does ‘encouragement’ from a partner to schedule important medical screenings actually save lives?

According to a University of Michigan study, men who live on their own are less likely than those living with a spouse or a partner to be screened for prostate cancer, even if they have a family history of the disease.

The study, published in Cancer Epidemiology, looked at 2,447 Caucasian men ages 40 years to 79 years from Minnesota. These men were questioned on their family history of prostate cancer, concern about getting prostate cancer and marital status.

Not surprisingly, the findings suggested that men who were worried about prostate cancer were more likely to get screened. And this also held true for those who had a family history of the disease; these men were twice as likely go for a screening.

However the likelihood to be screened dropped if these men lived alone. In fact, men who weren’t married or living with a significant other were 40 per cent less likely to have a screen, which generally involves a PSA [2] or digital rectal exam [3].

“In terms of motivating people to get screened, there may be benefit in targeting wives or significant others as well as men,” said lead author Lauren P. Wallner, M.P.H., a graduate research associate at the University of Michigan.

And while this study was conducted in the US, similar findings may also hold true in Canada. According to a Globe and Mail report [4], the Prostate Cancer Research Foundation of Canada recently asked 500 men and 500 women over the age of 40 across Canada who it was that booked the doctor’s appointments in the family.

“Only about half of the men we surveyed booked their own annual physicals,” Greg Sarney, the foundation’s vice-president of marketing, told the Globe.

“We also found that 85 per cent of women remind the men in their lives to schedule their annual physicals. They’re obviously the ones staying on top of it.”


Prostate cancer in Canada

Prostate cancer is the most common cancer among Canadian men, and it affects about one in six men. About 24,600 men were diagnosed with prostate cancer in 2010 according to Prostate Cancer Canada. (This does not include cases that go undiagnosed due to men’s unwillingness to go for annual check-ups.)

Prostate cancer is a leading cause of death among men, but if caught early, the odds of beating it are good. In fact, over 90 per cent of prostate cancer cases are curable if detected and treated in their earliest stages.

While its exact cause is unknown, the disease is thought to develop as a result of dietary, environmental and heredity factors. Symptoms include slow or painful urination, blood or pus in the urine, painful ejaculation and pain in the lower back or abdomen, pelvis or upper thighs.


For more information, visit Prostate Cancer Canada [5].

Read the study abstract [6].

Sources: The Prostate Cancer Research Foundation of Canada; American Association for Cancer Research; Cancer Epidemiology, Biomarkers and Prevention; Canadian Cancer Society; Globe and Mail.

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losers quit when they are tired...winners quit when they win.

Common searches about sex that end up on my site and some other various tidbits for you…

  • Having sex the night before having a PSA drawn can elevate the value.
  • Having sex before the Prostatic Acid Phosphatase will probably elevate the value.
  • A rectal exam before having the PSA drawn will not elevate the value.
  • A rectal exam before a PAP will elevate the value.
  • You don’t get cancer if you have sex with a man with prostate cancer. (Good try ladies.)
  • Your libido doesn’t change (physiologically wise) after the prostate is removed.
  • Climax after radiation or radical prostatectomy still occurs but the character of which may change…for the better or worse.
  • In both radiation or prostatectomy the male’s climax… will be dry or no fluid.
  • You can have sex before a prostate biopsy.
  • You can have sex after a prostate biopsy…expect blood in the semen. It looks dramatic but is harmless. It will stop … in time.
  • If you have chosen radiation because you expect to “spare” your sexual function…think again and research again.
  • There is a bit of luck in being potent after “any” treatment of the prostate. Sorry proton guys…sorry robotic guys whose doctor said he “spared” the nerves.
  • You are infertile after treatment, not impotent.
  • You are less likely to preserve sexual function if your function is waning before treatment. i.e. the guy with a 10 function will do better than the one with a 6.

So…Pick your poison.

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