Medical insight, personal stories and humor from a urologist who has been where you are now.
In my opinion patients have a better feel for what to expect in terms of impotence and incontinence with surgery than with radiation. You better believe that the urologists out there are telling there patients about the possibility of complications, this is innate to all surgeries. Patients understand that surgery means anesthesia, risk of bleeding, and other …
Continue reading "expectations and prostate cancer surgery…what about radiation and….”the proton?”"
This article caught my eye because of a story a week or so ago about the GPs in the U.K. and Australia coming out against PSAs and rectal exams in the 40-year-old male. Same old argument...the likelihood of finding a cancer is low, too many men treated, costs, wouldn't have made a difference etc etc blah blah blah. For this to really interesting to …
Continue reading "What do Pathologists know about prostate cancer that the Australian GPs don’t?"
Podcast on "Waiting on the damn prostate biopsy results." You've been there haven't you?
Here's a dirty little secret for you....prostate cancer patients often don't choose the treatment that they feel gives them the best chance for cure. They are "I want my cake and eat it too type" patients. By this I mean, "Which treatment will best treat my cancer and limit my potential side effects and complications." In …
Otis Brawley: I have never had a PSA and do not desire one. I have had relatives with the disease. I just do not believe it saves that many lives. SEER data show that a large proportion of so called early detected patients with pathologically localized disease (the best prognosis one can have) ultimately relapse …
This is a shadow box I made for a charity auction a couple of years ago. A clock made with Viagra stuff that drug reps had given me over the years. The guy that bought it, brought by for me to autograph it. I called it ..."Hard Times." The plaque near the hammer says, "In hard …
Continue reading "Two new questions about prostate cancer:Libido and Free PSA"
Remember the uproar of the doctors missing the timing of the Lockerbie bomber and he was released to Libya to die in a predicted three months? No one at the time could figure out why such a missed diagnosis and what pressures Libya could possibly bring to bear on his captors to gain his release? Well...I …
Continue reading "The Lockerbie bomber, Gaddafi, oil, hillary and obama and what? Prostate cancer"
First of all...how does Amazon know when an individual who has a Kindle marks something as a highlight? I saw these highlights today for the first time on the Kindle page for my book. I go there from time to time to read comments and check ratings. I want to comment on the highlights. Before …
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 …
Continue reading "Question:what do you do when the prostate cancer comes back? Did it ever leave?"
Prostate Diaries 