the foundation of prostate cancer decision making…rectal exam, psa and the specifics of “your” disease…it’s not about your uncle Bob or your buddy at church did about “their” cancer!

 It was pretty today in Northeast Georgia....a bit windy however. My newest stab at podcasting...what do you think? My plan is to take about 100 specific questions about prostate cancer ( I cheat by looking at my blog's search history) and answer them concisely and hopefully with a somewhat clever and irreverant slant. Today I …

prostate diaries question: do urologists recommend active surveillance for prostate cancer? well….hell yea!

One of my heroes of all time is Will Rogers. If you have not read a book about him....do it. He is the best. He was a Rush Limbaugh of sorts in the early 1900's. My son, Sam is an Eagle Scout, and he and I hiked for two weeks in New Mexico at Philmont. …

Prostate Diaries Search Question:Why do I have to wait three months after prostate biopsy to have a prostatectomy? Think….Denonvillier’s and a surgeon adverse to risk.

Charles-Pierre Denonvilliers When a urologist does a prostate biospy, a ultrasound probe goes into the rectum much like a finger does to examine the prostate. So when a doctor examines the prostate he is feeling the prostate through the rectal mucosa. So when the biopsy is performed, the needle goes from the ultrasound probe, through …

Google search for prostate cancer: Fixing obstructive problems? Good question!

What makes my book special ( I think ) is the attention that only a urologist who has been through the prostate cancer process and treatment could make of the voiding issues. That's what urologists do...we are human plumbers. We understand how men void, the difference between obstructive (slow stream) and irritative (frequency, urgency, getting …

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 - …

Question: What’s it like having radiation after prostatectomy for prostate cancer? northeast georgia urology

Well...it depends. First of all it will be external beam radiation. I don't know if Proton beam is used for this purpose or not; it would not be seeds because you have to have a prostate there to put them in. My understanding is that the radiation is given specifically to the bed of the where the prostate …

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: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 …

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 …