Prostate Diaries: Recent Episodes

None

Medical insight, personal stories and humor from a urologist who has been where you are now.

View Details

I want a Hippopotomus for Christmas.

Santa Baby

You’re Gettin Nuttin…for Christmas.

Snowman

Where are you Christmas?

Want a Chocolate Labador for Christmas

Christmas Love

Christmas in Hollis

May Every Day Be Like Christmas

John’s Elmer Fudd Blue Christmas

Zat You Santa Claus?

Fairy Tale of New York with My Irish Patient

Fairy Tale of New York Solo

View Details

One of the most common points made in a review of my book “The Decision” on Amazon is that it did not mention a particular treatment in detail. Treatments such as Proton therapy or some other newer form or shorter course of radiation. Here’s the dirty little secret: It still boils down to whether you … Continue reading "The more things change the more they stay the same."

View Details

If you had clinically insignificant prostate cancer…would you want to know it? If you knew it do you know exactly what that means? Or do you think the doctor or radiologist telling you that can promise you that it won’t actually become, or already is, clinically significant? Would you want a biopsy to “prove with … Continue reading "Prostate cancer detection-To MRI or Not to MRI…that is the question?"

View Details

Originally posted on Prostate Diaries:
Prostate Cancer Planner Never Takes PSA Test Compares Prostate Screening to Tuskegee Experiment Opposes Prostate Cancer Awareness Stamp, Says Post Office Should Deliver Mail, Not “Misleading Advice” By Jacqueline Strax Otis W. Brawley M.D. in the year 2000 was Director of the Office of Special Populations Research and Assistant Director,…

View Details

What is Gleason’s score?-Click Here Here’s the thing…if you want to have your prostate removed because you’ve been told you’d be “done with it” that might not necessarily be true. If your cancer is Gleason’s 8 and you elect to remove the prostate there is still a significant chance you’ll still need radiation. Knowing this … Continue reading "What is Gleason’s score? If you have been told you have prostate cancer and you don’t know…get a second opinion."

View Details

Originally posted on Prostate Diaries:
Prostate Diaries View original post

View Details

Blog post from years ago is still relevant today.  Patients often times see clots in the urine and worry, that like clots in the blood stream, may go to the heart and lungs and cause a serious medical problem. Clots in the bladder are a problem only if they obstruct the flow of urine i.e. … Continue reading "Common question: Are blood and clots in the urine after a prostate biopsy normal?"

View Details

Men commonly will say that they don’t feel they need to be tested for prostate cancer because they have no voiding symptoms. As seen below, most prostate cancers occur in the posterior aspect of the prostate well away from the urethra. So one will have voiding symptoms from prostate cancer only if the cancer is … Continue reading "Why having no voiding symptoms is irrelevant in the early detection of prostate cancer."

View Details

The link below is to one of the most popular posts on Prostate Diaries. The comments reveal a wide range of unpleasant experiences patients have had during and after a prostate biopsy. In my practice I am fortunate in that I own a Surgery Center and we do the vast majority of our prostate biopsies … Continue reading "Prostate Biopsy-Have it your way!"

View Details

via Wives/partners

View Details

Originally posted on Prostate Diaries:
In Patrick Walsh’s book on prostate cancer there is a very nice chapter on post prostatectomy incontinence. It details how one person might do extremely well and never leak. Another treated the exact same way leak for months (me). During this time I fully felt the meaning of a quote…