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Archive for the 'prostate cancer' Category

Standing by a million dollar machine and getting your picture taken don't necessarily make you a surgeon.

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Men tend to "oversize things" and it takes a special person to be a urologist.

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One of over 100 aphorisms from the book Urological Wit and Wisdom by a urologist who has practiced almost thirty years. Each saying is accompanied by an illustration that embodies the essence of it. Instructional to the medical resident, the lay person as well as the seasoned physician. Available on Amazon in paperback as well as Kindle. 

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Tissue that has been treated with radiation "don't heal well if you go a cuttin on it!" Beware.

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If the prostate cancer is confined to prostate the single most important factor to consider in one's decision making is the Gleason's score.

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Your situation, your disease and your personality has a lot to do with the decision you'll make regarding treatment of "your" prostate cancer.

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Extension of prostate cancer into the prostatic capsule as noted in the surgically removed prostate on pathological examination is a bad prognostic finding. The importance of the prostatic capsule in prostate cancer is explained. 

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Just as a vasectomy involves removal of a segment of the vas and destroying both ends and a prostatectomy involves removing the prostate and reconnecting the urethra to the bladder, not much has changed in the "concept" of these procedures.

However as it pertains to the prostate there are several advantages to the robotic removal of the prostate and I outline these in this podcast.
I feel that one now may now comfortably state that if done in the right hands and for the right reasons, that the robotic removal has finally become the "gold standard" for the surgical management of prostate cancer.
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A prostate nodule back in the day was the number one reason to biopsy the prostate. Today the number one reason is an abnormal PSA and the most common finding on rectal exam for the patient with prostate cancer is...a normal exam. Dr. McHugh's podcast on the subject sheds a bit of light on this subject and frustrating concept that some patients have difficulty grasping.

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Patients will often choose to have their prostate removed for prostate cancer because, " I can always have radiation after having the prostate removed but not vice versa." True...but does it matter. In this podcast some of the caveats of this very nuanced disease as it pertains to this line of reasoning and whether it matters or not is discussed by Dr. John McHugh a prostate cancer survivor and author of "The Decision" which is in the top five for paperback and Kindle on Amazon.com for the subject of prostate cancer. He was also chosen as the number one Online Influencer for Prostate Cancer by Sharecare Now for 2012.

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