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Archive for the 'PSA' Category

Since the needle that takes the prostate speciment at the time of a biopsy goes through the rectal mucosa first the possibility of an infections exists. This historically has been a low risk issue but recently and nationally it is becoming more prevalent. There is not a good answer as yet to this other than a heightened sense of awareness on the part of the patient to recognize that something is not right and to contact the urologist at the earlies sign of fever or difficulty voiding. In addition, it is making the point that a patient should thoroughly evaluate the need for the biopsy in the first place, i.e. if cancer were found would you treat it. If the answer is no and there are risks associated with the biopsy then maybe don't consent to it.

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The most common questions that arise at a pre-vasectomy consultation with a urologist.

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The newly diagnosed prostate cancer patient must use all the tools at his disposal to make a "custom made" decision tailored to him. Particulars about his life, family, and biases also weigh heavily in the decision. It is the blending of all these factors which come together with time to arrive at "hopefully" a well thought decision and specific to the patient.

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The Partin Tables "categorize" the prostate cancer of the male and aids in the decision making process.

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Be careful using statistics generated by "Epidemiologists" in making your prostate cancer decision. The numbers are based on the "masses" and not on information that is specific to you and potentially make you "let your guard down" and hence a decision made in error. What do you tell the man who is diagnosed with an aggressive form of the disease, who had not been deligent about exams because he read that only 1% of people die of prostate cancer in 5 years after the diagnosis?

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Men's lack of knowledge of the prostate, the risk factors, and lack of symptoms mean nothing, often delays the diagnosis of prostate cancer. The focus of the medical community should be directed at awareness in order to prevent late diagnosis because of the male's misconceptions about this disease.

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The newly diagnosed prostate cancer patient needs to know a lot about himself and his disease if he is to make a decision that is right and "customized" to him. McHugh's "Who are you" factors begins the process of making the right decision. It is imperative that one evaluated these and understand the ramifications of each before making an informed decision.

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Waiting on the results of any lab test that could indicate a cancer is a very difficult time. Thousands of men experience this yearly and sadly 250,000 times a year the urologist enters the room to say, " I am sorry, your prostate biopsy shows cancer." An excerpt from "The Decision" by John McHugh M.D.

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Patients often choose a method of prostatectomy for the wrong reasons. There may not be a nickle worth of difference of the types of prostatectomy at 3 months.

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The urologist becomes the patient and learns first hand the intricacies of the management of urinary incontinence associated with the removal of the prostate. Diapers or not...life does go on.

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