Episodes
Friday Jul 04, 2014
Significance of the Prostate Capsule
Friday Jul 04, 2014
Friday Jul 04, 2014
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.
Sunday Jun 29, 2014
Is Robotic prostatectomy finally better than open removal?
Sunday Jun 29, 2014
Sunday Jun 29, 2014
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.
Friday Mar 15, 2013
Radiation or Prostatectomy First-Does it Matter?
Friday Mar 15, 2013
Friday Mar 15, 2013
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.
Sunday Feb 24, 2013
Prostate Cancer, Impotence and Marriage Problems
Sunday Feb 24, 2013
Sunday Feb 24, 2013
Although my marriage was strengthened by all the issues surrounding the treatment of my prostate cancer and the attendant aftermath as it pertains to sexual function, I have friends and patients in whom their prostate cancer culminated in divorce. "Baby Please Come Home" is a weak attempt at making light of this situation in which the prostate cancer patient post treatment pleads for the wife of the man with "damaged goods" to come back.
Sunday Nov 13, 2011
Psa and antibiotics
Sunday Nov 13, 2011
Sunday Nov 13, 2011
That the psa goes down after a course of antibiotics is encouraging...but not definitive. A better messure of things is the trending of the value of the psa over period of time. Your urologist will know how to advise you on this and the timing and necessity of a prostate biopsy.
Sunday Nov 06, 2011
Prostate biopsy infections...the problem.
Sunday Nov 06, 2011
Sunday Nov 06, 2011
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.
Thursday Aug 25, 2011
Vasectomy 101-A Podcast
Thursday Aug 25, 2011
Thursday Aug 25, 2011
The most common questions that arise at a pre-vasectomy consultation with a urologist.
Saturday Jul 16, 2011
Saturday Jul 16, 2011
Hormone therapy in prostate cancer does not cure prostate cancer. It does however, in many patients, beat it back for an unknown lenght of time and to an unknown degree.
Tuesday Jul 05, 2011
You gotta see the Big Picture
Tuesday Jul 05, 2011
Tuesday Jul 05, 2011
When the male is considering his options about treating his prostate cancer…he must view his options in terms of the big picture. For example if the decision is made in favor of salvaging sexual function but not considering the best treatment for curing the disease, then a decision may be made in error.