prostatediaries

Urological Wit and Wisdom-First Do No Harm

Over 100 aphorisms with accompanying illustrations for the common man, resident and new physician.

Urological Wit and Wisdom: 101 Aphorisms, Adages, and Illustrations for the Resident and Nascent Physician-Don't by shoes in the morning and don't pull tubes at night.

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. 

Trouble voiding after seed therapy for prostate cancer? Proceed with caution!

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

Oh that the prostate was the gallbladder.

Patients often times choose chance of risk/complications over what they feel is the best treatment for cure.

Prostate cancer is funny that way.

Grade,differentiation, and Gleason's score. What does it mean in prostate cancer.

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.

Statistics...Do they help you in your elevated PSA decision making?

In the end the statistics give you a number and the patient is still left with whether to do a biopsy for an elevated PSA or not. How  big a boy are ya?

Who are you and why it matters in Prostate Cancer decision making.

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

Significance of the Prostate Capsule

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. 

Is Robotic prostatectomy finally better than open removal?

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.

When is a prostate nodule a nodule and should it be biopsied?

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.