Radiation seed therapy for prostate cancer and voiding symptoms.

All roads lead through Rome…all urine through the prostatic urethra! Brachytherapy (seeds) is an out patient procedure for prostate cancer in which radioactive pellets are placed all about the prostate and in close proximity to the prostatic urethra. When a man urinates the urine flows from the bladder through the tube in the prostate (prostatic…

Does the Free Psa help in the decision making process?

Not really. It helps in whether to have a biopsy. Once you have the biopsy and it shows cancer, then the pathology specifics help with  the decision about what to do. The Free Psa helps a patient and doctor decide whether or not to do a biopsy. In other words a patient has an elevated…

Prostate Cancer Second Opinion-With who?

Caution! Just because you are getting a second opinion doesn’t mean you won’t make the wrong decision. The first thing to decide is if the characteristics of your disease are such that you need to be treated i.e. surveillance. Okay…it needs to be treated…is you fer or agin surgery? If you are agin it…then it…

In prostate cancer…The Gleason’s score is everything.

Not all cancers are created equal-They ain’t all the slow growing kind. Why is it that one lady with breast cancer does well and the next succumbs to the disease quickly? Why is it some “battle” a cancer and win and others lose? It has to do with the nature of the cancer…in simple terms…

Prostate cancer and voiding symptoms.

Myth #1 “I couldn’t have prostate cancer because I don’t have any problem urinating.” The most common cause of a slow stream or trouble voiding in men is an enlarged (benign) prostate not prostate cancer. If a man has problems urinating because of prostate cancer it is usually an advanced stage of prostate cancer. As…

Significance of the capsule in prostate cancer.

Capsular invasion by prostate cancer can be seen microscopically by the pathologist if the prostate has been removed. Capsular invasion is assumed if the on rectal exam there is a palpable nodule or firmness. If capsular invasion is present and you have had your prostate removed, you have a higher likelihood of needing radiation at…

Biopsy Report Scenarios-Prostate Cancer

Not all prostate cancers are created equal. When you get your report back from the urologist (and yes it is okay to ask for a copy of it so you can study the specifics), you need to note the number of cores positive and the Gleason’s score. Low volume – low Gleason’s score…good. High volume…

Do you know your prostate cancer?

If you and your wife left your doctor’s office with the news that your prostate biopsy showed cancer and you don’t know the significance of your Gleason’s score, the volume of cancer in the cores taken at time of the biopsy and how your PSA ties into the decision making…then You’ve got work to do…

The Prostate Cancer Treatment Discision is Indeed a “Conundrum.”

If you have been recently diagnosed with prostate cancer you will probably listen a bit to your doctor (none of it probably registered with you as you were just told you had the “C” word), you’ll look around on the internet and you’ll talk with friends and family. Then you’ll understand why your treatment decision…