As my uro say, it is not the size of the doughnut; it is the size of the hole....
A little bit of hgpin has not been shown to have predictive value for prostate cancer. Google around. Epstein did the pioneering work on this issue. A lot of hgpin is another story....
Gall bladder surgery messes you up; it disrupts digestion; bile is hell. Google around. Docs underestimate the problem. Believe it or not, I found that cirtrucel made all the difference in the world....
Greg, Sent you an email with name of medical facility. Somehow I don't think that I should broadcast it. I don't know whether they want to be known for that procedure, or even if they would do it...
I had the mitomics test. Came back positive.My big-shot urologist said he would believe it only if the test were negative. He thought their seemingly impressive statistics on reliability were skewed...
CVC, I'm 57. Biked yesterday on Cipro. I read that the tendon problems occur frequently with people who are on steroids for one reason or another. I do not find cipro at all hard on the stomach. You...
I have taken either cipro or the similar levaquin for 3-6 weeks at a time, and biked quite a bit. No tendon problem yet. In fact, I am on cipro now, for six week course. Biggest problem I have...
I have had four biopsies. My experience is that if you wait a week for sex, then you get virtually no bleeding, but if you have sex right away, the bleeding persists. So there is reason to just let...
I had my gall bladder out and before that the radiologist gave me the same line about needing emergency surgery. My internist talked her down, telling me later that radiologists overreact to gall...
Even Avodart dries up many guys....
Remember that a bad free psa score can be caused by things other than prostate cancer, like infection. So don't jump to conclusions. The PA's estimate of probabilities is hardly anything to rely on....
If you go to the private md website, you can order your own psa anytime, without physician involvement. I get results the next morning, and forward them to my doc. It makes things easy. I end up...
I thought that both the article and the discussion were excellent. It is interesting that the commentators downplayed the difference between a 3t and a 1.5t mri, saying that the radiologist matters...
An endorectal mri involves using a coil inserted in the rectum to improve the mri signal. You might get your doctor to explain what a uromri is. I suspect it is simply using an mri in connection with...
It is very interesting that your doc claims such predictive value for his mri. Does he have any statistical evidence to back up his view that he can catch 4mm lesions, or is this just...
I am unsure that az4peaks articulates a consensus view on doubling PSA score, after maintenance on Avodart, in order to get an accurate measure of PSA. Another view is that after six months on...
I had an mri for diagnosis at a leading cancer facility. They found nothing helpful in the biopsy. Apparently the mri is useful only for a rather large lesion. Here is the conclusion of one article I...
Regarding your question about slow responses to finasteride or dutasteride, my psa took two years to halve, actually went up a bit 3 months after starting dutasteride, and did not decrease...
Color doppler seems reasonable enough. I would not presume to tell you what to do. I had four biopsies, including a 30 sample biopsy, without side effects. As for color doppler, it is quite...
An interesting new study by Taverna et al, the first item in the New Prostate Cancer Infolink (http://prostatecancerinfolink.net/) concludes that color doppler is no more effective than standard...
Your stats do not seem concerning, but a free psa with your low psa might not be meaningful. Many docs think that the psa must be a 4 before the free psa matters....
I have had four biopsies, including a 30 sample biopsy, and an endorectal mri (all negative), and I would say that the mri was easily the worst of all experiences. The mri only finds fairly large...
Consider a recumbent. They create no pressure, and can be for more than leisure tours of the hood. In fact, some of the fastest bikes in the world are recumbents....
I just had the test. It seems meaningful if it gives you a negative outcome, that is, if there is no mutation in your dna mitochondria indicating pca; then you have 92% chance of no pca on a second...
Did anybody have trouble getting his local urologist to see him after traveling for treatment? I suppose many locals are prima donnas, who do not want to cleanup (even oversee catheter removal) a...
The fact that you suffered no harm entails that you have no legal case. But if the surgery had gone through and you developed sepsis, you would have a case. Your doc should not authorize surgery...
Apparently the urology group at Jefferson Hospital in Philadelphia is actively using cd and optimistic about its value. Radiologists and urologists are cooperating....
http://www.msnbc.msn.com/id/39835786/ns/health-mens_health/ Aspirin helps, says msnbc...
Julious, See a medical practice lawyer. Doing so is free. They work on a contingency basis. Only an experienced malpractice guy can assess your case. Everything depends on the facts. I think your...
Nobody has anything good to say about the mri. That is an interesting result....
We have heard encouraging reports about color doppler as a diagnostic device for prostate cancer. How about endorectal mri? Has anybody had success with this mri in identifying pca in cases where...
Enthusiasm about cdu sounds great; I hope it is warranted. But I don’t think anybody knows. It reminds me a lot of enthusiasm for proton beam therapy. People who have benefited from it are wildly...
Thanks, gentleman. That Catalona quote in particular gives me something to discuss with the uro....
I am not considering surgery yet, but weighing the risks of more biopsies....
Do multiple biopsies create scar tissue that makes surgery difficult? I have had three biopsies in the last year....
It is for my wife. Her surgeon is not being very helpful. Slides can be mailed from her surgeon to any good pathologist. We just need to figure out who are the good pathologists....
Who is the best pathologist for a second opinion on a biopsy?...
The prospect of color doppler is intriguing. Still, I have asked this question before: Is there anything beyond anecdotal evidence for its superiority? I have spoken with a university radiologist who...
Please do let us know your sense of the perceived reliability of the various diagnostic devices, particularly color doppler....
For an interesting skeptical view on the superiority of color doppler, see Predictors of Prostate Carcinoma: Accuracy of Gray-Scale and Color Doppler US and Serum Markers. by Kuligowska et al.,...
I live in philly and have been thinking of some of the same options. Dr. Greenberg seems llike a great guy, a seasoned vet. Dr. Lee is younger but with more davinci experience. Why are you leaning...