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John McHugh M.D.:

Think of the bladder as a very large and powerful muscle!

Originally posted on Prostate diaries:

it there are many treatments for a disease, then there is no one good one

When the prostate is removed the surgeon has to put the bladder back together with the urethra. A catheter is placed to “stent” this area of the anastomosis. The reason a catheter is used and left in from 6-14 days is to allow time for this area to heal. In doing so keeping urine from leaking out into the area where the prostate was removed.

So…you have the bladder sewed to the urethra and going through this is a catheter. The catheter, a foley catheter, has a balloon on it that keeps it from falling out. The balloon is just inside the bladder on the proximal side of the anastomosis.

There is a space around the catheter that allows both blood and urine to leak around the catheter, through the anastomosis, and then out the tip of the penis, not through the catheter, but around it.

In the case…

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John McHugh M.D.:

The question to Bart was,”should America have a strong military as a deterrent?”

Originally posted on Prostate diaries:

management is doing things right, leadership is doing the right things....peter drucker

Recent comment/question on this blog

I recently had a PSA of 17 and so saw a urologist and he ordered antibiotics for a month and another test. Tested the same and so he performed a biopsy with the 12 small cores you mentioned. Biopsy came back negative for cancer. I should mention there have been no symptoms, no urination problems, nothing at all which I have read is very common.

My urologist has recommended another biopsy in 6 months. My thought is to have another PSA check in 6 months and if PSA is the same avoid the second biopsy until and if I ever see an increase from 17. What do you think? From What I have read the biopsy should be avoided unless necessary.

T.M.

This question comes up often and is troublesome for both the patient and the urologist. Here are some salient points to consider…

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John McHugh M.D.:

Read most recent comment! Too funny.

Originally posted on Prostate diaries:

being a leader is a lot like being a lady....if you have to say you are then you arent...m thatcher

Guitar Capo-Or as my mother used to say, ” Necessity is the mother of invention.”

When I was a urology resident I had to do a research paper on Fournier’s gangrene. I got somehow the original article on the subject by Mr. Fournier himself. It was in French and much to the chagrin of the chairman of the Dept. of Urology, it cost something like 500 dollars to translate it. Fournier’s is an interesting and devastating disease process. Two things are remarkable about it: one it can start as a small scratch on the scrotum and in hours infection can devour tissue from the scrotum and then up onto the abdominal tissue and skin (an infection that gallops) and despite all the destruction, the testicles themselves are spared. Why? The skin of the scrotum and that of the testicles are different so the testicles are unaffected. Think of a…

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Dad's New Gig.

Tissue don’t heal well if you go a cuttin on it after radiation.

Think incontinence and scarring if you do a procedure on a prostate that has been treated with seeds or external beam radiation.

You can fix obstructive voiding symptoms before radiation by conventional methods but after radiation treatment is fraught with complications.

It is better to cure at the beginning rather at the end!

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