Life is short and the Art long….Osler

The Two Jokes…in spoken word…


Don’t make the mistake of sending a patient to another doctor…for a condition you treat. Embarrassing.




When it comes to vasectomies…men don’t quite understand what the procedure does or what it doesn’t do. A primer podcast.


John McHugh M.D.:

The GreenLight Laser opens a channel through the prostate due to benign enlargement of the prostate. With this procedure there is a very low likelihood of incontinence or impotence. A radical prostatectomy is for prostate cancer and the entire gland is removed. This in turn has a high percentage of potentially affecting erections and continence.

Originally posted on Prostate diaries:

you can have your so called social security, i left my steady job today....I'm going somewhere in Montana big city turn me loose and set me free......... you can have your so called social security, i left my steady job today….I’m going somewhere in Montana big city turn me loose and set me free………

A lot of patients will come to my office after a positive biopsy of the prostate and after weeks of research tell me they have decided to have their prostate removed by the “laser.”

Well with all the stuff out there it stands to reason that things can get confusing.

The only laser treatment for the prostate is for obstructive voiding symptoms of a benign nature. If you want to remove the prostate for cancer it has to be “removed.” A procedure such as the Greenlight laser prostatectomy is only makes a channel in the prostate to help the male void better, i.e. make a slow stream strong…spell your name in the snow, knock the bark of a tree, turn gravel over in…

View original 5 more words


I wish vasectomies were done on women instead of men!


Saying “I don’t know” will set you free…in your medical practice and in your marriage.

“John, how is it you have the answer and the solution to everything?” my wife asked.

BPH or benign prostatic enlargement of the prostate is not cancer. BPH causes urinary symptoms manifested by a slow stream. Prostate cancer may or may not be accompanied by BPH. This is why the male wrongly assumes that not having voiding symptoms means that he doesn’t have prostate cancer. This misconception has probably done more to delay the diagnosis of prostate cancer than any other “prevailing notion” of this disease.

The surgical treatment of prostate cancer is to remove the prostate. This why the potential of incontinence and impotence exists. The surgery affects the nerves and the bladder neck and prostate’s contribution to continence.

GreenLight Laser or other treatments for BPH enlarge the channel through the prostate by removing only a “core of apple” and this in turn improves the stream. Impotence and incontinence  are unusual in the treatment of BPH.

And now you know the “rest” of the story. In the video below I have created a wider channel through the prostate to improve this patient’s stream using the GreenLight. The majority of the prostate remains after a TURP or a GreenLight Laser prostatectomy.




Get every new post delivered to your Inbox.

Join 1,939 other followers