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.



John McHugh M.D.:

Ask your urologist everything…before the biopsy!

Originally posted on Prostate diaries:

happiness….not having what you want…but wanting what you have…..I am not saying it’s me… I am just writing it down for you…..Penelope looks happy…. which is she….does she know? the bandanna is very nice and pretty…

One of the biggest complaints that I hear from patients is they were not told how things would be. So….here is your forum….250,000 men are diagnosed with prostate cancer a year….that represents 17-20 % of the men that had either an abnormal rectal exam or an elevated psa. So….tell us your story and let’s make this the prostate biopsy blog of the universe. Yes… It can be…..Oh yes…….I misunderstood…………

The prostate cancer journey should be something that builds up the relationship…not something that tears it down or threatens it. If the prostate cancer thing is bad for the relationship then I’d make the argument that the relationship has flaws.

I am just saying. For…

View original 23 more words


Urologists use of the robot comes to mind.

Sometimes you just have to “move along” the conversation to get from the history to the treatment.




Don’t justify anything medically to me based on something you read in a book. I could care less how or what so and so says or does!


Get every new post delivered to your Inbox.

Join 1,916 other followers