It has been widely reported in the media that Jerry Brown, governor of the state of California, has just completed radiation treatment for early prostate cancer. When I saw him on television recently, he looked fit, alert, and vigorous and bore no apparent adverse effects from his treatment. Continue Reading
PSA Test
Governor Jerry Brown And His Prostate Cancer
Testosterone Replacement Therapy – Not Just For Cheating Jocks
Testosterone is a key male hormone. It drives libido, affects muscle mass, elevates mood, fights fatigue, adds strength, and improves cognitive ability. Unfortunately, as men age, their testosterone levels begin to decline. This process, called hypogonadism, is a normal part of getting older. Continue Reading
Nonsurgical Treatment For Prostate Cancer Is Gaining Favor
With the current controversy on prostate cancer screening and PSA (prostate-specific antigen) testing, a trend appears to be developing away from aggressive surgical treatment for early-stage localized prostate cancer. Continue Reading
The Mo The Better
As a urologic oncologist, I stand on the receiving end of a remarkable phenomenon. Movember, a brilliant idea hatched in Australia in 2003, encourages men worldwide to “grow a Mo” (a moustache) during the month of November as a vehicle to raise money for research and patient support in the treatment of prostate cancer and for general issues pertaining to men’s health. Continue Reading
The Robot Wins Again Robotic Technology and Prostate Cancer Surgery
In a recent study presented at the annual meeting of the American Urological Association, Dr. Jeffrey K. Mullins of the Johns Hopkins Brady Urological Institute in Baltimore concluded that the adoption of robotic technology in organ-confined prostate cancer surgeries has a positive impact on patient morbidity, length of hospital stay, post-surgical hospital readmissions, and overall recovery. Continue Reading
Surgery Versus Watchful Waiting In Early-Stage Prostate Cancer
The results of a study published in the New England Journal of Medicine showed that surgery for early-stage prostate cancer was no better in saving lives than observation alone over a 10-year period. The study compared radical prostatectomy with watchful waiting in men diagnosed with low-grade localized prostate cancer and concluded that surgery did not significantly prolong the lives of many of the men. Continue Reading
Brand-Name Drugs Versus Generic Equivalents– A Moral Dilemma
We are all aware of many high-priced drugs, some costing more than $10,000 a month for treatment, that have radically altered the course of a patient’s illness. We are also aware of a huge market in generic-equivalent drugs, many of which are similar in chemical composition and effect to their high-priced cousins. Continue Reading
Robotic Surgery For Prostate Cancer Gets A Bad Wrap
A new study from Duke University Medical Center, led by Dr. Judd W. Moul, a prostate surgeon, suggests that men’s expectations of laparoscopic robot-assisted prostatectomy may be too high. The study found that of 171 men facing prostate cancer surgery, those having robotic surgery expected a shorter hospital stay and a quicker return to their usual physical activity and sex life. Dr. Moul points out that those hopes may not be realistic. I disagree with this observation. Continue Reading
Do Homeopathic Remedies Have A Legitimate Place In Promoting Male Health?
An editorial published by the Lancet, the respected British medical journal, entitled “The End of Homeopathy” demands that doctors recognize the absence of real curative powers in homeopathic medicine. Continue Reading
The Link Between Birth Control Pills and Prostate Cancer
A worldwide study involving more than 80 countries found a significant link between oral contraceptive use and increased prostate cancer cases and deaths. The reason, supported by several studies, suggests that estrogen exposure increases the risk of prostate cancer and, more specifically, that the high concentration of estrogen in birth control pills is released in urine and ends up contaminating the local water supply. The transmission of estrogen through the water supply is believed to have a link to increased rates of prostate cancer in men. Continue Reading




