There are many options to treat prostate cancer. These include radical surgery, seed implantation (brachytherapy), external beam radiation therapy, cryosurgery and hormonal therapy. Another option is watchful waiting. It is important to understand that watchful waiting is not a curative treatment. It is recognizing that a man has... Read more
One of the well known risk factors to radical prostatectomy is erectile dysfunction. The nerves responsible for erectile function, the neurovascular bundles, lie in close proximity to the edges of the prostate gland. Even if a nerve sparing prostatectomy is performed, the nerves can get “stunned” during the... Read more
Does frequency of sexual activity affect prostate health of a man who does not have any prostate problems?
This is a very common question in my practice. In theory, it would make sense that a man who is frequently sexually active will have a reduced risk of prostate cancer. By using your prostate frequently, any toxins would be cleared from the... Read more
If one has a high PSA, but no enlarged prostate or issues with urinary functions or sex, what is the real problem with a high PSA? Is it possible to have a normal healthy life with high PSA? This is a great question. First, let's review the normal range for prostate cancer. I commonly use the age-specific PSA which states that: men 40-50... Read more
I was recently evaluating a patient for an elevated prostate specific antigen (PSA) of 5.0 ng/ml with no other medical problems. He was 55 years old and only complained of occasional urinary frequency. His PSA was obtained during his yearly physical and his prostate exam was unremarkable. As to be expected, he was concerned and asked me if there... Read more
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