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Sunday, November, 29, 2009
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Jay Motola's SharePosts

Have the Rules for PSA Testing Changed?

A series of studies were recently published in the New England Journal of Medicine that question the efficacy of widespread PSA testing for the early detection of prostate cancer. One study, The European Randomized Study of Screening for Prostate Cancer (ERSPC Trial), involved 182,000 men in Europe. An American study from the Prostate, Lung... Read moreChevron

Can Sexual Activity before a PSA Test Elevate PSA Level?

Dear Dr. Motola,   Can sexual activity just before a PSA blood test make PSA results jump from 2 to 12?     PSA testing immediately after sexual activity remains controversial.  The most widely held belief is that patients should wait 3 days after sexual activity prior to obtaining a PSA, however some recent... Read moreChevron

Prostate Surgery for the Overweight: How Big is Too Big?

Dear Dr. Motola:   I have been diagnosed with prostate cancer and am 51 years old. I weigh 385 lbs at 6'1". My urologist told me that at my weight he felt that surgery would be difficult because of the size of the laproscopic/robotic surgical instruments and the difficulty of the instruments being able to penetrate through my stomach and... Read moreChevron

Urethral Strictures and Reconstruction

Dear Dr. Motola:   My husband is experiencing problems urinating: pain, blood, pressure, etc. The urologist indicated that his urethra is being blocked by strictures or scar tissue from radiation treatment for prostate cancer. He has had two cystoscopies within a month and a half to stretch the urethra. His last one was this past week... Read moreChevron

Painful Burning after Ejaculation?

Dear Dr. Motola:   I am 62 years old. In August of 2007 I had PVP surgery after suffering for 9 years with symtoms of an enlarged prostate. The operation was successful. My stream is strong and I get up only once at night to urinate. I got my life back. I don't have "urgency" issues and kayak, travel and basically enjoy life. I experienced... Read moreChevron

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