Prostate Expert Jay Motola shares Prostate management news and commentary at ProstateCommons.com. The HealthCentral Network, Inc. (www.HealthCentral.com) is one of the top health destinations on the Web, with more than 35 condition-specific, wellness and general health Web properties. http://www.healthcentral.com/prostate/c/95 http://www.healthcentral.com/prostate/c/95/rss self application/xml en-us 15 120 19 http://www.healthcentral.com/images/hc_logo_sm.gif http://www.healthcentral.com/prostate/c/95 http://www.healthcentral.com/prostate/c/95/75995/scarring-bladder Wed, 24 Jun 2009 15:00:00 -0400 Jay Motola Dear Dr. Motola:   I have scaring in my bladder neck after prostate removal. I have had this scarring removed 2 times in the last 2 years. I have been inserting a catheter daily for the past 11 months to help prevention. I am scheduled for scar tissue removal for a third time next month. What, if anything, can be done to prevent scar tissue from returning?   Bladder neck scarring after radical prostatectomy can be extremely... http://www.healthcentral.com/prostate/c/95/75995/scarring-bladder http://www.healthcentral.com/prostate/c/95/71949/aiding-cure-prostate Tue, 26 May 2009 11:13:00 -0400 Jay Motola Dear Dr. Motola,   What is the best diet for aiding in the cure of prostate cancer? I know about avoiding red meat and processed foods and increasing omega-3's as in fish. But is pasta ok? Also, I have heard that there seems to be a more extreme approach through a macrobiotic approach which might have more success in affecting a positive result of curing the cancer. Have you heard of this? Can you give some guidance? There is no... http://www.healthcentral.com/prostate/c/95/71949/aiding-cure-prostate http://www.healthcentral.com/prostate/c/95/69352/differences-avodart Fri, 01 May 2009 14:22:00 -0400 Jay Motola Dear Dr. Motola, What are the differences between Flomax, Uroxatral, and Avodart?     Flomax and Uroxatral are both drugs that are alpha-bockers. These drugs help to relax muscle fibers that squeeze the prostate. By relaxing these muscle fibers, the flow of urine will improve, your bladder should empty more effectively and urinary frequency should decrease. Avodart is a 5-alpha reductase inhibitor. Its effect on the prostate... http://www.healthcentral.com/prostate/c/95/69352/differences-avodart http://www.healthcentral.com/prostate/c/95/64902/psa-testing-changed Fri, 27 Mar 2009 16:17:00 -0400 Jay Motola 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 Colorectal, and Ovarian (PLCO) Cancer Screening Trial looked at nearly 77,000 men in 10 medical... http://www.healthcentral.com/prostate/c/95/64902/psa-testing-changed http://www.healthcentral.com/prostate/c/95/59952/activity-psa-elevate Wed, 18 Feb 2009 12:02:00 -0500 Jay Motola 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 studies suggest that sexual activity will not cause a rise.  Repeating the PSA after 3 days of... http://www.healthcentral.com/prostate/c/95/59952/activity-psa-elevate http://www.healthcentral.com/prostate/c/95/54505/prostate-surgery Mon, 05 Jan 2009 10:22:00 -0500 Jay Motola 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 reach the prostate area. Are there any facilities that have larger surgical instruments designed for... http://www.healthcentral.com/prostate/c/95/54505/prostate-surgery http://www.healthcentral.com/prostate/c/95/50194/reconstruction Tue, 25 Nov 2008 12:10:00 -0500 Jay Motola 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 and the urologist left a catheter in place until tomorrow (6 days) in hopes that would help keep the... http://www.healthcentral.com/prostate/c/95/50194/reconstruction http://www.healthcentral.com/prostate/c/95/47366/burning-ejaculation Mon, 03 Nov 2008 14:50:00 -0500 Jay Motola 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 many of the common post-op complications, including the need for catheterization several days after... http://www.healthcentral.com/prostate/c/95/47366/burning-ejaculation http://www.healthcentral.com/prostate/c/95/45555/prostate-cancer-psa Mon, 20 Oct 2008 14:01:00 -0400 Jay Motola Dear Dr. Motola, Can you still have bone pain even if your PSA is 0 and you are on Lupron?     With a PSA of 0 while being maintained on Lupron it is not likely to have bone pain from metastatic prostate cancer. Bone pain can be multifactorial and may not be related to prostate cancer. If you previously had metastatic disease to the bone, it is possible that this could be the source of your pain. An MRI or bone scan would be a... http://www.healthcentral.com/prostate/c/95/45555/prostate-cancer-psa http://www.healthcentral.com/prostate/c/95/43697/intercourse-prostate Mon, 06 Oct 2008 12:42:00 -0400 Jay Motola Dear Dr. Motoloa, Can anal intercourse harm an enlarged prostate?     The physical act of anal intercourse should not theoretically have any harm on the prostate. The act of anal intercourse can cause some minor trauma to the prostate that could result in hematospermia (blood in the semen). However this is usually self limited and should be of no concern. http://www.healthcentral.com/prostate/c/95/43697/intercourse-prostate