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/95/102675/protect-prostate Thu, 28 Jan 2010 13:35:00 -0500 Jay Motola Another year is upon us. It's time to make that another New Years resolution or two. So how about dedicating this one to doing something good for health.   1. Address the symptoms - You know your body better than anyone else. If something is bothering you or just doesn't appear as it previously had , before it becomes a large problem, seek medical attention.   2. Begin monthly testicular self examination - Women have been Doing... http://www.healthcentral.com/prostate/c/95/102675/protect-prostate http://www.healthcentral.com/prostate/c/95/82499/ejaculation-surgery Sat, 12 Dec 2009 15:47:00 -0500 Jay Motola Dear Dr. Motola: After having very successful Green Light PVP surgery, I do not ejaculate. I was told that about 33% of men can still ejaculate normally after this procedure. Why can 33% still ejaculate and the rest not? (I know that the semen goes backwards in cases like mine).     Approximately 1/3 of patients are able to ejaculate after a Green Light PVP, with the remaining patients demonstrating either retrograde or no... http://www.healthcentral.com/prostate/c/95/82499/ejaculation-surgery http://www.healthcentral.com/prostate/c/95/80323/perform-prostate Tue, 28 Jul 2009 12:10:00 -0400 Jay Motola Dear Dr. Motola,   Is is possible to perform a self exam of the prostate and if so, how can it be done?     It is possible to perform a self-exam, however the subtle differences in the consistency of the prostate that are indicative of prostate malignancy would be best appreciated by a trained professional. Prostate cancer has a characteristic feeling on digital exam, and until you have felt this repeatedly, you will not be... http://www.healthcentral.com/prostate/c/95/80323/perform-prostate 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