Penile Implants – The Options, The Pros and the Cons of the Different Designs

There are a few things you should know about penile implants if you are considering having one to treat your erectile dysfunction. First you should know that there are actually two different types of implants available, inflatable implants and semi-rigid rods.  The inflatable implants have two different design options; they come in either a two- [...]

Prior Radiation Exposure Should Not Effect The Outcomes Derived From The Implantation Of An Artificial Urinary Sphincter

The possibility of having incontinence as a side effect from all of the primary prostate cancer treatments is significant. Incontinence is not an either or thing as the degree of incontinence varies from individual to individual. Those men having significant levels of inconvenience find that their quality of life is significantly damaged in some cases [...]

Side Effects and Toxicity in a Multi-modality Approach Post Radical Prostatectomy with Radiation and ADT

The optimal use and timing of secondary therapy after radical prostatectomy remains controversial despite some new findings supporting the advantages of using aggressive combined secondary therapies was presented at the most recent ASCO GU conference in San Francisco. There are limited data on the patient-reported outcomes following multimodality therapy. Given the move towards increasing combination [...]

Comparing the Morbidity of HIFU to CYRO After Failed Radiation Therapy

Currently, there are a number of different treatments used to treat recurrent prostate cancer when the primary treatment had radiation has failed. In this situation surgery is considered very difficult and can only be successfully performed by an experienced surgeon, so alternative treatments are often considered. Long-term data about the success of these alternative treatments [...]

Perioperative Complications following Artificial Urinary Sphincter Placement After Prostate Cancer Surgery

Urinary incontinence post-prostatectomy is a too common complaint from men. Although the actual degree of incontinence suffered ranges from being minor, or a simple and small amount of post urination dribble, to a complete and total inability to control any urine flow, the most bothersome issues that significantly affects a man’s quality of life (QoL) [...]

AdVance Transobturator Male Sling for Post-Prostatectomy Incontinence – A Retrospective Study of Its Efficacy *

One of the more difficult problems faced by some men treated with surgery as their primary treatment modality is post-prostatectomy incontinence (PPI). PPI can affect the quality of life for both men successfully treated as well as those who go on and eventually develop advanced prostate cancer. One of the more common, but last efforts [...]

The Well Reviewed Guide to Advanced Prostate Cancer (A Survivor Perspective) Has Been Updated and is Now Available for a free Download

Somehow I have been negligent and not let people know that I have written and posted a major update of my “Guide to Advanced Prostate Cancer.” As in the past, it is available as a free download from the Malecare web site. Helping me to update the book was prostate cancer survivor Craig Pynn and [...]

ProACT™ for Male Stress Urinary Incontinence – A possible Alternative Outside The United States

Prostate surgery can damage the muscle surrounding the bladder and the urethra causing incontinence. The damage to the muscles can cause problems ranging from occasional or continuous dribbling, uncontrolled urine leaks or even the total loss of any urine control. Not nearly as serious, but still an announce is the occasional accidental urine leaks accompanied [...]

Bone-Anchored Sling for Male Stress Urinary Incontinence: Assessment of Complications

Researchers at the Department of Urology, University of Michigan, Ann Arbor, Michigan evaluated the complications associated with the male bone-anchored sling (BAS) to determine the appropriate preoperative counseling for men considering surgery. The BAS is a surgical option for the treatment of stress urinary incontinence (SUI) due to intrinsic sphincter deficiency. The researchers  reviewed 119 [...]

To Cure Urinary Incontinence: An Artifical Sphincter is Better than A Sling

Urinary incontinence is a common problem suffered by many of us post both surgery and radiation therapy for prostate cancer. The degree of incontinence varies from no problem all the way to having no control of the urinary function. Men having surgery find that as time progresses post treatment, they do regain levels of urinary [...]