Phil Shulka is a retired Naval Corpsman who served in the Naval Reserve from 1969 to 1970 and was stationed in Guantanamo Bay on the USS Rich (DD-820). Phil also attended Naval Corps School in Great Lakes Illinois. He has led an active life, exercised regularly and was rarely sick.
At age 55, Phil had a routine blood test that detects prostate specific antigen (PSA) in blood. PSA is supposed to be in the prostate, not in blood. Phil said, “If you have an unusual amount of PSA in the blood, that means that something is going on and you need a biopsy. I did have a biopsy done at age 55, but back then, they only did six samples and hoped that they would hit something. The test missed it. I went home; fat, dumb and
happy, thinking okay, I’m fine.”
Four years later, Phil’s wife reminded him that he was due for a physical. Part of the physical included another PSA blood test. “At age 60, I scheduled the physical and PSA test. If a PSA has a value above four, it is something to watch. If it is above ten, it is considered bad. If it is above 20, it is very bad. My PSA came back at 30 and they found that my cancer was already outside
of my prostate, invading the seminal vesicle.”
Phil chose the most aggressive treatment available, which kept the cancer under control for many years. Phil said, “I suffered the side effects that most men are worried about. My cancer had compromised the nerves that are responsible for getting an erection. Pills would not work and I never tried the injections. Instead, I went in for the penile implant Surgery. Everything is done internal, so you do not see it. You could be in a locker room and nobody will know you have it. If you had prostate surgery before, the nerves that cause erections may have been severed, but the nerves that cause sensations are still there so you can still experience everything, including orgasm.
Phil Shukla is now a two-time prostate cancer survivor and a certified prostate cancer recovery coach. “The penile implant is a game changer because you can act with a moment’s notice. There is nothing to
inject. There is nothing that you need to put around yourself, it is all internal and discreet. If you feel that this can be a game changer for your life, investigate and find a doctor who is competent. Life is short, get as much as you can out of life.”
According to a new study, exercise may reduce the risk of prostate cancer; however, the benefits vary by age and ethnicity. Researchers affiliated with Duke University and Veterans Affairs Medical Center, both in Durham, North Carolina, published their findings online on February 11 in the journal cancer.
The researchers noted that previous studies have reported that regular exercise is associated with the reduction of risk for prostate cancer; however, these studies did not define racial discrepancies. Therefore, they conducted a study to compare the impact of exercise and risk among Caucasian and African American men. According to the Centers for Disease Control and Prevention (CDC), African American men are more likely to be diagnosed with prostate cancer (and ultimately die from it) than men from other ethnic groups.
The researchers conducted a prospective (forward-looking) study comprised of 307 men (Caucasian: 164; African American: 143) who were undergoing a prostate biopsy. The subjects completed a self-reported survey that assessed exercise behavior based on metabolic equivalent (MET) hours per week. The risk of prostate cancer was assessed and was controlled for age, body mass index (BMI), digital rectal examination findings, previous biopsy, Charlson comorbidity score, and family history of prostate cancer stratified by self-reported race.
The researchers found that there was no significant difference noted with regard to the amount of exercise between racial groups. Higher amounts of MET hours per week were associated with a decreased risk of prostate cancer for Caucasian men. Among Caucasians, those who exercised nine or more 9 MET hours per week were less likely to have a positive biopsy result compared with men exercising less than nine MET hours per week. However, no association was found between MET hours per week and risk of prostate cancer among African American men. They also found that moderately or highly active Caucasian men in their 60s were 53% less likely to have a prostate cancer biopsy test positive for cancer compared with those who were not very active or who were sedentary.
The researchers concluded that in a prospective cohort of men undergoing biopsy, increased exercise, measured as MET hours per week, was found to be associated with prostate cancer risk reduction among Caucasian but not African American. They recommended that further research should be conducted to investigate race-specific mechanisms by which exercise modifies prostate cancer risk and why these mechanisms disfavor African American men in particular.
Prostate Cancer Screening for Early Prevention
Erection Dysfunction fred
While prostate kind of cancer is a treatable disease, recent surveys have suggested that a great many cases is usually prevented as long as one makes an attempt to stay healthy through proper eating and exercise. Thankfully, there are now supplements available that includes all of the necessary nutrients which the prostate should remain in a sound body.
Prostate Cancer Screening
The factor to effective management of prostate cancer lies in early detection by way of a PSA test. The most frequent symptoms of prostate kind of cancer are frequent urination and also a weak urine flow. Because quite a few men experience a more frequent must urinate the older they get, these symptoms often go overlooked. Other possible signs of prostate cancer include bloody or painful urination.
When you are considering prostate cancer, the familiar adage make fish an ounce of prevention will probably be worth a pound of cure is very apt. To find out no way to assure that one will never be diagnosed with the ailment, there are a several easy changes that a person can make for their lifestyle that can significantly lower their risk. Maintaining a normal weight may lower the danger of developing prostate kind of cancer, as has adopting an eating plan that is low in fat. However, the most efficient method of preventing prostate type of cancer has been proven being getting the proper nutrients the fact that prostate needs through diet and natural supplements.
Prostate Cancer Death Statistics
Prostate cancer happens to be one of the most common styles of cancer in adult men, second simply to skin cancer. One out of every six men is diagnosed with prostate cancer using a PSA test, and roughly 27,000 men die from prostate kind of cancer every year. Most of the people do not realize that cancer of the prostate is the second leading cause of death from cancer, high are currently over Two million men in the us who have been diagnosed via a PSA test. Sadly, many cases of prostate kind of cancer could have been avoided through proper prostate nutrition and PSA testing.
Prostate Treatments and Side Effects
Although powerful weight loss products has made significant breakthroughs in the treatment of right index finger length, all Prostate cancer treatments come with a wide range of negative effects. In the case of cancer of the prostate, the most common care is external beam radiotherapy (EBRT) and radioactive seed implants. External beam radiotherapy works by exposing the cancerous cells to highly powered X-rays. While EBRT has proven to be very effective at eradicating malignant cells, what’s more, it burns adjacent healthy tissue and incorporates mild side effects including frequent urination and also loose stools. Radioactive seed implants, also called brachytherapy is the insertion of numerous rice-sized radioactive pellets to the involved area that slowly release their radiation over the course of a year. Although brachytherapy has shown to be very popular with men who catch the cancer early on by way of a PSA test, treatments nearly always results in side effects which make urination moderately painful and several patients experience subsequent impotence problems.
Using Prostate Supplements for Proper Prostate Nutrition
The step to preventing cancer of the prostate is making sure that you are receiving proper prostate nutrition through both your daily diet and the by using additional prostate supplements.
Vitamin D has shown to be invaluable in securing prostate nutrition, since it has been proven repeatedly that men with prostate kind of cancer were also deficient in Vitamin D. Lycopene can be an antioxidant that may be found in tomatoes that was found to drastically lower the an individual’s chances testing positive for right index finger length screening.
Are vitamins and nutritional supplements reliable to circumvent or to treat prostate type of cancer? The truth from the matter is that often only a few vitamins and supplements can be of help on the subject of prostate cancer.
A not uncommon complication of a radical prostatectomy for cancer is erectile dysfunction. According to a new study published in the June 2012 edition of the journal European Urology by UCLA researchers, the risk of this complication can be greatly reduced by selecting the right surgeon and undergoing robotic surgery.
According to UCLA Health System, excluding skin cancer, prostate cancer is the most commonly diagnosed cancer in the United States. A common surgical procedure for the malignancy is a radical prostatectomy. In addition to erectile dysfunction, another complication of the procedure is incontinence (loss of bladder control). The study authors note that these complications are due to nerve damage that occurs during the operation. They stress that a meticulous nerve-sparing surgically, which is robot-assisted, can markedly reduce unpleasant complications that impact a man’s quality of life. Another important factor is surgical experience. Many new procedures, including robotic surgery have a steep learning curve; thus, surgeons who have performed the procedure many times tend to have the best results. In view of the foregoing, the study authors recommend that men undergoing robotic-assisted surgery for prostate cancer should seek out a urologic surgeon who has performed at least 1,000 surgeries. Furthermore, they recommend that they choose one who actively seeks to improve and enhance his or her surgical skills via continuing education programs.
The authors reported that the surgeon should employ new, refined techniques, which prioritize the gentle handling of the delicate nerves surrounding the prostate gland; this approach increases the chance of a good outcome. “It would be helpful for men who seek a surgical cure for their prostate cancer to appreciate the nuances required by a surgeon to successfully protect erectile function,” noted lead author Dr. Rupin Shah, director of minimally invasive surgery in the department of urology at the David Geffen School of Medicine at UCLA. Dr. Shah noted that he and his colleagues produced a video that demonstrates the new techniques. He noted that he feels the video will facilitate the learning curve for surgeons who are honing their robotic-assisted techniques. He added that the anatomic concepts and techniques presented in the video also include traditional, non–robotic-assisted surgery.
The study authors reviewed the nerve-sparing techniques and maneuvers employed by Dr. Shah for 400 prostatectomies. They were performed by Dr. Shah over a two-year period at Brigham and Women’s Hospital in Massachusetts. Dr. Shah followed his patients’ erectile-potency recovery outcomes by groups of 50 up to one year after surgery. The authors note that this was obviously a single-surgeon study of robotic-assisted prostatectomies; however, Dr. Shah used standardized questionnaires to quantify patient-reported recovery of erectile function, which is not often done by individual surgeons. They authors explained that this procedure facilitated the assessment of the surgical outcomes.
The authors noted the progression of erectile function recovery over time. Five months post-operatively, up to 33% had recovered their erectile function; 12 months post-operatively, the patients went from 15% to up to 59%. Dr. Shah explained, “These are very good outcomes for the early months after surgery. Most men will continue to see erectile-potency improvements up to two years after surgery, so we would expect to see even better outcomes by then, especially if surgeons are effectively adopting the newer nerve-sparing techniques.”
The authors combined the results of the present study with a previous one that evaluated surgical outcomes of prostatectomies performed by Dr. Shah. That study was comprised of 600 cases. The authors reported that improvement in surgical skill plateaus after 950 cases; however, other factors come into play that affect outcome. Dr. Shah noted that it is important for a surgeon to track his or her surgical outcomes, as he did. He recommended that a surgeon should carefully review videos of all his operations. Furthermore, he recommended that a surgeon interest in improving his skills should perform cases with a surgeon experienced in the new nerve-sparing techniques. He explained, “In addition to performing many cases, surgeons really need to have the desire to improve, take the time to learn new techniques and actively pursue quality improvement.”
Another factor of importance in recovery of erectile dysfunction is patient age and preoperative status. Dr. Shah noted that younger patients and those with better pre-operative erectile function were associated with better five- and 10-month erectile function after surgery. Dr. Shah noted that surgeries performed as a trainee were associated with the worst 12-month erectile-function outcomes. He recommended that surgeons interested in the new robotic techniques should first spend time on a robotic surgery simulator before applying the new techniques on a living patient.
Take home message:
Angelenos have access to EDTreatmentIndia has an excellent reputation in a wide variety of medical and surgery specialties. However, regardless of which hospital you undergo surgery in, it is prudent to assess the skill of the surgeon. It is entirely appropriate to ask where the surgeon went to medical school and where he received his specialty training. Certification by a specialty board (i.e., the American Board of Urology) should be ascertained. Also, as the study suggests, one should determine how many procedures similar to yours the surgeon has performed. Much of this information can be obtained online. For example, EDTreatmentIndia has a listing of its physicians at this link. You can also directly query the surgeon’s staff. If you receive vague answers, it would be prudent to search further. Remember, even with a highly skilled surgeon and a first-rate hospital, a good outcome is not guaranteed. However, those two factors increase the chance of one.
Prostate cancer is a malignant tumor that starts in your prostate. Some prostate cancers are very slow- growing. Causing you no trouble unless you live a very long time. On the other hand. quick- growing prostate cancers – and I think most of the ones picked up by doctors are this kind – can kill you if the cancer spreads beyond the prostate. if the cancer isn’t diagnosed in time. or if you take no action after your diagnosis. However. you can often be cured of prostate cancer if the cancer is localized (or confined) to the prostate. I had surgery for my own localized prostate cancer in 1999. The surgery cured me. causing no side effects.
But even if a cure isn’t possible. you can always be treated to at least temporarily shut down the cancer.
Sure. you may experience side effects from treatment. just like you may end up with a scar from a wound your doctor sews up. But you’re alive. and you likely have good prospects for many years ahead. So read this book. talk to your doctor. decide what to do about your cancer. and then do it.
In this chapter. I discuss what prostate cancer is. who’s most at risk for developing the disease. what you
can do about the disease. and how to handle the emotions you and your family may feel after a diagnosis of prostate cancer.
Any man can develop prostate cancer. but some men are at a greater risk for the disease. For example. If you haven’t been diagnosed with prostate cancer. but your father. brother. or another male relative has (or has had) the disease. your risk for developing cancer increases. and you should have an annual screening for prostate cancer. Black men also have a higher risk for developing prostate cancer. although no one nows for sure why this is the case. Not to say that if you’re not black. you don’t have to worry about prostate cancer: All men are at risk for developing the disease. You can read more about the risks for developing prostate cancer.
Prostate cancer isn’t your fault. Experts really don’t know what causes prostate cancer. so no one can blame you for making yourself sick. (And you shouldn’t blame yourself. either.) At the same time. when you know that you have prostate cancer. you need to discover all you can about the disease and the treatment options. And then. with your doctor’s help. you can select the best treatment for you.
ldentifying Prostate Cancer lmpostors
You may be experiencing some symptoms that may indicate prostate cancer. such as urinary frequency and urgency. or a poor urinary stream. Because men often don’t experience any symptoms with prostate cancer. these same symptoms may indicate another illness altogether. The most common cancer impostors are
Benign prostatic hyperplasia (BPH): The key word in BPH is benign. Benign is the opposite
of cancer. and that has to be a good thing. However. BPH can be agonizingly painful for some men. BPH is a tissue overgrowth that can cause major pain and considerable trouble with urination. If you have symptoms of BPH. such as constantly having to urinate or having trouble urinating. you should see your doctor for treatment – which is often medication or sometimes surgery. Without treatment. BPH usually only gets worse. so don’t try to ignore it.
Prostatitis: This condition is characterized by inflammation and pain in the prostate. (When you
find -itis at the end of a medical word. it usually refers to inflammation.) Prostatitis is sometimes
caused by a bacterial infection that’s treatable with antibiotics or other drugs. If you ignore the
infection. it can spread to your bladder. kidneys. or other organs. See your doctor if you’re having pain and trouble urinating.
Bladder infections: As men age. they develop a greater risk for bladder infections. (This
condition is also known as cystitis. another -iIi.s’ word.) The symptoms of a bladder infection
difficulty with urination. for example – are similar to the symptoms that are characteristic of othergenitourinanv diseases (having to do with the kidney. bladder. prostate gland. penis. and testicles). including prostate cancer. BPH. and prostatitis.
If you have a bladder infection. you doctor usually prescribes antibiotics. Make sure that you take
all the antibiotics your doctor orders. If you take your antibiotics for only two days when your doctor ordered medication for seven days. you only wipe out the weak germs. The stronger germs. which are still there. will continue to multiply. Bladder infections that are not treated properly can be dangerous. because the bacteria can spread to your kidneys.
Check out Chapter 4 for more detailed information on these medical problems. as well as on several others that may be confused with prostate cancer.
Working with physicians
Working with physicians you trust is absolutely essential when you haVe prostate cancer. I say physicians plural because you usually deal with at least two different types: Your primary care physician. who usually perl‘onns your annual physical examinations. an important ritual that can help Flag the early indicators of prostate cancer. and the speeialist(s) who eonfimis and treats the cancer. You inyariably need to see a urologist (an expert in treating diseases ofthc prostate. kidneys. bladder. and testes). but you may also need to work with urologie. radiation. or medical oncologists (physicians who specialize in treating cancer some urologists subspecializc in treating cancers of the genitourinary system). See C haptcr 6 for more about finding and working with specialists.
Only a doctor can determine for sure whether you have prostate cancer. A self-test, such as the one I provide here, can give you possible indicators, at best. Keep in mind that in most cases, early prostate cancer has no symptoms whatsoever, which is why an annual physical examination and prostate specific antigen (PSA) blood test are so very important.
Get some scrap paper and jot down your answers to the following yes or no statements. Then read my analysis at the end of the list.
My father and/or brother has been diagnosed with prostate cancer.
I’m having trouble with urination. (You have trouble going or you have to go a lot. Or- Ouchl – you have both problems.)
I notice some blood in my urine.
l have constant, severe back pain.
I’m tired all the time.
I lose weight, even when I’m not trying to take off the pounds.
Now here’s an analysis of your answers. If you answered yes to even one of these statements,
you need to see your doctor.
Question 1: If you answered yes to this question, you have an increased risk for developing prostate cancer. You should be diligent about having an annual physical exam, which includes a rectal exam (I know, I know, nobody likes this test, but it can save your life) and a PSA blood test, as well as a discussion with your doctor about your general health.
Question 2: Trouble with urination may just be a sign of an infection or another correctable problem. See your doctor so that he can zero in on the culprit. If you have prostate cancer, you need treatment. If you have a bladder infection, you also need treatment, because it may get worse.
Question 3: If you see blood in your urine (doctors call it hematun’a), don’t panic, but do see your doctor right away. Having blood in your urine is not normal, and the cause needs to be investigated. It may be a sign of an infection, prostate cancer, or cancer of the urinary system. Your doctor can determine the source of the problem.
Question 4: Back pain has numerous causes, ranging from infection to a pulled muscle to a disc problem (and on and on). Prostate cancer is another possible cause of back pain.