Calcium and vitamin D supplement

Our large practice urology group has partnered with theralogix, a vitamin company to offer patients products that have been shown in study to help with various conditions.

Prosteon is a bone health supplement for men undergoing Androgen Deprivation Therapy (hormone therapy), or for anyone looking to support their bone health.

It can be ordered through:

Prosteon Bone Health Supplement (90 day supply)

My PRC number for a discount is: 58143

TheraCran One Cranberry Capsules

Our large practice urology group has partnered with theralogix, a vitamin company to offer patients products that have been shown in study to help with various conditions.

TheraCran One Cranberry Capsules is a high-potency cranberry extract with 36 mg of proanthocyanidins (PACs) per capsule, to promote normal urinary tract health.

You can find more information and ordered it through:

TheraCran One Cranberry Capsules

My PRC number for a discount is: 58143

Prostate PQ for urinary health

Our large practice urology group has partnered with theralogix, a vitamin company to offer patients products that have been shown in study to help with various conditions.

Prostate PQ is a rye grass flower pollen extract and quercetin supplement formulated to support prostate health and normal urinary tract function in men.

It can be ordered through:

Prostate PQ pollen extract supplement

My PRC number for a discount is: 58143

 

Saw palmetto vitamin

15 Jul 2018 BPH ,

Our large practice urology group has partnered with theralogix, a vitamin company to offer patients products that have been shown in study to help with various conditions.

Prostate SR is a pharmaceutical-grade saw palmetto extract and phytosterol blend (beta-sitosterol), designed to promote normal urinary tract function in men.

You can find more information and ordered it through:

Prostate SR Saw palmetto extract

My PRC number for a discount is: 58143

 

Vitamins for prostate health

Our large practice urology group has partnered with theralogix, a vitamin company to offer patients products that have been shown in study to help with various conditions.
Prostate 2.4 is designed to support normal cell-growth in the prostate and maintain healthy prostate tissue.
You can find more information and ordered it through:
My PRC number for a discount is: 58143

‘End of Controversy’: Robotic Prostatectomy Is Winner

A new national database study shows that the high-tech approach improves oncologic outcomes; this prompted a grand declaration from an expert.

Source: ‘End of Controversy’: Robotic Prostatectomy Is Winner

“Robotic prostatectomy has superior or at least equal oncologic efficacy and complication rates compared to open prostatectomy,” writes Michael O. Koch, MD, from the Indiana University School of Medicine in Indianapolis. “I believe the most current literature supports that view and this debate should finally be put to rest.”

This is Medscape’s summary of an editorial that my mentor at Indiana, wrote comparing open and robotic surgery for prostate cancer.  He has performed thousands of operations with both techniques and points out how robotic surgery does cost more, although only about $2000 more at high volume centers.

I first switched to robotic prostatectomy in 2004 and these conclusions were apparent to many surgeons that adopted and became proficient with robotic prostatectomy over a decade ago.

Prostate Cancer Risk Lower in Men Who Ejaculate More – Renal and Urology News

The protective effect of frequent intercourse is strongest for low-risk prostate cancer.

An ejaculation frequency of 21 or more times per month at age 20–29 years and 40–49 years is associated with a significant 19% and 22% decreased risk of a PCa diagnosis, respectively, compared with a frequency of 4–7 times per month in adjusted analyses, Jennifer R. Rider, MD, of the Boston University School of Public Health, and colleagues reported. In addition, results showed that ejaculation frequency at age 20–29 years was significantly associated with intermediate-risk PCa. Men in this age group who had 13 or more ejaculations per month experienced a significant 27% reduction in the risk of a diagnosis of intermediate-risk PCa compared with those who had 4–7 ejaculations per month. Ejaculation frequency was not significantly associated with a diagnosis of high-risk PCa or regional/distant metastases, according to the investigators.

Source: Prostate Cancer Risk Lower in Men Who Ejaculate More – Renal and Urology News

Men often ask me about the effects of sexual activity on prostate cancer. This study shows that more frequent relations help prevent prostate cancer.  The amount of activity needed to have this benefit seems high to me.  Being active more than 2 of 3 days is much more than most men are currently experiencing.

I will need to add this to the list of things I tell men about how to stay healthy.

Readmission Due to Infection After Bladder Surgery Linked to Smoking

Current smoking is independently associated with a greater than 2-fold increased odds of hospital readmission after radical cystectomy.

Infectious complications account for almost half of the readmissions following radical cystectomy (RC), and the risk for these complications is linked to current smoking, according to a new study.

Source: Readmission Due to Infection After Bladder Surgery Linked to Smoking

This study pertains to patients undergoing a radical cystectomy for bladder cancer.  It looked at data from their institution that is collected for quality purposes.  We have seen similar trends in infections related to smoking at our facility.  We have also seen poor diabetic control as a large factor in preventing postoperative complications including infections.

Patients and their physicians should keep this in mind if they are to have a surgical procedure.  If smokers can quit prior to their procedure it will help them have a safer recovery and patients should try to have the best control of their sugars if they have diabetes.

Simpler Prostate Cancer Grading System Proposed

Tumors fall into 1 of 5 grade groups based on what pathologic findings indicate about prognosis.

Source: Simpler Prostate Cancer Grading System Proposed

I have been counseling men with prostate cancer on their treatment options for many years.  One of the most difficult parts of diagnosing prostate cancer is explaining to the patient and family what his “cancer” means.  I have started with the most important prognostic factors of gleason score and PSA to explain how their prostate cancer is compared to other men.

I’ve explained how the cancer scoring system goes from gleason 2 to 10, but really the least aggressive cancers have a gleason score of 6.  There have been less than a handful of patients that have been diagnosed with a score of 5 in my career.  For the thousands of men that I have counseled, I used to translate their gleason score from 1-4 with a 6 translating to a 1 and a 7 to either a 2 or 3.  Fortunately the urology field is adapting a similar scoring system.

The new grading system simplifies the scoring to a scale of 1-5, with 1 being the least aggressive and 5 the most aggressive.  The old gleason 7 was made of of 2 types, a less aggressive 3+4 and a more aggressive 4+3.  This should help men and their loved ones better understand the type of prostate cancer they have.

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