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The Prostate: A Guide for Men and the Women Who Love Them

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  • Anonymous

    Posted March 9, 2009

    Prostrate Research Before Operation

    The book provide a wealth of information for me prior to having a procedure done for prostrate cancer. Answered a lot of questions for me. Easy to understand.

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  • Anonymous

    Posted July 18, 2001

    Excellent Medical Overview

    Prostate cancer is the second killer of men in the US apart from skin cancer. Dr. Walsh deserves plaudits for his poineering work in prostate surgery that while removimg the cancerous prostate prevents impotence and incontince. In some respects the book is overly technical but that does not distract from his point that we need to be mindful of the possibility of prostate porblems and be screened at least once a year. This screening would include a physical with DRE and the PSA test. The PSA test remains controversial but is still the best measure for suggesting that further evaluation of the prostate by a urologist is a prudent course of action when the PSA level is above normal (4.0). I can speak first hand on this matter. I'm 49 and during a recent physical my PSA was found to be 5.4. I was referred to a urologist who did a needle biopsy. The test results were thankfully negative (about 70-percent of all prostate biopsies are negative)but Dr. Walsh's book gave me no peace on this. Unlike other cancers porstate cancers do not 'lump', instead they spread out like thin sheet of plankton floating on the ocean. Even if your biopsy is negative he recommends having the PSA tested every six months--my family physican and I are opting for every three months. Dr. Walsh while supporting PSA screening points out some problems with the test. There are cases where men with a PSA of 2.0 have had cancer and men with 17.5 have no cancer present even in the face of repeated biopsies. This doesn't make the test unrelaible, it just means further evaluation is necessary in conjunction with the PSA. If you buy this book expecting it to tell you how to lower your PSA or prevent cancer with diet,exercise and natural treatments like Saw Palmetto, don't waste your money--this book is written by a medical doctor and he only states known medical facts. There are a number of other good books and articles available on prevention. This book also details the treatment options when the biopsy is positive. The main point is early detection means the disease is curable--so get that annual check-up with the PSA test--it may just save your life--I hope that it does!

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