The Complete Prostate Book

What Every Man Needs To Know

By: J. Stephen Jones

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Paperback | 5 August 2005 | Edition Number 1

At a Glance

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425 Pages

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22.86 x 15.24 x 1.27

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"" U]rologist Jones (Cleveland Clinic Fdn. Urological Inst.) thoroughly and clearly demystifies prostate anatomy and function as well as abnormalities ranging from common annoyances to the most devastating cancerous conditions. In addition, he details the full array of treatments for prostate disorders. The book's goal is well met - to help men make (with their physician) informed prostate health and medical decisions based on their individual risk factors and current medical knowledge. A glossary, notes, and a resource section nicely round out the text." -Library Journal ...a thorough-going guide to a medical condition that any man approaching forty or older can encounter. The prostrate gland is frequently a source of health problems ranging from mild nuisances to life-threatening malignancies. This softcover book provides a complete review and explanation of what the various medical conditions involving this gland represent and the options available to address them." - Bookviews.com "Dr. J. Stephen Jones has provided a compendium of information regarding prostate health and disease that is both easy to read and understandable. If you are a man, or if you are a woman whose partner has a prostate question or problem, reach for this book. You will find the answer." Michael L. Blute, M.D. Chair, Mayo Clinic Department of Urology "Dr. Jones is a world-class urologist in a world-class department in a world-class institution. More importantly, he proves to be a vigorous patient advocate.... If you want to truly educate yourself about the prostate and its diseases and obtain real guidance on decision making from beginning to end, this is the book for you." Richard J. Macchia, MD, FACS Chairperson and SUNY Distinguished Teaching Professor Department of Urology, SUNY Downstate Medical Schoo

Industry Reviews

""[U]rologist Jones (Cleveland Clinic Fdn. Urological Inst.) thoroughly and clearly demystifies prostate anatomy and function as well as abnormalities ranging from common annoyances to the most devastating cancerous conditions. In addition, he details the full array of treatments for prostate disorders. The book's goal is well met - to help men make (with their physician) informed prostate health and medical decisions based on their individual risk factors and current medical knowledge. A glossary, notes, and a resource section nicely round out the text." -Library Journal ...a thorough-going guide to a medical condition that any man approaching forty or older can encounter. The prostrate gland is frequently a source of health problems ranging from mild nuisances to life-threatening malignancies. This softcover book provides a complete review and explanation of what the various medical conditions involving this gland represent and the options available to address them." - Bookviews.com "Dr. J. Stephen Jones has provided a compendium of information regarding prostate health and disease that is both easy to read and understandable. If you are a man, or if you are a woman whose partner has a prostate question or problem, reach for this book. You will find the answer." Michael L. Blute, M.D. Chair, Mayo Clinic Department of Urology "Dr. Jones is a world-class urologist in a world-class department in a world-class institution. More importantly, he proves to be a vigorous patient advocate.... If you want to truly educate yourself about the prostate and its diseases and obtain real guidance on decision making from beginning to end, this is the book for you." Richard J. Macchia, MD, FACS Chairperson and SUNY Distinguished Teaching Professor Department of Urology, SUNY Downstate Medical Schoo

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Acknowledgments	p. 25
Foreword	p. 29
The Basic Prostate
Introduction to the Prostate: What Is It Good For?	p. 35
The "Private Gland"	p. 36
What's in a Name?	p. 36
What's the Problem?	p. 37
Warning for Concrete Thinkers	p. 38
What This Book Will Not Do for You	p. 39
In the Neighborhood: Understanding the Anatomy	p. 41
Inside the Prostate	p. 41
Upstairs Neighbors	p. 43
Neighbors to the North, South, East, and West	p. 44
Downstairs: The Pelvic Floor	p. 44
Urinary Rhabdosphincter: The Doorman	p. 45
In the Yard: The Not-So-Great Santorini	p. 45
Northern Neighbor: The Penis	p. 46
Around the Perimeter	p. 47
Neighbors down the Street	p. 47
Distant Neighbors: Lymph Nodes and Bones	p. 48
Why Does the Neighborhood Matter?	p. 49
Key Points	p. 50
Symptoms: The Prostate and Its Impersonators	p. 51
Urinary Frequency: Too Little, Too Often	p. 53
Urgency: "Gotta Go"	p. 54
Nocturia: Frequency at Night	p. 54
Managing Irritative Symptoms	p. 55
Limiting Fluids	p. 56
Slow Stream	p. 57
Hesitancy, Intermittency, and Strangury	p. 57
Dribbling	p. 58
Urological Bleeding	p. 59
A Pain in the Backside-or Front Side	p. 59
Painful Ejaculation	p. 59
Impotence	p. 60
Symptoms of Prostate Cancer	p. 60
Key Points	p. 60
Getting the Most from a Trip to the Urology Office	p. 61
Getting Ready for the Urology Appointment	p. 62
Checking In: Be Prepared	p. 62
Urinalysis	p. 66
PSA after DRE?	p. 67
Cystoscopy	p. 68
Biopsy and Other Tests	p. 70
Key Points	p. 70
A Tomato a Day Keeps the Urologist Away: Maintaining Prostate Health	p. 71
The Prostate as Part of the Whole: No Prostate Is an Island	p. 71
Smoking	p. 72
No Easy Answers	p. 73
Diet for a Healthy Prostate	p. 74
Vitamins, Minerals, and Supplements for a Healthy Prostate	p. 75
Medications for a Healthy Prostate	p. 79
Activities for a Healthy Prostate	p. 82
Key Points	p. 83
The Bothersome Prostate
Prostatitis: The Irritated and Irritating Prostate	p. 87
Acute Prostatitis	p. 87
Treating Acute Prostatitis	p. 89
Chronic Prostatitis	p. 90
Prostadynia	p. 91
How Can You Tell?	p. 91
Traditional Diagnostic Methods	p. 92
Prostatitis on Prostate Biopsy	p. 93
How Common Is Prostatitis?	p. 93
Changing Names	p. 94
Stress	p. 94
Grading Prostatitis Symptoms	p. 95
Treating Chronic Prostatitis	p. 97
Treating Prostadynia	p. 97
Prostate Massage and Other Fallacies	p. 100
Charlatans and Quacks	p. 101
Hope: Moving On beyond the Prostate	p. 102
Why Not Just Give Everyone Antibiotics?	p. 103
Key Points	p. 103
Benign Prostatic Hyperplasia (BPH): The Annoying Prostate	p. 105
The Problem	p. 106
What's in a Name?	p. 106
Size Matters-but Not as Much as You Think	p. 107
So Why All the Noise about "Enlargement"?	p. 109
Why Obstruction Matters	p. 110
What Actually Happens?	p. 111
Lessons from Doughnuts	p. 113
Why Are Symptoms Different for Different People?	p. 113
Urinary Retention: Foiled by Physics	p. 115
Setups for Urinary Retention	p. 116
"My Hemorrhoids Saved My Life"	p. 116
Making the Diagnosis	p. 118
The American Urological Association (AUA) Symptom Index for BPH	p. 119
Testing for BPH: Uroflowmetry	p. 120
Residual Volume Measurement: The Bladder Scan	p. 120
Urodynamics	p. 122
Time to Treat	p. 123
Key Points	p. 123
Treating BPH	p. 125
Watchful Waiting: The Simplest Approach	p. 125
Behavioral Changes	p. 126
Treating BPH: Alpha Blockers	p. 127
Options for Alpha Blockade	p. 128
How to Take Alpha Blockers	p. 129
Two Birds with One Stone	p. 130
Shrinking the Prostate: 5-Alpha Reductase Inhibitors	p. 132
Other Benefits	p. 133
Dutasteride: Blocking Two Receptors	p. 133
Which Is Better: Alpha Blockers or 5-Alpha Reductase Inhibitors?	p. 133
What about Taking Both?	p. 134
Complementary Medicine	p. 134
Minimally Invasive Treatment of LUTS	p. 135
TUNA	p. 137
Microwave Therapy	p. 138
Lasers	p. 139
Disadvantages of Laser Therapy	p. 140
TURP: The Gold Standard	p. 141
Why Not a TURP for Everyone with BPH?	p. 141
Transurethral Resection In Saline: TURIS	p. 143
Transurethral Incision of Prostate: TUIP	p. 144
Open Prostatectomy	p. 144
Dealing with Complications of BPH Treatment	p. 145
Urinary Retention	p. 145
Medical Management of Urinary Retention	p. 146
Why Don't Symptoms Always Go Away with Treatment?	p. 147
Neuromodulation	p. 148
Less Favored Options	p. 148
The Pilot Chooses Laser Surgery	p. 149
Key Points	p. 149
The Dangerous Prostate
Prostate Cancer Overview	p. 153
Prostate Cancer by the Numbers	p. 153
Prostate Cancer: Two Diseases	p. 154
Prostate Cancer: Two Different Situations	p. 156
Unequal Opportunity	p. 156
Aging and Prostate Cancer	p. 157
When Does Prostate Cancer Begin?	p. 158
How Does Prostate Cancer Occur?	p. 158
Genetic versus Sporadic Prostate Cancer	p. 159
Key Points	p. 160
Causes of Prostate Cancer: A Road to Prevention?	p. 161
Looking for Causes-It's Complex	p. 162
The Big Three Risks	p. 162
Racial Differences in Prostate Cancer	p. 165
Still No Easy Answers	p. 166
Less Clear Factors	p. 166
Issues That Do Not Cause Prostate Cancer	p. 169
The Good News?	p. 171
Potential Unforeseen Benefits to Prevention	p. 171
Summary	p. 172
Key Points	p. 172
Suspecting Prostate Cancer: PSA and Screening	p. 175
PSA: The Best Tumor Marker Known to Modern Medicine	p. 176
Prostate Specific-Not Cancer Specific	p. 176
What PSA Level Is Normal?	p. 177
Rising PSA with Rising Age	p. 178
Be Wary of Percentages: They Are Only Predictors	p. 179
What Are the Percentages?	p. 179
Free Your PSA	p. 180
PSA Density, Velocity, and Other Confusions	p. 181
Making It Even More Complex	p. 182
Like a Pro	p. 183
Who Needs a Biopsy?	p. 184
What Level PSA Assures There Is No Cancer?	p. 185
Screening: The Dilemma	p. 185
Screening versus Early Detection	p. 186
Reasons to Screen	p. 188
How Often to Screen?	p. 190
What about the Warnings about Screening?	p. 191
When to Stop Screening?	p. 192
Tom's Decision	p. 192
Key Points	p. 193
Diagnosing Prostate Cancer: Transrectal Ultrasound and Biopsy	p. 195
What Is a Biopsy?	p. 195
Sticking to the Point: Biopsy	p. 196
Preparing for the Biopsy: Antibiotics and Enemas	p. 197
Blood Thinners	p. 198
Transrectal Ultrasound: Guide to the Biopsy	p. 199
To the Point	p. 202
The More the Merrier?	p. 204
How Many Are Enough?	p. 204
Does Biopsy Hurt? It Depends on Which End of the Needle your're On	p. 205
Managing Complications of Prostate Biopsy	p. 210
After the Biopsy	p. 212
What If Something More Serious Occurs?	p. 212
Can Biopsy Spread Cancer Cells?	p. 213
On the Road to Pathology: What Happens to the Removed Tissue?	p. 213
Drumroll, Please: Getting the News	p. 214
When Cancer Is the Answer: Understanding the Gleason Score	p. 215
What Else Might the Biopsy Show? (Mostly Good News)	p. 215
When the Biopsy Is Negative	p. 218
Repeat Biopsy	p. 219
Time after Time	p. 220
Saturation Biopsy	p. 220
When Do I Quit Worrying?	p. 221
Key Points	p. 223
The Biopsy Shows Cancer	p. 225
Step One: Denial	p. 226
Are You Sure?	p. 226
How Serious Is It? Stage and Grade	p. 227
Understanding Pathological Stage versus Clinical Stage	p. 230
Understanding Grade	p. 230
Other Things the Biopsy Might Tell You	p. 231
Why Do We Hardly Ever See Gleason Scores Lower than Six?	p. 233
Searching for Cancer Spread	p. 234
Why Not Just Do It?	p. 236
When Metastatic Workup Is Indicated	p. 236
Considering Options	p. 241
Where Do I Get Information?	p. 244
Where Do I Get Good Information?	p. 245
Second Opinion	p. 246
Key Points	p. 247
Watchful Waiting and Complementary Medicine: The Simplest Options	p. 249
Does Treatment Actually Prevent Prostate Cancer Death?	p. 250
Candidates for Watchful Waiting	p. 251
Watchful Waiting: Not Blind Ignoring	p. 252
Deferred Therapy	p. 252
Complementary Medicine	p. 253
Alternative or Complementary?	p. 253
No Regulation	p. 255
What Dose Did I Get?	p. 256
PC-SPES: Complementary Therapy Turns Deadly	p. 257
Is There a Role for Complementary Therapy?	p. 258
Key Points	p. 259
Radical Prostatectomy	p. 261
Options to Remove the Prostate	p. 262
Nerve Sparing versus Nonnerve Sparing	p. 263
Other Reasons to Perform Nerve Sparing	p. 265
Nerve Sparing or Cancer Sparing?	p. 266
Sural Nerve Graft	p. 266
Pelvic Lymphadenectomy	p. 267
Radical Retropubic Prostatectomy (RRP)- the Gold Standard	p. 268
Laparoscopic/Robotic Radical Prostatectomy	p. 272
Radical Perineal Prostatectomy	p. 273
How Do I Decide Which Operation?	p. 274
How Do I Choose a Surgeon?	p. 276
Resident Involvement	p. 277
Why Not Just Take Out the Cancerous Part?	p. 278
Preparing for Surgery	p. 279
The Final Countdown	p. 280
Anesthetic Options	p. 280
Blood Issues	p. 281
Methods to Minimize the Chance of Needing a Transfusion	p. 283
Jehovah's Witnesses	p. 283
In the Hospital	p. 284
Catheter Care	p. 284
Beware Catheter Duration Claims	p. 285
Drainage Issues	p. 286
Blood Clots	p. 287
Going Home	p. 287
Bladder Spasms	p. 288
When to Be Concerned	p. 289
The Follow-up Visit	p. 289
Getting the Pathology Report	p. 289
Vanishing Cancer Phenomenon	p. 290
Al's Decision for Surgery	p. 291
Key Points	p. 293
Radiation Therapy: Two Options for One Treatment	p. 295
External Beam Radiation	p. 296
Logistics	p. 296
Measuring Success	p. 297
Success Expected with Radiation	p. 297
Follow-up	p. 299
Side Effects	p. 300
Secondary Malignancy	p. 301
Radiation for Surgical Failures	p. 302
Timing of Salvage Radiotherapy	p. 303
Proton and Neutron Beams	p. 303
Seeds: Brachytherapy	p. 303
The Isotopes	p. 304
PSA: All Over the Map after Brachytherapy	p. 305
Urinary Retention	p. 306
Combination Radiation	p. 307
Improving (or Lessening) the Likelihood of Success	p. 307
Radiation for Bone Metastases	p. 308
Key Points	p. 308
Cryotherapy: Freezing Cancer	p. 309
An Unsavory History Precedes a Hopeful Future	p. 309
How Cryotherapy Works	p. 310
Protecting the Neighborhood	p. 312
The Procedure	p. 312
Who Is a Candidate for Cryotherapy?	p. 313
Success with Cryotherapy	p. 314
Complications	p. 315
Key Points	p. 315
Making the Decision on Localized Prostate Cancer	p. 317
Second Opinions	p. 318
Seeking Advice	p. 318
Wives, Children, and Other Interested Parties	p. 319
How Long Do I Have to Decide?	p. 320
Choices, Choices	p. 320
How Old Is Too Old?	p. 321
The Second Fork in the Road	p. 322
Third Decision Point: Surgery	p. 323
Third Decision Point: Radiation	p. 324
Previous Hernia Surgery: An Unanticipated Problem for Some	p. 324
No Free Rides	p. 325
Nomograms	p. 326
Other Ways to Know How Serious the Cancer Is	p. 327
Doc, What Would You Do If You Were Me?	p. 328
Making the Call	p. 329
No Looking Back	p. 330
Key Points	p. 330
Maintaining Sexual Function	p. 333
The Problem	p. 334
Specifics with Prostate Cancer Patients	p. 335
A Successful Outcome Is at Hand	p. 336
Medications	p. 336
Considering Other Options	p. 338
Making the Choice: The Progressive Treatment Model	p. 342
Successful Outcomes	p. 342
Key Points	p. 343
Dealing with Other Side Effects	p. 345
Incontinence	p. 346
If Incontinence Persists	p. 347
Surgery for Severe Incontinence	p. 348
Bladder Neck Contracture and Stricture	p. 350
Side Effects Specific to Radiation	p. 350
Unusual Side Effects	p. 351
Impact of Dual Therapy	p. 351
Key Points	p. 352
Living with Cancer	p. 353
Follow-up	p. 353
Rising PSA after Treatment	p. 355
Urological Follow-up	p. 356
Dealing Emotionally with Cancer	p. 357
Vitamins, Diet, and Activities	p. 357
When Can I Relax?	p. 358
What about Miracle Cures?	p. 359
Key Points	p. 359
Hormonal Therapy: A Nobel Effort for Advanced Prostate Cancer	p. 361
Advanced Prostate Cancer	p. 362
An American in Paris	p. 363
Effect of Hormonal Blockade	p. 363
Surgical Orchiectomy	p. 364
Medical Castration	p. 365
Testosterone "Flare"	p. 366
Side Effects	p. 367
A Kinder, Gentler Hormonal Ablation?	p. 367
The Hidden Side Effect: Cost	p. 368
Timing of Hormonal Therapy	p. 368
Hormonal Ablation as an Adjuvant to Local Therapy	p. 369
Hormonal Ablation as Primary Therapy	p. 369
Hormone Resistance	p. 370
Key Points	p. 371
Advanced Prostate Cancer: Chemotherapy and Other Options for Hope	p. 373
What Is Advanced Disease?	p. 374
What about Margin Positive Status?	p. 374
What Happens in Hormone Refractory Disease?	p. 375
Should I Participate in Research?	p. 376
Treatment Options	p. 376
Assistance to Chemotherapy	p. 377
Is Therapy Always Appropriate?	p. 377
Hospice	p. 378
Key Points	p. 379
Hope for the Future	p. 381
Future Directions for Diagnosis	p. 381
Future Directions for Staging	p. 383
Future Directions for Prevention	p. 383
Future Directions for Information Transfer	p. 384
Future Directions for Treatment	p. 385
Future Directions for BPH	p. 386
Paying for the Future: No Free Rides	p. 387
Future Directions for Hope	p. 388
The 10 Biggest Prostate Myths	p. 389
Glossary	p. 391
Resources	p. 401
Notes	p. 405
Index	p. 421
Table of Contents provided by Ingram. All Rights Reserved.

The Complete Prostate Book

What Every Man Needs To Know

At a Glance

Paperback

Industry Reviews

Shipping

How to return your order

Defective items

You Can Find This Book In

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