Men’s Health

PSA rises more slowly with age in diabetics

June 08, 2010

Men with diabetes experience significantly smaller increases in PSA level as they age.
 

Pomegranate juice may help prostate cancer patients

August 28, 2009

Pomegranate juice may help slow progression of prostate cancer in men who experience rising PSA levels following radical prostatectomy or radiotherapy, data suggest.
 

Statins may prevent PSA relapse

July 01, 2009

After radical prostatectomy for prostate cancer, men who took the medications had a 30% lower risk.
 

Low literacy hinders prostate cancer discussions

June 15, 2009

Clinicians should speak colloquially when discussing prostate cancer with low-income men, because most of them don't understand the most basic medical terms.
 

New HIV strategies presented at CROI

By Kevin J. Armington, MD May 26, 2009

Cortlandt Forum correspondent Kevin J. Armington, MD, reports on highlights from the 16th Annual Conference on Retroviruses and Opportunistic Infections (CROI), which took place recently in Montreal.
 

Statin use reduces prostate cancer mortality

April 16, 2009

Use of the drug is associated with a nearly two thirds reduced risk of death from prostate cancer, a study found.
 

Finasteride's prostate benefits confirmed

April 14, 2009

New findings from a Finnish study confirm previous research that finasteride use is associated with a decreased risk of prostate cancer.
 

Prostate cancer possible even if PSA declines

March 25, 2009

Prostate cancer was found in 23% of men whose initially abnormal PSA levels fell to below 4 ng/mL.
 

Testosterone receptors and prostate cancer

Question by Mike Hutchins, MD, Missoula, Mont.; response by David T. Noyes, MD March 16, 2009

Is all prostate cancer testosterone receptor-positive?
 

Genital ulcer in a vacationing patient

By Everett Schlam, MD March 13, 2009

A man returns from a trip with an unwanted souvenir.
 

Persistent Nocturia? Diuretic May Help

March 11, 2009

Adding a diuretic to alpha-blocker therapy may be an effective second-line treatment for nocturia in some men with lower urinary tract symptoms, according to researchers.
 

Erectile dysfunction common in men with diabetes

February 20, 2009

Nearly 25% of type 2 diabetic men in the Action for Health in Diabetes study reported having complete erectile dysfunction, according to a new article.
 

Calcium may predict prostate cancer mortality

February 20, 2009

High serum levels of ionized calcium and total calcium are associated with an elevated risk of dying from prostate cancer, according to newly published findings.
 

Gender-related cravings

Question by Felix N. Chien, DO, Newport Beach, Calif., and response by Daniel G. Tobin, MD February 14, 2009

Is there scientific evidence that women have more difficulty suppressing cravings than men?
 

Elevated PSA with a negative biopsy

Question asked by Jack W. Spitzberg, MD, Dallas, and answered by David T. Noyes, MD January 22, 2009

How to proceed when a patient's PSA is >4 ng/mL and the biopsy is negative
 

Popular drugs lower PSA levels

January 21, 2009

According to a pair of recent studies, two of the most commonly used classes of medication—statins and nonsteroidal anti-inflammatory drugs (NSAIDs)—may compromise already controversial cancer screenings by lowering serum levels of prostate-specific antigen.
 

Antioxidant-cancer protection link? No, say studies

January 05, 2009

Antioxidant supplementation has no effect on cancer risks, according to a pair of large longitudinal trials, leading one of them to be cut short.
 

FDA approves once-yearly osteoporosis treatment for men

December 23, 2008

The FDA has approved once-yearly zoledronic acid injection (Reclast) to increase bone mass in men with osteoporosis. The medication was approved in 2007 for the treatment of postmenopausal osteoporosis and Paget's disease of bone for women with osteoporosis.
 

Why does the prostate grow with age?

Question asked by Kishan Agarwal, MD, Edison, N.J., and answered by David T. Noyes, MD December 03, 2008

Since most tissues shrink with age, why does the prostate expand as men grow old?
 

When a doctor snubs PSA screening

By Ann W. Latner, JD November 17, 2008

Must physicians with doubts about the test's usefulness allow fear of liability to override their clinical judgment?
 

Study: Statins lower PSA levels

November 03, 2008

Statin treatment significantly lowers levels of prostate-specific antigen, according to a Duke University study. From HealthDay.
 

Why do digital rectal exams?

Question submitted by Daniel E. Konold, DO, Canal Winchester, Ohio, and answered by David T. Noyes, MD October 06, 2008

In an audio CME program on preventive care, the lecturer on prostate cancer stated that "prostate-specific antigen (PSA) is recommended for screening; digital rectal examination (DRE) has no real value." The lecturer on colon cancer stated that "DRE with guaiac test in the office is proven ineffective...
 

WORKUP FOR MICROSCOPIC HEMATURIA

Question raised by Jonathan Marsh, MD, Indianapolis and answered by David T. Noyes, MD September 18, 2008

I'm seeing a lot of patients (mostly male) who have had microscopic hematuria on several urine specimens. After getting negative results on lab work I've submitted, referral to a urologist usually results in CT urogram and cystoscopy. When those...
 

Rationale for DRE

Question by Daniel Konold, DO, Canal Winchester, Ohio May 30, 2008

If DRE is not recommended to screen for prostate or colon cancer, why do we do it?
 

Self-exams for men

Comment by Samy B. Gergis, MD, Lebanon, Pa. April 24, 2008

Remind male patients to do testicular self-exam as often as you recommend breast self-exam to female patients.
 

Asymptomatic cystic scrotal bumps of 40 years' duration

By Robert Norman, DO, MPH November 20, 2007

A 46-year-old man complained of multiple cystic bumps that had been present on his scrotum as long as he could remember. There was no itching, pain, or discharge. Despite having dyslipidemia and hypertension, he was not taking any medications. Family history was significant for paternal diabetes and lung cancer....
 

SSRIs and prostate cancer

Question raised by Edwin Ferens, DO, Birmingham, Mich. and answered by David T. Noyes, MD October 17, 2007

What effects, if any, does the use of selective serotonin reuptake inhibitors (SSRIs) have on the progression of prostate cancer?
 

What's best for BPH?

Question by Abdullah S.M. Ameen, PharmD, Kuwait City; answer by David T. Noyes, MD September 20, 2007

Are there any advantages to using flavoxate (Urispas) instead of tolterodine (Detrol) or....
 

For difficult catheterization

Submitted by Dilip P.Ghodasara, MD, Charleston,W.Va. and answered by David T.Noyes, MD September 18, 2007

When urethral catheterization proves difficult, bypass prostate swelling due to benign prostatic hyperplasia, prostate tumor, or external mass by using a 10-cc syringe to inject normal saline into the catheter lumen while pushing the Foley catheter at the same time....
 

Increasing numbers of asymptomatic but unsightly penile papules

By Stephen M. Schleicher, MD May 22, 2007

The patient, a 23-year-old black man, requested evaluation of lesions on his penis. He was uncertain when the lesions first appeared, but they have been increasing in number for the past four to five years....