The Prostate Monologues

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by Jack McCallum


  penile prosthesis, 104

  Penis pump, 104–5, 148, 165, 190

  Penn Presbyterian Medical Center

  author’s surgery at, 2, 80–82

  robotic prostatectomy robots at, 7–8, 132

  Peritoneal carcinoma, 138

  Personal stories

  Fink, Bob, 169–72

  Grammes, Richard, 167–69

  Jarvis, Jeff, 147–50

  Keiber, Robert, 160–62

  Littley, Jack, 164–67

  Mikitka, Jim, 152–54

  Moss, Bill, 156–59

  Ordille, Mike, 175–77

  Rosen, Paul, 173–74

  Snyder, Bob, 150–51

  Snyder, Kevin, 154–55

  Wieder, Gene, 162–63

  Yasso, George, 177–80

  PHI, 48

  Politics, PSA test and, 40–41

  Prediction tables, 188

  Procure, 186

  Promoting Wellness for Prostate Cancer Patients (Moyad), 183

  Proscar (finasteride), 47

  Prostate

  function of, 15, 16

  location of, 14–15, 16

  size of, 13–14, 16

  Prostate cancer

  author’s diagnosis of, 27–29

  awareness, xv–xvi

  biopsy diagnosis of, 27

  celebrities with, 135–45

  in Egyptian mummy M1, 64–65

  15-year survival rate, 4

  prediction tables, 188

  public profile of, 5

  slow growth of, 4, 63–64

  statistics, 3–5, 38

  terminal, 177–80

  treatment options (see also Prostatectomy)

  alternative, 125

  author’s experience with, 53–61

  biased opinions on, 167

  differing opinions on, 155, 185

  drugs for, 41, 143–44

  medical castration, 16

  trials on, 118

  Prostate Cancer Awareness Month, xv

  Prostate Cancer Foundation, xv

  Prostatectomy

  author’s surgery, 80–84

  nerve-sparing, 109

  open procedure

  Keith Van Arsdalen and, 53

  Patrick Walsh and, 67, 76–77, 109

  Richard Grammes and, 167–69

  Robert Keiber and, 160–62

  robotic procedure compared, 75–78

  William Catalona and, 75–76, 131

  penis length after, 86–87

  robotic

  advantages of, 76–77

  author’s experience with, 6

  Bill Moss and, 156–59

  David Lee and, 2–3, 6–11, 53, 131–32, 134

  equipment problems during, 158–59

  instrumentation for, 7–8

  Jeff Jarvis and, 147–50

  Jim Mikitka and, 152–54

  Kevin Snyder and, 154–55

  nerve sparing with, 132

  open procedure compared, 75–78

  William Catalona on, 130, 131

  Prostate Health Index (PHI), 48

  Prostate-specific antigen (PSA)

  discovery of, 43–44

  James Manley and, 111–13

  Prostate-specific antigen (PSA) test

  author’s experience with, 20–23

  cost of, 112

  development of, 45–48

  ejaculation effect on, 25–26

  fluctuating readings, 173–74

  free PSA, 47, 48

  future tests, 186

  opinions on

  Bach, Peter, 119

  Blaivas, Jerry, 115

  Catalona, William, 128–31

  Christodouleas, John, 123–24

  Dole, Robert, 141

  Jarvis, Jeff, 149

  Katz, Aaron, 124, 127

  Lee, David, 132–33

  Palmer, Arnold, 126

  Van Arsdalen, Keith, 46, 120

  politics of, 40–41

  pro-PSA, 47

  PSA density, 130

  PSA velocity, 22

  trials on, 38, 48

  warnings/recommendations against, 31–42, 110

  The Prostate (Rodale), 14

  Proton beam radiation, 170, 171–72, 186

  Provenge (sipuleucel-T), 41

  PSA density, 130

  PSA test. See Prostate-specific antigen (PSA) test

  PSA velocity, 22

  Public Parts (Jarvis), 22, 147

  R

  Radiation

  author’s consultation concerning, 54–58

  intensity-modulated radiation therapy (IMRT), 102, 171–72

  patient age and, 55

  personal stories concerning choice of

  Fink Bob, 169–72

  Grammes, Richard, 167–69

  Rosen, Paul, 173–74

  Wieder, Gene, 162–63

  proton beam, 170, 171–72, 186

  side effects, 55–57, 170–72

  surgery after, 55–57, 148

  Urorad facilities, 101–3

  Ramone, Johnny (guitarist), xvi, 141–42

  Recovery, speed of, 183

  Robert Benjamin Albin Foundation for Cancer Research, 44

  Robotic prostatectomy

  advantages of, 76–77

  author’s experience with, 6, 80–84

  David Lee and, 2–3, 6–11, 53, 131–32, 134

  equipment problems during, 158–59

  instrumentation for, 7–8

  nerve sparing with, 132

  open procedure compared, 75–78

  personal stories concerning choice of

  Jarvis, Jeff, 147–50

  Mikitka, Jim, 152–54

  Moss, Bill, 156–59

  Snyder, Kevin, 154–55

  William Catalona on, 130, 131

  Rodale, J. I. (publisher), 14

  Rosen, Paul (prostate cancer patient), 173–74

  Rosenthal, Elisabeth (reporter/doctor), 32

  Roswell Park Cancer Institute, 45

  Roth, Philip (author), xiii

  S

  Scott, Chip (prostate cancer patient), 65–66

  Scott, Pam (sister of author), 65–66

  Sehgal, Shailen (doctor), 7–8, 11

  Semen, prostate contribution to, 15

  Seminal vesicles

  cancer invasion of, 88

  removal of, 9, 10, 88

  Sexual function. See also Erectile dysfunction; Impotence

  author’s experience with, 189–91

  personal stories concerning post-treatment, 148, 153–54, 161, 165, 168

  return of post-surgery, 1–2, 93–98, 195–96

  testosterone blocking medication and, 163, 174

  Side effects

  biopsy, 99–101, 175–76

  cryotherapy, 103–4, 166

  erectile dysfunction medications, 95

  of Lupron, 174

  radiation, 55–57, 170–72

  Sildenafil (Viagra), 94, 140, 148

  Sipuleucel-T (Provenge), 41

  SIU, 125

  Size of prostate, 13–14, 16

  Skin cancer, 124

  Sloan-Kettering. See Memorial Sloan-Kettering Cancer Center

  Snyder, Kevin (prostate cancer patient), 154–55

  Society of Integrative Urology (SIU), 125

  Sources and resources, 199–203

  Sperm bank, deposition in, 143

  Sphincter, artificial, 157–58

  Steinhilber, Mike (friend of author), 22

  Stone, Chris (editor), 114

  Support group, 191

  Suramin, 143–44

  Surgeon, experience/training of, 159, 189

  Surgery. See also Prostatectomy

  after radiation therapy, 55–57, 148

  author’s decision on, 72–78

  author’s procedure, 80–84

  consequences of, 51–52

  death from, 132–33

  patient health and outcome of, 71, 75

  Survival rate for prostate ca
ncer, 4

  Surviving Prostate Cancer (Walsh), 65

  Symptoms

  author’s lack of, 65, 79, 182

  in metastatic prostate cancer, 120–21

  before PSA screening, 132

  Snyder, Bob (prostate cancer patient), 150–51

  T

  Tadalafil Cialis), 94–95, 165, 196

  Tamsulosin (Flomax), 170

  Testicular cancer, 183

  Testosterone, 16, 162–63, 174

  Thomas Jefferson Hospital in Philadelphia, 176

  Torre, Joe (baseball manager), 128

  Torre, Pablo (urologist), 58, 100, 189

  Triptorelan (Trelstar), 162

  U

  UCLA Medical Center, 143

  University of Arizona, 45

  University of California at San Francisco, 101

  University of Miami, 86

  University of Missouri, 36

  University of Pennsylvania, 22, 40, 53

  Urethra, 16

  Urinary control after surgery. See also Incontinence

  artificial sphincter, 157–58

  author’s experience with, 90–92, 182

  Kevin Snyder and, 155

  Urinary retention, 89

  Urination

  after catheter removal, 89

  nocturia, 17

  prostate and, 16–17

  Urologists, 132. See also specific doctors

  Urology Specialists of Lehigh Valley, xv, 155

  Urorad facilities, 101–3

  Urosepsis, 99–100

  US Census Bureau, 5

  US Preventive Services task Force (USPSTF), 51, 130

  opinions on, 47–48

  Bach, Peter, 41–42

  Blaivas, Jerry, 42, 115

  Catalona, William, 37

  Christodouleas, John, 123

  Jarvis, Jeff, 149

  Katz, Aaron, 34, 125

  Keiber, Sandy, 161

  Lee, David, 37, 132–34

  Manley, James, 111–13

  Van Arsdalen, Keith, 34

  Walsh, Patrick, 109–10

  warnings/recommendations against PSA testing, 32–42, 193

  V

  Van Arsdalen, Keith (urologist)

  on active surveillance, 52–54, 121–22

  author’s biopsy, 22–23, 26–29, 49

  on biopsy dangers, 100

  on cryotherapy, 104

  interview with, 120–22

  on post-op bleeding, 86

  on PSA test, 46, 120

  referral from, 66

  on USPSTF, 34

  Vardenafil (Levitra), 94–95

  Venous leak, 190

  Veterans Affairs Medical Center in Minneapolis, 50

  Veterans Affairs Medical Center in New York City, 58

  Viagra (sildenafil), 94, 140, 148

  The Virgin Suicides (Eugenides), 81

  W

  Walsh, Margaret (interior designer), 67

  Walsh, Patrick (urologist)

  on antibiotic resistance, 176

  on biopsy fears, 101

  on biopsy information, 187

  Walsh, Patrick (urologist) (cont.)

  on cancer rates, 65

  Dr. Patrick Walsh’s Guide to Surviving Prostate Cancer, 14, 109, 153, 183

  on “gray area” of treatment, 163

  on imaging, 188

  interview with, 108–10

  open radical prostatectomy, 67, 76–77, 109

  on prostate gland, 193

  on prostate size and location, 14–15

  on PSA build-up, 44

  on PSA velocity, 22

  on stand-up sex, 190

  on USPSTF, 37, 109–10

  Walter Reed Medical Center, 139

  Watchful waiting. See also Active surveillance

  Arnold Palmer and, 138

  Bob Dole and, 139

  origin of strategy, 63

  Waxman, Samuel (oncologist), 70–71

  Waxman, Scott (literary agent), 70

  Weill Cornell Medical College, 17, 47, 114

  Wieder, Gene (prostate cancer patient), 162–63

  Wrice, Felicia (nurse), 7

  Y

  Yale-Griffen Prevention Research Center, 34

  Yasso, Bart (running ambassador/brother of George), 177

  Yasso, George (friend of author), 20, 51, 177–80

  Yasso, Gerry (brother of George Yasso), 178–80

  Yasso, Hank (son of George Yasso), 177, 179

  Yasso, James (brother of George Yasso), 178

  Yasso, Jean (wife of George Yasso), 178–80

  Yohimbe, 105

  You Are Not Alone Now (organization), 29

  Young, Hugh Hampton (surgeon), 66

  Z

  Zappa, Frank (musician), xvi, 141

  Zytiga (abiraterone acetate), 41

  About the Author

  Jack McCallum is a veteran sportswriter and the author or coauthor of nine books, including the bestselling Dream Team (2012), the critically acclaimed Seven Seconds or Less, and collaborations with Shaquille O’Neal and Olympic gold medalist speed skater Dan Jansen. As a writer with Sports Illustrated for nearly 30 years, he is best known for his pro basketball coverage, and he also edited the weekly Scorecard section. He is currently a special contributor to the magazine. McCallum won the Curt Gowdy Award from the Naismith Memorial Basketball Hall of Fame in 2005 and before that was awarded the national Women’s Sports Foundation Media Award. Today, McCallum teaches journalism at Muhlenberg College, his alma mater, and lives in Bethlehem, Pennsylvania, with his wife, Donna.

  This book is intended as a reference volume only, not as a medical manual. The information given here is designed to help you make informed decisions about your health. It is not intended as a substitute for any treatment that may have been prescribed by your doctor. If you suspect that you have a medical problem, we urge you to seek competent medical help.

  Mention of specific companies, organizations, or authorities in this book does not imply endorsement by the author or publisher, nor does mention of specific companies, organizations, or authorities imply that they endorse this book, its author, or the publisher. Internet addresses and telephone numbers given in this book were accurate at the time it went to press.

  © 2013 by Jack McCallum

  All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any other information storage and retrieval system, without the written permission of the publisher.

  Book design by George Karabotsos

  Excerpt from AMERICAN PASTORAL by Philip Roth.

  Copyright © 1997 by Philip Roth. Used by permission of Houghton Mifflin Harcourt Publishing Company. All rights reserved.

  Library of Congress Cataloging-in-Publication Data is on file with the publisher.

  ISBN-13: 978–1–60961–055–5 hardcover

  eISBN-13: 978–1–60961–558–1

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