Let's Talk Sex
Treatment of early stage prostate cancer
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February 18, 2014
Over the last few weeks I was discussing prostate cancer. Last session, I discussed the principles of treating prostate cancer. This week, I will disc...
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Viagra – Beating the dead horse
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February 11, 2014
Every week I see at least 10 men in my office with a new onset of impotence. After going though a thorough history and physical examination, I will us...
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How are kidney stones diagnosed?
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February 4, 2014
I have spent the last two weeks discussing the very common "kidney stone”. I have explained why an ultrasound by itself is insufficient to diagnose ...
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ANDROPAUSE – The Male Menopause
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December 3, 2013
Andropause or the male menopause is the term applied to the psychological and physical changes that the male body and mind undergo around the age of 4...
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Premature ejaculation
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November 26, 2013
Premature ejaculation (PME) is a condition when the man or woman "comes too quickly” and leaves the other partner dissatisfied. In other words, spee...
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Abnormal curvature of the penis
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November 12, 2013
Peyronie’s disease is an abnormal curvature of the penis caused by fibrous or scar tissue in the tough coating that makes up the covering of the ere...
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Prevention of kidney stones – continued
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October 22, 2013
This week I am again looking at the prevention of stones. A few weeks ago, I emphasized the need to drink fluids, in the tropics. I said not just wate...
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‘Faithfulness’ and sexually transmitted diseases
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October 15, 2013
Some time ago, I did an article on chlamydia that generated a few questions and comments. One lady asked: "Doc, can women over 40 get chlamydia?” Th...
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Herpes – the single most common STI worldwide
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October 8, 2013
Herpes is the single most common sexually transmitted infection (STI) worldwide. It is estimated that 20-40 per cent of the adult US population is inf...
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Can kidney stones be prevented?
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October 1, 2013
This week I’m looking at what causes stones and how to prevent them. There are many causes of stones, but it eventually boils down to a high concent...
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Function of the testicles
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September 24, 2013
The testesAlso called the balls, nuts, seeds, grains or testicles, these organs are egg shaped, but the size of the red “Bequia” plums. They are s...
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How are kidney stones diagnosed?
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September 17, 2013
I have spent the last two weeks discussing the very common "kidney stone”. I have explained why an ultrasound by itself is insufficient to diagnose ...
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Do you really have kidney stones?
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August 13, 2013
Every day, there are patients who come to my office, or visit the emergency room or other doctors' offices, with the diagnosis of kidney stones. These...
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Signs of kidney disease cont.
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August 6, 2013
Over the last three weeks I have looked at the signs and symptoms of kidney disease. I looked at pain in the flanks, swelling of the feet and body, an...
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Urology and the kidneys
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June 25, 2013
Every day, I get asked if I "deal with kidneys” or if "I see women also”. This is over 10 years after coming back to this country. It means that s...
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Advanced prostate cancer
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May 28, 2013
This week is our final article in the prostate cancer series, in which we discuss advanced or late stage prostate cancer. This is prostate cancer that...
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Treatment of locally advanced prostate cancer
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May 7, 2013
A few weeks ago, I discussed the treatment of a 53-year-old man whose prostate cancer was discovered when it had not spread and who opted to have radi...
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Viagra – Beating the dead horse
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April 23, 2013
Every week I see at least 10 men in my office with a new onset of impotence. After going though a thorough history and physical examination, I will us...
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The Brain – the most important sex organ
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April 16, 2013
ANYONE who has ever had sex would attest to the fact that the most important sex organ is the brain. It is in the brain where desire starts; it is whe...
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Treatment of early stage prostate cancer
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March 19, 2013
Over the last few weeks I was discussing prostate cancer. Last session, I discussed the principles of treating prostate cancer. This week, I will disc...
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Rectal examinations in treating prostate cancer
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February 5, 2013
Men generally do not like to have a rectal examination and most do not like going to the doctor;, but it is very important when treating prostate canc...
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Prostate cancer treatment
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January 22, 2013
Over the last few weeks, I have been discussing the various aspects of prostate cancer. Today we discuss the treatment, which as you would expect, wou...
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What do the results of a prostate biopsy mean?
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January 8, 2013
I hope you enjoyed your long Christmas vacation. This week we will continue with our discussion with prostate cancer. So, you have had your biopsy or ...
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Complications of prostate biopsy cont’d
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December 11, 2012
I was discussing the possible side effects of having a prostate sample test. I discussed the most common, but milder and self-limiting side effects su...
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Side effects of having a prostate biopsy
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November 27, 2012
We have been discussing the diagnosis of prostate cancer using transrectal ultrasound (TRUS) guided prostate biopsy. Last time, I explained what the p...
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The prostate sample test or biopsy
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November 13, 2012
Over the last few weeks I have been discussing prostate cancer. The main point about prostate cancer is that there are no specific signs to let you kn...
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Myths of prostate cancer presentation and diagnosis
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October 23, 2012
Over the last few weeks I have been discussing prostate cancer and its associations. I have reiterated that we really do not know exactly what causes ...
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Andropause – The male menopause
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October 16, 2012
Andropause or the male menopause is the term applied to the psychological and physical changes that the male body and mind undergo around the age of 4...
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Prostate cancer and sex
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October 9, 2012
I know a lot of men are looking forward to this article, because sex is always a tabooed topic in our society; hence there is a lot of misinformation ...
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What role do genes play in prostate cancer?
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October 2, 2012
We are continuing with prostate cancer and what causes it. So far we discussed the effects of diet, exercise and age on prostate cancer. This week we ...
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The effect of diet and exercise on prostate cancer
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September 18, 2012
Two weeks ago, I started discussing the issue of prostate cancer and its causes. I said that there were associated causes, but that the real cause was...
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Prostate enlargement and sexuality (continued)
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August 21, 2012
Two weeks ago, I started talking about the enlarged prostate and its effect on sexuality. I have not touched on the sexuality issue, because a non-pro...
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Prostate enlargement and sexuality
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August 14, 2012
Over the last two weeks, I have looked at abnormal prostate conditions, namely prostate infections called prostatitis. These infections may be acute o...
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Chronic prostatitis and sexuality
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August 7, 2012
A few weeks ago we spoke about acute prostatitis or a swelling of the prostate gland caused by an infection. This week I will discuss chronic prostati...
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Prostate Issues and Sex: Acute Prostatitis
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July 17, 2012
Last week I looked at the structure of the prostate gland and its function. I emphasized that along with the seminal vesicles and testicles, they form...
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Prostate issues and sex
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July 3, 2012
The prostate gland is an organ only found in the male species and men in particular. There has been a lot said about the prostate gland in the last fe...