admin/ September 30, 2015/ Dr. Danielle

Ladies, it’s almost November. Or for men, Movember. UUUUUgggghhhhhh….I hate Movember for two reasons. 1) My baby daddy’s Wolverine-style, all-encompassing, hairy, scratchy mustache that somehow lingers WAY past November. And 2) that despite Movember’s intention of bringing prostate awareness, most men that participate and grow a mustache would still rather pretend that their prostate didn’t exist, and that’s even if they know they have one. When I asked my partner last year if he knew what it meant to have prostate cancer as he was nurturing the ugly monstrous stache, he responded like this: “Uhhhh…it has something to do with sitting on a bike for too long and not being able to pee”…………………………………………………………………………………………..

In light of this statement, I propose that in order for men to partake in this activity, they must first pass a quiz. And if over 45 years old, be open to getting a Digital Rectal Exam. In other words, calling Dr. DRE.

So let’s talk about the prostate and it’s cancer. Ladies, feel free to print this off and use it as a resource for the men in your life. Allow them to study it. And afterwards, by all means, quiz the buggers.

  • The prostate is a doughnut shaped gland that is about the size of a chestnut. It encompasses the urethra (what you use to pee with). It’s purpose is to help activate the sperm by secreting a fluid that accounts for up to 1/3 of the semen volume.
  • Prostate cancer has now surpassed lung cancer as the most common non-skin cancer in men
  • New cases are diagnosed at approximately 100,000/year, and close to 30,000 men die from it per year
  • the incidence of this cancer increases with age. It is very uncommon in men less than 50 years old. And 80% of the new cases occur in men greater than 65. The average age of diagnosis is 72.
  • The highest incidence occurs in African American men with the lowest incidence occurring in Asian men.
  • Approximately 9% of cases may be genetic.
  • This type of cancer is generally silent until it reaches an advanced stage.
  • If local growth of prostate occurs due to the cancer, it can increase in size and obstruct urinary outflow.
  • The purpose of the Digital Rectal Exam is to detect a hardening of the prostate or may reveal the presence of cancerous lesions.
  • The measuring of PSA via blood is controversial at best as some patients with normal PSA levels can still have prostate cancer. However, it is still a useful tool to use as elevations in a PSA level can indicate a change in the health of the prostate.
  • Prognosis has improved since 1990 when mortality rates were 34%. Currently, it is sitting at less than 20%.
  • Treatment varies on the stage of the cancer and the patient’s life expectancy. So the younger (and healthier) the patient is at time of diagnosis, the more aggressive the treatment.
  • The prostate may be removed, but the biggest concern with men following the procedure is erectile dysfunction.
  • Radiation therapy is the next best option.

Alright. I feel a bit better now. Let’s spread the word. Let’s make Movember more about prostates and less about these awful mustaches.

On a side note, bloody Halloween is next week. I hate it. Everything about it. Facebook is inundated with ideas on how to make all the candy disappear from you child’s trick or treat bag. Like the “candy fairy” or the “sweet-tooth witch” who comes at night to take majority of the kids’ candy. Or the idea that for every candy that your child surrenders, you pay them a dime, or whatever. Soooooo….why am I spending a lot of money on candy if you bloody parents are going to just throw it out??? Just another reason to hate the occasion. And screw the  candy fairy. My kids pick out a few of their favourites and the rest is hidden and eaten at a later date, typically at night, when they are sleeping. By Wolverine.

It ain’t nuthin’ but a G thang 😉

Dr. D