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242579?1252114771
Ash Tewari, MD, M.Ch.  
Male
New York - NY

Specialties: Prostate Cancer, Robotic Prostatectomy, Urology, oncology, surgery

Interests: Prostate Cancer, Robotic Surgery, Urologic Cancers

Lefrak Institute for Robotic Surgery and Prostate Cancer
Urology
(212) 746-5638
525 East 68th Street, Starr 900
NY - NY
External Radiation and Effect On Heart Rate
Nov 14, 2009 01:29PM in the Prostate Cancer Expert Forum
Thank you for your question. A literature search showed that there may be an association with tachycardia and some chemotherapy drugs, but there is a paucity in the prostate literature. You should discuss the adverse reaction with you physician and continue to monitor your cardiac care as to prevent any longterm damage. Best of luck, Ashutosh (Ash) K. ...
bloody sperm
Nov 14, 2009 01:16PM in the Prostate Cancer Expert Forum
Thank you for your question. From your description you are experiencing blood in your semen or hematospermia. Hematospermia, is a fairly common urologic symptom. Understandably, the sight of blood in semen is alarming. While, hematospermia can be associated with malignant disease, there are a host of causes. These include: Inflammation or infection In...
PSA after RP
Oct 30, 2009 09:47PM in the Prostate Cancer Expert Forum
Thank you for your question. With Gleason 9 disease and SV involvement you are certainly a candidate for adjuvant radiation therapy. A recent study in 2008 showed that patients with pT3 disease had a lower risk of biochemical recurrence when treated with radiation following their prostatectomy. In the early 1990s, 425 men were enrolled in SWOG (Southwest ...
prostate cancer recurrence after 14 years?
Oct 30, 2009 09:20PM in the Prostate Cancer Expert Forum
Thank you for your question. Two widely used definitions of biochemical failure following radiation therapy for prostate cancer are the ASTRO and Phoenix. The ASTRO states that biochemical failure occurs when 3 consecutive rises in the PSA after the post-treatment PSA nadir using the midpoint between the nadir and the first rise. The Phoenix definition of bio...
testical pain
Oct 30, 2009 08:56PM in the Prostate Cancer Expert Forum
Thank you for your question. I know this has been addressed on this forum previously. Testicular pain could be caused by a host of different things 1) hernia 2) trauma 3) torsion (twisting of the testicle) 4) epididymitis (an inflammation often caused by infection of the testicle 5) testicular tumor 6) kidney stone. Testicular pain should be considered an ...
Checking the Prostate
Oct 30, 2009 08:52PM in the Prostate Cancer Expert Forum
Thank you for your question. You raise an interesting question about when should a man begin screening for prostate cancer and how should it be done. The AUA (American Urological Association) guidelines call for annual screening of "men 40 years of age or older who have a life expectancy of at least 10 years. Men who wish to be screened should have both ...