Category Archives: Urology

Interesting Article of the Week: Prostate Screening?

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Mike, Nursing Supervisor, Ada Co. Jail in Boise. Should he be screened for prostate cancer?

SCREENING FOR PROSTATE CANCER: A REVIEW OF THE EVIDENCE FOR THE U.S. PREVENTIVE SERVICES TASK FORCE

Chou, R., et al, Ann Intern Med 155:762, 2011.

One of my hobbies is that I do Wellness-Fitness examinations of local firefighters.  They come in once a year and, for the most part, are quit fit and healthy.  As part of their wellness screen, I have been doing PSA tests on everyone over the age of 40.  One year, a certain 50ish year old firefighter’s PSA came back at 13.0.  Continue reading →

Is This Inmate Gaming Me?

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Lanea runs the pharmacy at the Ada Co. Jail in Boise. Should I have her order in some oxybutynin?

I have seen several patients recently with an unusual complaint.

A typical presentation would be this:  a male in his early 30s and without medical history  complains of frequent urination: “I have to get up 10-12 times a night to pee.”  He reports no other symptoms, like dysuria or discharge or pain.  This reportedly has been going on for years, though he has never before sought medical attention for it.  He says it got worse once he arrived at his current jail around three months ago. Continue reading →