201: From Diagnosis to Data: One Man’s Journey Through Prostate Cancer Recovery

201: From Diagnosis to Data: One Man’s Journey Through Prostate Cancer Recovery

In this episode, Melissa chats with David, who was diagnosed with prostate cancer in 2023 and underwent a prostatectomy. David candidly shares his journey—how a routine PSA test led to a life-saving diagnosis, what recovery was really like, and how he’s taken a scientific, data-driven approach to his penile rehabilitation.

With warmth, wit and wisdom, David opens up about his experience with erectile dysfunction (ED), continence concerns, vacuum pump rehab, and using the FirmTech ring to monitor nocturnal erections—describing it as a “FitBit for your dick.” He also talks about the importance of talking openly about men's health and encouraging others, including his sons and mates, to get checked early.

In This Episode, We Cover:

  • Why tracking PSA trends—not just the number—can save lives
  • David’s experience with no symptoms and the surprise diagnosis
  • The emotional toll and stigma around ED and incontinence post-surgery
  • Why using a penile pump isn’t weird—it’s essential rehab
  • Real-world side effects of tablets vs low-dose daily Tadalafil
  • Monitoring erections with FirmTech and what the data can reveal
  • The surprising link between erectile function, heart health, and alcohol
  • The power of talking: How David's openness has led others to get tested
  • Tips for men navigating life post-prostatectomy
  • Why your penis might be the first clue your heart’s in trouble

Key Takeaways:

  • Prostate cancer is often silent—many men have no symptoms at all.
  • Early detection matters. David’s long-term PSA monitoring saved his life.
  • Erectile rehab works best when started early. Pumps, Tadalafil, and data help.
  • Talking saves lives. One conversation might be what pushes someone to get checked.
  • Nocturnal erections are a sign of good health—and you can measure them.
  • FirmTech isn’t just about sex—it's a window into your cardiovascular system.

Expert Insight from Melissa Hadley Barrett:

“As a sexologist and nurse practitioner, I see too many men suffer in silence after prostate cancer. David’s story shows that recovery is possible—with data, determination and a bit of humour. Erectile function is not just about sex—it’s a vital sign of your overall health. So yes, monitoring your function might just save your life.”

Listen & Subscribe:

If you found this episode helpful, don’t forget to subscribe, rate and review! Your feedback helps us spread the word about men’s health and break down stigma. Find us on Spotify, Apple Podcasts, or your favourite app by searching “The Penis Project Podcast.”

Resources & Links:

  • Book a telehealth consult with our experienced sexual health team at Restorative Health Clinic

Websites:

https://rshealth.com.au/ All genders

https://makehardeasy.com.au

https://melissahadleybarrett.com

http://prost.com.au/

Facebook:

https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/

https://www.facebook.com/profile.php?id=100085146627814

Instagram:

https://www.instagram.com/melissahadleybarrett/

https://www.instagram.com/restorativehealth.clinic/

TikTok: @melissahadleybarrett

YouTube: Melissa Hadley Barrett

Linkedin:

https://www.linkedin.com/in/melissa-hadley-barrett/

TEDX

https://www.youtube.com/watch?v=IjHj1YTmLoA

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110. Detailed Lymphoedema Discussion with Lizzie

110. Detailed Lymphoedema Discussion with Lizzie

For this episode, we talk with Elizabeth Eastwood.   Lizzie specialises in oncology, lymphoedema, palliative care and rehabilitation. She is the Clinical Lead oncology and lymphoedema physiotherapist at Ramsay Health Plus, the outpatient allied health department at Hollywood. Lizzie also has completed further studies in advanced lymphoedema therapy, PINC & STEEL cancer rehab and Persistent Pain. She is the new WA chair of the cancer, palliative care and lymphoedema committee of the Australian Physiotherapy Association.  This episode will fully tackle lymphoedema, which was actually inspired by our previous episode with Rob.   The following questions were answered by Lizzie:   What is lymphoedema  What can be advised for pre-op patients   What prevention strategies can be done  What are the early signs of lymphoedema and how to monitor it  What do lymph nodes do?   Radiation, cyberknife, and lymphoedema  Medicines that may exacerbate lymphoedema  Aside from answering the questions above, Lizzie will also talk about the pitting test which is a test you can do to check signs of edema, the SoZo machine which helps assess lymphoedema, risk factors, and so much more.   As a final takeaway, Lizzie reiterates two good and great things:   The Lymphatic System can respond and recover if you give it the right support and care When you have lymphoedema, there are lots of strategies and resources that can help, and it is very important to manage it sooner than later ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

9 Nov 202243min

109. How Prostate Cancer Made Geoff More Open and Empathetic

109. How Prostate Cancer Made Geoff More Open and Empathetic

Today, we talk with Geoffrey, a real Geoffrey. #IYKYK  Often, we hear the negative side of having prostate cancer but today, we will focus on the good.   Thanks to Geoff and his journey.  Geoff was 65 when he was diagnosed with prostate cancer. It all started when in the freeway, he had the uncontrollable urge to go to the loo. After this episode and a few tests, he received his diagnosis.   At first, he didn't understand the results being shown to him. His words were, 'what I'm seeing was unintelligible'.  But eventually, he was able to cope and was accepting of his coming surgery. In fact, he was feeling well-prepared.  His secrets? Acceptance. Proper Preparation. Journaling. Setting realistic expectations.   He kept a diary - it was a sort of discipline, a methodology to keep himself on track.   He did his research. And with this, he was able to set realistic expectations.   Now at 67 years old, he feels grateful for the experience. It seemed as though having prostate cancer made him a more open, empathetic person.   This episode will touch upon a lot of topics - Geoff's prostate cancer recovery, the importance of pelvic floor preparation, of why some  men seem to be more comfortable talking with women about their health, pilates, yoga, and the Stockdale Paradox.  Geoff will explain the Stockdale Paradox, how this helped him with his preparation and mindset, and how important it is to have the absolute conviction that things are going to be okay.   It's going to be another episode full of lessons... and we hope you get to learn a lot, too!   ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

1 Nov 202255min

108. 56-year Old Pyro Talks About Fear - Before, During, After Prostate Cancer Diagnosis

108. 56-year Old Pyro Talks About Fear - Before, During, After Prostate Cancer Diagnosis

For today's episode, we talk with Pyro Pepper, a 56-year-old man who was just recently diagnosed with Prostate Cancer.  Pyro's journey started when he went to have his wrists checked. Being 56, his doctor suggested that he also go through routine blood tests to check everything. He said yes.   Thereafter, a phone call informed him that his PSA level was elevated, and a biopsy confirmed a prostate cancer diagnosis, on Christmas eve.   After confirmation, Pyro's mental health went spiraling (albeit not showing). Everything changed. He described it as if he was walking with a BIG bag of cement over his shoulders - every day and everywhere he went.   What he was feeling was fear.   Soon after he learned of his diagnosis, he was introduced to an amazing stranger (later to become a friend) who was vital in his healing journey. This person had been through this journey and helped him understand what he was going through and his feelings, most importantly he made him feel that he was not alone in his experience. Ultimately, he also showed Pyro hope and the way forward.  With this person's help, Pyro understood what he needed to do to let go of that fear. What was that? Listen to the episode to know about it. ;)   As if the world was watching, Pyro, after surgery and well on the way to recovery, he met a man who was in the same situation as he was a few months previous - a man diagnosed with Prostate Cancer, the same age, and almost the same age of kids.   This time, it was Pyro who gave back the kindness he received. Since then, he has become an advocate and has been sharing information with anyone who is interested, and he encourages you to do the same.  Our episode today shows the importance of PEER SUPPORT, information, and how big of an impact empathy can bring into someone's life.   So, if you know someone who would greatly benefit from our podcasts or the information we provide, please, share our podcast with them.  ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

25 Okt 202253min

107. Penis Skin Conditions with Dermatologist Dr Ahmed

107. Penis Skin Conditions with Dermatologist Dr Ahmed

For our episode today, we speak to Dr. Ahmed Kazmi.   Dr. Ahmed is a UK-trained GP and dermatologist. He currently calls Australia his home. He also occasionally moonlights as a comedian so you may have seen him at the Fringe Festival or on youtube.  Today's episode is jam-packed with useful information about the various skin conditions that can occur in the nether regions.  Dr Ahmed will discuss the most common issues he usually sees in his clinic related to penis problems and some not-so-common ones. He explains diagnosis, treatment, and most importantly how to prevent the most common issues.  He also shares great tips on how to properly care for your penis skin and why you should also be teaching these to your kids and grandkids.   Finally, he delves into what is the right cleansing product to use for what types of issues, topical treatments, how weight & lifestyle affect skin issues and how viruses work, and how it applies to your skin. If you have ever been to a dermatologist with a penile skin condition, you may wonder why they checked everywhere on your body and asked lots of seemingly unrelated questions, well, listen here and you will know why.   If you are wondering when the right time is to seek professional help then look no further as Dr Ahmed shares guidelines on when you should see a doctor, the importance of consent and sharing information with your partner, and why it's best to have yourself checked early on.  Helpful resources for patients:   Clinical Practice Guidelines : The penis and foreskin (rch.org.au)   A to Z of Skin - ACD (dermcoll.edu.au)   British Association of Dermatologists - Patient Information Leaflets (PILs) (bad.org.uk)  https://dermnetnz.org/  Dr Ahmed’s IG:   https://www.instagram.com/drahmedkazmi/  If you would like to book an appointment with Dr Ahmed https://www.hotdoc.com.au/medical-centres/madeley-WA-6065/highland-medical/doctors/dr-ahmed-kazmi-1  ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

18 Okt 20221h 22min

106. Snake Charming with Geordie

106. Snake Charming with Geordie

Join us for a very unique episode today because we will be talking about Hypnotherapy.   You might have an idea what this is? or maybe not. There is a lot more to this than what we see on television.   Our guest, Clinical Hypnotherapist Geordie, will explain all.   Warning, this episode might hypnotise you from the get-go. ;) Geordie has a very melodic calm voice…  Geordie will not only bust tons of myths surrounding Hypnotherapy, but he will also explain what happens when one is hypnotized and what the health benefits are. Melissa and guest podcaster Kate Ternahan (Pain specialist NP, Restorative Sexual Health Clinic) will get to the nitty-gritty of what is involved, what hypnosis can treat and how many sessions are usually required and much more.   He will also explain why or how Hypnotherapy is a forward-looking therapy rather than looking backwards. To understand this, he will provide a concrete example and even relate it to pelvic pain and the effects of prostate cancer. Be sure to pay extra attention when he talks about this, since he will discuss the importance of the subconscious and of reconnecting with yourself.   Also discussed are anxiety, sexual dysfunction, pelvic pain, abandonment, and fear of losing loved ones, so make sure you tune in! This episode with Geordie is going to be a soft, smooth, and hypnotic ride.   Enjoy listening!   Visit Geordie's website here: https://www.hypnologicsolutions.com.au/  ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

11 Okt 202244min

105. Meet the inventor of Steady Freddy - Dr David Reiner; The spray for Premature Ejaculation

105. Meet the inventor of Steady Freddy - Dr David Reiner; The spray for Premature Ejaculation

Episode 105 is all about a revolutionary product made for those penises who want to last longer!   Well, that sounds epic so if you want to know more, listen here.   For this episode, we talk with Dr David Reiner, the brain behind the premature ejaculation spray or what most call, the ‘Delay Spray’.  So how does the spray work? Dr. David will spill all the proteins… err beans!   Some questions were raised by us giggly ladies throughout the discussion. Questions like - will the vagina be numb? Will it cause infection or affect fertility? Or will it even affect sperm quality?  Again, Dr. David has all the answers. He will explain in detail how the spray works, share some relatable analogies, why it is safe, and how rigorous the research and testing were to comply with the Therapeutic Goods Administration (TGA) requirements (like the FDA in Australia).   Yes, Steady Freddy is TGA-approved!   We know you’re excited to listen and learn more about this revolutionary pleasure spray, so hit the play button below.   Spray away!    Links:   Delay Spray link >> USE CODE RSHEALTH15 to enjoy an exclusive discount for podcast listeners only.  Naomi Episode - https://thepenisproject.org/episode-12-meet-naomi-the-woman-who-had-her-prostate-removed-and-her-story/   ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

4 Okt 202235min

104. Exercise is Medicine with Rob Newton

104. Exercise is Medicine with Rob Newton

As you've seen in the title, today's episode will be all about exercise! We have invited Professor Robert Newton to give us all the information about why exercise is medicine and how it can help with fighting cancer. Kendall (NP from Restorative Sexual Health Clinic) will be joining me as my co-presenter for this episode. So... if you've been putting off adding exercise as part of your treatment plan, Dr Newton's detailed explanation will encourage you to take that leap. As will be explained in the podcast, exercise can play a big role in your recovery, especially with providing an environment that is anti-cancer. Dr Robert has emphasised the importance of using highly targeted exercises to address various issues. To help you understand this better, he has provided a great example that we hope will make this clearer. Further into the discussion, Dr Rob shares valuable tips about: types of exercise that is most beneficial inflammation-how exercise fights this statistics from his own research on how powerful the effect of exercise is to improve recovery (50-60% increase on survival) t-cells, myocoids, and other cells that get activated when we exercise the correlation of survival and muscle mass (not fat mass) ideal number of repetitions for exercise how to reach out to an exercise specialist and a lot more   These all might sound a bit scientific but Dr Rob will elaborate on these things to make it easy for everyone to understand. In summary, exercise has the power to supercharge your immune system. How? Dr Robert will explain all. But how about sexual function? Well, you must listen to the podcast to know his answer to that! Enjoy listening and we hope you get to learn a lot about the importance of exercise to your life. As always, we encourage you to share this episode to the people you feel who needs it too.   Website: https://www.jsams.org/article/S1440-2440(18)31270-2/fulltext   -------- BRIEF BIOGRAPHY Robert Newton, PhD, DSc, AEP, CSCS*D, FACSM, FESSA, FNSCA Professor Robert Newton is Professor of Exercise Medicine in the Exercise Medicine Research Institute that he established (2004) at Edith Cowan University, Perth, Western Australia.  Current major research directions include: exercise medicine as neoadjuvant, adjuvant and rehabilitative cancer therapy to reduce side-effects and enhance effectiveness of surgery, chemotherapy and radiation therapy; the influence of targeted exercise medicine on tumour biology and exercise medicine for reducing decline in quality of life, strength, body composition and functional ability in cancer patients.   Professor Newton is an Accredited Exercise Physiologist, Fellow of the American College of Sports Medicine, and Fellow of Exercise and Sports Science Australia. In 2018 he received the career achievement award from the Cancer Council WA and was a finalist for Western Australian of the Year and finalist for the Premier’s Science Award. In 2019, Professor Newton was named the Western Australian Premier’s Scientist of the Year. In 2021, The University of Queensland awarded Professor Newton a Higher Doctorate (DSc) for his research into exercise oncology. Professor Newton was a finalist in the Research Australia Health and Medical Research Awards for 2021 and received a Highly Commended Frontiers Award.   Professor Newton has published over 1000 scientific papers including 502 refereed scientific journal articles, 450 conference abstracts and papers, three books, 17 book chapters and has a current Scopus h-Index of 88 with his work being cited over 26,500 times. Topic of greatest publication output is exercise and cancer for a field-weighted citation impact of 3.00 and prominence percentile of 99.31. As of 2022 Professor Newton had attracted over $42 Million in competitive research funding. ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

27 Sep 202247min

103. Palmer’s Open Prostatectomy Journey and More; Bladder control, pumps, PDE 5s, and becoming hulk

103. Palmer’s Open Prostatectomy Journey and More; Bladder control, pumps, PDE 5s, and becoming hulk

Today, we speak with Palmer who, in the middle of the episode, transformed into Bruce Banner (the green hulk). You'll get to know how this happened when you click the play button below.   Anyway, Palmer err Bruce will talk about his prostate cancer journey which happened to be quite recent, just the 23rd of May this year!  We wanted to share Palmer's story with all of you this 3rd week of the Prostate Cancer (PC) awareness month to let you know that it's not always gloom and doom when one gets a PC diagnosis.  Palmer will navigate us through the process he took to help him decide what treatment option to choose (amongst three choices), who helped him do this, and his overall experience after surgery. So, for anyone who just got diagnosed with PC and is somewhat confused about what the next big steps are, Palmer's story can be a great guide for you.   One very interesting question that came up during this episode, that is question… Do you poo and wee at the same time? Send us your answers and we might make an episode about this too and see if there's some meaning behind it.    Further in the episode, we discussed the importance of pelvic floor exercises, orgasms that aren't messy, penile rehabilitation using a Vacurect pump ie., making your penis look like the Hulk, PDE 5s, and so much more.  Have a great time listening to our week's info-packed episode. And if you have the time, make sure to take down some notes and leave a review so we can help more people just like you.     Also posted in:  https://thepenisproject.org/103-palmers-open-prostatectomy-journey-and-more/ ---------- Websites: https://melissahadleybarrett.com   Men’s health only https://rshealth.com.au/  All genders http://www.menshealthphysiotherapy.com.au/ http://prost.com.au/   Facebook: https://m.facebook.com/p/Melissa-Hadley-Barrett-100085237672685/ https://www.facebook.com/profile.php?id=100085146627814   Instagram: https://www.instagram.com/melissahadleybarrett/ https://www.instagram.com/restorativehealth.clinic/ TikTok: @melissahadleybarrett YouTube: Melissa Hadley Barrett Linkedin: https://www.linkedin.com/in/melissa-hadley-barrett/   Music David Mercy https://open.spotify.com/artist/1HbvnltKu4XbWTmk0kpVB9?si=D1xP5dDVQK-zzNU3rViRWg   Producer Thomas Evans: The SOTA Process https://www.instagram.com/thesotaprocess/ https://open.spotify.com/show/4Jf2IYXRlgfsiqNARsY8fi

20 Sep 202251min

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