Yes the score is confusing. My score was 4+4 =8 But then they said 4+5=9 . I was stage 4. Had a radical prosectamy. A recent pet scan showed no cancer . I decided no radiation. Psa is climbing. .going to enjoy myself
I am aged 66 . My PSA is 4.1 The MRI prostate w wo contrast RAD showed 4 and the biopsy report from 12 samples showed one RA , biopsy 3+3 and one RMPZ biopsy 4+3 . The bone scan showed no spread . Am i considered as Intermediate Risk Prostate Cancer ? Should i do Radiation therapy with or without hormone therapy ?
An excellent video - but the elephant in the room was somehow missed. You talk about side effects for surgery and radiation, but not for hormone therapy. This is a pity since some of them are both physically and psychologically important and may have a considerable effect on the dynamics of the couple. From the point of view of the oncologist its understandable that they focus more on curing the cancer than on preparing the man for the ways his life may change after the treatment. Understandable, but I feel it's selling the guy a pig in a poke. Or to switch metaphors, when offering advice to a complete novice in chess, telling them that taking the queen is a really good thing to do, without warning them to foresee how that capture might degrade their future prospects, does not help the novice to understand how to play the game.
Ok people, PEOPLE... Stop crying about it being unhygienic, the hands are obviously washed and disinfected. Its like you think moms nipples are sterile or bottle nipples are clean... They're not. Claire, thank you for your video. I wish I had known about this when i needed it.
When I was pregnant with my daughter I started leaking milk every day at around 6 months. I'd go through 5 or 6 breast leaky pads a day, especially after a shower. I asked my ob/gyn how to save it up in case I was unable to nurse quickly after birth (it had been a terrible pregnancy), and they told me that it was useless and I couldn't use it. Turns out, I really should have done so because the birth was even more of a mess than the pregnancy. Why do so many doctors/hospitals have such different views and policies? So many of them seem downright adversarial to what mothers want and feel is best for their baby. Even within the same staff at a single hospital, they will come up with 4 or 5 completely different answers to one question, it's very confusing.
I'm on active surveillance based on Gleason 3 + 3 = 6 since 2020 First year was PSA test every 3 month, since second year reduced to every 6 months. Prostrate size 60cm first PSA was 15. has been 19 and lowest 12 last PSA was 15 now into my 4 year. Two cores were found cancerous out of 16. Had two biopsies 2020 & 2021 were in 2021 they only found one of the previous two cores. What they dont tell you is that cycling raises the PSA
Lauren, you are an inspiration in your own right. I feel privileged to have worked with you and am always in awe of your achievements outside of medicine. You are hardworking and great fun to be around.
Don't know the definitive answer to that but I had quite a few more than that ,hope everything goes well in the future I had radical prostectamy and Psa has been 0.07 for 4 1/2 year's
Thanks very much. I get my biopsy results in three days' time. If I need further treatment, my age, 74, and my Atrial Fibrillation will influence decision-making. My fingers are crossed!
Had result of biopsy this morning 3+4=7. Found this video just the tonic this evening. I’m a very fit healthy 58 year old. Think I’m going to ask for Active Surveillance as I’m looking to alternative therapies. Thank you 👍🏽
I also have 3+4 and chose to do active surveillance. I had my biopsy sent to decipher for a genomic test which came back as a very low grade . The results gave me a 1.87 percent chance of spreading in the next 10 years so I chose to do active surveillance. I get my PSA checked every 6 months and a 3T MRI once a year. I brought my information to a cryotherapy specialist which is the path I was thinking of taking before the genomic tests results and he told me based on all the information about my Gleason score and my genomic test results that I should do no treatment at this time and may never need treatment. He told me the treatment would be worse than the cancer at this time.
@@shamrock8561 thanks. Just had the result of my PMSA PET scan, no metastasis so really happy! Still not taking NHS standard of care route! What Genomic tests did you get done? 😁
@@ACTIVEPAIR glad to hear you are taking the proper steps and not jumping into treatment like some others out of fear of the word cancer. I’ve done a ton of research since I found out I had prostate cancer. Look for the PCRI videos on RU-vid regarding prostate cancer. Dr Schultz gives out some great and helpful information. He specializes in just prostate cancer information. To answer your question I used decipher for my genomic test. It gave me the information I needed as to how aggressive my 3+4 prostate cancer was. I was able to make a confident decision after the results of the test. Good luck on your journey
This is asuperb video for anyone facing this decision. I was 49 at diagnosis and treatment. PSA7.1 Gleason 7 (3+4) T3A I took the radical prostatectomy route . I saw it as the fastest way to a cure and was also advised due to my young age this is a more favourable option. I lost half my nerves as a result and sadly still suffer with ED 18 months on. I was incontinent but after 3-4 months I regained most of it and as of typing this I am now a good 95% with just some minor mishaps here and there. Make the decision that’s right for you and consider all options. Life will go on afterwards so keep that at the front of all your thoughts. I thought this consultant in this video was fantastic and wish he had been mine. Hope this comment helps the reader.
Interesting discussion. I'm on active surveillance based on Gleason 3 + 3 = 6. This surprised my consultant, who hinted that my PSA, 8.4, PI-Rad 5, scores pointed to something more serious. I feel I've dodged a bullet but that it's more of a reprieve than anything else because my PSA last year was 5.3 last year and rose to 8.4 this year. Prostate size, 38cm.
Thank you for the video it’s very informative and helpful, It’s still a minefield of witch treatment to go for and very daunting to think of the side effects and the possibility it could come back, it would be interesting to see what you think about cryotherapy as that’s what I’m thinking about having, once again thank you for all the information
Will be using 111 when I get the need so I can get the appropriate health advisor for whatever my problem is without bothering the GP unless I need him or her
What they missed on the discussion was erectile problems after beam radiation. It is the reverse of prostatectomy. After 6 months mine went to nothing and viagra isn't really helping so far.
Why does the abscess pathway only relieve pressures for the registrars? Why not the foundation Doctors and SHOs too ? Do PAs see themselves as equivalent to a foundation Dr or a SHO?
