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0:48 How should patients weigh new and old treatments?
3:12 What should patients try to keep in mind when deciding on treatments?
4:42 How does prostate cancer "staging" affect treatment?
5:42 How important is it to get a second opinion on treatment?
7:06 Selection of who is going to guide you in the treatment
8:52 How can a patient know if their doctor is qualified to perform a procedure?
10:45 Addressing the "Grey Zone"
11:59 How long does it take a treatment to become proven effective?
15:28 Cure at any cost vs side effect ratio
17:13 Alex's conclusions
20:11 If you need support
Don't know your stage? Take the quiz: visit www.prostatecancerstaging.org
To learn more about prostate cancer, visit www.pcri.org
Sign up for our newsletter here to receive the latest updates on prostate cancer and the PCRI: pcri.org/join
Who we are:
The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

Опубликовано:

2 июн 2024

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Комментарии : 189

@DCGreenZone 4 месяца назад

BTW, this has got to be in the top 10 channels as rated by importance and value. Thank you two for all the education you provide. It is priceless. ❤

@charlesbrown6171 4 месяца назад

I could not possibly agree more with you. This channel has brought peace to me throughout my process.

@harryaiello7438 4 месяца назад

No one should go into any prostate treatment plan without coming here first and often. I am a year into this journey, am doing well and have confidence in my decisions. These two are wonderful and the information is pure gold. A big thanks to both of you.

@kendavis1198 4 месяца назад

YES, I Agree 7438! Great Channel and Fantastic Information here.

@MarcoBiancardi11 5 дней назад

Dear Dr. Scholz, I appreciate the valuable insights provided in your videos. As I continue to undergo radiation therapy in Italy for my prostate tumor (4=3), I am mindful of the collaborative nature of the treatment process. I have observed the dedicated team of technicians who operate the equipment and support me during each session. Additionally, there is a pivotal role played by the doctor (whom I see 1time x week) in determining the treatment frequency, potency, and overall plan tailored to my specific needs. In light of this, I am keen to gain a clearer understanding of the division of responsibilities within this team-based approach. Given the presence of varying technicians (and sometime technician in training) during my sessions, I am eager to know if I can place my complete trust in them. Furthermore, I seek your perspective on the allocation of greater responsibility -does it predominantly rest with the treating doctor or the technicians? I am grateful for your guidance on this matter. Sincerely, Marco Biancardi

@Ekimssiew 4 дня назад

I had a TURP procedure 2 weeks ago, 6 of 133 chips are malignant 4+4=8. Waiting for my surgery follow up to determine next steps. Thank you so much for the information you are providing to help me make treatment decisions!

@mmi8137 4 месяца назад

I am in love with #MarkScholzMD female presenter. She genuinely seems to care about male prostate issues. She asks excellent questions that help inform us. Big fan of Dr. Mark Schcolz, huge fan of his compadre. Say her name! I have prostate cancer 3+4. Admiration for the both of you. Thank you both for this invaluable source of information.

@edg531 15 дней назад

I stumbled upon these videos very early on in my journey, and as my diagnosis became clearer, hearing my doctors suggest the precise treatments for my condition as have been outlined by Dr. Scholz, has allowed me to have confidence in the process. Put differently, Dr. Scholz is my second opinion, and since it matches the first, I feel good about the direction.

@toddmorrison7342 4 месяца назад

Diagnosed with 4+3 decipher score .96 in July 2023. My urologist wanted to do a proctectomy immediately. Started watch this channel. Met with an oncologist. Went to UCSF and Stanford for second opinions. Four months later after conducting much research and watching every available video on this channel, I elected to have one round of HDR brachytherapy, followed by five weeks of IMRT, no ADT. My homework paid off, I am confident I made the right decision, so glad I didn't get a proctectomy, for being 66 I couldn't imagine having to endure all the related side effects, compared to the minimal side effects associated with my course of treatment. It's not exactly pleasant, but absolutely tolerable! My research made me believe that surgery is almost barbaric compared to available types of radiation treatments. As stated in this video, you must learn and understand the type of PC you have so you can make an informed decision. Lastly, I would not recommend making a final decision without getting a PSMA PET first. Wishing everyone watching this channel all the best!

@bvschledt 4 месяца назад

Interesting, I am in the same situation as you. 70 years old and otherwise healthy with 4+3 diagnosed in October 2023. I have an appointment with a radiation oncologist and a chemo type doctor next week. I am still researching alternatives.

@douglaschartier6249 4 месяца назад

I've a very similar story, but with LDR and with ADT (I'm 12 months into a 18 month Orgovyx/Zytiga regimen)- my PSA has been undetectable since June, my gleason was 9, with no evidence of spread outside of the capsule with PSMA/bone scan,

@toddmorrison7342 4 месяца назад

Be sure to thoroughly research LDR and HDR brachytherapy following the results of a PSMA/PET scan. There are some excellent videos on this channel and others on RU-vid regarding the advancement of this technology. You'll be blown away when you learn that this type of therapy isn't pushed as heavily as other forms because it isn't as lucrative. This is billion dollar industry and sadly, it's all about the money. @@bvschledt

@tomasso883 4 месяца назад

I had Gleason 4+3 as well opted for 40 rounds of proton therapy after much research. 6months out PSA went from 14pre treatment to 1.14 one year out PSA .4. Next psa test upcoming April 2024. I experienced no urinary or rectal sexual issues, I’m 69years old, no metastasis. I also declined ADT, might have saved myself the horrendous side effects.

@bvschledt 4 месяца назад

@@tomasso883 Great news that gives me optimism.

@dempantherz78 Месяц назад

I am newly diagnosed with prostate cancer...Gleason score 7 (3+4). Still trying to figure it out. This channel is an absolute must. Thank you for existing❤

@robertbrazeau7049 14 дней назад

Please read my post above. I strongly suggest giving Proton Beam Therapy serious consideration. However, there are a few issues that make choosing it as a treatment. For one, it is only available in a few locations. Another is that many health insurance companies may not want to cover it. Finally, it typically involves 45 treatments (5 days a week) so you will need to stay near the treatment location. Since I was retired, the 9 week treatment--commonly referred to as the "radiation vacation" because of the lack of side effects, wasn't an issue. I was also on Medicare, and fortunately Medicare covers PBT.

@purdy0182 12 дней назад

@@robertbrazeau7049 Hi Robert, I have just been diagnosed with 3+4 gleason and my doctor is pushing me to have surgery. I would really love to chat to you offline about PBT therapy. Please let me know if this is possible and ill forward contact details. Thanks.

@jaybrown2182 Месяц назад

I am just starting on my journey. Truly glad I found Dr. Sholz and Alex and the wealth of information I have consumed. I hope I make the correct decision for my health and well-being. Thank you for the vast array of knowledge that I can turn to.

@io3010 3 месяца назад

I'm a 56-year-old Air Force with Gleason 4+3 =7 and used PCRI and Dr. Scholz advice to help me make the decision to get radiation treatment and not prostate removal surgery. My doctors said both were an option for me. My PSA has dropped from 13.7 to 2.7; 8 months past my radiation treatments. I have very few side effects, feeling good physically and mentally, missed very few days of work, was able to travel, exercise, ride my Harley and enjoy time with my wife and grandkids, very happy with my choice of treatment. Thank you PCRI, bless you for the help you give us!!

@richardbennington323 3 месяца назад

When I was diagnosed with prostate cancer for years ago. They gave me a book and told me to go home and take my time and make the decision what I wanted to do.

@BigZWD 2 месяца назад

You got a book😮, I got a pamphlet, one on surgery and one on HRT, told to come back with my decision. Note: I had three 3+4, 40%. Whatever that means.

@lujack7365 4 месяца назад

Absolutely love their knowledge base, and their caring, easy going personalities.

@maverickat4544 4 месяца назад

Alex just asks the most pertinent questions. These two are just brilliant ❤

@charlesbrown6171 4 месяца назад

I have thought the same: she asks the questions I would ask. They are awesome together.

@jimarmstrong3480 3 месяца назад

I was diagnosed with prostate cancer in November. They gave me a choice between RP and radiation. After doing a lot of research and watching many of the videos on this channel and others, I decided to go with SBRT and hormone therapy. Out of 12 cores 2 came back positive - 4+3 and 4+4 with cribriform growth present (more aggressive form of cancer). Got Lupron injections 3 weeks ago and taking bicalutamide daily. So far no side effects. 5 Radiation treatments will be done in March. Hoping for the best.

@joemaxwell1044 2 месяца назад

What is SBRT?

@JimArmstrongField 2 месяца назад

@@joemaxwell1044 Stereotactic body radiotherapy. It's only 5 treatments of radiation instead of the usual 25-40. It uses 3D or 4D imaging and highly focused radiation beams to send high doses of radiation to the area to be treated. This results in the least amount of damage to the healthy tissues around the area.

@joemaxwell1044 2 месяца назад

@@JimArmstrongField I have no access to it.

@skinfiddler 4 месяца назад

I'm 71 and sought out a very experienced, highly regarded Doctor to perform my Brachytherapy at the Cleveland Clinic about a month ago ( Gleason 7 4+3, psa 5.7). I was told by my initial Uro who did the biopsy (Surgeon) that Brachytherapy was obsolete. Was told similar by a Radiation Oncologist who wanted me to start EBRT and ADT right away. Glad I looked further

@johnpeters2298 4 месяца назад

I had a 4+3 w psa 8+. I considered prostatectomy vs. radiation. I decided to go with radiation because the long term outcomes looked the same with less consequence. My original treatment was going to be a mix of ADT, EBRT, and a single HDR Brachytherapy (not the LDR Brachy/seeds - worth googling the difference). I also had a PSMA PET CT scan to assess if it had spread and a Decipher genomic test to assess the aggressiveness of the cancer. The PSMA PET CT showed no spread. The Decipher test indicated low risk in aggressiveness. Based on those outcomes, my Dr recommended a switch to 2 sessions of HDR Brachy. Each takes a full day via outpatient session - 1 week apart. Relatively painless procedure with about 3-6 weeks of recovery to be back 100% (very low impact recovery). I was happy to avoid the ADT/EBRT which can be challenging (esp ADT). My outcome has been excellent so far - PSA went from 8+ to 1.1 in three months. No side effects from the procedure at all (really). I'm fully back to cycling, working out, hiking, and everything I could do before. The HDR Brachy tech has been around but the precision technology (machines & visualization during the procedure to guide the treatment) has dramatically improved to where the side effects and potential impact outside the target area are extremely limited. For me, I could not have asked for a better outcome. I was lucky to get a very experienced forward thinking, cutting edge oncologist who has done a large number of these procedures at an NCI Cancer Center. Just sharing another possible treatment path. Good luck!!

@MrPete-pe6uk 3 месяца назад

I have very similar PSA and gleason. may i ask what treatment modality you decided on? right now i am on a track for surgery. thank you!

@henryandrews2011 2 месяца назад

They both had brachytherapy - a type of radiotherapy.@@MrPete-pe6uk

@eraser470 2 месяца назад

@skinfiddler I’m in a situation close to yours, Gleason 7 3+4 in three cores and 3+3 in two cores psa 5.7, I’m looking at the Cleveland Clinic also. Can you advise who the Doctor was that performed your procedure?

@aidanmiller4595 2 месяца назад

nice work Dr. Scholz & Alex. if it wasn't for your my urologist would have my prostate removed 4 years ago. with prostate MRI and active surveillance i would have let them overtreat me. thank you for all you do

@mikeoniones667 4 месяца назад

Thanks for research

@mafarmerga 2 месяца назад

I really appreciate how honest and direct Dr. Scholz is.

@mikeash7428 4 месяца назад

You are a good team. Exciting new therapies!

@Rickster6118 4 месяца назад

Very informative. Thank you for these videos.

@GrandmaBirdy 4 месяца назад

Excellent information: Appreciation to both of you for sharing this important research & information!

@hey_youtubeim_back2159 4 месяца назад

I love you guys! I wish I could hug both of them

@rudyrosillo4817 4 месяца назад

I second that in its entirety. Very well put. The information contained in this channel has been incredibly valuable, and I urge that you keep the flow of new information & and procedures coming. Thank you

@jcjs33 Месяц назад

awesome ties...thanks

@cartmakers2575 4 месяца назад

Great info and advice. Thank you! Eight years after imrt I have recurrence, psa went from 1.4 to 3.6. Had the PSMA Pet and MRI, had the biopsy, small area with 4+3=7, confined to prostrate. At 76 really looking at the options carefully, did not go to my oncologyst referral. Been doing a lot of research, maybe too much. No, never too much. The newer ablations seemed very interesting, however now more focused on SBRT, MRI guided. Can't recall seeing one of these video sessions focusing on recurrence.

@Ivan-ve5qd 4 месяца назад

recently dx in Nov. My local prostate cancer support group suggested I check this site out and am now a subscriber + made a small donation. Back to my story, I have 3+4 gleason; no metastasis; localized only, last PSA was 8.6. I don't want to do surgery; leaning towards beam+ brechy; part of the conversation was adding hormone tx; but I rather not go this route. I'm 50 otherwise healthy, within my range weight for height and don't take any meds, no alcohol or drugs, plus stopped drinking dairy milk and all processed and red meat, with reduced chicken and fish, mostly veggie type diet but not exclusively. I find these videos extremely helpful. Am wondering what other considerations am I missing before I make a decision. Thank you!! P.S. It was also suggested I read the Key To Prostate Cancer by Dr. Scholz, excellent book and highly suggest it.

@user-fd1mv8dl9q 4 месяца назад

I was diagnosed in Early 2009 with PSA levels that were in the 2-4 range. Given a family history of the disease and the decades they had lived with it, I was not pleased but not anxious to try surgery or brachytherapy. I was directed to Summit in Oakland, where I was basically sold on High Dose brachytherapy on the grounds that it was precise, and didn’t leave radioactive pellets behind. What wasn’t discussed was side effects. Two years after the procedure, I developed interstitial cystitis leading to urinary interruption, and several trips to the ER. Months of hyperbaric therapy alleviated most of the problem, though ED became progressively worse. Finally, during a endoscopy procedure, my urologist saw what turned out to be a stage 4 tumor in the interface of the bladder and prostate. Metastases were present. Chemotherapy and immunotherapy have extended life for almost two years now, but I’m living with a permanent Foley. I share this to caution others to proactively question caregivers about side effects, and longer term care prospects. Doctors generally want to help, but they also want to publish and advance their careers. Be aware.

@kendavis1198 4 месяца назад

I'am so sorry for your Issues that occurred after Treatment. These are the things that are extremely frustrating and in my Opinion "might/Should" be caught and or Eliminated with more precise diagnosis. I wish you the Very best. Thank you for your Post, these things need to be out there for others to read and get the Important Information needed to be proactive rather than reactive. Thank you so much. 🙏🏻..

@dappa311 4 месяца назад

You had prostate cancer and your PSA was within range?

@user-fd1mv8dl9q 4 месяца назад

@@dappa311 As I recall, PSA level had increased from ~2 to ~4 ng/mL. A biopsy came back positive, and the journey began.

@threeftr3349 2 месяца назад

@@user-fd1mv8dl9q My husband also had a normal PSA that result in a diagnosis of Prostate cancer. He is an avid bike rider sometimes going over 200 miles a week. He would get intermittent prostatitis, and his urologist said it was caused by his bike riding. Because of this he always would get PSA testing. Well he had one PSA result that was 2 point higher that the PSA 6 months prior. This result is a big red flag if it jumps that quickly. His PSA results was also in normal limits, He has never got a PSA results over the normal range. MRI prostate showed highlighted areas .Biopsy showed Gleason 4+3, also had a decipher test. He then did a PSMA Pet Scan. That showed only highlighted areas in the prostate. He is now on his treatment journey.

@henryandrews2011 2 месяца назад

Excellent series of videos. I found this one slightly mistitled: it's about decision-making generally rather than about how good new treatments are.

@davidleigh7698 Месяц назад

This is so informative and both are very professional in their approach and knowledgeable and extremely easy to listen to. Thank you.

@frankmoen4666 3 месяца назад

I appreciate for all your videos and information..... PCa patient

@rosannet2931 Месяц назад

So very informative. Thank you.

@marinacabrera8293 4 месяца назад

Thank you for the information. You've been so helpful during this situation. Thank you for all the videos.🙏🏼

@Lucian14 4 месяца назад

Great advice. Thank you.

@davidcummings9496 4 месяца назад

Excellent as normal

@bigdaddy5948 4 месяца назад

Im 70. I've had a Gleason 6 for about 10 years. Active surveillance awaiting biopsy results. Highly considering taking my chances with the disease.symtoms are mild.

@user-kk8nn3rv3j 4 месяца назад

These video's are very helpful. I made a small donation and had a phone call with the PCRI organization last month. With a high PSA I just received my MRI results as a PIRADS 2. In 2024 I need to be a student and learn more to make the right choices.

@keithcolegrove2924 4 месяца назад

Does PIRADS 2 mean no biopsy???

@user-kk8nn3rv3j 4 месяца назад

yes correct No Biopsy. Surveillance @@keithcolegrove2924

@voice4voicelessKrzysiek 4 месяца назад

That was a piece of excellent information much needed for me at the moment. After having an MRI done I've been told there is a high possibility of prostate cancer and was suggested to make a biopsy which I refused, wanting to have more time on research. Thank you.

@globaldouglas6375 2 месяца назад

On 1/11/24, my PSA was 11.65, referred for MRI and Biopsy. MRI on 2/4/24 yielded Impression results, "No multi-parametric MRI evidence of clinically significant prostate carcinoma." PI-RADS Assessment: "Very Low (Clinically significant cancer is highly unlikely to be present)." Biopsy on 2/13/24 provided a "Gleason Score of 4+3=7" with 2 of 18 cores showing 3% and 10% "Adenocarcinoma of the prostrate" and "Grade Group 3." Decipher test results, "High risk - .67." Next on my agenda is a PSMA-PET scheduled for 3/18/24.

@voice4voicelessKrzysiek 2 месяца назад

@@alaskanlangolier8622 My PSA was around 6 +/-0.5, most recently.For years it was slowly going up from 4 something.

@vijayshinde1603 3 месяца назад

I had Gleason score 3+4=7. I am 53 yrs now. It was localised at Right Lob of Prostate Gland. My doctor suggested Robotic HIFU treatment & accordingly I undergone it on 21st Feb 2024. I Have been discharged next day. Let see what Will be the result.

@merseybeat1963 Месяц назад

Any long term testimonials that you e read ? I'm scheduled to remove it in a week.

@patpolicastro6622 4 месяца назад

I am on the road to recovery from a Gleason score of 4+3. I just wish sometimes that you would focus on some older technologies that still work because not all of us have access to or can afford to use a modern cancer center. We are dealing with regional hospitals that may have limited access to super modern stuff or not the leaders in their fields. The best they could offer me was 25 radiation sessions rather then SBRT. Did it work? So far I can say yes? Thanks to you both for these videos. They are always informative and professionally well produced.

@merseybeat1963 Месяц назад

Did you research and are convinced one of the modern techniques is better ?

@patpolicastro6622 Месяц назад

No real research of more modern technology since I was limited to surgery or radiation at my regional hospital and none of these were an option.

@merseybeat1963 Месяц назад

@@patpolicastro6622 thanks

@shashimoghe3920 Месяц назад

Dr sir very very useful feedback through this conversation God bless you both 22/04/2024

@mikeH1904 4 месяца назад

Big Thank You to PCRI After PC diagnosis 7 months ago, Gleason 7a with PSA10. I did intense research with lots of help from this Channel, excellent !!! Today I got inserted my gold fiducials and in 2 weeks, cyberknife/SBRT will start. Thank you so much Dr Schulz and Alex !! Fun fact: My german Urologist had to google SBRT, unbelievable. His advice was clearly radical ectomy.

@kendavis1198 4 месяца назад

I'd Have to Look up the acronym myself. SBRT??? Ya, I don't off the top of my head know what it is either, But a Dr. not knowing???? Hmmmmmmm????? Really.

@mikes9282 4 месяца назад

Similar #s to yours. Can you share why you chose radiation over RP? Thank you.

@mikeH1904 4 месяца назад

@@mikes9282 mainly due to side effects and their severeness and probabilities. And a good portion of gut feeling pro SBRT.

@PatB415 4 месяца назад

Husband was on Hormone treatment for 5 yrs (worst ever sleep & urination). PSA rose, so Taxotere for 5 treatments (1x/ev 3 wks) when PSA rose again. Offered to switch chemo treatments (1x/wk for 2+ yrs). In 8/2023, MRI noted 3 lesions behind kidneys/in front of spine. Interestingly, PSMA noted 3 lesions in bone only. So apparently patients need both scans. If still eligible, after next MRI 1/2024, Husband is moving on to Proton Radiation (20+ spot treatments).

@s.chaisrisuk4956 4 месяца назад

Any data before starting the Tx. please?

@PatB415 4 месяца назад

@@s.chaisrisuk4956 I'll know more at the end of next wk.

@PatB415 4 месяца назад

@s.chaisrisuk4956 I will know more after scan results, so end of next week.

@wmukoyama 3 месяца назад

Thank you. I am having difficulties with my treatment team at Kaiser. I had a 4/4 Gleason 4 plus years ago and had radiation and Lupron. I am asking them to get another PSMA Pet Scan to determine whether or not the spot on my C3 spine is cancerous because it can now determine if my spot decreased in size after my Lupron shot. If it has, then it can be eliminated by radiation. It there was no change, then it is benign. My team has denied this test at this time. I am afraid it will metastasize. Radiation plus hormonal treatment to me is best. Thanks Dr. Scholz

@boblongmore907 3 месяца назад

I have Kaiser, didn't know they do pet scans

@tomjgrant 4 месяца назад

having both BPH (80 cc) and PC T1c. Is there a preference for doing HOLEP before SBRT radiation?

@tomcaruso8087 3 месяца назад

Did you check out TURP?

@tomcaruso8087 2 месяца назад

Did you have your HOLEP yet? If so how did it go.

@jaynedefensor6895 4 месяца назад

My fatther diagnos. Prostate cancer,last dec5 last inject for prostate for two years it means father he survive please reply

@bryanmanderville4196 4 месяца назад

I had a Gleason score 3+4 cancer in the prostate and lymph node in pelvic cam after radiation of prostate went back to cyberknife miami and treated again and 6months of hormones now they tell me every 3 months PSA test last psma scan said no visible cancer where it was in previous scan

@afdl62 4 месяца назад

I am diagnosed with a 3+4 Gleason score. 25 samples were taken with 18 showing cancer. The discussion I have had with my urologist and radiation oncologist resulted in wanting to remove my prostate because of the bad BPH I have . I am in the 73% on BPH and both doctors stated that seeds, radiation will swell the prostate more causing a complete block of urine flow. Have you ever addressed prostate cancer with bad BPH? M level of cancer was a 2. 1 being best and 5 being worse. I am scheduled for removal for March 6th but watching your videos is making me question that surgery. The big thing is the size of my prostate.

@jamescalifornia2964 4 месяца назад

I know two people who had " closed" radical prostatectomy via endoscopy . Both are doing well years later 👌

@DCGreenZone 4 месяца назад

You can look up quercetin phytosomes and curcumin phytosomes on the NIH. This high absorption/bioavailable form of plant compounds is spoken of highly for prevention in many clinical papers.

@bluenose007 Месяц назад

In Britain you see the surgeon your given and are told what treatment you will have. I was only given 2 options surgery or radiotherapy i had surgery and my PSA has gone from 0.0 to 0.18 in 5 years

@rickedwards2 4 месяца назад

if you have prostate cancer what is the best BPH treatment

@FightingProstateCancer 3 месяца назад

Watch "BPH, TURPS, and Alternatives | #Prostate Issues #MarkScholzMD #AlexScholz #PCRI" ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-GXLNf42gPAA.html

@tf3240 4 месяца назад

I like Alex, she seems to genuinely care about PC patients. Dr Shill however is obviously biased against surgery and never seems to acknowledge that radiation has its fair share of risks and side effects. There is no perfect treatment option and cool names like Cyberknife don't reflect what their name implies. Make the choice that is right for YOU and your cancer based on your research. I wish you well in your journey.

@agarcia5461 4 месяца назад

Although I agree with having to do your own research, how much more knowledge can I gain to make a right decision when doctors in the field can't.

@agarcia5461 4 месяца назад

Have 4+3 Gleason score, with previous robotic surgery, radiation and 2 times recurring psa and now just had Pet scan. I basically have given up and am counting my days, months , etc

@jimh3595 4 месяца назад

Exactly. Had a RO keep calling me wanting to do treatment. He didn't give 2 S**ts about me.

@dawng540 Месяц назад

Spouse was just diagnosed with a G7 score. Urologist recommended removal straight off and not even radiation or other options. We're also being scheduled for a bone scan. I wonder why he didn't offer any other options besides surgery?

@robertbrazeau7049 14 дней назад

My guess is the reason he only offered surgery as an option is because he is a surgeon. That's not a negative comment. Whatever the doctor's chosen field (surgery, radiation) will typically be his/her recommendation. That's why it is so critical to do your own homework. For me, Proton Beam Therapy was my choice. My doctor didn't include it as a treatment choice but when I told him that it was my preferred treatment he commented that it was a very good treatment choice and we went from there. Turned out to be one of the best life decisions I've ever made! I highly recommend looking into it as an option

@barbarabilbrey8299 Месяц назад

What about IV OZONE Therapy?

@timholloway6538 4 месяца назад

Diagnosed at 49yo with Gleason 6. 53 now psa up to 6 now. Thinking brachytherapy maybe the way to go. Anyone else in similar situation?

@threeftr3349 2 месяца назад

My husband 65 years old with a Gleason of 4+3,/Decipher/MRI/PSMA confirmed his diagnosis of cancer He has never had an abnormal PSA. Just an abnormal 2 point rise within 6 months, and intermittent prostatitis from biking riding. His treatment is 1 injection of Lupron(last 6 months,) Then waits 2.5 months and will do the Low-Dose Brachytherapy by an oncologist that does 500+ of these a year. Then wait a month or so, then do 5 weeks of daily 5 min of radiation treatments, with a SpaceOar(rectal spacer). This protects the rectum from the radiation. There are several different hormone treatments. The Lupron knocks down the testosterone which feeds the cancer, essentially putting the cancer on ice hopefully stopping/slowing it down. This gives the low-dose radiation seeds and the following low-dose radiation the best knock down punch at the cancer. Then active surveillance afterward.

@salmana4239 14 дней назад

I was diagnosed 4+3 gleason score (intermediate non- favourable) in multiple cores. A low score Decipher test helped me choose radiation w/o ADT. Can you pls cover role of decipher test to establish metastasis risks in future and helping patients choose the correct treatment for themselves.

@ThePCRI 12 дней назад

Hello, here is a video on Decipher: ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-k811g78YRQE.htmlfeature=shared

@jamesrhoades1524 7 дней назад

@@ThePCRI link did not work

@debraarnold3703 9 дней назад

I wonder what treatment plan for radiation would be best for those patients who have an additional complication with another diagnosis that prevents them from being able to empty their bowels every day for 45 days regardless of investing things like miralax and milk of magnesia or tye use of enemas that a prove ineffective on a daily basis, and maybe helping to produce results once a week at best.

@VictorDeLaCruz536 21 день назад

I was diagnosed withGleason six I was on active surveillance for six months. I decided to have the robotic surgery. I do not want to live with this disease I’m 56 years old I have a very supportive spouse my PSA drop from 2.13to 1.63 i’m doing great, but I made my decision

@gdadc2649 4 месяца назад

Am I the only one who perseveres with a wait and see. At 79 3+4 psa5 it has to be the best? side effects are too much.?

@gtrgenie 4 месяца назад

Your website says you accept cash but billing department says no. Is this true?

@nilabjaghosh1803 4 месяца назад

I am listening regularly thank you so much but recent sudden death of a famous and great singer from PC at age 55 in India frightens me. He had a cerebral stroke then things deteriorated . Wondering if stroke was from hormone or something in treatment can you explore?😊

@hoov1998 3 месяца назад

How often do you hear of a PSA of 33 and a Gleason score of 6 3 + 3 and the surgeon recommends removing the prostate?

@JasonRoberts556 22 дня назад

Hopefully I’m not too late but I would either do nothing OR the most minimally invasive treatment possible is HIFU, focal therapy etc.

@nathanpethybridge1587 3 месяца назад

What do you do if you’ve been diagnosed with a 3+3 at 40 but also have severe BPH symptoms. Treating the BPH through surgery, could result in poorer outcomes if radical prostectomy is ever needed. But medication has sexual side effects. This combination seems to be a grey area with not a lot of detail on how to approach. Physio and medication isn’t really treating the symptoms, but the risks of full removal mean it’s hard to know what to do

@kendavis1198 4 месяца назад

My issue is, My PSA is going up and I am being told NOT TO WORRY we have not seen Cancer with that LOW of a PSA #. Of which mine is Now 2.11??? Confused, you might ask??? YES I AM.

@animalhouse972 4 месяца назад

I’m not a medical professional, I do believe you have some time to watch and evaluate. My PSA was 2.03 on 11/15/2021 2.17 on 11/21/2022 4.07 on 9/8/2023 I think the key is to watch for doubling on the lower PSA numbers. The one thing I wish I would have done is the DRE along with the PSA. I thought my information from PSA were all I needed but if I had requested the DRE more, mine might have been detected earlier. Newly diagnosed G9 with lymph node invasion 5 cores positive. Last PSA 10/9/2023 was 4.63. Get that DRE done in case the PSA stays low and don’t tell the whole story.

@kendavis1198 4 месяца назад

Thanks animalhouse972. I have to go look up All these acronyms every time I read these Posts 🤪, I do believe that the DRE is the Digital Rectal Exam??? I assume?? I always have the Digital Rectal Exam every Year. The G9, I'am just guessing is the "Gleason" Score #??? And as much as I watch this channel, I really don't totally Understand just exactly (Without Looking it Up) What GLEASON Refers to or actually is?? Again, Sorry, my Bad. So Yes, My Dr. says my DRE was "NORMAL" Whatever that means (To Him)?? And that he watches for a "Doubling" of the PSA # B 4 "he" gets Alarmed??? I just don't want to have any Dr. MISS Something and then say, "O" GOSH it appears as tho we should do some testing now, I felt something abnormal. And this Core thing, I know a guy that just went through that, 😳, had 12 Cores and tested + on a few of them, went through the Treatment process and his PSA just came back at 1.15 last week. He's doing fine. But watching this Channel, I'am under the Impression that Digging out core samples is old school, (ya still done) but that 3TMRI's and Color Doppler Ultrasounds are Non Invasive, and Better Quality Diagnostic tools & More Accurate???

@rzh3443 4 месяца назад

My PSA. has steadily risen over the years due to benign prostatitis . It is currently 3.8 (age 73 with family history)and I am tested twice a year, plus a digital exam. The PSA number bounces around the 4 number. The PSA free info seems to indicate that the possibility of cancer is really never zero; but I was told that, absent a significant and sudden increase in the score , no biopsy (or treatment) is recommended.

@kendavis1198 4 месяца назад

Ya, that's what I Been Told Also. Just Scary to even think that CANCER "could" Be Missed. I'am 70 (this Feb) Just had the Digital Exam, PSA is @ 2.11, Up from 1.94 Last year.

@rzh3443 4 месяца назад

@@kendavis1198 Keep in mind that the test itself is not that accurate. The hundredths digit is probably useless and I was told that test results could vary 20 percent depending on proximity of sexual activity and other factors. Several years ago , my PSA rose to 4.5. The doctor had me get a second test at a different lab and it came back as 3.7. Just like the treatment options, this ain't a perfect science. My brother had PC. almost 30 years ago. His PSA was 15 when they operated and he didn't die from that 25 years later. I had one friend die of it when he was 81. They implanted seeds in lieu of radial removal which I gather they don't do anymore.

@lewbreslau2981 4 месяца назад

I believe i am in a very gray area. I only have Gleason 6, but there are other things to consider. Five cores on biopsy were positive and throughout both sides of the prostate. Two lesions present on MRI on opposite sides of the prostate with both abutting the wall. Decipher score was .1 asay from being intermediate risk, family hx of father and both grandfathers having prostate cancer, and dre observed hardness on one side where one of the lesions were present. Should I still do AS? Been to three reputable hospitals All leaning toward treatment. I will probably do SBRT five sessions. I believe saying Gleason 6 without all the facts could be a bit misleading. Maybe I’m wrong, as I am concerned about waiting too long.

@kendavis1198 4 месяца назад

SBRT???? Had to Look it up "AGAIN".... 😎.

@markwisniewski4165 4 месяца назад

I was in a similar situation with 4 or 5 (can't remember exact number) cores (Gleason 6) but only one side abutting the wall. Unfortunately I got a very bad urinary tract infection from the biopsy and from that point was not going to do active surveillance with annual biopsies. So I looked at my options. I decided on SBRT and went to Penn Medicine. I went through a procedure to get SpaceOar to protect the Colon, then a month later started SBRT (5 treatments). I'm now 1 year post treatment with relatively few side affects. The SBRT process is harder than it seems, though. You have to perform an enema before each treatment, and you have to drink about 20 ounces of water 45 minutes before, so if they are backed up on patient treatment appointments it does get a bit uncomfortable, especially since the treatment is about 45 minutes. They do perform CAT scans right on the treatment table before you get the radiation and check the results before you get the radiation. You do not really feel anything from the actual radiation treatment. Other than that no regrets on my choice at this point. My PSA at my last appointment was 1.95 down from a high of 4.2. It takes about 2 years to get to near zero PSA. I hope that helps and if you have any questions, let me know.

@anthonyribali5305 Месяц назад

@@markwisniewski4165 i start my SBRT treatments in 3-4 weeks from now; are you on Hormone therapy too. Thank you, Tony

@user-rj9vc3tn5b 4 месяца назад

I'm sorry I missed the last day here today is history repeats it

@darrellmestier1125 Месяц назад

I have a CA : 5+4=9 . In 6 Cores Gleason 9. Group 5.. PSA, above 80. Very Aggressive. I Had a Cryoabolation ( Freezing) of the Prostate. My Tumor was Locally, in a PET Scan.. What is my Chances, it has been Cured.?? Its been 7 weeks. Going to checky PSA. Level. Going to take PSMA PET Scan, in 2 months, to see images, hopefully it has not Spread.

@JasonRoberts556 22 дня назад

Who did you find that was willing to do Cryoablation for a Gleason 9?

@tabcobra 15 дней назад

Hope that does the trick for you and you’re all clear.

@clivemcnally3040 2 месяца назад

What about " nano knife or electric focal points to kill the cancer 16:36

@RedPillTruth2023 4 месяца назад

I have no doctor really on my side. Each of the urologists I have seen simply recommends the therapy that they do the most. It’s ridiculous

@DCGreenZone 4 месяца назад

>>Undetectable levels of Prostate Specific Antigen (PSA) have been reported from the first patient with metastatic castrate-resistant prostate cancer (mCRPC) to ever receive two cycles of Clarity’s 67Cu-SAR-bisPSMA at the 8GBq dose level. PSA is a marker of tumour burden, clinical response to treatment and an indicator of the recurrence of disease for prostate cancer.

@MoayedAlSalman 4 месяца назад

hi I have bee with prostate cancer metasised to my bones for 3 years now ... first my PSA was 275 3 years ago and I was on hormon pills and elegard I had Chemo 3 times radiation now I am on lynparza and my spa is start going up after it it did went down to 3.9 and now it is 7.8 and still on lymparza my dr. said I have to go back to chemo one the PSA is going up to 16 or more what is you advise to me shall I do chemo or not.... thanks dr.

@DCGreenZone 4 месяца назад

There is something called modified citrus pectin, I don't know if it is for someone in your position or not... however you can research it, it was said to reduce PSA but again, where you are at matters a great deal. There is a urology center in Omaha that is involved with the Cu67 trial that seems to be showing stellar results. You can search for it.

@MoayedAlSalman 4 месяца назад

thanks for the replay @@DCGreenZone

@marleybutler4633 4 месяца назад

Natural remedies

@dr8ke.k500 Месяц назад

Like what?

@DCGreenZone 4 месяца назад

I found this.... poking around on the internet, and yes, this is real. >>First patient with metastatic prostate cancer to receive 2 doses of Cu-67 SAR-bisPSMA achieves undetectable PSA level

@MegaSassy45 4 месяца назад

Is Alex Scholz Dr. Sholz's daughter?

@jerirank4301 4 месяца назад

Daughter-in-law

@ncvman 4 месяца назад

I would imagine. No way they are husband and wife.

@mansfieldlou 4 месяца назад

I believe, in an earlier video, it indicated she is Dr. Sholz's daughter-in-law.

@curtisroberts503 4 месяца назад

I have not been impressed with the urologist/s I have dealt with to date. My urologist office (only one in town) is extremely overwhelmed there and it's a 'herd like mentality' there. The two doctors ( both old-school urologists) there have been doing this a long time (maybe too long) and they are pretty set in there ways. Collectively they have not gained my confidence. In fact, I have a lack of confidence in them. Both urologists I have seen seem taken aback by my wanting to be the decision-maker in my treatment option. I have 11 of 12 cores that are 70-90% positive all 3+4 (20% on whole are 4's). The first urologist ordered a PSMA Pet Scan. Aside from confirming cancer in my prostate my PSMA Pet scan indicates one other statement ... "Equivocal for sub-5mm right internal iliac nodal metastasis." I took to be that it is ambiguous or not sure or uncertain finding. However, the urologist (2nd one that I've seen at the same place) says given my PSA of 81 he is certain I have micro metastasis and is wanting to treat me as if I have certain spread/metastasis and is pushing Hormone Therapy. He even said "I would not have even ordered a PSMA Pet Scan for you." I was taken aback by this statement and it just reinforces my lack of confidence in him. I am now being referred to radiation oncologist that the urologist works with. Not sure how my consult will go with the oncologist. I would like the least aggressive approach possible and am hoping for brachytherapy or Proton Beam Therapy and hope that I will be a candidate. Would like to avoid hormone therapy and standard/typical radiation treatment but not sure what options I will have available.

@edwardbertorelli7358 4 месяца назад

Perhaps a change of physician and a visit to a cancer center if one is nearby

@joemaxwell1044 2 месяца назад

I share your frustration. Imagine living in a small town in the US not near any major centers and having little to no resources with a bad Medicare Advantage HMO plan and having to deal with all of this, not to mention the trust issue from urologists.

@aidanmiller4595 2 месяца назад

it is a shame that the urologists that are profit driven only consider revenue over their patient's needs. the UK seems to be light years ahead of the US on prostate cancer treatment since they are not profit driven

@dondgc2298 Месяц назад

You are either joking or you are totally unaware of the issues facing British patients who depend on the NHS for care.

@stitcheruk1150 Месяц назад

@@dondgc2298I disagree with you. I could not have received better treatment from my local hospital - my doctor was the failure in initially refusing me a PSA test. ( AGE 79 with PSA 310 )

@williammack571 Месяц назад

We hat about just letting me die?

@ronniegipson2208 Месяц назад

My gleason is 3+3 in 3 cores that they saw in the biopsy

@ThePCRI 26 дней назад

Hello, we are not able to answer case questions on our comment section but we can help you through our Helpline who can speak with you either by phone or email. Here is the link to contact them: pcri.org/helpline

@jimh3595 4 месяца назад

You know, this is very disheartening. Why do WE have to do the research? What ever happened to "First do no harm"? Outcomes are terrible for Prostate Cancer treatments. Where are the therapies to control it? It's all about the fuckin $$$.

@odysseyt1204 4 месяца назад

Don’t know what your experience was but, all of my doctors presented my “numbers” and I decided treatment based on what side effects I was willing to endure and confidence that the approach would be effective. If you have doctors pushing towards a specific treatment without a “by the numbers” discussion. Get a new doctor. Sure, every doc has a bias based on how they were trained and what speciality they are in - every body has biases. It’s up to the individual to make the final call…it is very tough but ultimate the individual is in control. Don’t be so quick to go down the $$$$ hole conspiracy theory.

@jimh3595 4 месяца назад

The side effects are pretty much the same. Long tern vs short term mumbo jumbo.

@tomasso883 4 месяца назад

Who would consider prostatectomy it is so froth with all kinds of risks and dire post surgery issues, there is potential for severed nerves, damage to the intestines, just look at lloyd Austin's complications probably nicked his intestine during surgery. Then after surgery one needs a catheter and most likely will have bladder leakage for the rest of life, necessitating the need to wear adult diapers.

@davidrichards2113 4 месяца назад

ED for a younger man is terrible, only slightly better than death

@tomasso883 4 месяца назад

@@davidrichards2113 that would be a horrible adjustment and adaptation

@jimpetruska1737 4 месяца назад

Dr. Reiter (at UCLA) operated on me a in 2005. Saved the nerves. No ED, no leakage. Catheter needed only for first week.

@mikeoniones667 4 месяца назад

Whow the tie...

@alanaldpal950 4 месяца назад

If you like his tie you need to watch his other videos

@garyd.7372 4 месяца назад

Fact: The doctors with the most colorful ties are the most trustworthy 🙂

@WOLF-ib7xx 4 месяца назад

You change what you put in your mouth.

@jimh3595 4 месяца назад

LOL

@jabster58 Месяц назад

But the new technologies haven't been proven.

@pauljohnson7770 2 месяца назад

I’ve enjoyed your informative videos; however, it seems that the dr has a prejudice to remain sexually active.

@JasonRoberts556 22 дня назад

Uhm maybe because most men want to as well. If you look at what most men complain about is the lack thereof sexual function post treatment.

@user-df8cf6nu8z 4 месяца назад

stay away from Castration meds

@briancoffey6164 3 месяца назад

PANIC STRICKEN, (61) year old, active, retired on 12/30/23, Buffalo, NY. Father had prostate removed at Roswell Park Cancer Inst. On 3/29/23, PSA was 1.8. On 12/20/23, colonoscopy indicated abnormal prostate exam. Referred to WNY Urology Assoc. DRE in office then PSA imediatey after was 4.8. Because of sex, stationary bike, and DRE, i had another PSA done. Went down to 3.92 week later. How does PSA double in 10 months? On 2/7/24, MRI showed something, PI-RADS Score:4.. On 2/12/24, biopsy done, results are: (15) Cores taken, (3) cores show Gleason 4+4=8, 4+3=7, 3+3=6. Stage II, T1c, per NCCN guidlines risk category is: High. WNY Urology said two choices: Radiation + Hormone therapy or Radical Prostectomy. 2nd opinion at Roswell Park Cancer Inst went better as far as explanation, however same two choices, Radiation Doctor and Urologist both recommend Prostectomy. QUESTION: Is this my only choice? Anyone know of Dr. Guru at Roswell Park Cancer Institute? EXTREMELY NERVOUS ABOUT SIDE AFFECTS. Any comments welcome. Thank you.

@joemaxwell1044 2 месяца назад

I am six years older than you and going through the exact same thing being offered the same two options. To put it simply I do not wish to be cut on at this point if I can avoid it; then there is the horror of the side effects.