How Much Time Do You Have to Treat  

4 years ago a doctor told me I had prostate cancer. He was going to do the random biopsy. I refused and fought for the MPMRI. Good thing, over the years where I had, had hernia surgeries, the mesh had come out and migrated into the prostate, uretha tube and the sigmoid colon. After a 6 hour surgery to remove and repair all this, psa levels came down, I got well. Lesson, ALWAYS ask questions, and do your own research. You are the only person living in the body you got, and you know it better than any doctor.

I was just diagnosed with a prostate MRI. A multi sequence, multi planar imaging of the pelvis was performed by California Imaging institute. Two lesions were found. One lesion was .5 x .3 cm and one was .5 x .4 x .4 cm. PSA density was .09 ng/ml. T2 for both was 3/5, DWI/ADC for both 3/5. IMPRESSION: 1. Benign prostatic hyperplasia 2. Two PI-RADS cat 3 nodules are identified, one within the right apical medial peripheral zone and the second within the right apical lateral peripheral zone. These are intermediate lesions with the presence of clinically significant prostate cancer equivocal. 77 yr old Appreciate any feedback and is Dr Scholz excepting new pts. Medicare insurance and tricare for life insurance PSA HISTORY Feb 2021. 6.1 May 2021 8.4 Jul. 2021. 5.6 Aug. 2021. 4.5 Nov 2021. 4.3 Feb 2023. 5.5 Mar. 2024. 7.8

Dr. Scholz is the only Urologist I've met that I respect. Diamond in fields of rough.

I’m an internist. This guy is spot on. I’m going to save this for my patients.

Thank you so much! I can't tell you how much bad information I have received from urologists over the years. I am so happy that I didn't pull the trigger on treatment with Gleason 6. You are doing a true service to humanity.

By far, the most credible source of information on prostate cancer. I've watched numerous RU-vid videos on the subject, but I can't recall any other website. Both Alex and Dr. Scholz are incredibly enthusiastic, dedicating substantial effort to providing global awareness. Cheers from Sydney, Australia!

Thank you, thank you, thank you. I’ve been diagnosed with prostate cancer in August after having my biopsy. My PSA level was 3.65. Every year I’ve had my pcp check my prostate when I get my physical. It did rise to 1.65 in 2020 and 2021. Last year 2022 my Dr didn’t have my PSA checked but did do the exam and felt nothing. May 2023 during my normal checkup he had my PSA checked and that’s when he noticed the numbers doubled since 2021. I then saw a urologist who checked me and felt a nodule. That led to an MRI in July which on a scale from 1-5 the matter of concern was a 5 and it looked like cancer. In August I had the biopsy and on my birthday in late August it was confirmed I have cancer. I met with the Oncologist in September and he was telling me about the Robotic Surgery and went over what it details. I have up to February 2024 to get myself either in surgery or Radiation. I’ve been researching and talking to guys who’ve had both treatments. The horror of hearing I have cancer surfaces daily but I don’t breakout in tears as much as I did when I was first told. The medical team I’m dealing with are good and are checking on me to see how I’m dealing with it all. I will tell male friends and my son get yourselves checked. Thank u again for all the information I can grab onto within this video.

Another timely and compassionate discussion....thanks

This channel is invaluable! After my PSA went from 4-6-7 over two years I went in for the 3T MRI. ONLY after that showed a lesion (tumor) did I get the Biopsy. The Biopsy came back as a 3+4=7. The urologist recommended surgery in 2 weeks. (They are surgeons, so of course that's what they recommend!) I took the advice of THIS channel and got a 2nd reading on the biopsy. (That's right guys, reading a biopsy slide is subjective NOT objective). I sent it to John Hopkins: It came back as a 3+3=6. THANK the Good LORD, I didn't listen to the urologist!! Then the radiologist I met with, recommended Radiation. (Of course he did! Lol...) BUT he doesn't do Proton-Beam because that's a completely different type of radiation and he's not trained in it. So, off I went to consult w/ a Proton-Beam specialist. The point is this: We have time! SLOW-Down~~~~ The Proton-Beam staff has me scheduled for another 3T MRI AND they want to read my Biopsy slides also. They aren't rushing me into anything....I like that.

Thank you, so reassuring, diagnosed April 22 Gleason 9 spread to bone and local lymphs, hormone treatment only for me, no radio no operations, psa almost zero, feel great, loads exercise, good diet, lifes good, grateful that the cancer I have is prostate and not something else, love your vlogs so educational Phil

Doc’s got some great ties! I went to Moffitt Cancer Center in Tampa today, Gleason 7. However they’re looking at my slides again to be sure my biopsy was interpreted and graded correctly. If it downgrades to Gleason 6 I’ll likely go to Active Observation. If not I’ll be treating with SBRT, no rush into it, and they’re the third oncologist I’ve spoken to! @Prostate Cancer Research Institute has been a tremendous resource for me!

I was diagnosed with Gleason 6 in 2011 when I was 61. First biopsy showed cancer in one plug out of 12 and second biopsy showed no cancer in any of the 12 plugs. I was ready to pull the trigger on seeds, but then my primary physician told me to cool my jets and explained active surveillance to me. It has now been 12 years since my diagnosis and my last PSA reading in June was 5.3. It has brought me a great feeling of relief to hear Dr. Scholz's opinion on not needing immediate treatment on Gleason 6 and the benefits of active surveillance.

I had a psa of 9.5. Tests showed a small but aggressive type of cancer. The surgeon was very pushy. So, I went for radiation and no hormone treatment. After treatment, I was 1.9, 12 months, 2.7, and 18 months, 3.5. So, I have been a bit worried at the rise in PSA. However, after watching this session, I feel so very much relaxed with the future. I am an active and busy 71 year old. Thank you.

One of the things that Dr. Scholz knows from his experience is that prostate cancer in the aging male is ubiquitous and most of the time it will not harm us in our life and we'll die of something else. He absolutely wants us working with our doctor on the issue, keep on top of it, and make good decisions. But, if you go to him or doctors like him, he's likely to also ask you about more dangerous aspects of your health. I've been to their office, I currently don't have prostate cancer (but if I live long enough I'll highly likely to get it), and their office ended up prescribing me a coronary calcium test... So, what's the lesson there: Yes, keep an eye on your prostate but don't be myopic about it. Losing track of other aspects of your health may be more dangerous for you than prostate cancer. Keep an eye on heart health!!

I love this channel and the superb information it presents, but my one criticism is that it focuses so much on the newly diagnosed patients and not those of us who are navigating recurrent prostate cancer. I was diagnosed in November 2010 at the age of 52 with a PSA of 5.0 and a Gleason of 3+3. In retrospect, I probably rushed my decision to have surgery, but I went ahead anyway. The post-surgery pathology upgraded my Gleason to 3+4. My PSA was undetectable for 54 months after surgery, when it came back at 0.05 ng/mL in September 2015. Of course, having a detectable PSA sent me into a full panic. Once I had a detectable PSA again, we applied many of the concepts in this video, and we took a much more measured approach with managing the recurrence. It took over two years for my PSA to go from 0.05 ng/mL in September 2015 to 0.10 ng/mL in December 2017. It took another three years and seven months for my PSA to go from 0.10 ng/mL to 0.21 ng/mL in July 2021. So for nearly six years, my medical team and I were okay with regular monitoring, doing our best to avoid salvage radiation therapy. But it took only 9 months for my PSA to go from 0.21 ng/mL in July 2021 to 0.36 ng/mL in April 2022. Given the rapid acceleration in the growth of my PSA, we decided it was time to act. We agreed to do concurrent androgen deprivation therapy (ADT) and salvage radiation therapy (SRT). I had a six-month dose of Eligard two months before having 35 sessions of SRT over 7 weeks ending in August 2022. The ADT knocked my PSA down to 0.05 ng/mL in November 2022, but the dose has worn off and my PSA was 0.13 ng/mL in March 2023 and 0.11 ng/mL in May 2023. Two data points don't make a reliable trend, but we're cautiously optimistic that the SRT is taking hold. (My radiation oncologist said it could take 18 to 24 months to see the impact of SRT.) Time will tell whether waiting over six years to start SRT with a rising PSA was the wise choice. But I believe that you could make a separate video on this same topic aimed at recurrent prostate cancer patients. Thanks for all your hard work!

I want to thank you so much for these videos. I was diagnosed with Gleason 4 + 3 last week and I went into full panic mode. Your wisdom and expertise have helped me tremendously

This Site (She and Dr.) asked ALL the Right/Focused questions! PSMA PET Scan is Key today. Know your Urologist and how CURRENT they are. Mine saw my .3 PSA for 8 years jump to 2.5 and then Immediately Ordered a 1) PSMA Scan. 2) Biopsy 3) Cryo ... because my first prostate cancer treatment.was Radiation. 2nd Opinions greatly appreciated. BTW Dr.... Love that Tie!

Thanks so much for this I've just been diagnosed with prostate cancer gleason score 3 +4=7 I feel a lot calmer now because I've time to do some research. 👍

Thank you for this as the wife of a husband waiting for biopsy results.

I had surgery and radiation. I thought I had done so much research that I thought my head was going to explode. I thought I was well informed. Knowing now what I have read since along with what I have been hearing here, I would have not gotten surgery. I was told that if I did radiation and had BCR then it is unlikely that I would find a surgeon to perform surgery because of all the scar tissue. My surgery took place in 2019 and 3 months later I had an elevated PSA then Rad. I had Gleason 9. My body is not and will never be the same although I am enjoying life. I would never recommend to anyone to have surgery again. I think surgery for this disease unless absolutely necessary should be outlawed. Just my 2 cents and THANIK YOU so much for this information. It is SOOOO helpful and I wish I had seen something like this in 2019. Keep up the good work.

I can’t tell you how grateful I am to have found the PCRI. Knowledge is power and you are providing so much valuable information so that I can make good decisions. I am in the investigation process and proceeding with my biopsy. I feel you have educated me enough to discuss which procedure I should discuss with my doctor. I will definitely be watching all of your content so I can advocate for myself with as much information as possible. After I receive the results from my biopsy I will probably want reassurance from PCRI on my best treatment options if in fact they are necessary. You have really comforted my concerns and reinforced the fact I can continue to live an active normal lifestyle. Thank you for your brilliant work and I have learned a tremendous amount in a short amount of time by watching you and Alex during your weekly content on RU-vid.🙏🙏❤️

Great Great Video!! I'm Gleason 8. No spread. I'm on ADT last 10 days. Going to do Radiation in 3-4 weeks. These videos helped me a Lot. You guys deserve a lot a credit. I was scared to death 8 weeks ago. Now I know what to do. Thank you so much!!

I just went for my Biopsy today, It went well a bit painfull. Now I can talk about it with first hand knoledge, My psa 8.75 it was 3.5 in 2019. I didnt know I had growing psa untill February this year I have a small prostate. I waited to get the biopsy . DRE in February was indicative of a small nodule on the right side. I feel mostly very good, except for today. Every one have a blessed day

Gn I was on active surveillance since 2015 having done a TURP to relieve challenges due to bph. My Jamaican Urologist referred me to UM Sylvester and a biopsy revealed a Gleason 6. I continued surveillance and transferred to a US HMO. My PSA climbed from 4.7 to 9.7 in 5 months and a 3 tesla mri was done and a biopsy in February 2023 with 23% of one sample Gleason 4+4=8. Having reviewed my status, risks and options with my Urologist and viewed several of your videos I opted for targetted radiation ( completed in August/September) and hormone therapy. I will continue hormone therapy ( Eliguard) for 6 months. My PSA has fallen from 9.7 to 1.06 ( November). I have the videos very informative and helpful. I still have fairly good libido and occasionally use 10mg Cialis 1 hr before sex.

I was diagnosed with Gleason 6 (3 cores

I've had two biopsies, the second after an MRI showed a spot, and nothing was found. Age 68, and my PSA bounces around with a high of 10 ( only once 4 years ago ) but now down to 4. Just took the The ExoDx™ Prostate Test with a score of 44. Still monitoring with PSA and an second MRI in the fall.

My father had a precautionary prostate surgical removal owing to family history of cancer. This resulted in impotence and many subsequent years of frustration which, if tbings weren't already bad enough, resulted in more violence and abuse within the family unit with us children bearing the brunt. Medicine has to be about more than body parts.

Thank you so much. This clarifies a lot. This channel is so important

They’re watching this video. I feel a heck of a lot calmer. Thank you. It’s good to know that I have time to make a decision. I’ve had a MRI and they found a lesion. Next thing is to get a biopsy. But they’re so backed up I’m gonna have to wait at least two months. Now I know that that’s OK. The cancer doesn’t spread that fast. Thanks again again great video.

Thank you so much.

this is a great channel / resource - thank you for all your posts

Thank you for your honesty. Bless you.

These PCRI videos are gold.

Thank you this was very helpful. Michael

Thank u both for great information 🇨🇮❤️🌹🙏

Thank you!

These videos are a godsend.

Great job

This is a very informative video. Thank you very much!

Great video, thank you

Thanks for posting

Thank you. Great information for Prostrate cancer patients.

Thank you for this. Very reassuring and helpful.

This channel has been and is a great source of information I trust. In this video you spoke of a PCRI test. Can you explain what that is please, I was diagnosed with what the dr said he was 54% sure it was cancer. A fushion mri showed two - 2mm spots and one further 2mm spot on the wall of my prostate. He ordered a biopsy immediately as many other doctors had suggested earlier, just based on my psa of 10 once after I’d had a catheter for several days. A retest with the VA urologist showed a 5.5. I have not gotten the biopsy as I’d heard on your channel about the EXODx test. In the waiting time since last October since cutting out 98% of all animal products & coffee, & waiting to get in to a dr who would order it this urine test, I hardly ever have any discomfort when urinating where before it was most always painful.

You both are fantastic! Thank you!

Waiting for a PET. I n the meantime finding PCRI and Alex is really helping me deal with this. Alex you are so economical and clear, your questions are exactly those us blokes have rattling around in our heads. Thanks so much. X

These are all fabulous videos. Thank you so much for making them. Very informative

Great vid!...thank u

Thank you

I was diagnosed with non invasive bladder cancer in 2015 and had TURBT then and again in 2017 after a regular schedule cystoscopy show new tumor. I had a course of BCG in 2017. In Jan 2019 due to a high (8.3) jump in PSA that was always under 2.5 I had a random biopsy and was diagnosed with 3+3 Gleason 6. 7 positive cores with less than 5% of core malignant. In March 2019 I had a T3 Multiple Parametric MRI and a small tumor 3mmx5mm lit up on this test. A targeted biopsy was indicated but never happened and I stayed on active surveillance along with bladder cystoscopy. PSA went back down to under 2.5 every 3 months at the lab. In Dec 2022 I was diagnosed with bladder cancer CIS with very aggressive pathology and after 3 consultations, all recommended cystectomy. They all said my case involved BCG failure and did not recommend any other treatment than surgery to remove the bladder and at the same time take out the prostate. I am 76 years old living alone with no assistance and by the way I had a total R lung pneumonectomy in 1988 and never had chemo or radiation and lung cancer did not recur. The 3 doctors all said as well, I did not have to have the surgery in a week or 2 but take only a couple of months to decide and only having one lung with COPD they all said I would need a workup by many specialties to see if I can safely withstand 5-6 hours of general anesthesia. For the removal of the prostate and bladder and additional time to construct an Ileal conduit ending in a right side stoma. I am a veteran and they authorized community care to have this done and I had my choice of of hospitals and surgeons, outside as long as they would take payment from VA, which is about same as Medicare would pay. I decided quickly on the surgery, within a matter of weeks but had to find and Elite high experience urology robotic surgery. I ended up going to the smallest hospital of the 3 I visited. It was an hour from home. The 2 hospitals I did not got to were the larger cancer centers. I chose the surgeon over the modernity of the hospital facility. The surgeon I picked had more than cystectomy operations. Men from all over the world come to him for the treatment. He had been at the Cleveland Clinic for over 20 years before moving down to a smaller hospital to start a new program a few years back. I had the surgery May 12th 2023 and today I am doing fine and again living without assistance. The home health company ended their contract a month early due to my speedy recovery and ability to change urostomy pouching system on my own. So this was a long story BACK TO THE PROSTATE. My cancer was confined to the organs and there was no evidence of spread but the prostate tumor and grown significantly since 2019, but contained in the capsule and my Gleason score went from 6 to 7, a 4+3 on post surgery pathology. I had T2N0M0. My first PSA since was 0.01. Thanks to PCRI. I watched since 2019 and still watch.

Another awesome job communicating the great news of treating and defeating these diseases. Thanks for all you do and much love❤️

Thank you for this info. This really helps caregivers that care for a family member with cancer. We deal with so much stress waiting for the next dr apt or test results.

Very helpful video!!!!

These videos are very helpful. Just wish there was a way to get a listing of the most skilled practitioners or treatment centers.

Thanks ever so much for your videos, helping me cope with gleason score 9 metastatic aggressive prostate madness. So glad you guy's are there for us.

Well your Channel is great. Many thanks. I have just been told by my private specialist that my PSA is high around 9. And he is already talking about robotic surgery. This seems bizarre after watching your video. Thanks for educating me it gives some reassurance in a difficult time.

Brilliant... I've a PSA of 8.4 but with a clear MRI... await biopsy results and this video is so helpful... Thank you!

I am 71 with prostate cancer, with gleason score over 6 and have no anxiety. I am in for surgery on 9/27/2023. Pet Scan and Bone Scan show it is just in the prostate. I have pushed my surgery off a month, so I can get things done before hand.

I'm in a bind. First off, thank God for these Prostate Cancer Research videos and Dr Scholz' unbiased insights. Which leads me to my predicament - something I think many reading will find themselves in a similar situation. I just turned 54, never needed to take any medications (why do all these doctors look at me strange when i say that?), and very active, workout at least 4 days a week and eat well. In 2019 an annual physical blood test showed a 1.7 PSA. Then in 2022 it was 4.2. So, my doc referred me to a urologist, which I said I thought was possibly raised due to my avid cycling and especially since I did a 40 mile ride a day before blood test (I didn't know it mattered). So he said we'd wait 6 months to do another one. Well, it went down at 3.7. So, we waited again another 6 months. It rose back up to 4.3. That led to an MRI (2t) which showed a single left side lesion Pirade 5 that then led to a biopsy (yay, fun). That showed only G6 primarily in that single lesion - nothing on right side - but a few cores of 3+4. So even though a majority is 3, there is a tad 4 which basically means I am intermediate risk 2b. Okay, fine. So now what? My urologist is a straight shooter and seems to have no bias in this. The doc that did the biopsy suggested if they find anything to just get it taken out and that since I'm so young still it will be fine. My urologist sent me to 3 different specialists to evaluate my options. The doc I saw today is a radiologist and was clear to me was pushing me into SBRT/EBRT and actually even leaning toward removal with his recommendation doc. Same thing said as the biopsy doc. But I know 2 people who've had theirs removed years ago and regret it bigtime due to the inconstancy. I can't imagine pads for life. But I've watched every video from PCRI here on RU-vid and Dr Scholz very clearly implies someone in my situation to NOT do a removal because the tech is so good now. The question that keeps coming up is with HIFU/TULSA the failure rate after 5 years or so. But I'm even getting conflicting answers on that due to new tech. (Focal 1 machine?) Since I'm in such a low grade situation, I don't have a gun to my head on this yet. I'm hoping the tech advances fast enough to make this decision much easier, but I really don't want to do a removal for all the reasons we know. These docs who are pushing it - and I'm wondering if there is some vested interest in that the places I'm going to are pretty much set up for that - don't have to live with the consequences of it like I will. Seriously, are these TULSA/HIFU options really that good and worth it? And the failure rate? What issue is that with today's tech? Thanks!!

another brilliant video just donated, as you've helped immensly

In August 2007 I got a private health check and my PSA was 5.64. Early this year 2023 I went ot the doctor for frequent visits to the toilet during the night and the doctor took a blood sample for a PSA test which was foun to be over 10 at 11.5. So my PSA went from 5.64 to 11.5 over a period of 15 to 16 years during which I have been very healthy other than the frequent visits to the toilet during the night for a wee. Anyway this was followed up from early this year ...scans, biopsy etc to find that I have Gleeson 4/3 and now I am on Hormone therapy for 6 months during which I will receive radiation therapy over 3 weeks. My testostorone level is going down and I feel aged, body sweats and fatigued. I read that my PSA should come down to near zero after Ratiation Therapy, but if it goes up slightly, I could be back to square one as it indictes that the cancer could still be present. Is there no escape for this nightmare?

I was diagnosed in two lobes of the prostate with Gleason 7 a year ago. My urologist at that time referred me to the oncologist for radiation treatment and hormone therapy. Fortunately, I sought a second opinion which suggested activating surveillance to see how the disease progressed. A montago I repeated the MRI again and three days ago a second biopsy which came out normal, with no signs of the disease. The only thing I took, apart from exercise and diet, was the combination of saw palmetto and pygeum africanum twice a day. I can't find any other reason.

An MRI Feb 22nd 2023 showed I had a small area (anterior apex of the prostate) with cancer. I was scheduled for a minor op March 1st and the anesthesiologist refused it due to heart problems. That ended up with a heart ablation April 22. About a month later targeted biopsies showed I had Gleason 4+4 with 5% abnormal cells in the biopsies. No cancer in the 12 random biopsies. The genetics of the cancer put me on the low end of intermediate risk. My own genetics has no mutations that encourage prostate cancer. A PSMA PET scan showed cancer only in the area indicated by the MRI, with no metastasis. I have a large prostate due to BPH (149 mL). Researching I hit a roadblock. My urologist thought me a candidate for focal treatment and referred me to the Mayo Clinic. They do not accept Medicare Advantage so I have not been able to schedule a consultation. I can change to straight Medicare, but cannot get a Medigap plan because I have a pre-existing condition. So to change to insurance Mayo will accept I have to pay 20% of all future medical bills (this year just the heart ablation and PSMA PET scan would have cost me $30K if I just had straight Medicare and no Medigap). What if I switch and cannot get the focal treatment? Another complication is I self cath (CIC) due to bladder injury. This is likely to cause problems during EBRT. A supra pubic catheter would probably lead to sepsis. I would need hundreds of seeds for brachytherapy so that is not an option. I feel like I am stuck in a loop, wanting to protect my quality of life (I am 75 so not much longer to live) but not ignore the cancer with roadbocks to getting the information I need. This video was very helpful because it suggested ADT might help (maybe I will get a soprano voice and regrow my hair to compensate for the lack of sexual interest).

Thank you! So much for this information I have a 3+4=7 and 4+4=8 Gleason score

Great video ,iam gleason 6 since last year ive just had a second confirmation biopsy please god it comes back at gleason 6

we watched your video was interesting.we was diagonosed with prostate early stage very slow growing.two spots one was 2 mm. thanks for video..

Diagnosed June ‘21 - Gleason 9. Started ADT end of August, IMRT early September for 5 weeks. Brachytherapy 2 days after radiation ended. Ended ADT Aug ‘22. Took this approach /timing after consulting with Radiation Oncologist, Urologist, and Primary Care. Do your research, listen to Drs you trust but, gain a good understanding, on your own, of latest studies and therapies. Always appreciate your videos. Thanks.

1) Twelve years ago, a Urologist decided that I have prostate cancer and I should schedule a surgery. But I did nothing. 2) Two years later, I went to another urologist who told me that I just have a large prostate and gave me some medications. 3) Two years later, I went to another Urologist who told me that I have a low-grade prostate cancer, and I need to go to him a couple of times a year for monitoring. 4) Four years after that another Urologist told me that my prostate cancer has become aggressive and I should schedule a surgery. 5) Two years after that another Urologist advised that I should at least have Hormon Therapy. I finally gave in and started on Hormon therapy. 6) Last year, another urologist advised that I should have radiation but not hormon therapy. 7) This year an Oncologist tells me that I should have radiation together with hormon therapy... I am now on Hormon therapy - because my wife insisted that I should do it - and am hesitant about Radiation therapy. Except for going to bathroom, 2 or 3 times a night, I have not seen any other symptoms or problems. I am now 84 and do not want to live beyond the age of 90. I am told my Gleason score is 9. With this background, should I do a) surgery, b) radiation, c) Hormon therapy, or d) none of the above - because there is no clear-cut answers plus I do not want to live beyond my 90th birthday?! My PSA ranged between 3 to 9 during these years, but it went back to less than 1 since I began the Hormon therapy.

I was a 15.5 PSA with a Gleason 9 four (?) months ago and was shocked at how glacially slow everything was going. But I just kept telling myself, "Just because this is your first rodeo, cowpoke, doesn't mean it's theirs!" For example, my first check-up after completion of radiation treatment is a full two months down the road after we're done. Today was my first radiation treatment. Went very smoothly. They know their business. "Wow!" I said when I first saw the machine. "That must be worth at least $750,000!" It made an MRI look antiquaited. "It's $3 million," said my attendant. "Your figure barely covers the upkeep."

My husband was diagnosed with Gleason 6 last year. Went in for his annual prostate MRI and it had 3 liaisons on the left hip bone.... he then had a PSMA scan and only one of the liaisons lit up and nothing anywhere else in his body. He has appointments with both a Medical Oncologist and Radiation Oncologist Sept 20th. He goes to the Mayo Clinic, Phoenix. Oh and by the way he had a heart transplant 2 years ago this August, so is on some major anti-rejection medicines.

While working Kuala Lumper I was diagnosed with prostate cancer after bloodwork was done to check immunity cover. Went through numerous tests having scans etc., and a surgeon was chosen to carry out the operation using instrument surgery. Then came a complication with my company's insurance cover. Though being able to return to work quick have this type of surgery the insurance company did not to cover the operation cost yet would stand the extra cost of a longer recovery stay in hospital. Doing the math's, one cancelled the other out plus taking the extra charge operation would have me back to work earlier. On check in day this still had not been settled but I was prepared to pay the extra but would challenge the extra stay in hospital against the insurance company. They then agreed to pay the extra operation charge. The cancer had shown on the wall of the prostrate and so radiation treatment was needed. The insurance company again did not want to pay, but I claimed that there delay in OK ing the operation could have caused this. I suggested my company change insurers as they were not working for the good of the company employees. Thankfully all tuned out fine for me HealthWise, the company did get a rewrite of insurance cover because of my case.

In 2005 my health check showed -psa =7. I . At that Time the superbugs were prominent and a highly advertised died after a biopsy. I was concerned and asked my doctor for an alternative to biopsy. He must have thought I meant I did not want any treatment. My psa rose while watchful waiting ro 12,15, 21,29 with me not understanding the importance. I had no symptoms for 10 years until I started to getting so,e minor back aches. After 11 years it was bad and I had CT scan which showed psa of 9000, extensive bone metastases and lymph nodes and I was referred to an Oncologist. I refused Chemo and was given ADT-Zoladex and Casodex. after 4 month I felt much better and cancer in Lymph nodes were resolved. bone metastases were less obvious. Psa was

I was told Gleason 6 “you have lots of time, active surveillance will be just fine”. I said no I want it gone, by the time I got the referral and an appointment with the doctor it had been six months. He wanted an MRI biopsy, in that time I had gone from “mass” the size of a dime, to two. One the size of a nickel and the other about the size of a quarter. And the doctors said “that shouldn’t happen, you don’t have small cell carcinoma”. Had I listened to the first doctor it could have catastrophic. Do research, remember most doctors want to protect their own interests. Radiologist want you to do radiation, surgeons want to do surgery etc. The radiologist for example may not go in-depth on the chance that radiation could lead to another cancer (bladder,colon) in 10 years or so. I mention this because two friends that I met during my journey did radiation, and one ended up developing bladder cancer, and the other colon cancer.

It seems to me if you have prostate cancer and have an enlarged prostate and getting up 6, 7, 8, times a night to pee you will eventually need to have some kind of surgery to open up the uretha to pee it seems to me if your Gleason score is 6, 7, 8, 9, or 10 it would be better to just go ahead and have the dam surgery and get the prostate completely taken out. Just my opinion. I have Gleason 6 and psa 4.9 urologist is waiting to just do active surveillance. I am still deciding on what to do??? Good luck to any of you guys who read this.

i was diagnosed with Gleason 8 in Aug of 2022 and PSMA showed nothing outside of my prostate. I was scheduled for surgery at the end of November but I got the flu 2 days before and surgery was postponed until Jan 31st of this year. Tumor was all contained within prostate, margins and lymph nodes were clear. Gleason was downgraded to 7 and I've had 2 PSA tests since and it's been undetectable

Thank you! Great information as always.

12 years ago,I underwent robotic prostatectomy for recalcitrant prostatitis and recurrent obstruction after a TURP. Multiple biopsies were negative or just carcinoma in situ. The path showed that I had a 1.5 cm carcinoma that was undetected. Biopsies completely missed it, even under MRI guidance. The last 12 years have been spectacular. No obstruction. No prostatitis pain. Complete continence. Meanwhile, my 52 year old neighbor is in the last innings. His PSA is climbing despite hormonal deprivation RX, with Mets to his spine and pelvis. If you have a cancer, treat it.

My dr was angry that i had any questions about prostate cancer when i came in with the knowledge i learned with this channel..pushing for biopsy..she knew my mri showed a 60cc prostate and my psa was only 4.8 wellv within the psa density range that she didnt seem to know about when i told her

THANK YOU FOR YOUR OPINION ON THIS VIDEO ❤

Such good information, it has really been helpful for me. I am at the beginning of this journey, I am scheduled for a biopsy next week for what appears on MRI to be a PI-RADS 4 lesion. Thanks to your channel and some others, I am well armed with information and I am quite confident that I will make a treatment decision, if I need to, that will be the best decision for me and for my spouse. THANK YOU BOTH for your wonderful videos!! ❤❤😊😊

thank you !!! I just got diagnosed with prostate cancer.. geason 3.. I'm waiting on cat scan, then decide on treatment

Very informative video. Sir in 2022 i was dignosed prostate cancer on the basis of biopsy reprt with gleason score 8. Doctor prescribed harmone treatment eith tablet cslutamide one daily a d one injection pamorlene once in three months..Now in April 2023 i hve been operated with procedure TURP. Presenltly i have been advised to get the injection once in three months only. My PSA reprt is 0.36 Please advise how long i should go with treatment a d what will be the side effects

My big concern is ADT. It has SO many side effects. How long do you have to be on it?

I just discovered the PCRI website. I’ve subscribed and wanted to know How/ what a 4+4 = 8 Grisons score changes the direction of treatment and longevity of the patient. Thanks so much for what you do.

For me with Gleason 9, I wanted to get going. By the time I was able to start the Lupron injections and radiation, five months past by. So if one waits say three months then add other delays for scheduling etc to fall in place.

Dr Scholz would you please comment on focal laser therapy efficacy for prostate ca.

What is your view of Tookad treatment. I hear it has been approved in many countries.

Alex and Dr. Scholz -- Good stuff! Thank you.

Is it possible for you to cover the rare prostate cancer and are there any clinical trials or research on the rare form of prostate cancer? My step father is out of options and running from one clinical trial to another at Stanford University.

Dear Alex, Well done discussion and evenly weighted. As a lifestlye med physician, I have seen an almost universal reversal of trends when patients add stress reduction, diet and exercise to their treatment protocols. Keep up the good work,. Cheers from New Zealand

Just diagnosed a week ago with Level two, Gleason 3 + 4. Urologist has given me 4 weeks to decide what course of action to take. Head is spinning trying to decide.

Der Scholz has the best ties ever!!

I gót Gleason 3+5 and so far no date for my surgery yet. I still have to wait for blood test and MRI. Canceled diagnosed in 8/7/23 and the earliest for surgery most likely in November. Would that be too late? Please help.

No matter what grade of Prostate cancer you have get a PMSA PET scan to determine the location and if the cancer has left the Prostate capsule. Cancer at the edge of the gland or involving the nerve bundles could have a higher chance of leaving the gland than cancer in the middle of the Prostate. Once the cancer leaves the Prostate it’s another ball game. Dave (a cancer survivor)

i was diagnosed 6 months after my first biopsy because they missed the cancer , the first psa was 5 then the second was 10 , my gleason was 9 , I had seed implants , radiation and hormone deprivation therapy for 2 years , its 2 years now after completion of the treatment but over the last 6 months my psa rose to 0.05 , then down to 0.04 and now up to 0.06 , the doctor wants to wait for another 6 months to see where it goes before considering any further treatment , the first time around i was nervous and just went with what they said but i've come to accept things now and am fine with waiting to see where the psa goes , im just hoping it a radiation bounce and not recurrence

I had cancer on my prostate and my lungs I started taking Myrrh gum capsule and the cancers where surrounded by the myrrh and dried up that has been over eight years ago I'll be 91 next month , you can't let the cancer get to large .

You are correct, the side effects for ADT is worse than the cancer! Thank you so much for your help.

MRI revealed one small lesion 10x9x9 mm. PI Rads score 4, intracapsular. Is there any risk that a biopsy would disturb or 'break' the capsule (so to speak)? Can the needle rupture the shell of the capsule, hence releasing cancerous cells that were otherwise contained. Does that happen?

I’m having HOLEP surgery then SBRT radiation a few months later. Is it best to do HOLEP FIRST THEN RADIATION? Thank you.

Dr Scholl's bhow long life expectancy bone metastases?