#ProstateCancer

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In this video, medical oncologist Mark Scholz gives a general overview of the concepts of "cure" and "remission in the context of prostate cancer.
0:07 What is the meaning of "cure" in the context of prostate cancer?
4:15 How does the Gleason score factor into cure rates?
5:42 What does "remission" mean in prostate cancer?
7:55 How often should men have their PSA checked after treatment?
10:22 How frequently are patients able to achieve durable remissions (meaning that the person has no active treatments and no detectable cancerous activity)?
11:39 What is the follow-up routine for a man if he has been in remission for five or more years?
11:57 How would a man use PSA testing after focal therapy -- considering the fact that part of the prostate would be intact?
13:21 Are there any benefits to having an MRI after treatment since PSMA PET scans are available?
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 or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.
The information on the Prostate Cancer Research Institute's RU-vid channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
#ProstateCancer #MarkScholzMD #PCRI

Опубликовано:

2 июл 2024

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Комментарии : 213

@thomasfholland Год назад

Remember! Don’t give up. I had a PSA of 3,280 with a Gleason score of 9 at the time of my diagnosis. Plus, way more than 100 tumors in my skeleton, even broke my neck because of 7 tumors in my neck vertebrae. That was 15 years ago!!! And having loved ones around you definitely help too.

@yvette344 Год назад

Wow!! That’s amazing & Extremely encouraging!!🙏🏽

@Lola.1952 Год назад

Congrats! I'll happy for you. Your words are really encouraging. Thanks for sharing.

@maverickat4544 Год назад

Thats mindblowing! Here I thought my PSA of 587 was high. Thanks for sharing

@austinmackjr4743 Год назад

Thank you for sharing. I was devastated hearing that my PSA was 60. It has dropped to 12. You are encouraging

@markbrownfield437 Год назад

Remarkable and thanks for sharing your story. It gives me a lot of hope. Treatments are getting better all the time.

@mikeoniones667 Год назад

Radiation and Prayer did me well.

@jimbruno Год назад

What I love most about these amazing video-messages is that the caliber of the questions, answers, and evolving exchanges -often in the course of the same video-is so extremely precise, human, and hopeful. Alex and Doctor Scholz share such warm and human confidence and expertise that those of us making this journey could not be in finer company. Thank you for your kindness, your mission, and your life’s work. You truly serve your callings. So many of us notice, stay optimistic, and could not be more grateful. Thank you, PCRI!

@Lola.1952 Год назад

Absolutely! I'm also thankful to them. Watching their videos brings me confidence and fear goes away.

@tgburger Год назад

I couldn’t agree more! I’m so grateful to PCRI.

@billwilson7765 Год назад

Hear, hear!

@zenman11 20 дней назад

I live in NZ and the medical treatment for PC is like the dark ages compared to what is being spoken of here,.. how I would wish🙏 to have a consultation and treatment by this doctor

@jerrysnavely3914 Год назад

After 3 years of rising PSA and 3 biopsies they finally found a 4+4 Gleason by doing a external entrance biopsy at Johns Hopkins in Baltimore. PSA was now up to 40. I just finished 28 IMRT treatments at Ann B Barshinger treatment center in Lancaster Pa. Now I have a HD Brachytherapy scheduled for May 22nd at Fox Chase Cancer Institute in Philadelphia. I am also on ADT for two years. One Dr said I should be cured after that. That is the "C" word I am going after. Hoping for the best!

@johnnydee6659 Год назад

Four months off of ADT my testosterone is now normal and my PSA had remained at.04, so guess that would put me in durable remission. And I feel normal again!

@rutbaaltaf5755 10 дней назад

Hii.. For how much time u received adt?

@johnnydee6659 10 дней назад

@@rutbaaltaf5755 15 months

@blackbiker1961 Год назад

I was diagnosed with stage 4 prostate 1 year ago and was placed on Lupron & Casdex. But I changed my team after I got a second opinion, And I was told my stage 4 was very early and had just a had a few specs on my lymph nodes, My new team of doctors immediately ( 3 months later ) started me on Eligard & Extendi and I went on an extreme diet of green drinks whole foods & wild-caught salmon and ( not much tuna due to price ) and I perform a Chinese exercise ( I'm not saying this work but I performed the movements every day) 7 months later I'm in remission. I still have my prostate before this the doctors on my team later to me about radiation and other therapies but, as I went back for my 3-month check-up I was told I'm still in remission and as of now there is nothing to radiate, I'm down 25 lbs and I like to think loss did to my extreme diet and exercise regimen because I make sure to eat 3 small meals a day whether I'm hungry or not my PSA is in the neighborhood of undetectable I don't know how long this will last but I'm not giving up on my plan.

@Vincent50 7 месяцев назад

Awesome keep up the good work.

@unlisted333 7 месяцев назад

Rooting for you! My father is experiencing similar

@sripadmujumdar2497 2 месяца назад

Loss is not due to your diet it is because harmone injections you loose your muscles mass pl do weight training.to overcome weight loss

@BronzeAgeSwords 4 месяца назад

your films have been some of the clearest information on what to expect thank you

@tomswoverland Год назад

After 3 years I had a 6 month remission felt really nice to not have to go to Mayo for 6 months now I’m back to 3 months so I’ll take what I can get and do what I have to as new treatments keep coming.

@Lola.1952 Год назад

Good luck!

@mbambalamulimisi850 3 месяца назад

I now fully understand my status. My PSA has been 0.03 on four occasions after one year treatment using hormone therapy and brachytherapy. According to Dr Scholz's explanation I am on remission. I haven't reached the cure stage.

@WendellLive Год назад

Thank you for all you do

@MrVasmikey Год назад

Thank you! I will be at five years with .09 PSA in February. You folks are better angels.

@raymonddavis5271 Год назад

Another awesome video. Thanks again!

@fredm5245 Год назад

I can relate to much of the information here. Thank you again.

@Benb55 Год назад

Just had my 2nd blood test after 6 months of having radiation. My PSA has dropped from 1.3, 6 weeks after radiation to 0.7. My Radiation Oncologist was very happy with the PSA number. Next test in 6 months.

@tomasso883 Год назад

I had PSA 14 Gleason 4+4 prior to proton radiation, 4-months after radiation 1.14 PSA. Going to have another blood test in 4-months. I’m 6-months after radiation.

@Benb55 Год назад

@@tomasso883 I had Gleason 4+3. Good result on your first blood test. Good luck with the next one.

@tomasso883 Год назад

@@Benb55 thank you and best wishes for your continued positive direction. My concern is I was prescribed ADT hormone therapy with Gleason 4+4 I declined due to all the known deleterious affects and reduction in quality of life, I’m hoping it works out, so far so good I feel absolutely great with no urinary or other problems.

@Benb55 Год назад

@@tomasso883 I can understand you not wanting hormone therapy. It’s early in your after radiation treatment.

@tomasso883 Год назад

@@Benb55 My thinking is if I reach .5 or less PSA and/or continue a down trend, coupled with PSMA surveillance hopefully all will be well. If any spread is detected early I think it can be successfully addressed, depending upon the nature of the metastasis.

@JDinky652 4 месяца назад

Always a gold mine of information. Thanks.

@billyjohnson9166 Год назад

You both are great. Thank you Thank you Thank you

@maverickat4544 Год назад

What a team you are Alex & Doc Scholz. Pure gold. You guys at PCRI have helped me so much in understanding my PC. Especially as i live in South Africa and access to reliable info can be challenging here. Have been following your channel almost since its inception. Thank you so much. 💜

@foodislifesouthafricacapet3716 Год назад

Hi likewise here also in South Africa cape town and don't get much information at all

@JerryEgge Год назад

Awesome discussion!

@wayneredd6776 Год назад

Great video!!!!!

@knockywigglesworth1909 Год назад

Thank you so much for sharing your wisdom & information. Content is priceless!!

@DarkNight-fi6tv Год назад

Excellent info and video…thank you

@lonnieke Год назад

Thanks for the great info you helped me make up my mind on treatment

@nickband2072 10 месяцев назад

Thank you so much for another great video, really good information

@bassman1519 Год назад

thank you thank you..Dr. Scholz and Alex, you are an Angel....

@johnpollock4257 10 месяцев назад

Fantastic information

@sayedgoda2099 Год назад

Another great video. You have been doing a great service to prostate cancer patients. Thank you

@John-the-Bass Год назад

Brilliant information, thanks. I am now on 6 monthly PSA checks now after 2 years of three monthly checks. Low values but the hormone therapy is continuing.

@MLife1972 Год назад

Thanks for making these videos. The interview format is very effective and the presenters are easy to understand and speak in plain language. I'm sure it's invaluable and reassuring to many viewers. There is so much medical content on youtube that is 10 or 11 years old when there is so much newer information like this.

@andrewmacfarland5253 8 месяцев назад

Me: diagnosed 2016 Gleason 9 PSA over 300. Lupron, Abiraterone, radiation, chemo. By 2023, bone Mets hips, ribs, spine. Mid-2023 full course of Pluvicto almost no side effects. Bone scans, CT, MRI now show no active cancer. No new tumors, no activity in older ones. PSA now around 0.7. Every finger is crossed!

@anthonygasparini1734 7 месяцев назад

Thank you for your channel as I am a new patient to this situation. I am that much more educated on treatment protocals and outcomes! Thank you❤

@mec598 4 месяца назад

I had full prostectomy 7 weeks ago . Waiting for my first postoperative check . Thank you for your advices

@alliaj1 Месяц назад

PSA results?

@smone5591 Год назад

As a patient on Lupron and Abiraterone after surgery and full pelvic SBRT prior to ADT, I am finding hormone therapy tolerable (2 years) through intense exercise and vegan diet. I can't build new muscle mass, but I manage to keep what I have. Mental side effects under control as well from these behavioral adjustments. My PSA is undetectable and I see people that stay on it the rest of their lives. I am leaning that way as a 63 year old just because I see stories of 20 plus year survival cases on ADT. Example Michael Milken 27 years plus on ADT, he had the resources to get the research, so I may follow his example.

@glendahutchens7952 8 месяцев назад

Dr what an outstanding video !,,you & Alex such a great team. Thank you so much

@alanblack5665 Год назад

Thank you for the excellent informative video which demonstrated the appropriate balance between research evidence and the caring aspect of the medical profession regarding prostate cancer. I may have watched all of your videos since my PCa diagnosis in 2014 and undoubtedly they have been immensely supportive enabling me to relate positively to my cancer and evaluate the suitability of treatment plans. After 6 years of active surveillance with annual MRIs, I had a prostatectomy in September 2020. Unfortunately, I had a recurrence in June 2021 and then 33 radiotherapy treatments completed in January 2022. I started 150g of Casodex in August 2021 but after a discussion with my oncologist, I stopped this in July 2022. My next PSA test was due almost 10 weeks after I stopped the hormone therapy and the reading was

@BigZWD Год назад

Had radiation treatment for 20 days. 3 weeks later PSA went from a 15.6 to and 0.43. 4 weeks later it's down to 0.19. Today it was o.54😮. Urologist says that bump is normal. Next PSA is in 6 months, hoping psa is still around.0.5. Though he , my urologist, said don't panic unless it is a 2.5 or higher.

@tomgillies794 Год назад

Thank you

@jascam1 Год назад

Another Excellent and informative video, my PSA is holding at 2.5 two years after ext radiation when my initial cancer was 4.77 PSA. I never had a follow-up from radiologist or urologist. You have to be proactive with your own health, I’m now seeing an oncologist about the PSMA going forward.

@tedrick4713 11 месяцев назад

Thank you!!!!

@mjones0710 2 месяца назад

PSA was 4.2 and had MRI and biopsy and was diagnosed May 10, 2023 with prostate cancer (Gleason. 3+7). Teal treatment….3 months on Firmagon and 5.5 weeks of Radiation . Had brachytherapy surgery Oct 2023. Just had first PSA after treatment and was .3🙏🏽🙏🏽🙏🏽

@steveward2394 Год назад

I had a PSA of 9. Down to 0.08. have had surgery and now chemo. Doctors said I am good for 15-20 years. That would make me 80 plus. Exercise is very important.

@kamalsh6123 11 месяцев назад

Had localised PCa. PSA had gone to 54. Biopsy showed Gleason 3+4. After a lot of search on Internet, firmly decided (in spite of several well wishers suggesting surgery)to go only for Cyberknife. I then searched for the most reputed Doctor in India with a proven track record on Cyberknife. Had the treatment (with no other concurrent treatment) with absolutely no side effects. In 4 months my PSA has dropped from 54 to 4.1. PSMA and MRI scans have shown substantial positive results. Keeping my fingers crossed that this is remission and it progresses to a cure.

@MegaAlphaDave Год назад

Good video. Thanks. I think the Teal, Azure, and other colors are more confusing than elucidating.

@jimz6076 Год назад

My OSA was 427, Gleason score was 4+3)=7. After treatment at Cyberknife my PSA has gone down to .3. The quality of life issue is my only continued hope. Having to get up 6 times a night to urinate is not a lot of fun. If anyone any knows of the cure for that I would love to talk with you. I am praying that this next Oncologist visit I will be told no more Lupron (The drug from Hell). A 6 month shot of that and there goes the quality of life.

@user-yv1di1wk6b 4 месяца назад

You might try nocdurna 55.3 mg sublingual tabs. They worked for me making it only 1 to 2 times a night vs 5-7. Huge difference in life quality.

@omarfarukdoola5679 11 дней назад

I had an enlarged prostate.PSA was 5.83 Dr did A TURP and sent in sample for biopsy. Came back with a Gleason score of 4+3=7. Diagnosed cancer confined to the prostrate. After a week removed catheter and gave me a hormonal injection saying it will shrink and slowdown growth of cancer... The PSA after TURP was. 0.56. I did a PSA after 3 months came down to 0.08.. Dr wanted to do Brachytherapy and radiation immediately. I disagreed and went for a 2nd opinion suggesting removal of the prostrate. Side effects of excessive sweating and ED.. 4 months later still have those side effects... Thinking of having a removal of the prostate... Believe very little to no side effects in a experienced surgeon's hand

@user-wn6pf1ou8e 9 месяцев назад

This doc has the craziest ties.

@JayeSmoothMusic Год назад

These videos was a blessing to me after last year being diagnosed with 3+4 and psa rose to 25. Thank God i was non metastatic and i was treated with standard radiation and lupron for 6 months. Now my psa is down to .2 my doctor suggested that he continue with 18 more months of lupron based on how high my psa have gotten at diagnosis. I agreed to another 3 month shot after my psa reached .2. But im debating should i stay on lupron or stop the treatment in August at the end of this additional 3 months shot, as the doctor agreed to do also?

@mperloe Год назад

MRIdian with ViewRay offers gating which shuts off the beam if the target area moves out of the beam, or the rectum or bladder move into the beam and would be subject to injury. Standard treatment checks positioning only at the start of the session. A real-time MRI takes 4-8 views each second and automatically turns off the beam if that's appropriate. Adaptive therapy allows for adjusting the size and shape of the treated tumor on a daily basis. These innovations make it safer to consider repeat radiotherapy for recurrences when the tumor is seen on PET scan.

@standingstone4455 Год назад

We are in Michigan and it’s so difficult to sort through finding a radiologist that does this. Or even simply explains radiation options…even SpaceOAR to protect. Thank you for explaining this.

@fizzytinki Год назад

Thank you. I am approaching my 1st year after diagnosis. I am on aberaterone / some predasone. I have a great appetitie. But, I am ready to get my testosterone levels back up. will let you know what's up in about 2 weeks time.

@gregory8861 Год назад

I’m being treated at the VA. My RO told me that whatever my nadir ends up at (currently.88 9 months post radiation without ADT) if my PSA goes above that 2 points ( PSA 3) I will be considered in chemical reoccurrence. That seems much higher that this video suggests.

@mmazkoory3628 Год назад

Thanks again for another very helpful video, especially for those who had focal treatment. Usually PSA checking for this type of treatment in UK is three months after initial treatment and than six months after the first test and one year after second test which fallow every year. I have to mention your advice for the PSA checking interval to my consultant doctor .

@k.p.ashokmenon4627 Год назад

I had already 5 injections of lupron and PSA dropped from 134 to .001 and one more after 3 months will be the final.No much fatigue or urination problems. Very costly treatment around one lakh.No idea what will be after the above? KP ASHOK .....

@terryalbrightsings5067 Год назад

Can you speak about the iso PSA test? Thank you.

@stonebridge3908 Год назад

After 11 years on AS I had a HIFU hemi-ablation treatment 2 years ago which thus far has been working. I simply view myself as being on AS again. However, having now had 5 MRIs with a GBCA I am reluctant to have another one and will instead seek a PSMA PET if my 6 month PSA check-ups indicate a problem. It would be helpful to have a video focused on the nuances of monitoring after focal therapy.

@ejcsds Год назад

I had Brachy done 9/22. Mine was located in Prostate only, one side. Whole Prostate was treated with Poladium. My PSA going into this was 6.8 - 7.0. I had 3 areas: 2 were 3+3 and one was 3+4. On Dec 15, 2022 I had PSA check and it was at .5! Hoping when I have my 6 month in March, its even lower but pleased as it is! Symptoms have been all over the place but around 90 days, started to settle down some. Still up at night a lot! Hang in there its doable!

@marka9073 Год назад

That awesome. Where did you have Brachy? HDR or LDR(seeds still in)? Was full procedure done in 1 day? Side effects,outcome, ED, ect? Currently planning to have HDR Brachy done and searching for experienced doctor and center.

@ejcsds Год назад

@@marka9073 First and foremost, I could not have done any of this without this youtube channel: PCRI! The information here has been substantial and incredible! I was fortunate to get to the local doctor that I wanted, Dr. Steven Frank at MD Anderson, he has some youtube videos. He and his staff have been nothing but incredible! I had LDR and the process was flawless, other than not being able to use the Space Oar Gel. I was in and out by 1pm, which also included an immediate MRI to check placement. Palladium 108 was used. My side effects have been all of them, but really began to lessen around 90 days when the Palladium hits its 1/2 dose mark. My long term has been frequent urination at night. Currently I am fighting off a UTI that could be from a cysto procedure or prostatitis. I went with LDR because I did not want to do all of the daily prep for radiation. I would do it over again as the correct choice for me and would recommend to others. Surgery was not even an option for me, did not want it! Within the first 90 days things can get a little rocky with regards to bowels and urination, but you just to plan and know where the restroom is where ever you are. Have not had any incontinence. I have traveled with no issues on 4 hour flight. I started on Flomax and am now on Rapaflo. The side effects are less on the Rapaflo for me. To be honest, I did not have any issues before and am taking it as part of my Dr's recommendation for now. The procedure has not slowed me down in any way and I am 68. As far as the ED, cant address that because not active nor is that a big concern for me right now. Ask away if you want more.

@marka9073 Год назад

@@ejcsds Thanks for sharing. Always good to hear good outcomes. Hope continues well for you. I have so many questions. 63 yrs with PSA at 5.1. Initially diagnosed on 6/22 3 areas 3+3. After MRI had 2nd biopsy 12/22. 4 areas on 1 side, 2-3+3, 1-3+4, 1-4+3 via 2nd opinion JHHopkins(local path said 3+4 for the one JHH says 4+3). All low involvement with the 4+3 at 5% involvement with 60% of that pattern 4. So very small and all contained and verified by MRI and PSMA PET scan. How much involvement did you have? All one side? What decision process did you go through to go forward treating Favorable Intermediate 3+4 vs. Active surveillance? Do you live near Texas/MD Anderson or did you fly in? Currently researching, monitoring PSA. Will move to treatment if any progression.

@ejcsds Год назад

@@marka9073 I am in Houston. My initial Urologist and organization called mine as 2 3+3 and 1 3+4, all one side only. JH also bumped my 3+4 to 4+3, but MDA had my slides last and called it like my first Urologist. My decision was to take action now and not wait. No one suggested AS. Not sure what your "involvement" question is about. None of the folks I consulted ever tried to convince me of anything. I went in to MDA wanting to talk to a specialist in each area: Surgery, Radiation like Photon and Brachy. Two doctors that I spoke with, 1 at MDA and the other at my original urologist, both stated they would do Brachy without question. Of course the surgeon wanted to cut! But I had already made up my mind before knowing their position. I cant say enough about the support staff of these MDA Doctors, they are incredible. The Mays clinic is where mine was performed, located outside of DT Houston has hotels all around because it is in the Medical Center. In reality, after my full MRI scan revealed no metastasis, I said lets move forward! I did not want to take any chance of it getting out! Could I have waited this out, maybe only one person knows the answer to that! I have learned so much from Dr. Scholz, that I probably should have considered a 4 th opinion from him! The only thing that I wished MDA had, or anyone for that matter, is the ability to talk to like patients for their first hand experience.

@marka9073 Год назад

@@ejcsds sent a few more questions and comments and posted it twice. Seemed to get removed after I verified the message was posted. Asked for medical oncologist recommendation who had prostate specific experience. Preferably in Midwest or Indiana, Ohio areas

@stephenwoods6139 Год назад

Can you give some guidance on possible reoccurring prostate cancer and/or cure rates where the patient like myself has had surgery followed by radiation together with 6 months of hormone treatment to combat localised lymph node. I feel most of the comments are about people who have has either surgery or radiation and not a combination of both. Thank you for your informative posts.

@kwatt-engineer796 Год назад

My "cure"lasted 24 years (proton beam) , now I am on Lupron with PSA of 0.21. PSMA scan indicated non metastatic but too much for surgical treatment. Obviously, I will be hoping for a new class of treatment, maybe a radio isotope tagged to seek out the cancer.

@peterkooistra8442 Год назад

I think what you are referring to as a "new class of treatment" is covered in this video... ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-Th42pFOx0Fs.html

@kwatt-engineer796 Год назад

@@peterkooistra8442 I am still relatively early in hormone treatments. I will bring this up with my oncologist next appointment. Thanks for the tip. It would be nice to push this aside for another 24 years, (I'm 78).

@marcgreenberg1271 Год назад

I had 8&9 Gleason score. 39 gold seeded radiation treatments plus 18 months of hormone therapy starting in September of 2021. My PSA right now is undectable. How long does it take for testorine to return?

@tomjones3316 Год назад

You guys are great! I'm 57 years old. My PSA was 60 on 12/6 as of yesterday its 75, my doctors told me it spread, so no surgery. My PSMA showed some enlargement in my lymph nodes around my trachea, but nothing near my prostate. I have 1 spot on my pelvic bone as big as a pencil point. I'm getting a biopsy on my lymph nodes next week. I'm told , no radiation and just hormone therapy. I'm more than happy with that, but I dont hear of anyone just doing hormone therapy. Did anyone out there just have that?

@foodislifesouthafricacapet3716 Год назад

My husband has lymph nodes and left hip spread, on my had hormone therapy and then had his testicles removed.... Going for a PSA test on the 30th January... All the best my husband is healthy as ever no swelling in any of the lymph nodes and almost no pain ... All praise to god

@williamfeldner9356 Год назад

Mayo in Rochester may be a consideration for you, there are physicians there that will treat Prostate Ca with radiation if there are not to many areas involved……

@johnjarvis2168 Год назад

I will provide you with Rick Simpson oil for free in Michigan. It is the treatment you need, as soon as possible. Let me know.

@flyhalf2 Год назад

UK. Recently diagnosed with metastatic prostate cancer and currently on hormone therapy. What relevance, if any, does my PSA count have on the bone/visceral cancer?

@MyCousinGrandpa Год назад

Not a chronic disease Alex, it’s a journey.

@paulcatmur4730 Год назад

Hi Dr Scholz and Alex, I had surgery which failed. My PSA is 0.8 and rising. I have been advised to have RT and ADT, however I wish to avoid Zoladex as my quality of life is paramount to me. I understand that the ADT would only add about a 10% better cure rate to the RT alone. Am I right? Thanks. Paul

@robertfleckenstein5031 Год назад

Hi, my brother’s prostate cancer wasn’t discovered until it spread and effected his urinary system. He now has two tubes coming out his back to drain his kidneys and the doctors say the cancer might have spread to his bones. He gets kidney infections and I am wondering if he can still get hormone therapy. Thank You, God Bless.

@hauwayahaya201 Год назад

I am very happy to have Dr Oiwoh as my Doctor.He is very thorough & caring. It is very helpful to get acquainted to him I'm grateful

@russelmills9271 Год назад

What about the use of LU177?

@MDHS1979 7 месяцев назад

I had prostatectomy surgery in December 2020. My PSA was 5 and my Gleason score was 9. For two years after surgery my PSA was .008. I recently had my yearly physical exam and my PSA was .022. My GP didn't seem too concerned but he isn't a urologist. Should I be concerned about reoccurrence?

@gshenaut Год назад

What role does the ultrasensitive PSA play in the domain of remission, cure, etc., especially after surgery?

@robertmonroe3678 Год назад

My neighbor was very happy to receive a

@tonysaid6184 Год назад

I am being treated for localized prostate cancer - the cancer is only in the prostate - using hormone (Eligard injection) treatment in conjunction with Casodex. I had my first injection 2 weeks ago and it is for three months before a second injection. Before the hormone treatment began the doctor surgically removed the inner part of the prostate. I guess it is called "resection of the prostate". 1. I am experiencing very severe "extreme fatigue" side effect, which makes me feel often like I could faint or pass out, and like life is being sucked out of me. Is this normal? Does it decrease over time? Is there any medication to ameliorate or get rid of this devastating side effect? 2. This extreme fatigue comes upon me quite suddenly and lasts a t least a day and then goes away, and then later comes again. When it goes away I feel well. But it always returns. It is accompanied with a distaste for food so that I have to force myself to eat and a general inability to sleep. 3. Is radiation therapy a must after or during hormone therapy to obtain a cure? Please comment and advise me....Your video has been a big positive help in understanding my condition . Thank you so much!!

@jameshibbert9813 Год назад

After radiation, my PSA has been 2.18, but PET scan showed no cancer. Doing a 3 month check. Time expired has been 3 years. JLH

@Lola.1952 Год назад

Was your prostata removed or still there?

@Don_Eilenberger Год назад

At about 10:10 in the video - the discussion on durable remission, the number of "undetectable" PSA for men who had surgery, and less than ".05" for men with radiation (after coming off ADT) is used. Is the 0.05 correct - or should that be 0.50? Less than 0.05 on a standard PSA test would be undetectable since the limit is around 0.1 for detection of PSA on the tests I've had.

@jackhsu5685 Год назад

I had the exact same reaction.

@johngorn268 5 месяцев назад

You are correct. The good doctor had a slip of the tongue and meant to say 0.5. It's a shame they did not catch the error and fix it.

@lostinkansasonasunnyday305 Год назад

Remission: undetectable without ADT, right???

@Mostriluui 5 месяцев назад

is .1 considered on remission stage? i ve been in surgery an in radiation on since 2019. kind of confused if this psa of .1 is on remission

@ianlaws3469 5 месяцев назад

I had a prostatectomy 8 years ago and PSA has been undetectable since then. Just had two PSA tests to confirm 0.17 Question is to start salvage treatment or wait to see what a PSMA Pet scan shows. I am told that scans show nothing until the reading is at least 0.5, should I wait? Thanks

@alk8933 Месяц назад

Hi, undetectable PSA for 8 years, meaning PSA

@paulalaird272 Год назад

What about different PSA limit levels for different ages? I thought as a man gets older, PSA is expected to go up over time and is normal?

@Lola.1952 Год назад

Yes, but to some extent.

@markbrownfield437 Год назад

PSA can rise with age for people who still have their prostates whether or not they have cancer, and can vary quite a lot from one person to another, so the level considered "normal" is a wide range and PSA level history has to be considered. It is very sensitive for monitoring recurrence of cancer after surgery or radiation treatment.

@marlene5106 Год назад

Is a Gleason 10 able to be cured?

@errolbean7221 Год назад

Greetings Dr. and Alex. I have been following your discussion for about a year now and I have been helped e my emencly. I wish to get permission to quote a few statement from the video regarding the cure and remission. I had radical prostate cancer surgery May 30, 2022. I am journaling my experience with the aim of a possible publication. Kindly advise how I go about this. If you respond kindly suggestion a safe space to email you. Regards Errol Bean

@russelljohn5258 Год назад

I had prostatectomy 9.5 years ago, PSA stayed undetectable till a year ago when it showed up at 0.18. PSMA Pet 6 months ago was negative. PSA now up to 0.35. Radiation Oncologist wants to do prostate bed radiation plus hormone therapy. I am 78 years old recovering from shoulder joint replacement surgery with more joint surgery on the horizon. I do not want to go on Hormone therapy, my muscle loss is already bothersome. I have requested another PSMA Pet scan. Any thoughts/suggestions? Thanks!

@alk8933 Месяц назад

Hi, what is undetectable PSA, meaning less than.01 or any other numbers, thank you

@svenkataraman4950 Год назад

After surgery in 2018 I had a psa of 0.2 in August 21 . After ADT and tablet my psa has been 0.01 till date. How long should I continue my ADT?

@reyazshariff6738 Год назад

Can prostrate cancer be cured or in remission with only hormonal therapy. Does hormonal therapy kill cancer cells like chemo or radiation

@RonWondga Год назад

Anyone out there that have quit their hormone therapy halfway through the treatment and if so with what consequences if any???

@rickeysharp1775 Год назад

I too am interested in a response as I am considering stopping after 1 year

@henryrobertdubois8684 7 месяцев назад

What if PSA is rising while PSMA is negative?

@lawrencenordmann5246 Год назад

i am a little confused about your definitions of “…in remission…” and “cured”. i was diagnosed with high risk prostate cancer in 01/18, treated with 9 months of lupron, then 25 days of radiation and finally LDBT. my psa prior to diagnosis was 5.4, then dropped to

@johngorn268 5 месяцев назад

With full-gland radiation treatment, the general assumption is cancer that existed within the gland will be destroyed as a result of the treatment, but what is not known is whether or not any cancer cells escaped the gland prior to radiation treatment. It might take a few years for such escaped cancer cells to work their way through your body, lodge in a distant location, and begin to replicate. My interpretation of what the doc is saying is if your PSA remains low five years after RT, you can fairly safely assume no cancer cells escaped prior to the radiation treatment, therefore no metastasis, therefore "cure" is achieved. The situation is different with surgery because surgeons leave a sliver of prostate intact so as to avoid damaging nerves and adjacent organs. There may well be cancer cells that were missed by the surgeon, in which case the localized cancer might "come back", meaning it was never fully gone, and it might take a decade for that to happen. I could be wrong. I'm not a doctor. This is just my interpretation.

@10002Howard 2 месяца назад

So what if you had a PSMA scan and the cancer doesn’t light up as it was supposed to. And yes it did happen.

@navdasone4710 9 месяцев назад

What does it mean to be 'cancer free'?

@Reg-V Год назад

I was diagnosed with Prostate Cancer back in 2021 with a Gleason score of 3+4 and and a PSA of 12.9. After much debate and seeking a second opinion, my oncologist (2nd opinion) suggested MRL. I underwent 7 sessions starting in Aug of 2022. My PSA level dropped from 12.9 to 3.7 after 3 months of having radiation and currently is at 2.4 after 6 months. Can i consider this as positive news or is it something to be concerned about. I am meeting with my oncologist in the coming week to discuss, in the meantime Dr. Scholz your opinion would be greatly appreciated.

@kelvintownsend1390 10 месяцев назад

I wonder if you can help me please my husband is going through prostrate cancer he is on hormone tablets every day and has hormone injections into his stomach every month we don’t get to see the oncologist much only a phone call every month He has just finished radiation treatment which he had every week for six weeks can you tell me please the benefits of this x thank you

@markspisak7433 Год назад

what is the percentage of sergery's where the patient will not have control of their bladder . even after having a bladder sling put in and still can Not control the bladder !

@daisuke6072 Год назад

I don't think what most lay people regard as "cure" is the same as medical people define it and it is rather misleading to take "cure" as meaning 5 years' biochemical recurrence free and the like. At least the definition should be explicitly explained to patients who may not have educated themselves about their disease. Too many surgeons and radiotherapists fail to do this for what may not always be pure motives.

@albertpeckham8708 Год назад

I received RT at MDA center in KC,MO at 73, 7 years ago. The cancer returned 2 years ago on the two lower lymph nodes. Am now on ADT and did another round of RT. The PSA has again risen to 6.7 and am waiting for an appointment to have another PET scan to see if the cancer has spread to other places. It's a never ending round of battles.

@wayneredd6776 Год назад

How much is a psma scan ?

@Lola.1952 Год назад

One year ago, in Spain, it was about 2.500 € . Hope it'll come for over time.

@andrewharms2460 Год назад

$300 in Australia.

@snozcocram Год назад

In the US of A my insurance was charged $34,000 of which the negotiated pay out was $17,000. I suspect you are talking about a MRI. The PSMA scan uses a marker injected during the scan and is a head to toe look for prostate cancer cells. If it the PMSA scan is that inexpensive where you are, I’ll be seeing you sometime soon…

@Lola.1952 Год назад

@@snozcocram yes, PSMA PET SCAN, it's the product used as a tracer that makes it be that expensive, I think, but it is worth paying. Our insurance didn't cover, .

@Lola.1952 Год назад

@@snozcocram You mean thirty-four thousands dollars or three thousand and forty? I'm nor sure about the coma's place meaning in the figures. I guess you mean $3.400?

@steveward2394 8 месяцев назад

PSA is less than 0.05. testosterone is less than o.45.

@colemant6845 Месяц назад

Excellent presentation. This information is NOT what is commonly presented by Urologist to their Patients. Hormone Treatment is the EASY, first way to move the Patient on. Unfortunately... this is a FACT.,, and Wrong

@buratching Год назад

WHO IS ALEX ?? SHE IS GOOD

@ricknowak4582 2 месяца назад

I think it's doctor schultz's daughter. Or wife. At the beginning it's says her full name it's alex schultz.😊

@jeanttoo21 Год назад

SUPER MERCI 🤗🤗🎁🎁🌈🌈🥰🥰BRAVO

@bobwright3438 11 месяцев назад

Ask your oncologist.urologist, what was explained by Dr. Scholz and you will get a stare; the best treatment is change your lifestyle completely. Insanity Is Doing the Same Thing Over and Over Again and Expecting Different Results

@hauwayahaya201 Год назад

Dr Oiwoh is phenomenal i feel comfortable that he is looking after my well-being