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Radiation Therapy: Long Term & Short Term Side Effects  

Prostate Cancer Research Institute
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0:34 Do different forms of radiation therapy have different side effects?
2:50 What are the short term side effects of radiation treatment?
3:30 How does radiation therapy cause later-occurring side effects in the prostate?
6:41 What is the definition of a "center of excellence?"
8:29 Are sexual side effects from radiation therapy usually long-term?
9:12 How often does radiation therapy, given at a center of excellence, cause side effects?
10:51 How common are long-term side effects from radiation therapy in a community setting?
12:08 Are these barrier gels optional?
13:19 How soon do burns to the rectal wall manifest after radiation treatment?
13:57 How often is radiation therapy used with radiation treatment?
17:54 Alex's conclusions
19:13 If you need more help
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23 май 2024

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Комментарии : 106   
@io3010
@io3010 23 дня назад
56-year-old Air Force Veteran here. Diagnosed with Gleason 4+3=7 contained and PSA 13.5 last year. With the help of PCRI I chose radiation. I had EBRT and LDR Brachytherapy in Minneapolis, no Space Oar was offered. My Urologist and Oncologist (thank you Minneapolis VA!) both agreed I could choose radiation or surgery. I'm glad I went the route of radiation, had some need for Flomax during the radiation treatments, felt a bit tired, frequent bathroom trips, but now a year later, feeling great! PSA dropped to 2.5, Viagra took care of the ED, no longer need the Flomax, I missed virtually zero days of work. Still ride motorcycles, snowmobiles, bicycles and play with my 5 grandchildren. Life is good. Hoping for a long future with my wife into retirement, nothing is guaranteed but thanks to the Minneapolis VA Oncology dept and huge thanks for what you do Dr. Scholz and PCRI!!
@charlesgair8608
@charlesgair8608 12 дней назад
1st
@user-ip9ss2bh3d
@user-ip9ss2bh3d 12 дней назад
Thank you for posting this. I’m just beginning the process of testing to find out why my psa is high and I am worried about being out of work for a extended time besides if I have the big C and if it has spread
@peterfraser8075
@peterfraser8075 5 дней назад
Thank you for posting your experience - apprecite your thoughts. God bless, from Australia 🇦🇺
@alanaldpal950
@alanaldpal950 Месяц назад
Just recently finished 20 sessions/days (technically 40 doses) of Proton beam therapy at Loma Linda in SoCal to treat a Gleason 7 (4+3) prostate cancer. Treating doctor was not going to do space-oar, but I insisted on it (and my insurance covered it). Glad I did, but for me it was much more painful than the biopsy, which I did not think was a big deal. Also had a PSMA-PET scan prior to deciding on treatment. 2 months after Tx and I have had literally no side effects other than having to pee a bit more often, but No Incontinence and100% urinary control. Interesting as well is that the radiation doctor was fine with me foregoing any hormone or ADT therapy despite the Proton therapy being my first line of treatment. Having to do ADT/hormone therapy as well was a big concern for me and I may have chosen surgery, but the doctor never pushed at all when I said I prefer not to do that. Time will tell (61 years old now). Another interesting option that I don’t think I fully pursued or researched was doing a combination of proton beam therapy and High dose Brachytherapy (no seeds left implanted). One of the most frustrating things for me in dealing with Prostate CA, is trying to research and choose between SO MANY OPTIONS on treatments, with little or no definitive results or odds for outcomes. I watched huge amounts of RU-vid videos and found the comment in many videos to be as useful or even more useful than the video itself. Good luck all
@mudkatmark
@mudkatmark Месяц назад
My Prostate Cancer was discovered when I was 56. Gleason score was 8. I opted to have my prostate removed. Pathology found that I had positive margins. Seven months later I had my first of 40 radiation treatments, 5 days a week for 8 weeks. Four years later I started having a lot of blood in my urine. I had to go to the emergency room twice due to tissue damage in my bladder breaking down and blocking my urethra. Two years later, my instances of bloody urine is not nearly as frequent though I do have times when it looks like pure blood. I was told that the radiation is what caused the bladder damage. I’m still happy with having the prostate removed and going through the radiation. It beats the alternative. Unfortunately, I’m still getting up 5-7 times a night to pee. Oh well, I guess I don’t need that much sleep anyway 😂😂😂.
@timothyfay1209
@timothyfay1209 Месяц назад
I have metastatic prostate cancer, the cancer in the prostate was causing urinary issues, where I was getting up 5 times a night to urinate even with medication to help. Now after completion of SBRT a month ago, my urinary symptoms have improved, now only have to get up 2 times per night to urinate.
@clintcarter
@clintcarter Месяц назад
Sounds like the doc is just getting over a cold. Had to double check the video while listening to see if it was actually him. Still comes out to give us the goods. What a trooper!
@bkreed27
@bkreed27 Месяц назад
trouper
@clintcarter
@clintcarter Месяц назад
@@bkreed27 Souper!
@frankgeorge7951
@frankgeorge7951 Месяц назад
You guys are awesome. I was all ready for surgery in 2020, at age 62. After consultation with three doctors, I settled on HDR Bracytherpy. Best decision . I got my sex life back, and I don't need any erectile meds! 66, and doing great . Thanks ❤
@TERRY-cb2ku
@TERRY-cb2ku Месяц назад
Awsome, you are the exception my friend. Happy for you.
@zinger55731
@zinger55731 Месяц назад
I did the same, HDR Brachytherapy, 7 months later couldn't be happier with the results.
@frankgeorge7951
@frankgeorge7951 Месяц назад
Lifestyle change is very important, healthy diet and regular exercise. On my journey, I lost 50 lbs . Best wishes to all.
@chrissimpson3762
@chrissimpson3762 Месяц назад
Interesting. I have suffered from Proctitis for two years. It has been quite unpleasant, and suffered significant and frequent losses of blood, such that I collapsed due to the loss of iron. Have had two visits to oncology, but with limited effect. Happy to report that the incidences are reducing, but have recently had two days of repeated heavy bleeding and mucus. From listening to your comments, it would seem that suitable precautions were not made in the radiation sessions, and that I should not have had to go through these extensive unfortunate symptoms, including the panic quitting of the golf course and the need to find conveniences at short notice. I would welcome your comments or am I among the few to have to go through this. Chris Simpson.
@valleus
@valleus Месяц назад
I have suffered the same Chris. its very unpleasant. I bleed often and sometimes the flare ups are really bad causing me to stay closer to home because I want to be near the bathroom and making it hard to go anywhere.. my doctors have given me no solutions other than keeping me in the hospital when the flareups are bad to make sure I don't become anemic and then let me go home.
@peterwbryce
@peterwbryce 29 дней назад
You are not alone Chris. I also have proctitis that comes and goes. Urinary urgency most of the time when I exert myself. But I have resolved to live with it. 😊
@NobodyNobody-hx6wh
@NobodyNobody-hx6wh 24 дня назад
I haven't started radiation therapy yet, but had my initial meeting with a Radiation Oncologist and he discussed some of the side effects that can come with the therapy. He reported that bleeding such as you described and the two other gentlemen that replied to you in general was not an issue where I'll be treated. However, if something like that were to occur then referral to specialized gastroenterology is very effective. They perform Endoscopic Laser (Nd:YAG) therapy for severe radiation-induced rectal bleeding. Not sure where you are being treated / followed but if they have no clue about the above then I'd request a referral to a Cancer Center / Comprehensive Cancer Center where they should have access to the competent expertise available to get your quality of life back to par. Just curious, did your RadOnc place SpacOar or Barrigel prior to starting your radiation therapy? Hang tough man. All the best to you.
@lonesomelenny7606
@lonesomelenny7606 Месяц назад
I had 45 rounds of proton radiation 2012 over a 3 month period at Loma Linda University Hospital. I'm told my PSA is in the normal range and I get tested several times a year. Dry ejaculate but I take Tadalil that not only helps with erections but also helps urinating.. 75 years old and life is pretty good.
@salmana4239
@salmana4239 28 дней назад
Didn’t realize tidafil can help in better urination. Could you pls advise a bit more
@bahoonies
@bahoonies Месяц назад
I had hormone treatment and IMRT (39 sessions over 8 weeks) when I was 64 with Gleason 3+4. I'm 71 now and can still get erections. I find it can take forever to ejaculate but when I do, they aren't usually dry ejaculations although there usually isn't much liquid. For some time after treatment finished I would get very frequent and extremely sudden urges to urinate. That eased considerably but now when I gotta go, I really have got to go. For me the worst side effect is that my strength never fully recovered after the treatment. I used to race as a vereran cyclist but I'm not strong enough to compete anymore.
@MediaCentralTV1
@MediaCentralTV1 Месяц назад
Sorry to hear that
@briang6168
@briang6168 Месяц назад
Just excellent.
@kevinwang7886
@kevinwang7886 Месяц назад
Thank you...this video is really helping
@KDean22
@KDean22 Месяц назад
YOU ARE AWESOME. GOD BLESS YOU
@johnmunroe8812
@johnmunroe8812 Месяц назад
Thank you both for the information God bless
@Bill3558
@Bill3558 Месяц назад
Had SBRT a month ago. No hormone therapy. Gleason 3+4, intermediate. Low risk Prostox . So far, so good. Few if any side affects. I hope I can prove the Doc wrong regarding “dry” orgasms for the rest of my life. Not a problem so far. I’m 73.
@davewilton3101
@davewilton3101 28 дней назад
I do my first SBRT session tomorrow. No hormone either. 3+4. Did not have the Prostox test - wasn't offered and I did not know of its existence. Age 71. Hope I have the same outcome as you.
@robwells230
@robwells230 13 дней назад
Dry orgasms???? I was warned and it occurred shortly after finishing 25 fractions of 68 Grey IMRT. Good news, after a little over a year later, began to have small amounts of ejaculate which seems to be gradually increasing. Not sure if it's from prostate or just the Cowpars glands, but I am hoping for some recovery. I was Coerced into one six month shot of Eligard ADT CASTRATION, and 16 months after that toxic shit expired, my testosterone level remains very low around 150, so I am pushing hard for Testosterone replacement therapy. Of all the horrific quality of life destroying side effects, dry orgasms are the least of my concern, but it's comforting to see a little normality return. FYI, my radiation effects are not worth mentioning, but the ADT CASTRATION is pure hell, and I absolutely refused any further ADT in spite of being ordered on it for two years. I'm convinced that any further ADT would have killed me sooner than cancer. Good luck on your journey
@chrissimpson3762
@chrissimpson3762 Месяц назад
Thanks for your response. The post treatment care phone calls were very pleasant, but it took quite an effort for them to recognise the problem. Eventually the GP prescribed heavy iron tablets after having to go for a transfusion and two pints. Bloods eventually back to relatively normal levels, and the (small) golf course has become more enjoyable. (But still worried about a visit before starting out.) Had they realised something of the problem, iron should have been prescribed much more pre-emptively.
@gtrgenie
@gtrgenie Месяц назад
Just finished 1st week of IMRT!
@snakemanmike
@snakemanmike Месяц назад
Side effects usually start around the 3rd week. Good luck.
@scottdavis5749
@scottdavis5749 Месяц назад
I’m 3 weeks from my last. All side effects are gone. They were minimal to begin with. Good luck
@gtrgenie
@gtrgenie Месяц назад
@@scottdavis5749 Thx! Great to know.
@gtrgenie
@gtrgenie Месяц назад
@@snakemanmike Thx, I’ll keep that in mind.
@andersonmsosa6266
@andersonmsosa6266 6 дней назад
As a survivor I add that detection of the malignancy in Prostate problem in the early stages contributes to complications that the individual ends up experiencing later. Detection and even awareness of the medical check relevant conditions is critical . Men should be aware what PSA or Gleason factor means . I initially attributed to my urine flow problems to old age until a nagging back pain at the time suspected to be a UTI condition persisted evenafter antibiotics. So medical Health systems in developing countries must improve with acquisitions of detection equipment . Treatment procedures is complicated . Most will be familiar with surgery procedure but for those who have gone through it experiences show that it's too rudimentary and attracts different deterring conditions in pain or after care . My Radiation therapy had a happy ending despite a range of side effects some which am still experiencing like crumping.
@chrissimpson3762
@chrissimpson3762 29 дней назад
Thanks Peter. Urinatory aspect not too bad for me but still appreciate that from earlier experience it must be a nuisance. Lost blood on the golf course this morning, again just as it seemed I was getting better.
@DonnaDavidofCalhoun
@DonnaDavidofCalhoun 7 дней назад
My primary treatment with curative intent was prostatectomy in Sept. 2020 Gleason 4+3=7 with tertiary 5. 1st BCR early 2022, treated with salvage IMRT 39 sessions of 1.8 Gy, total dose 70.2 Gy, and 6 months ADT, again with curative intent. My 2nd BCR was Sept 2023, being treated NOW with ADT and Xtandi. I was hospitalized in Feb. 2024 with severe pancytopenia, and a Bone Marrow biopsy in March showed CCUS. Apparently bone marrow damage from the IMRT may not show up for years, but it is a known adverse effect. My physicians and I are hopeful that I am able to continue these 2 medications per the EMBARK protocol (I am not part of that Clinical Trial, just following the published protocol), and that the pancytopenia isn't due to Xtandi.
@krishnadevulapalli315
@krishnadevulapalli315 29 дней назад
I am surprised that there is no mention of radiation cystitis with intermittent hematuria
@PacoOtis
@PacoOtis 27 дней назад
Very professionally presented and very educational and thanks for sharing!
@kickstand2438
@kickstand2438 Месяц назад
At 60. went from PSA 4 to over 7 in 6 months. Waiting for my biopsy now. Appreciate this channel for the information.
@jeffw8616
@jeffw8616 Месяц назад
Excellent summary. What about occasional rectal incontinence at 10 months post radiation and occasional blood in the stool?
@salmana4239
@salmana4239 28 дней назад
Many thanks again for an insightful video Once again will request the doc to talk about deciper test and how to use its results in determining cure options
@NobodyNobody-hx6wh
@NobodyNobody-hx6wh 27 дней назад
look at some of his other videos dealing with genetic / genomic testing. He provides information on your question.
@theodorelacroix5669
@theodorelacroix5669 Месяц назад
And, whether or not it is localized can be challenging to determine even with an MRI. MRI's can be wrong a percentage of the time and probably because of computer error or radiologist error. I can give you an example of myself having MRI's done of my central nervous system and had many MRI's done. Even though I had competent radiologists writing up the reports, not one of them noticed I had 6 lumbar vertebrae instead of the customary 5. And, in the middle of two medical professionals who were giving and going to give me transforaminal injections into about 4 or 5 different locations, I asked them if they knew I had six lumbar vertebrae and neither of them knew that despite them having a real time kind of XRAY machine, but when I said that they looked more closely and determined I indeed had six lumbar vertebrae and then needed to re-calibrate where they would give me the injections.
@email3869
@email3869 6 дней назад
55 year old with Gleason 3+3=6, PSA 1.8, sizes 0.1 cm and .007 cm sizes.
@oscarsalazar8693
@oscarsalazar8693 Месяц назад
Having had a complete prostatectomy at 68yrs with a psa of 0.080 now 7year later to have a recurrence two yrs ago with psa of 10 and doing a psma pet ct scan a small nodle was discovered on my lung which was extracted by a cardio thoracic surgeon and psa fell to 0.080. At such point my medical oncologist put me on eligard 22.5 injections every 3 months and bacalutamide 50mg daily but psa kept going up so another pet ct scan was done and it show metastasis on L5 and hipbone and was put on Averaterone 250mg, for 3 months. I just did another blood test amd my psa is at 43.2 .my Dr.say that cancer seems resistance to ADT however my testasterone level is below 20, which is good and now requested another pet ct scan and increase Abiraterone to 1000mg with 10 mg presdnisone. How did the psa go so high?
@SeekingWisdom17
@SeekingWisdom17 Месяц назад
You could try switching from prednisone to dexamethasone, it should lower the PSA with abiraterone. Equivalent dosage: 10 mg prednisone = 1.5 mg dexamethasone. If you take it later than noon then you might have difficulty sleeping. If PSA goes still keeps going up then either switch to other second-generation ADT like Xtandi or try chemo (docetaxel).
@nelsonoliva2119
@nelsonoliva2119 Месяц назад
Hello sir If I may ask you some questions about your case , Im six months post RP. You say you had psa of 0.80 after your surgery 7 yrs ago, was your psa ever undetectable? Also you say your PSa reached 10 over that time but were you getting psa tests during that period? it would seem you should have had radiation before your psa reached 0.2 at the very least , but if you didnt was it because you didnt test for many yrs? or was it a sudden jump from 0.80 to 10 which I understand to not be common if even possible.. it would help me better to understand my own situation if you can clear this up. Im undetectable for now but age 55 which is of course concerning. Thank you and God bless you on this journey.
@peterllewellyn8835
@peterllewellyn8835 Месяц назад
Ten years after IMRT at a centre of excellence teaching hospital, did my long term side effects appear. Related to the urinary ability to drain the bladder. Have to self catheterize daily and been doing so now for over two years. Preferable to carrying a bag but not clear on what further options I have.
@curtreese3089
@curtreese3089 Месяц назад
I’m planning to go to Keck Medical (USC) in Los Angeles
@michaelfritz6775
@michaelfritz6775 Месяц назад
Thanks a bunch…love your talks…blood in urine and maybe in stool can come and go for years really is unreal….learn more from you than my docs…had to have hormone treatment stopped because it was kicking my ass..now I take shots to get testosterone back to build body again…thank you soooo much…
@morphwien
@morphwien 25 дней назад
Erectile dysfunction after RT (although “only” 50% vs 80% for RP) yes, but dry ejaculation? I haven’t heard that it is common. I certainly didn’t get it after IMRT+proton boost for high-risk PCa. I did get some radiation proctitis, but that has been nicely suppressed with one Salofalk suppository per week. My “center of excellence” (Heidelberg University Hospital) did not recommend using a spacer gel in 2018.
@steveg6978
@steveg6978 29 дней назад
Any differences from seed to beam radiation on impotency ?
@wolfgang9570
@wolfgang9570 23 дня назад
I've had 39 IMRT treatments 2 years ago.....refused hormone treatment. So far not a single side effect of any kind. After everything was said and done my Doc told me (if he had been in my shoes) that he would have chosen the same path. There is the caveat that some side effects may yet appear longer term......we shall see.
@maverickat4544
@maverickat4544 Месяц назад
Hyperbaric oxygen therapy is an absolute must after prostate radiation. It's terrible to wake up to blood gushing out of your rectum 2 years after your treatments. Delayed proctitis is no joke.
@Sam-jr2nc
@Sam-jr2nc Месяц назад
You did this right after SBRT even before having symptoms?
@maverickat4544
@maverickat4544 Месяц назад
@Sam-jr2nc . Unfortunately my symptoms started before the treatment was even completed
@dmcarden
@dmcarden 20 дней назад
Even with spaceoar?
@paulcarestia3181
@paulcarestia3181 12 дней назад
Would you please provide additional detail on your hyperbaric oxygen therapy? How soon after radiation? How many treatments? Time period between treatments? etc............. thanks much!
@tomjgrant
@tomjgrant Месяц назад
is it possible that HoLEP surgery before SBRT - de-bulking the prostate - could reduce side affects from the radiation?
@hitechrr
@hitechrr Месяц назад
I had 26 rounds of IMRT in 2020 with the use of Spaceoar. I was 64 at the time. It caused ED, pelvic floor damage, and rectal bleeding since. I just had a PSMA-Pet scan it came back as still active cancer in the same location. I also need to take Flomax.
@tonyzayner4313
@tonyzayner4313 Месяц назад
What hospital?
@hitechrr
@hitechrr Месяц назад
@@tonyzayner4313 Carolina Regional Cancer Center, Myrtle Beach, SC
@davidmilne1678
@davidmilne1678 Месяц назад
From my 2 years experience on ADT And Nubeqa I would say the long term side affects would be mostly related to the slow degrading affect on the body of the removal of testosterone
@robwells230
@robwells230 13 дней назад
For me, the degrading effect on the mind was worse than on the body. They never warn or even mention the severe brain fog that can occur, and develop into dementia. ...My side effects were so horrific and insufferable that I gave my doctor the old 4Q and refused any further ADT CASTRATION. But even now, 18 months after the first six month shot of Eligard ADT expired, my testosterone remains less than half of normal and no doctor will give me TRT. looks like I have to go back to Mexico soon where I can buy testosterone over the counter.
@DCGreenZone
@DCGreenZone 27 дней назад
I'm hearing very few SE's from Clarity Cu67.
@jimbaker2698
@jimbaker2698 Месяц назад
Thank U all for info ,I was diagnosed with radiation proctitis! It showed up a few months after 3 or 4 doses of radiation in my pelvic area it is very painful and not much helps,,I've been told no more chemo nothings working ,???
@laserbeamdaddy
@laserbeamdaddy Месяц назад
Damn I had Radiation, Surgery and Hormone treatment I am screwed for erectile function.
@theodorelacroix5669
@theodorelacroix5669 Месяц назад
This is only if it is localized.
@Vng370
@Vng370 3 дня назад
I’ve going thru radiation now , and I have a overactive bladder what can be done for that side affect
@joethecomputerguy1
@joethecomputerguy1 13 дней назад
I've heard the Dr. mention center for excellence a number of times now. How does one find a center of excellence? I am headed for a biopsy next week on a PIRADS 4 from an MRI.
@ThePCRI
@ThePCRI 13 дней назад
Hello Joe, our helpline will be able to assist you. You can reach them at pcri.org/helpline
@pinotwinelover
@pinotwinelover Месяц назад
I don't think you brought up what you consider in another video your best option for radiation, which is HDR
@dmcarden
@dmcarden 17 дней назад
Why do you feel HDR is best? Are there less side effects (short/long term)?
@stanknowlton7043
@stanknowlton7043 Месяц назад
I have no idea if my side effects were from radiation, hormone treatment or surgery as all were done at the same time.
@glennmeisenheimer1128
@glennmeisenheimer1128 Месяц назад
My PSA is 39 but the biopsy says it's a Gleason 3 + 3. Since 3 + 3 tumors don't metastasize I have to figure out if I want to do something as drastic as surgery or radiation for a condition that isn't life threatening, at least in the short term. Is there any way to shrink non-metastatic tumors without all the side effects of radiation or radical surgery?
@SeekingWisdom17
@SeekingWisdom17 Месяц назад
PSA is quite high for a GS 3+3. Do you have a high volume prostate?
@glennmeisenheimer1128
@glennmeisenheimer1128 Месяц назад
​@@SeekingWisdom17 From the MRI: "Enlarged prostate gland is about 3.6X4.2X4.9 cm with volume 38.5 mL. 1# There is a 3.4 cm circumscribed hypointense T2W leision with marked DWI restriction involving transitional zone from base to apical levels, as well as anterior peripheral zone at apical level, PI-RADS 5. Bulging anterior capsule could be extraprostatic extension (EPE)." The first biopsy came back as indeterminate so they sent me to a different hospital for what the described as a "deeper more thorough" biopsy, whatever that means. It was a bloody mess. It also came back as indeterminate to they sent the biopsy to a third laboratory which returned the Gleason 3 + 3 diagnosis: "TRUS biopsy(18/4/2024): Rt lobe: Adenocarcinoma, Gleason score 3 + 3. Tumor involves 5 of total 16 fragments. Confirmed w(at this point the printing runs off the edge of the page) Lt lobe presence of stroma and part of seminal vesicle; no prostatic acini was obtained.
@thomassladek9437
@thomassladek9437 Месяц назад
Could you please provide a reference for "Since 3+3 tumors don't metastasize ..." ? I have a 3+3, and I need ammo to deal with oncologists. Short history: Radical prostatectomy 1995 (didn't get it all) External beam radiation 2011 (didn't get it all) 24 months of ADT 2022-2024 (Didn't get it all) . Sometimes I think they just make things up to get me out the office so they can have a tickle party.
@villaoceanblue
@villaoceanblue 29 дней назад
@@glennmeisenheimer1128 I needed to put your post in chatGPT to understand it in easy English. This is what it gave me:MRI: Your prostate is bigger than usual, measuring about 3.6 x 4.2 x 4.9 cm. The MRI found a suspicious area in your prostate that's darker on certain scans and might be restricting water movement (not a good sign). This area involves the middle part of your prostate from top to bottom and the front edge near the top. The radiologist who looked at the MRI thinks the suspicious area might be growing outside the prostate (not good). Biopsy: The first biopsy results weren't clear (indeterminate). You had a second, more extensive biopsy (probably took more samples) at a different hospital. This one was pretty uncomfortable (bloody mess). The second biopsy results were also unclear at first (indeterminate) but after sending them to a different lab, they found cancer. Cancer details: The type of cancer is adenocarcinoma. The Gleason score is 3 + 3, which is a low-grade cancer (good news). Cancer was found in 5 out of 16 samples taken during the biopsy. The biopsy of the left side didn't get any prostate tissue, just other stuff.
@anneeinhorn9227
@anneeinhorn9227 15 дней назад
My understanding is the 3+3 may not metastasize, but there is nothing to stop other higher grade cancers from developing and spreading.​@thomassladek9437
@ACTIVEPAIR
@ACTIVEPAIR 26 дней назад
My testosterone level is 9.5nmol//L so at the very lower end of the scale and my Free Androgen Index at 19.15. Does this mean I could do without having Hormone therapy if I had Radiation as these are the only options being offered by the NHS here in UK!
@threeftr3349
@threeftr3349 36 минут назад
What diagnostic testing have you done? Biopsy? Gleason grade? MRI?, Decipher test?, PSMA pet scan?
@jabster58
@jabster58 Месяц назад
How do you afford these adt medications..some cost 3000 for 30 pills
@tonyzayner4313
@tonyzayner4313 Месяц назад
I joined a study...Reguolix was free for 1 year
@francisclare5852
@francisclare5852 Месяц назад
Fortunately I'm Canadian with free health care and free cancer drugs.
@anthonygasparini1734
@anthonygasparini1734 Месяц назад
These videos are excellent! Center of Excellence is the key!!! I was diagnose with prostate cancer Gleason 3+4. Elected photon therapy, SpaceOAR procedure and Lupron therapy. What I experienced was nothing short of a freaking train wreck! I had bladder stones, or should I say rock garden! The pain I lived with during the second thru the 5th week of treatment was earth-shattering! Experienced urgent bloody urination every 15 minutes, urination was tremendously painful! Had the bladder stones removed during 3rd week of treatment which should have been performed before treatment, continued treatment. 4 weeks out from radiation, things are improving, and I still can't sit on a mower. My recommendation is to GO TO a CENTER OF EXCELLENCE for treatment!
@dalebishop5936
@dalebishop5936 9 дней назад
I have a friend who is Gleason score 3+4 at 74 yrs of age and doctor says watchful waiting is all thats needed at this point in time.That seems to be at odds wìth what i am reading here.Anybody else with 3+4 that has been told this ??
@magdalenam3737
@magdalenam3737 11 дней назад
My dad just finished four weeks of radiation for his bladder cancer. He is in agony everyday and all i can think of is that he is burning inside. He lives in the bathroom since he has urgency to poo and pee. Anyone know what happened? Is this common? He was perfectly fine before other than the cancer found in bladder. Wiĺl his pain go away? He ranks it a 10 and thinks he is going to die from the pain. Been to emergency room but they keep releasing him with pain meds. Radiation kis awful.
@darrellcriswell9919
@darrellcriswell9919 7 дней назад
Dr Schholz is excellent, however he say mentions hyperbaric oxygen therapy as an adjunctive wound healing treatment. I worked in hyperbarics for years, even taught courses in it, all the good objective evidence shows it is either noneffective or detrimental. The theoretical rationale is outdated and the well done prospective clinical trials all argue against it. Please don't in any way promote this treatment. I would be glad to provide more info. I am well versed in the area.
@spyderhead7160
@spyderhead7160 Месяц назад
How about those of us who suffered massive mucous, diarrhea, and rectal bleeding after only 11 radiation treatments?😎
@chrislee633
@chrislee633 8 дней назад
I hear no mention of this, My treatment is creating regular rectal wind over first 10 treatments and a gel like discharge .Can this be from the pre treatment enema
@pinotwinelover
@pinotwinelover Месяц назад
I really hope somebody will answer this because just like a lot of men out of here say I got surgery cause I wanted it out and don't even understand that the recurrence rates are nearly identical. I hear this all the time when they chose surgery. Well if I got radiation first, I couldn't have surgery, which is generally true. It makes it much more difficult, but when would that ever be an option? It almost feels like a strawman argument that men make to justify why they choose surgery.. it seems most of the time if radiation fails they re-radiate if there's an instance where a person had radiation, but having surgery at a later date might be important. I haven't found it yet so again, I feel it's a strawman argument, although it's true it's not something that's applicable and yet mini make men are making the decision of surgery over radiation versus this strawman. Can anybody chime in at all on where it might still be important to leave surgery is an option after Radiation.
@SeekingWisdom17
@SeekingWisdom17 Месяц назад
Look for "Salvage Prostatectomy"
@schmingusss
@schmingusss Месяц назад
So a 55 yr old getting radiation treatment has a 1 in 3 chance of becoming impotent. Yikes!
@OscarGonzalez-vg3cp
@OscarGonzalez-vg3cp 29 дней назад
Can you tell people the very bad psychology after prostatectomy , tell the victims they will feel like dog castrated. This is how I feel after my surgery. 3 years don't feel anything. He'll be coming to my doctor what he did to me. Lies was all this website. Tell consequences, too....I will never be fine is a male again. My truth.
@jeffw8616
@jeffw8616 Месяц назад
Excellent summary. What about occasional rectal incontinence at 10 months post radiation and occasional blood in the stool?
@robwells230
@robwells230 13 дней назад
I experienced the same issues exact one year after completing 25 fractions of 68 Grey IMRT. It was pretty severe but cleared up before long, and hasn't re occurred. Good luck getting beyond this setback
@jeffw8616
@jeffw8616 13 дней назад
Thanks!
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