Signs and Symptoms of Prostate Cancer, Dr. Mark Litwin | UCLAMDChat 

Just to say this was a wonderful, easy to understand presentation. Congrats and thanks to Dr. Litwin and Steve Garvey. Bravo!

Great presentation and immensely informative

This is great! Thanks for posting this. Steve, God Bless you for being a voice for Prostate Cancer. Another reason I believe you are a legend.

`I appreciated your thorough and articulate presentation. Thank you.

Thank you both for wonderful insights!

I'm having some of these symptoms. Heading to the doctor ASAP.

Thanks for the video. Both guys are great speakers. Good luck.

Thank you, Dr. Litwin. Thank you, Mr. Garvey.

Good health education, thanks

Excellent explanations thank you Hayden

Dear Dr.Mark Liwin thanks for your best information ! But how can i get sponsor to get full treatment on prostate enlargement from Ethiopia,Africa.

Thanks so much

Thank you for this good information

Great video

Very helpful video - Thank you! I'm an active, otherwise healthy, 71 year old male who was diagnosed with prostate cancer 2 months ago. My robotic radical prostatectomy is scheduled next week and I'm hoping for the best. My PSA of 6.6 was identified in my annual physical, I was referred to a urologist/oncologist who did DRE and said he thought I was clear but he recommended a biopsy just in case. My biopsy came back with 4 cores showing cancer, some having Gleason scores of 7 and 8, and some perineural invasion. This was the "dark day" Garvey describes in his experience. I give these details to say that modest PSA elevation coupled with a clear DRE is not the time to stop checking. After bone, abdomen/pelvis, and chest scans, it looks like the cancer has not spread but I won't know until the pathology report after the prostate removal - I'm praying... I was verging toward being more transparent about my diagnosis as a way to encourage other men to pursue regular prevention strategies; now I'm totally committed.

Thank you.

Thank you for this public service. And God bless you all.

Very informative

Very informative, warm, and sincere. I thank you both.

Dr. Litwin thank you for your presention. I am a 70 year old patient. Please speak to what a normal Gleason scale may be? Is a Gleason scale of 6 plus scale Cancer? Do you have any experience with Tomotherapy treatment?

Common man can understand this great Doctor

Thank you is not enough, keep us inform for an advance Development and cure of the said disease. God Bless!

DR. Litwin, since this video has been made , 9- years ago, have their now been advancements in the prostate cancer arena that are available today 02/05/2023 that were not when Mr. Garvey was diagnosed?

How do you address the flow of urine the prostate is in the way?

I’m 67 and doctor saw something on my prostate they say THEY SAW on my MRI they want to do a biopsy in my prostate if it is cancerous what are my chances that I service cancer?

if after surgery the psa came from 12 to 27 what should be done to help the patient ?

Hello I looked at the video and it was very interesting I wish that you would have a lab rated more about African Americans will prostate cancer because I like to know more about it.

What about the new University of Michigan test called Mi-Prostate Score? Gene fusion testing.? Your thoughts?

What is the medication for PSA that has rise to 170

Steve, nice to hear your comments, was always a big fan of yours. Just starting down this path... PSA > 30, biopsy next.

Thank you👍

My PSA was 9:two months later it was 8. When I couldn’t pee I went to hospital and they relieved me with a catheter, they wanted to keep it in I said no and have been peeing ever since although they gave me Tamsulosin I stopped taking it two months later and no problems. The Urologist wanted to do a biopsy when my PSA was 9 I asked for another test and it was 8 so he said let’s monitor it and see if it falls . I’m 69 and have an enlarged prostate which I think is the reason why it was 9 I also have high blood pressure and take Perindopril

Excellent video thank u for sharing 👌🏽👌🏽👌🏽🥰🥰🥰❤️❤️❤️

Thank you for this video because I’m 36 year old an every restroom’s an P I alway feel like some p leave back in my linage an running out is that a sign?

My husband is 66 and will be undergoing a biopsy in a weeks time. He first started of with having PSA levels of 14 and symptoms a year ago. He had a scan at that time that revealed an enlarged prostate and no cancer was seen on the scan. It was probably 2 or 3 months when he started having problems with waking at night to pee and was put on medication for this. We are now a year on and he started having other symptoms of erectile disorder and no ejaculate. The GP was not interested and just left it. Now his PSA levels are 28 and he had his first rectal examination. The Urologist has said the prostate feels very irregular and suspects cancer. He has a biopsy next week. I am terrified that he has cancer and that it has spread because of all of these other symptoms.

Legends.

what is the proper reading for psa

Not until the forty-first minute of this forty-seven minute video did either Garvey or Litwin address the issues of surgical side effects - even then, little information was provided - which leads me to wonder; was this video created as the public service they purport, or was it merely a somewhat informative infomercial for the UCLA Department of Urology?

Palliation treatement for advanced/recurrent prostate cancer

Thanks .

a Person I love very much has a 62 PSA is 61.1 with a % PSA of 9.1 Three years ago his PSA was 2.4 Does this not seem high and within a short time? Trying to get insurance to approve his Fusion guided Biopsy. His Dr. did a DRE and said it was Hard. Not large but Hard Should I be very concerned about him?

What about MRI

You make the biopsy sound so grand! Could you have one and let us know your opinion on a deeper level? Are there risks? How do you navigate or is it just a random thing? Is a 'few' 12 hollow needle punctures through the penis, taint or anus? What is the failure rate? Are the odds greater than a coin toss?

I’ve just noticed when I feel to urine there is a slight delay before it comes out. After it comes out it is not as forceful coming out as I’m used to it coming out. I don’t know how long this has been going but I’ve recently noticed it markedly as of late. My grandfather died of prostate cancer & my father is taking “flomax” now going on 12 years now. He is 74 now. I am 51 currently. I have never been tested or have had my prostate checked. Making an appointment to see a urologist this week. This video has been helpful.

My husband took a MRI, he a a gland and he is going to get biopsy. Can he work a normal job and heavy work (mechanic job), it’s ok for him to do it?

Recently, I had a prostate needle biopsy done. My urologist will be meeting with me soon to discuss the results. There is no history of prostate cancer in my family, and I am not an African American. I would like to add that my P.S.A. prior to the prostate needle biopsy was 11.

It has been said that the digital prostate examination can cause more harm than good, possible due to bruising. Can this doctor in the future, gives a response to this warning?. Thank you Dr. For this very good lecture. 👍

Here are my prostate tests. I’m now 67 years old. PSA Testing 2008------------2.1 2011------------4.1 2013------------7.1 2017------------13.1 In 2011 when it was 4.1 I was supposed to get a biopsy, however I decided not to go fir the test. It’s now 2019 and I still have not had a biopsy. I consider myself a pretty healthy person with no other medical issues. I play golf 4 to 5 times per week. I also play tennis sometimes. Up till now I have had no lower urinary tract problems that affect my quality of life. I realize that I could have PC but so far there is no sign or symptom of it. I know many would say I’m rolling the dice but that’s the decision I’ve made. I keep wondering what my quality of life would have been like had I gone in for that initial biopsy. With an increasing psa I’m pretty sure I would have had repeated biopsies with all its associated risks and several courses of prophylactic antibiotics. I am not suggesting that anyone should follow what I’m doing. I think that every person is entitled to make their own decision as to how to proceed. I may yet have PC and regret my decisions but as of now I do not plan on having any biopsies. My life and health is exactly where I want it to be at 67.

I finally decided to get another psa about a month ago. I just turned 69 in June. I know people will freak out about this number but I’m still not getting a biopsy at this time. My psa is now 28.. From 4 in 2011 to 28 now. What has not changed is anything I can discern healthwise.. I still play golf and tennis 4 to 5 times per week. I have no difficult or painful urination or no obstructive symptoms that I can discern and no sensation of residual urine in my bladder. At 69 I do have some increased frequency which is not a big bother for me. I do have high blood pressure but it’s now down in the normal range with my medication. As I mentioned I don’t plan on getting a biopsy. All of my tests results are in the normal range except for the psa and I still weigh 170lbs. I know all about the increased risks for African Americans but apart from a slight increase in frequency I have no other signs or symptoms that’s affecting my quality of life. I continue to exercise regularly and eat a healthy diet.

I’m 77 and had my PSA test done yesterday and was informed that it was 20 (has my Prostate drained & again in 2 weeks. Does it mean I have Cancer or (hopefully) only a prostate infection?

What about supplements and can it help.. 🤔👍🏻

everything was good, an excellent and informative presentation however, I did not get the point about patients 75 years and older....?

I am 73 age. My MRI test transitional zone- PIRADS -3 lesion and there are PIRADS -2 nodules. Size 46x45x43 mm - volume 44 g. ph 6.0 value observed. PSA Total 16.57* Is this suspect prostate cancer???

Well I for one appreciate this video. I'm a 64 yr old white male PSA LEVEL 8.3 and my doctor is on top of it....have already had the culture, MRI, EKG, and am scheduled next week for the Biopsy. So I guess we will see. Truthfully I'm a bit nervous about everything. Thanks to both of you for this, I feel that I am DEFINITELY more educated about it now.

A question for the Urologists out there: How large an increase in the PSA test, if taken annually, would be cause for alarm?

Why would you continue to have a PSA done after a prostatectomy?

If the Prostate produces PSA proteins.... and a patient has opted to have the prostate removed, why then, are PSA tests monitored AFTER the Prostate is gone? How could there be PSA proteins to measure, if the prostate is no longer there to secrete them into the blood stream?

I'm constantly peeing lately, is that a symptom?

I recently had a psa level of 6 from a previous 3 n im 59. I’m scheduling a MRI over the dreaded needle biopsy. Simply not interested. Changed my entire diet - ZERO FKN SUGAR! I’m doing my best to mitigate cancer IF it’s there at all. Hoping it’s just BPH.

My husband just went off his food, and did not want to work in his garden,very unusual as he spends 5 to 6 hours in his garden, went to the doctors 3 times in a week, then they gave him a blood test the next day the doctor phoned to say that his p s a was very high.had no trouble peeping, the oncologists said with the symptoms that he had he would have never give him a psa test. But thank God every day that he did my husband is 73

HI, I am 55 and my engine needs re checking, After a complete prostate removal surgery in 2020, I was able to maintain a PSA of 0.1 but in 6 months it climbed up to 1.4 without symptoms, I am getting a PET scan at the end of the month to find out where it has grown. Looking for support groups (nonreligious if possible) to get and share infornation in recovery and survival tips. Thank you and a prosperous new year 2023

My husband was just diagnosed with a PSA of 12.5. Where do we go from here? His urologist wants an MRI.

Get checked right away. Unfortunately I didn't, now I'm Stage IV with Bone Mets. No cure. I tried ADT, it only worked for a short while. I tried chemo, but had a terrible reaction to it. Talking to my Oncologist this week about some new options.

So if you are getting your yearly PSA and one comes back elevated from the previous years, your primary will have you retake another PSA approximately eight weeks later. A PSA of 4.0 or lower is considered normal but it is age driven. Men under 60 are expected to have even lower PSA lower than 4.0. The doctor will also perform a Digital Recital Exam to feel for lumps on the prostate although many are moving away from this at it has poor ability for detecting early stages but it can detect lumps if on the outer part and is also useful in detecting prostate enlargement. So after two confirmed elevated PSA's, the mostly standard US medical protocol is to do a random ultrasound guided biopsy which usually consist of 12 cores give or take however In the past few years there has been a slight shift towards performing a 3T Multi Parametric Prostate MRI with contrast before a random biopsy so if anything is found, the MRI mapping can be placed on the ultrasound for targeted biopsy for certain areas however they will still include random cores. My Urologist initially wanted to go straight to biopsy due to insurances not paying for a MRI most times according to him. I said I wanted the MRI first and would pay for it out of my own pocket if insurance did not. I was hopping the 3T MP MRI would negate the need to next move to biopsy however I've come to learn MRI is not as sensitive with lower grade detections. My biopsy did find Gleason 6 in two out of 12 cores and I am a candidate for active surveillance but at 55 I am still trying to decide if I want to just get treatment over with or wait until a later time with AS.

My brother was diagnosed with prostate cancer at 38 years old and has a prostatectomy done.....

2021 wow 7 years ago

0:36 Do I have a prostate? Yes sir I do which is why I am here lol

How does taking 6 chunks out of my prostate.....do anything? Especially if the only reason is an elevated psa. I feel I’m going to be a lab rat for the VA. It does little except prove you have it. Cutting into cancer makes it spread. I have little faith in VA....gotta feeling there going to make this worse......not better. And drag this out over months of tests and appointments. All the while......I’m highly stressed because of a lack of information. There is no bedside manner,.......just platitudes! Well we don’t know for sure.....let’s run more tests. It’s one sided and you feel quite helpless. Oh and your doctor......he’s been replaced. Now I’m being treated by a women....I’ve seen twice....for about 15 minutes. I’m 54.

I'm a young 76-year with a PSA of 6.2 and my prostate biopsy resulted in prostate cancer. The CAT-scan failed to show if it spread so, they now want to do bone test and another $500 test (?) The thing is... I don't have any typical prostate cancer symptoms! My pee is painless and strong and I feel great! Maybe I should just stop them and undergo a preventative bi-carbonate therapy?

Does anyone who gets a prostatectomy (prostate removal) ever regain control of their bladder or is it a life sentence with a catheter?

If this guys is an expert then he should give you the correct stats. If you have a PSA of 4 or below your chance of not having prostate cancer is about 80%. However, that same score has a false negative value of 15% (in other words, you are led to believe you don't have prostate cancer but you actually do!). Likewise, if you have a PSA between 4 and 10 then you have a 75% chance of NOT having prostate cancer. That being said, if you are one of the unlucky 25% the fact is that you have a 97% chance of NOT having an aggressive cancer that will kill you. So the PSA test is meaningless for the average man. However, it has helped to pay for a doctor's new house or bass boat as it typically brings people into the urologists office for a biopsy and sometimes radical treatments which can ruin a man's life. In short, the PSA test for prostate cancer screening is a scam for most men other than perhaps African-Americans or those with a family history.

How are these guys not familiar with the work done by Dean Ornish in reversing indolent prostate cancer through diet? Prostate cancer is virtually non-existent in low meat/diary eating countries. South-central Asia has rates below 10 per 100,000.

my name is Omar and I wanted to know um the real symptoms of prostate cancer.I been suffering from uncomfortable-ness down there below my testicles ,between the testicles and the sphincter.sensitive, Pee dribbles and very intense ejaculation.I got PSA done came back negative.had my prostate exam check twice again negative! and also got it early colonoscopy came back negative.I'm a little confused right now I'm going to see the urologist March 18 talking so I could get an ultrasound on me.constantly going to the bathroom dribbles uncomfortable just ruining my everyday shores.I feel miserable! missing the old me I'm only 37 going on thirty eight.my great grand father or grandfather died of prostate cancer so that's why it worries me.please help me.and thank you for your time God bless you.

My man wakes up at night. Could it be the prostate problem. So scared. He's going for check up .

Thank goodness you mention the grace of God not only faith in the doctor .

What do you do when you have all the signs & symptoms and your primary care drs. and urologist don't do a exam.. and you end up real sick? What do you do? What do you do then?

What would you say is a high PSA

Use Apifiny!

1. Fruits with lycopene - tomatoes, grapefruit, papaya apricots, watermelon, etc. 2. Fish & fish oil (Omega 3) 3. Citrus fruit - oranges, lemons 4. Nuts containing Zinc - cashews, peanuts, almonds 5. Brazil nuts (Selenium), vitamin D (salmon) or supplements 6. Canola oil, avocados and its oil, pistachios, dark chocolate 7. Allium vegetables: garlic and onions

I am 61 years old. Amen

See Dr. Liederman, NYC. 212 CHOICES Radio Surgery

I think I have prostate cancer. Feel terrible..debilitating fatigue all the time...weak, back and hip pain, poor urinry function. Im in big trouble, and this was all caused by biking. Sitting on a bycicle seat..

Ryan

Tomatoes are the fourth most commonly consumed fresh vegetable and the most frequently consumed canned vegetable in the American diet. There is emerging epidemiology data supporting the connection between increased tomato consumption and reduced risk for both cardiovascular disease and prostate cancer. Here we will summarize the nutrient and the phytochemical content of tomatoes and tomato products, and how these bioactive components might act together to modulate disease development. Recent animal studies have investigated tomatoes, lycopene, and prostate cancer using the N-methyl-N-nitrosourea and Dunning rat models. These animal studies also suggest that diets containing tomatoes may decrease the risk or the progression of prostate cancer. Due to the frequency and the extent of tomato consumption, the supporting epidemiological and animal data, which connect increased intakes with decreased cancer and cardiovascular disease risk, tomato's role in the American diet is of undeniable importance as part of a healthy diet.

Steve never talked about lifetime side effects

Dr. Litvin

Please men every where get checked out by your doctor's don't wait early detection can save your life do it for your self and your family your family loves you amen May God bless you and your family together in Jesus wonderful name amen

I was wondering, is this prostate biopsy perform only by a physician?

PSA AIR LINES LOL !

If or when I get cancer I'm smoking cannabis 24/7... fuck it I'm gonna start now!

First of all , Mark Litwinow should remember that on the operating table is lying human being not a swine.

That is it, I have other health issues and I am not interested in being screened for PC. I don't want to be caught in that web of trying to convince my doctor that I don't have PC. More than likely I have BPH. I have Inflammatory Bowel disease so needless to say I don't want to risk a biopsy. In people like me it could cause a fistula or sepsis due to being on immune suppressants. even though my doctor knows this he is insisting on PSA testing for me. I DONT WANT IT. I need to find a new doctor. Oh, I don't have any family members that have had PC, so I am in low risk. I am 48 years old and that is the only reason I can think of that my doctor wants to screen me.

Hey, Dr UCLA health. i may have this cancer, because one my balls is very soft a'm sure not normal as another one!! and not only that i always fill weak in my body, hip joint pain and Shoulder muscles! please what can you help me Doctor??

Forgot Imm 88 tears

Standard biopsy can still miss a cancer...you can miss the spot if a cancer is there

Where can you go to have some treatment about this I am is 60 year old man and I think there's no doubt that I'm having problems with having sex with my wife tell me how you can help me to make an appointment to your office I have health first coverage I don't know is that good enough

I've had prostate cancer many years now. They wanted to remove my prostate I said he'll no I'm fine it's been 9 years now

👍

Talking about Mr Steve Garvey …………

Doctors are experts at seeming to care. But are more distant and less responsible then ever. 15 minutes of looking concerned......then it’s out the door! Rats! Never wrong! Never around! Overpaid and under worked. Pull any muscles? Is your back sore from your labor? Do you get dirty? No of course not.......just full of advice. At $300 an hour.