Diagnosed with prostate cancer. MRI completely missed the tumor. Standard systemic needle biopsy caught it. Gleason 3+4=7, Group 2, PSA 3.3, 30% adenocarcinoma in 2 cores, right apex. So what the hell should I do....radiation, SBRT, Cryogenic, Radio Frequency Ablation, Laser....what the hell. I'm 73, in great health and I do not want the cure to be more deadly than the disease....btw...do you ever answer these questions or not?
Look into the Fen Ben protocol. My husband is doing it along with ADT and other supplements. He did six weeks of hyperbaric oxygen therapy and brought his PSA from 300 down to 4.2 in three months.
I’m so glad I came upon this video with these comments! I’m a 62 YO Black male, been plant-based for over 25 years (vegan). Both my father and younger brother had prostate cancer and had their prostates removed (our father passed from natural causes at least 15 years later, in 2009, and my younger brother still gets follow-up treatments to keep his PSA in check). This year we found out our older brother has it, but because he didn’t get in to get it checked when he first showed symptoms (about 2 years ago), he’s now in hospice at our sister’s house, as it has spread to his bones. He’s still driving and seems to be managing his pain with the medication. He’s still searching for alternative approaches, as he’s tried everything he knows of and doesn’t want to give up. I thought that since my diet was different from my brothers that I wouldn’t get it, or if I did, I’d have a better chance of beating it than they did, and avoid surgery or radiation. So I recently had my PSA checked upon their advice, even though I wasn’t showing any symptoms. It came back with a PSA of 14, and the urologist strongly recommended a biopsy because of my family history, which I did. They took 14 cores, three of which showed Gleason 3+3=6, grade group 1, and one which showed 3+4=7, grade group 2. Plus there were two instances of “atypical small acing proliferation of undetermined significance (ASAP)”. The remaining cores were benign. The lab had first sent me the results digitally through the MyChart app, and the Urologist called me on Memorial weekend soon as he looked at the results. I’m scheduled to go in for more details on the results and he wants to discuss options on this coming Monday 6/12/23. Obviously I was shocked, and although the pain during the biopsy was minimal due to the numbing drugs, the recovery is a mental trip (clearing the blood from my system, which will take about 3 weeks according to the Dr). Plus the mental stress of weighing out what to do, regardless of the doctor leaning strongly towards cutting me up. I’ve already started leaning more towards a raw diet, cut sugar down to no more than about 30 grams/day that might be present in some foods (I haven’t added table sugar to anything in years, mostly use organic stevia if I need to sweeten up something), and I’m drinking green tea, adding 1 tsp moringa to my daily health shake, along with Buried Treasure Men’s Prostate Complete, which has a bunch of prostate-positive herbs in it. The one drawback regarding trying to cut down sugar is that my research shows that 8 oz of pomegranate juice daily is very beneficial, as is watermelon juice, but both contain natural sugar (pomegranate juice has about 30 grams per serving!). I see most of the comments are not too recent, but I’ll check back to see if anyone’s interested in the outcome of my upcoming appointment. I’d also be interested in joining some kind of network of men dealing with this- the different approaches people are currently using, lifestyle adjustments, dealing with girlfriends/wives, etc, as I’m sure the shared info would be beneficial to others besides me. Any follow-up comments and recommendations greatly appreciated, including regarding my brother in hospice. Thank you all for contributing what I’ve read so far. Peace.
Mike, my ex husband has prostate cancer but he does not want to treat as he worries about side effects. I am actually here to learn and I am grateful for your comment. Let me know how you are doing…keep me posted. I am sorry about your brother but I do not know how to help. Prayers going your way.
@@jovitarich7078 sorry to hear about your husband situation, I will keep you posted on developments, as well as any other things. I learn along the way. Thank you for responding.
Sorry, I don't believe that, I have a prostatectomy, and that was a big mistake. Death is better to be without prostate. Now I like to see how my body recover without drugs and radiation therapy. All my life I fixed impossible things, but what I did to myself removed my prostate can't be fixed is gone forever.
71 year old. Had a psa of 4.4. With a physical with my primary Dr. my first visit with urologist they were already talking biopsy. I asked what is a good average psa for 71 year old. They always came back to 4.0 as an upper limit. Fast forward decided to go back to primary Dr. this time. No sex, no physical strenuous exercise and no riding bike of which I do a lot. New psa 3.5. Do not let these people talk you into a biopsy if you are older like me Remember they make big money on biopsies Hope this helps
Why didn't they order a prostate MRI before suggesting a biopsy? From what I understand, a prostate biopsy is no picnic. BTW, appreciate you pointing out the 48 hours before rather than total abstinence!
@@jerrylee5463 I insisted on an MRI rather than biopsy 6.3 psa. MRI was negative but he said we can't trust it because I had had prior pelvic radiation. So if my psa remains high after 2 months he wants to biopsy. Idk what the hell to do. I think is opinion #2 time if psa remains high. Btw I had been riding hell out of my new e bike during the 2 previous psa tests. Not touching the thing now and hoping that was part of (or all) the reason for the high readings.
Age 68 here, PSA 5. Had an MRI first a few weeks ago, then biopsy. Geason 8, not good. ANOTHER scan in a few week to see if spread. Anxiety Roller coaster.
The PSA tells us of the likelihood of finding cancer on a biopsy. I have had patients that had a PSA of 2 but had very aggressive metastatic prostate cancer diagnosis. I have also add patients with a PSA of 20 with a completely negative biopsy. It can be hard for some men to way the pros and cons of went to get a PSA and how to follow up an elevated PSA. Currently there are 4 ways including a separate blood test, a micro ultrasound, mpMRI, and a biopsy.
I've decided not to treat my cancer PSA was 109 Gleason 9 cancer very aggressive grade group 4 T3 and CPG 5 After studying my cancer I realized that having further treatment chemotherapy would ruin my quality of life & damage my bones etc etc So I would just let the cancer take its course & kill me which I accept. I didn't cry or don't cry I've always been a practical strong person of character an old fashioned guy born 1963. I've always had faith in God so death is not the end it's everlasting LIFE!
@@cancerfactswithdr.b3082 it's spread to my bones now but I'm strong so it's just a case of waiting to the end comes when it does. My doctor missed all the signs from 2011 to 2019 I was going to him with various symptoms eventually my weight fell to 9 stone (126lb) My doctor stated I was fine sent me away? I rang my sister who's a nurse in America she told me it's cancer get back to my doctor immediately! Once he did a simple blood test PSA his face bright red informing me of cancer so 8 years had gone by from 2011 to 2019 and he failed to do a simple blood test!
@@cccxm02 hey Chaz, I'm also 1963, don't give up bro...search for Joe Tippens story and Fenbendazole, no kidding, I just started to take it few days ago.
Even diet by eating natural Whole plant Foods and fasting is treatment. Why would anyone not want to try to cure themselves? I just believe that looking at everything as statics on paper removes the humanity.
Many thanks for this doctor. I'm 73 with Gleason 3+4 and P S A of 16 elevated from 11 over six months. No target lesions identified on MRI scans. I'm on active surveillance with great quality of life. I'm happy to continue this way for now.
Hello i have been diagnosed same Gleason score with no target lesions. I am debating if i should go surgery or just surveillance ? Please how long have u been on surveillance like to know. What are chances your cancer can metastasize? Have u had genetic testing done? Thanks
@@VimMitt Hi there I have been on active surveillance for three years. No, No genome testing! I will have another biopsy in the next three months and go from there. With me it’s about quality of life and not risking treatment too soon. Of course it’s a bit of a lottery as you can’t always know the full picture. If there were radical changes to the Gleason score then I would reconsider. At current levels I still have a good few years of quality life. Obviously you make the decision that’s best for your circumstances. Good luck and take care.
My friend decided not to get treated. (49 years old when first detected). Died last week. He never drank, never smoked, ate good, changed diet, Long story short he died within 3 years. He tried everything. I got stage 2 and his last words were, don't be as dumb as me, get it removed. That's exactly what I'm gonna do.
I've had it for nearly 8 years, I tried a few natural treatments that might have slowed it down, but I finally had my prostate removed 9 weeks ago, it was starting to be a problem and was not yet metastatic luckily. There really was no other choice for me, and I should have done it 2 years earlier because the longer you leave it the more post op symptoms such as ED and leaking urine. All the best.
First let me say I hope ur recovery is going well. May I ask why you feel you should have decided earlier by 2 years for the removal ? How was it becoming a problem? I am 3+4=7 Gleason PSA 6 age 63 and curious where ur journey began? Thank you for your reply sir @@JIM-ot4ws
For what it is worth i was diagnosed with prostate cancer,i decided to change my diet,take cannabis oil,reguler exercise cut out alcahol and Sugar completely ,Sugar feeds cancer,I seem ok.
I completely agree. Diet and exercise I highly recommend. My psa went from a 4 to 1.23 and my testesterone level also went up significantly. My doctor and urologist could not believe their eyes. They wanted to know what I did? I told them that I changed my lifestyle, which was changing my diet and exercising vigorously.
@@pic376 May I ask your age? I am 74 years old and I just got word today that I have prostate cancer from the biopsy I had done last week. I don’t like my choices which are radiation therapy, and surgery. I would just as soon not do either and try something radically different like changing my diet and exercising more.
@@alcameron6071 I turn 62 this year. Lifestyle , Lifestyle is very important. Vigorous exercise and a healthy diet. I highly recommend. You will feel and look better. I even look much younger than my age. I got energy like crazy. People would think I'm on some drug. Nothing of that sort.
Too much statistical jargon. Discussion does not compare surgical vs radiation treatments. My question is: What would be the quality of life of someone who decides not to treat non-metastatic prostrate cancer when diagnosed at various PSA ranges. What would be the progressive decline in quality of life over time? Is it possible that treatment of prostrate cancer is over-rated? Is there an age range that determines whether to treat or not to treat.
There is another video that compares surgery to radiation. There are several forms of radiation. I only discuss Cyberknife treatment. I would like to do a video on all the forms of radiation in the future. A discussion about prostate cancer treatment and outcomes is very complicated. 1 way to think about treatment options is to view the video on CARE. If you have questions after this video I would be happy to answer them.
@@cancerfactswithdr.b3082 Thank you for the quick reply. I am more interested in the non treatment options. At 68 with a Gleason Score of 7 and a PSA of 32.00 ng/mL I have to consider the costs, time, and side effects of treatment. Would some men be better off to do nothing? n my case I am feeling great, I have no symptoms, I do high intensity interval training. I am not afraid of dying; I don't care about how long I live but I do care about the quality of life I have when I am alive.
@@genesioz I can give a better answer based on 1 of the 8 classification systems with some additional information. I need to know your grade group and any staging that has been done such as a rectal exam, CT scan, MRI scan, bone scan, and/or PET scan
@@genesioz Some would say, such as actor Ian McKellen that as long as a cancer is contained in the prostate it's no problem. He has been on watchful waiting for over a decade.
What type of treatment have you done??? Can you please guide me. My father just followed the surgical method but the PSA level now also increases to 0.22
I still cannot get any doctor to tell me how long I will live if my cancer is not trested. PSA was as high as 5000 and in all my lymph nodes. Only suggested hormon treatment by dhots and pills. My life is horrible with day long sweats and impossable to even go out to do anything. I live on pain pills every four hours. Not sure it is worth extending my life if I live like this. 75 and live alone
Look in the Fen Ben protocol. My husband is taking it. Also check into hyperbaric oxygen therapy near you. My husband did six weeks three times a week. There are home ones you can buy. My husband quit eating sugar. He has some muscle loss and hot flashes from the shots but he is doing well.
Look into bio identical testosterone therapy. Low T can actually lead to cancer and other health problems. My husband is 66 and was diagnosed with metastatic prostate cancer. His PSA was over 300 when he started ADT. Hes also doing the Fen Ben protocol, did six weeks of hyper baric oxygen therapy, and other supplements. He cut sugar out of his diet. His PSA dropped to 4.2 in three months. He will have another CT scan in three months. Overall he's feeling pretty good. Mostly feeling the effects of having his testosterone blocked. Also his Lupron shot is causing groin pain and muscle loss. Hopefully in three months he'll be feeling even better.
My friend is dying of Prostate Cancer and the guy is going through hell. He chose to at 59 to be observed rather than go through treatment. Now at 72 the tumor has blocked his urinrary functions and had to have tubes placed in his kidneys and an Urniary bag to function. It has also gone to his spine and is having horrible back pain. I see it just getting more painful as the disease progresses. Beware when they say they will watch it, what they mean is watch you suffer and die.
6 years later 3 lurpon shots and casdex this April stopping treatment so body can rest. And I do boxtox injection because of radiation. Damage 3 time a year. Please find cure.now I am.63 in good health except for cancer did seed therapy in prostate cancer had spread outside senile vessels thanks
What about do you think 4+3)7 gleason skore prostat cancer,which are only spread In the left hip bone,3 points.ı have been on hormon therapy only eligard and xtandi40,for over 9months PSA LEVEL COME DOWN 1.O8 FROM 300.......AND PET-CT SHOWS LOW,LIGHT EMMISION
Only 5% of Americans decide to pursue active surveillance once they had been diagnosed with favorable intermediate-risk adenocarcinoma of the prostate. Typically in a community setting, only 15 to 20% of men decide to stick with active surveillance for a long period of time. In an academic setting for men with mostly low-risk disease, up to 50% of men will decide to stay on active surveillance for a long period of time. The main information that doctors will be able to communicate to you is the 10-year risk of developing the metastatic disease while on active surveillance. Typically for favorable intermediate-risk patients, that risk can be anywhere between 2 and 10%. A Decipher test may tell you that you have a 6% risk of developing metastatic cancer in 10 years if you have high-risk disease based on their genetic analysis of your cancer. So if this information will help you decide whether or not to get treatment, then the test would be valuable to you. Once you decided to pursue treatment, your next choice would be how to treat your favorable intermediate-risk prostate cancer. There are currently 10 treatment options for favorable intermediate-risk prostate cancer. The 2 with the best cancer control rates include interstitial brachytherapy and stereotactic ablative body radiotherapy. With these treatments, your ten-year PSA control will be approximately 90%. Based on your information, surgery would result in a 66% 5-year cancer control rate. In another talk I discussed the side effects related to different forms of radiation. Typically surgery will lead to impotence 50% of the time and an 18% risk of long-term incontinence. For Cyberknife, there is a 25% risk of impotence and a 1% risk of incontinence. Reply to S.A
Thank you. Have a lump on my prostate. As of last yr, normal PSA. I for some reason think I have cancer because of my family history. Trying to research the issue. No biopsy yet. I have been very negligent. Thanks very worried and scared thanks doctor.
@@paulhopkins3205 Don't trust him. Trust the Dr. who makes his living, sends his kids through college and buys a lake house doing prostate removal surgery.
Dr. I am 1980 born and my psa was 8 -10 even went up to 14 so I made a diet for a 2 weeks along with antibiotics in August first psa came 14.65 after diet and antibiotics after 2 weeks psa came 9.49 after stopping antibiotics and diet 2. Week of sept. Test came 10.9 what do you think?
Hi Doc, thank you for raising this subject. I wonder what are the risks of a biopsy causing the encapsulation of the cancer cells to break open and spread? I was told by my consultant (UK) after my own biopsy that it was referred to as 'puncture therapy' but nothing negative was said about it. What are your views a.d ecperience in this matter?
If you take 100 men that have an mpMRI and MRI/US fusion guided biopsy and they are found to have cancer only on 1 side of the prostate, 73 of them will have cancer on the other side once the prostate is taken out and evaluated by the pathologist. Some will also have cancer outside of the prostate. It is difficult to determine the risk of seeding from a prostate biopsy. However, the risk is very, very low.
wondering the same at almost 75....had MRI and they said a 3.2cm 'nodule' in prostate, How many more yrs do I have...vs all the asst treatments that may make things 'worse'??! Thinking watching/testing or active surveillance for now. EDIT: My brother-in-law who was diagnosed at roughly 65-66, a few yrs ago, decided to go for prostatectomy..in his words to get it all out at once...his thinking was he still had years ahead of him. I don't see that for me!
well just got back from mine, there was a guy in his 80s who went in before me for his biopsy , he said he wanted to live a bit longer. Dont we all ..@@RaxOldies
I don’t understand why some men don’t pursue treatment when it can extend their lives? I wouldn’t choose a horrible early death for the vanity of the ability to have sex for 2-3 years. What good is being dead just because you wanted to get laid a few times more? I was diagnosed in 2016 with a PSA of 163.4, metastases all over my skeleton and involvement in one lymph node. I suggested we pursue aggressive treatment, I had more living to do. I worked the first four years after that until the pain meds made me too unsteady / nauseated to work any longer. I did two types of chemotherapy, Zytiga, Xtandi, Radium 223 and some other things, probably Pluvicto in August.
Quality of life over quantity my friend! Some of us myself included have had a long(ish) difficult go of it Nothing handed to me, just taken by the tax man So at 61 if I’m going to empty the family bank account to pay crazy med bills, copays, meds, due to lousy insurance company and greedy hospital systems add the inability to work, as my family watches me physically and emotionally diminish with the hopes of rebounding to retaining a portion of my former self just to squeeze a few more years out of life seems more selfish than brave It’s not about “Vanity “ or sex I haven’t been able to have sex in 11 years between pyronies disease and ED from antidepressants, My wife left to hook up with a tranny!! For gods sake, I Cath 5 time a day since my kidneys started failing from “A overly active life of pushing myself hard” That broken down muscle has go go somewhere I don’t know what type of work you do but in the field as a hands on building contractor, I strain, sweat, lift, burn and freeze with guys half my age and they can’t keep up My father was one of 14 Italian south Philadelphia raised kids 7 boys-7 Girls All are dead today by some form of cancer Many older cousins as well I lived an overly fit lifestyle, ate clean, no alcohol, no drugs, no fast foods or sweets, I’m still benching 245 at my 147 lb 5’8” frame as I lost 17 pounds due to this illness and only 20lbs off the barbell Full long head of hair with a pony career as a session/touring guitarist into my 50s Nobody lives forever and my self respect as a father who wants to leave more than memories of the sick old men I grew up with I raised my family to understand the end comes to us all and dignity is worth 5-8 more years of life, at least to me
Recently I had the Decipher test and was found to be high risk. But I'm told my only option really is surgery, because of bladder retention; because radiation could cause serious problems later. Is this correct? Thanks...
The Oxford study confirmed everything you said, and that was the largest study available that I'm aware of to me lifestyle changes, proper BMI, and the least invasive treatment like both appear to depot to tumor is the way to go but take your time radiation prostatectomy have a lot of side effects that are not typically reversible
Finding out you are one of around 2,000,000 been overtreated by egotistic clinicians is not pleasant either, all these problems when it didn’t need to happen. So many clinicians use the numbers to frighten fellah’s towards treatment, understanding urology and prostate cancer is not a easy learn and yr often can’t trust a clinician who stands to make thousands for a few hours work.
Sir my father was diagnosed with prostate Cancer and now it was removed and even that the PSA level now reached to 0.22 . What to do can you please suggest.He is 55 years old.
99% of the time if the PSA is low, a man will not develop metastatic prostate cancer. Also, radiation failures can now be salvaged with radiation over half of the time.
@@michaelanthony386 I feel the same way I'm 66 and single and I know if I lost my urinary and or sexual function I would lose the will to live. I truly wish I had never had that damn psa test. I have gleason 3+4 and psa has slow climbed to 13 over the last 7 or 8 years. I would consider treatment if they had something better than the poisons they offer. I'm watching the progress of EBC46 and histotripsy development.
@michaelanthony386 Absolutely 💯. I was diagnosed with low grade prostate cancer grade 1 August 2023 with PSA of 6.3. Have no symptoms and exercise 6 or 7 days a week doing combination of resistance training, hill sprints and brisk walking. Cut out meat, eggs, poultry and dairy foods . Eat a pescatarian diet. My P.S.A has stayed the same since my testing at 3 months. I feel fit and strong. I will continue with active surveillance. I have no intention of undergoing surgery/ radiation. I'd rather have 10 years of quality of life than 20 years of misery! But that's just me.
