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Prostate Matters
United Kingdom
Registrace 11. 12. 2020
Prostate matters is a not for profit organisation that is committed to providing free information about prostate disease from world leading authorities
Its aim is to provide potential patients and their families and friends with the best state of the art information on the diagnosis and treatment of prostate disease and which hospitals and doctors provide them.
Its aim is to provide potential patients and their families and friends with the best state of the art information on the diagnosis and treatment of prostate disease and which hospitals and doctors provide them.
Professor Raj Persad discusses the Stockholm 3 blood test for screening for Prostate cancer
Raj Persad discusses the critical limitations of a PSA test which explain why it cannot be used to screen for prostate cancer. He then discusses the Stockholm 3 blood test which can detect men with a high risk of prostate cancer that can then be investigated.
zhlédnutí: 502
Video
Interventional treatment options for BPH
zhlédnutí 2,3KPřed 2 lety
Professor Richard Hindley discusses the various interventional treatment options for BPH taking into account severity of symptoms and prostate volume.
Paul Sayer, Founder of Prost8, talks about his experience with prostate cancer & the 1 in 8 campaign
zhlédnutí 208Před 2 lety
ONE in EIGHT represents the 1 in 8 men who will be diagnosed with prostate cancer in their lifetime - and that equates to an incredible 500,000 men in the next ten years alone! Together we can save thousands of men every year from unnecessary invasive treatment pathways - find out how. www.prost8.org.uk
The focal treatment for Prostate Cancer - Nanoknife. Presented by Professor Caroline Moore
zhlédnutí 7KPřed 2 lety
Professor Caroline Moore discusses the electroporation focal treatment for prostate cancer, Nanoknife. She discusses how it works and who it is suitable for
Marc Laniado discusses focal therapy and robotic prostatectomy as treatment options
zhlédnutí 2,9KPřed 2 lety
Marc Laniado is one of very few surgeons worldwide who can offer both HIFU focal therapy and Robotic prostatectomy (RALP) as treatment options for his patients. Furthe,r he may be unique in using Retzius sparing techniques during RALP surgery to minimise side effects of prostatectomy
Prostate Cancer Active Surveilance by Prof. Caroline Moore
zhlédnutí 711Před 2 lety
Professor Caroline Moore discusses the option where treatment can be avoided or delayed as the cancer is low risk. The patient is monitored over time and is treated if the prostate is seen to be getting worse. This is a good option for low risk disease and for patients who for example want to complete a family with no risk of impaired fertility from treatment
Prostate Cancer Decision Support by Prof. Caroline Moore
zhlédnutí 1,9KPřed 2 lety
Professor Caroline Moore discusses treatment options and the factors to be taken into account and further reading
Prof. Hashim Ahmed speaks about Focal Therapy options in the treatment of prostate cancer.
zhlédnutí 4KPřed 2 lety
professor Hashim Ahmed discusses the advantages of focal therapy as a treatment for prostate cancer. Namely side effects and impact on quality of life are minimal compared to other treatment
Prof. Hash Ahmed discusses the importance of a well reported MRI when diagnosing prostate cancer
zhlédnutí 158Před 2 lety
Professor Hashim Ahmed discusses the importance of having an excellent MRI that is reported by an expert radiologist to assist in diagnosing prostate cancer, planning biopsy if necessary and accurate focal therapy treatment
The prostate cancer diagnostic pathway
zhlédnutí 308Před 2 lety
Professor Raj Persad describes the key stages on the diagnostic pathway for prostate cancer
Jon Aning discusses Robotic Assisted Laprascopic prostatectomy at Southmead Hospital in Bristol
zhlédnutí 797Před 3 lety
Jon Aning discusses the latest techniques he uses in Bristol for robotic prostatectomy and how they can minimise the side effects of surgery to remove a cancerous prostate gland
Prostate Matters present Dr Oliver Hulson discussing precision Transperineal biopsy using BIopsee
zhlédnutí 323Před 3 lety
Consultant Radiologist Dr Oliver Hulson discusses , with examples, the requirement for high quality prostate MR scans that are well reported and how they are used for precision biopsy under local anaesthesia.
Prostate Matters presents: Which treatment? Focal therapy or radical Robotic Prostatectomy
zhlédnutí 483Před 3 lety
Prostate Matters presents: The Consultant Urological Surgeon Marc Laniado is one of the very few surgeons who offers both Focal Therapy and Robotic Prostatectomy (RALP) to treat prostate cancer. He is the only surgeon in the UK who uses the Retzius sparing for RALP which causes fewer side effects. He discusses which option is better for the patient.
Simon Bott discusses Transperineal Biopsy of the prostate using fusion software
zhlédnutí 268Před 3 lety
The Consultant Urological Surgeon Simon Bott, Simon Bott discusses Transperineal Biopsy of the prostate using fusion software
The importance of a good MRI by Simon Bott
zhlédnutí 89Před 3 lety
The Urological Surgeon Simon Bott explains why a good quality MRI that is well reported is so important in the accurate diagnosis of prostate cancer
Professor Frank Chinegwundoh discusses the importance of a high quality MRI
zhlédnutí 105Před 3 lety
Professor Frank Chinegwundoh discusses the importance of a high quality MRI
Professor Frank Chinegwundoh MBE discusses Urolift BPH treatment
zhlédnutí 497Před 3 lety
Professor Frank Chinegwundoh MBE discusses Urolift BPH treatment
Professor Raj Persad - The importance of a high quality MRI
zhlédnutí 266Před 3 lety
Professor Raj Persad - The importance of a high quality MRI
Rezūm steam treatment for Benign Prostatic Hyperplasia (BPH)
zhlédnutí 6KPřed 3 lety
Rezūm steam treatment for Benign Prostatic Hyperplasia (BPH)
iTind treatment for Benign Prostatic Hyperplasia (BPH)
zhlédnutí 5KPřed 3 lety
iTind treatment for Benign Prostatic Hyperplasia (BPH)
Greenlight laser treatment for Benign Prostatic Hyperplasia (BPH)
zhlédnutí 4,2KPřed 3 lety
Greenlight laser treatment for Benign Prostatic Hyperplasia (BPH)
Prostatic Artery Embolisation (PAE) to treat Benign Prostatic Hyperplasia (BPH)
zhlédnutí 4,4KPřed 3 lety
Prostatic Artery Embolisation (PAE) to treat Benign Prostatic Hyperplasia (BPH)
Jim Duthie discusses Robot Assisted Laprascopic Prostatectomy
zhlédnutí 187Před 3 lety
Jim Duthie discusses Robot Assisted Laprascopic Prostatectomy
Jim Duthie discusses Benign Prostatic Hyperplasia
zhlédnutí 68Před 3 lety
Jim Duthie discusses Benign Prostatic Hyperplasia
Mr Marc Laniado discusses Aquablation treatment for Benign Prostatic Hyperplasia (BPH)
zhlédnutí 7KPřed 3 lety
Mr Marc Laniado discusses Aquablation treatment for Benign Prostatic Hyperplasia (BPH)
Prostate Matters presents this Marc Laniado talk on the importance of a good MRI scan, well reported
zhlédnutí 111Před 3 lety
Prostate Matters presents this Marc Laniado talk on the importance of a good MRI scan, well reported
HoLEP treatment for Benign Prostatic Hyperplasia (BPH)
zhlédnutí 16KPřed 3 lety
HoLEP treatment for Benign Prostatic Hyperplasia (BPH)
Professor Richard Hindley discusses the importance of MRI in diagnosing prostate cancer
zhlédnutí 163Před 3 lety
Professor Richard Hindley discusses the importance of MRI in diagnosing prostate cancer
Professor Richard Hindley discusses Rezum treatment for BPH
zhlédnutí 30KPřed 3 lety
Professor Richard Hindley discusses Rezum treatment for BPH
I had Rezum three months ago and my flow rate is 3-4 times better than it was before the procedure. No side effects at all. It was done under general anaesthetic.
What are the side effects?
I would wish this is real, and its not about someone getting rich. When a true cure shows up, Jesus will make sure we all get it free.\
I've had Rezum 3 weeks ago, and I'm just getting over a UT from using the cathether for 6 days after the procedure.My urine is back to pre-procedure and I'm still taking medication. I want to say the flow is a little bit better but I'm still needign medication to pee. I'm hoping to see more improvement in the months to come. No poblem at all with my erections.
How are you now
My prostate was 90 mg., and was self cathetising in addition to normal urinating. I had the Rezum done 6 months ago and I needed to have the permanent catheter for 4 months on and off, whch was too long, after failing bladder tests several times. After 4 months the tests revealed I was good enouph to have catheter removed. Although now I'm urinating better, I'm not ejaculating, which to me personally is no good at all. I should have been told by the urologist that there is a risk of this. Had I known in advance I would not have done this procedure. I found out after having already done this procedure, that there is another ''non evasive'' procedure called Urolift, and, according to my tests I qualify for this alternative procedure. From what I understand, Urolift does not have this same risk of retrograde ejaculation, and catheters would not be needed. I was not told about this alternative procedure with all the facts, so that I can make an informed choice. I would have prefered the Urolift with it's non risk ejaculation issues. I also sufferd for 4 months with having a catheter in me for much longer than what I was told. If Rezum can stop you ejaculating, to me that makes it evasive. I'm also experienceing incontinence, where I can't hold back for too long. In my case, is there a way to reverse retrograde ejaculation to normal ejaculation?
Excellent video on focal therapy. Thank you!
Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3. 9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion is noted. PSA is 4.86.
I need Resum Procedure Tusia Pro. Iam 80 year. What could be cost?
thank you for the video. I'll ask my urologist
I would look at the hoLEP procedure. This what I picked out for myself. It's what is called a 'one and done' procedure. I'm getting it done in Las Vegas, NV in america. At a VA hospital and by a doctor that's done a thousand of these procedures.
Prof. Hindley, Where do find you. I live in London nw4, I am 80 years. I need treatment for possibly Rezum. I am self paying. Best Regards Rayaz
Had it done and the Dr screwed me up for life. He nocked the muscle and now I have incontinence for life. It’s only around because it can be done in office and the dr does not split his fee with the hospital. The golden standard is the TURP procedure.
I wish we had a choice here in Saskatchewan Canada, its either TURP or prostectomy. So my husband who still values sex, high on his list is taking natural suppliments and praying they work.
I don't see how this will last more than few days...Why not use a permanent stent? We use it in arteries with great success.
I agree.
There is now a newer procedure called Tusla Pro uses directional thermal ultrasound and MR imaging with active heat monitoring.This allows the doctor to see real time the areas that need attention.
how does this treatment compared to Urolift????
Thank you for the comprehensive explanation of options for treating BPH. Now that Aquablation has become available, it would be nice if you could do a follow-up video discussing it.
I would like to know if holep procedure ends the sex drive. Yes or no
Why not treat early cancer instead of waiting for cancer to become more aggressive? It would make men feel less anxiety, scared and their quality of life would be so much better after nanoknife if it works instead of radiation (possibly causing secondary cancer in the bladder or bowel) or prostectomy (incontinence and embarrassment, risk of hernia, atrophy, etc.
What percent of men end up with erectile dysfunction after green light treatment?
I'm not sure if this is the case for other men who have gone through this process. I have no problems with erectile disfunction. Ejaculation is also possible. Maybe im just lucky with the right urologist who performed the operation.
Great Info - thank! Reason why not adopted in the UK. How do you get the test? Does this test/info have a part during AS and AS post HIFU? Thanks!
Is Retsius sparing the same as nerve sparing (as done at UCLH)?
Hi proff good information. What is the prevalence of prostate cancer post REZUM. Is there any relationship between them
does the operation with aquabeam preserve all the functions? to what extent? Furthermore, does it make it more difficult later to ascertain any prostate cancer that may have occurred or not? I also heard that the aquabeam procedure makes radiotherapy unfeasible.
I am interested to know whether you could use this procedure successfully with someone who had an enlarged bladder and a large diverticula causing the bladder not to empty fully?
I want to live. I give a shit about erections
i ended up with retrograde ejaculation so not so happy.
I ended up with retrograde ejaculation. It did cure my urinary retention but the retrograde isnt to good.
Gland bigger than 80cc is not suitable for TURP, all surgical prostate procedures cause permanent ED except PAE. Many men do not want to give up their sexual performance.
Excellent information. Thank you!
I had cancer of the prostate and went through radiation therapy and it caused radiation retention along with radiation proctitis. I could only do zero to about 50 ml at the end of the therapy. Now I am 6 months out from the end of my radiation therapy and I am passing 150ml to 200ml and occasionally more. My prostate measures 97c. I only catheterizing once a day but I am wondering if Rezum and / or Eurolift could be possible for me. I hear they wont work for large prostates. I personally have ruled out TURP as my previous urologist stated that frequency, emergency, blood in the urine, incontinence and retro ejaculation were what I had to look for as an outcome through TURP. SO, I FEEL THAT IS TO DANGEROUS CONSIDERING WHAT THE UROLOGIST HAS WARNED ME ABOUT AS SIDE EFFECTS AND CONSIDERING THE POOR TREATMENT I RECEIVED. I WOULD NOT WANT THE SAME POOR WORK DONE TO ME BY THE SAME UROLOGY DEPARTMENT.
I'm supposed to schedule a procedure soon, TURP being recommended for me although I'm leery of it being overly invasive in my case. My prostate is only medium-enlarged, but I have a large median lobe apparently causing bladder blockage. I don't hear much about median-lobe issues, but how do the various BPH surgical procedures relate to this?
Professor. Moore, would it be possible to do a summary of the HIFU data please ad compare to radical prostatectomy please?
Very reassuring, thank you
Thank you for this information. I am pleased to learn that with Gleason 4+3 Nanoknife can be offered as a treatment. I assume I will get more information at 3pm on Friday when I have the telephone appointment with a UCLH Focal Therapy team member. My main question is "Is hormone therapy necessary?"
Wonderful explanation and so appreciated, thank you!
I’ve just had this at UCLH London. Very quick, no pain. The catheter was the most uncomfortable part.
What keeps the urethra open once the itind is removed. Is the tissue semi ridged so it keeps the shape created by the itind? My engineerig mind is not seeing how the affect will last very long. Seems like the tissue would reform back to its natural shape.
I've had two sessions of Urolift pins over the past 8 years or so. Now bladder / prostate / urethrae "locked up" while under sedation for a hernia repair, couldn't pee, now stuck with Foley bag. Probably have at least 10 pins in my prostate. How would this complicate this procedure?
I talked to several Urologists about this, they were VERY indignant and dismissive. They are denying their patients the opportunity to entertain an additional way to relieve their symptoms. Turf wars !
I had the same experience. What I did was to advocate for myself and seek out PAE. My urologist is a good man but his position on PAE was disappointing.
PAE works great =had it done 4 months aga no meds now !
Congratulations ! I am having it done next week. My prostate is over 200mg volume with urinary blockage.
@@robertmahler8894 Can you give is an update please?
I had aquablation by Mr Laniado 2 months ago in the UK and it was a great decision, I'm delighted with the results. Only had 2 days in hospital then 2 days to recover off work and back to normal within a week or so. Now no issues with slow peeing or having to go every hour like previously. Plus I've kept full erection and ejaculation ability which I know that some of the other other treatments don't. Would definitely recommend it.
Had my aquablation February 8. Still have blood in my pee, do you? Had an overnight stay and went home without a catheter. My doctor told me don't even think about sex for a month so glad to hear you already had no full erection and ejaculation problems. I am 70 and in good shape because of being very active. Hope you are the same.
@@garycortesi8406 Hi. I only had blood for about 2-3 days, then again after I think day 12 for a day or so (I was told about this beforehand), though I did get tested for a UTI in case I had an infection, this was negative. Since then nothing. Yes I'm quite active, I do alot of running, though I didn't do any for a month after the operation just in case, just walking.
@@garycortesi8406 doing better ?
does the operation with aquabeam preserve all the functions? to what extent? Furthermore, does it make it more difficult later to ascertain any prostate cancer that may have occurred or not? I also heard that the aquabeam procedure makes radiotherapy unfeasible.
I had Rezum procedure done 14 days ago in Thailand it was completely painless and my prostate size is 70ml in volume. I had a catheter for 7 days which is a little uncomfortable .At the moment I have a small amount of blood in the urine . The main thing I am concerned about is the very strong urge to keep going to the toilet, I am hoping that in a few weeks the urge to keep peeing will improve and I can get back to normal.
Had PAE over a year ago and was good for about 8 months. Now seems to be backtracking and looking in Aquablation.
This is a brutal, painful treatment. Your life will be living hell for 2 months afterward. I would not recommend this procedure EVER. Read the comments from others that have endured this horrible procedure on other youtube videos if you want to get a more realistic picture of what to expect. IF it does work, expect to have an additional procedure in the near future. This procedure should be banned.
Please tell me the side effects? I'm thinking about having this procedure. Ty
@@NeverGiveUp-ib3xb The first thing is you are fully awake when they insert the steam instrument into your penis. Then they inject live steam into your prostate at least 4 times @ 15 seconds each. The pain is excruciating. You will wear a catheter for 5 days so you can void because the prostate is so inflamed from the steam injury. THEN for the next 30 days your life is miserable. You are in constant pain from the procedure and experience cramping from bladder spasms. You will have the constant urge to urinate every 30 minutes from the spasms. It is exhausting.To top it off, this procedure is palliative. Temporary. You will need another procedure in the near future as the prostate tissue grows back. (Ask me how I know)! Don't believe the Dr. if he says he will numb up the prostate beforehand. It doesn't work. The nurse will insert a syringe into your urethra containing about 10-20 cc of lidocaine jelly into your penis before the procedure then place a clamp on the head of your penis for 30 minutes to keep the jelly from oozing out. Sounds like something you want to proceed with??? Remember, minimally invasive = minimally effective. FYI Rezum and Urolift are falling out of favor with Urologist. Do research on HOLEP if you are contemplating a procedure for BPH. This is the new "Platinum Standard" for BPH instead of having a TURP. DON'T even consider Rezum. It is barbaric.
@@NeverGiveUp-ib3xb A side effect experienced by many is retrograde ejaculation or otherwise known as a dry orgasm. No juice. It may or may not be permanent.
I love your video, and wish i had seen it when i was diagnosed with small low grade cancer! As the urologist i had at the time said very little apart from saying everything would cause incontinence! Thank you for posting such an informative video!
Hi, would Rezum or Urolift exclude me from focus therapy? Recently diagnosed with Prostrate cancer Gleason 7 (3+4), PSA 6.5. I would love for my GP to refer me to you. Please advise 🙏
I made my decision fairly quickly. I had done some research but wound up trusting the surgeon would do a good job. I had the focal nanoknife (low voltage electrical pulses) in May 2022. No heating up surrounding tissue or freezing, no radiation. Problem with surveillance is you can wait too long. My first PSA dropped by 80%. Fingers crossed. I no longer ejaculate, but what the heck…I’m 70 and don’t need the ego boost. Best of luck to all you guys. Oh, my Gleason was 3+4. PSA about 5.3. Good sized lesion from MRI. Took three biopsies to confirm, last one was perineal.
I had the nanoknife treatment for my 3+4 Gleason cancer early May, 2022. Had MRI’s, 2-3 biopsies, but the perineal biopsy got to the bottom of the gland. I was told by the surgeon that my PSA should drop by 30%. My PSA before treatment was about 5.4. My first follow up PSA was actually an 80% drop to 1.24. Promising. My prostate gland is a normal size. From what I was told and found online, the nanoknife has the least side effect potential by a fair margin. Had mine done in the Chicago area.
So glad you commented. I have almost exactly your numbers. 1 - 3+4 out of 15 biopsy’s. 4 were 3+3 and the other 10 were benign. The 5 positive were all on the left side. PSA is 5.4. How are you doing now? I hope well.
What institute did you go to in Chicago.
@@MM-sf3rl Thank you. Treatment was May 2, 2022. Second PSA was about 1.5, which surgeon said was statistically negligible change from first. MRI showed no evidence of any more cancer. I have one more PSA I will do in March and then a biopsy in May (last biopsy I hope). Bladder recovered, some ED.
@@MM-sf3rl Duly Health, Dr. Ranko Miocinovic
@@your_royal_highness Thank you so much for sharing. I know it’s difficult but you may have given me a little hope eight months into this (and hundreds of hours of research) and I had never heard of Nanoknife.
Can nanoknife be used for salvage therapy in the prostate? Can it be used for bone mets?
I don’t know. Perhaps not here in US (Germany maybe?). Bone Mets means metastization? Then no.