Is Prostate Cancer Fatal? | Ask A Prostate Expert, Mark Scholz, MD
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- čas přidán 25. 07. 2024
- PCRI's Alex and Dr. Mark Scholz address the commonly asked question, "Is prostate cancer fatal?"
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The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.
The information on the Prostate Cancer Research Institute's CZcams channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
#ProstateCancer #CancerSurvivors #MarkScholzMD
I am 18 months into my prostate cancer journey. Gleason was 9, so I opted for radical prostatectomy and removal of lymph nodes and any surrounding tissue that might be involved. My prostate tumor was around the urethra and so the neck of the bladder and some additional safety margins of the urethra outside the prostate were removed. I just had my 18 month PSA check and I remain less than .02. To me, this means that my surgeon 'got it all on site' and now I have to watch for biological recurrence at some point in the future. I will be committed to PSA check every 18 months, but most of the literature I have read says to me that at some point it will come back. I was blessed with complete incontinence as a result of the surgery, but through a great physical therapist, I now have about what I would call 70% control. One day at a time.
Congrats
Hi Im also a gleason 9 and had ralp last november and waiting on my first psa test 60 days after surgery which I will have tomorrow. Like you my incontinence is really bad, basically at night Im "ok" but walking around Ill ho through a pad every 30 mins so thats tough but frankly its better than a gleason 9 tumor inside me running havoc, so Im grateful albeit struggling, we will see how the future looks and if it improves. I wanted to ask about your sexual function if I can? Im 54, 60 days in nothing but they say 6 months..Ill see, cheers
Ps congrats on almost 2 yrs disease free.
I had 9 months of physical therapy to deal with the incontinence, and I reached the point of being able to control the outright flow of urine. Could not stop the drips, but the flow was controlled. Find a pelvic floor physical therapist. I found a young woman (about 30) who was amazingly helpful and encouraging. As to sexual function, I was able only to achieve an erection with injections of 'trimix' directly into the penis, and it was very unsatisfying. I am 75, married 52 years to the same lady, and it is not an essential part of our relationship any longer. We have achieved such a depth of emotional intimacy that the physical was literally no longer essential. Of course, we only found that out as a re
sult of the cancer, but it is true. The injections were about $25 a pop, and we just agreed not to bother with them. The whole process was a bit dehumanizing anyway. But at 54, we were still very active sexually. Ask your urologist about the shots and the ways in which you can insure that when the time comes, you have not atrophied down there. Blessings to you - Tom Nelson - @@nelsonoliva2119
Hi I am 23 years old and my sister and I always accompany my dad to his doctor visits and his procedures. I just received his results and it seems he has this type of cancer. I couldn’t help but cry my heart out. He didn’t know why I was crying and I didn’t want him to know… I love him so much. Your videos have comforted me so much. Thank you from the bottom of my heart.
How is your father and which stage of cancer he has??
Thanks for your teaching
Great Explanations in simplified way -Thanks
Thank you very much your comments, your questions and answers are very informative. Keep going with your program. Life bless you for helping people with cancer like me. But I am working on my decision....is not easy. I don't want to lose my organs. Thanks Doctor and the lady. 🙂
Explained beautifully, definitely will give hope to a patient and their family after watching this video.
Thank you, you give us peace of mind.
This was very helpful! I have yet to be diagnosed with prostate cancer. My free PSA was just below 10 a few weeks ago and I am going to have another PSA test in a couple of weeks.
Great Dr.- seems sincere, informed and helpful. Young lady is a great interviewer too. Well done and thanks.
Excellently presented! Thanks so much for sharing.
Thank you for this valuable and concise information. I will discuss this with my oncologist .
Thank you so much for sharing
Estos videos son muy informativos.
Great anchor and great doctor 👍👌💐
Absolutely enlightening ... I thought that prostrate cancer was a "death warrant."
My husband has to be seen tomorrow due to his PSA level. I'm nervous but feeling hopeful.
FABULOUS VIDEO. I LOVE YOU AND THANK YOU FOR BEING PART OF SAVING MINE AND SO MANY LIVES.
I think it's mostly a numbers game.ive asked a lot of questions sooner or later the doctors revert back to numbers.then I'm lost when they start using .9 s (I'm talking about my doctor) thank you for keeping it 100.
This is quite reassuring as I’m having my first biopsy done tomorrow after my PSA came up 5.2 and MRI scan presented something although my urologist hasn’t divulged any more info. I also did a second PSA and wasn’t told the results either although I guess I’ll find out when I attend the biopsy. Worrying times.
God Bless You
Update please…. Hope all went well
Thank you Doctor Scholz for explaining this is a easy to understand way.
I was not given any information on my orostate cancer. My PSA was 5000 which I never heard of this high. Told to get my affairs in order. They say my cancer has spread to mist lymoh nodes with a tumor mid spinal location. So I have no idea of the time I have left. Pallistive and home nurse say I should be looking for full time care and hospice. oxycodone every four hours and morphine every 8 hours. At 76 does this cancer just take you faster?
As usual, very informative. Here's a question. What pray tell is advan e cancer? My Gleason is 3+4, Grade 2 with one leasion and a PSA of 9.3. After Lupron and Orgovyx 150 mg. Yet in communication the Oncologist refers to advance cancer.
Great info as always! Thank you
I have Stage IV Prostate Cancer with Bone Mets. Tried the ADT, but my Liver couldn't take it. I tried chemo, but had a terrible reaction to it. I had tumors pressing on my spinal cord and had surgery. I'm learning to walk again. Lots of pain.
Ya how's your walking and physiotherapy even my father can't walk now
Did you try Lu PSMA therapy for advanced Prostate cancer? It is supposed to be very effective and with very few side effects.
God Bless You
What is lu psma treatment @@kamalsh6123
Gleason 6-- no. But the only way to know the grade for absolute certainty is through surgical pathology. There could be higher grade missed in the original biopsy, or the cancer is found to be of a higher grade than what was initially reported in the biopsy
Thanks for the information. I was diagnosed with prostate cancer G7(4+3). I have gone through 38 days of radiation, 5 times a week I have also had 2 injections so far of hormone therapy. My problem now is that l still visit the loo about five times each night. My PSA is 0.5 .
Hope all is well...any updates on your prostate situation 🙏
I really enjoy your videos I am fighting prostate cancer your comments help alot Thanks
God bless.
Prayers for your healing.
Thanks
Love that tie! Really cool.
He always wears snappy ties!
I really need this info to help me survive. Thank you.
To treat Prostrate cancer,Use Kx2 Herbal Tea Medicine. That's what I used and it work.Very effective and the result is permanent. No side effect. You can get it from Dr.vikraftsambos on his CZcams channel.
Thank you.
Thank you for all the helpful information. Well done!
Finished radiotherapy a year ago my psa today is 0.2 I still have 12 months of hrt injections in my abdominal muscles I had locally advanced prostate cancer just broke into the seminal valves gleason 7 was wondering if 0.2 was good
You guys are doing amazing work.. Thank you very much for always making us aware about newer treatment options.. My dad was diagnosed with advanced prostate cancer an year back and after watching your videos I was able to gain an insight into this disease ..God bless you guys 🌺🌷🌼😊
Que Dieu vous bénisse !
Thank you so much for all the info you give to us. Both of you are terrific. Bless you both.💟
Recently diagnosed with locally advanced prostate cancer. I'm awaiting appointment to see Oncology team in Glasgow. Thank you
I'm under the beatson mate if u want to talk
Where do I start? First thing first. Thank you for caring. That is all for now.
Eric, our prostate cancer helpline may be able to help you. Please feel free to contact us here: pcri.org/helpline
Thanks - pl to hear good new abt Prostate Cancer. I hv height risk Prostate Cancer (T3b.GS5+5 & PSA 61.8) I hv started on Degarelix from 17/9/19 with good respond - after 12 monthly Degarelix my PSA now at 0.111. My side effect hv been swelling & pain for up to 1 or 2 weeks / sometimes fever. Recently my Urologist stop my Hormone for 6 mths - then go back & check my PSA again. My Question is how Long can I continue my Hormone Injection & any any other medication like (Dupoint or Casidex) can help. I was told Hormone cannot cure Cancer ? What is best for my case. Prefer not to go Radiotherapy- Thank you
Hello Tye! Our prostate cancer helpline may be able to help with your question. Please feel free to contact us here: pcri.org/helpline
What about a PSA of 45 Yes 45. I’ve had the first biopsy with 12 leads. Nothing found, I had the targeted mri, and the 2nd biopsy nothing found.
Charles, I hear you brother. Hopefully your biopsys continue to show nothing. Not so for me. Last January, even though I had no symtoms other than the usual middle-aged "bad back" ( which we all get one way or anonther, right?) I had a PSA test that came in at 97.2! Whew. Next the biopsy showed a gleason of 8. Then the scans. Heck, I had absolutely no idea...my pelvis was already fractured and it had also spread to a lymph node. My wife and I talked about it and we agreed, becuase it was obviously incurable, not to take treatment as such and let nature and God take their course. Now I'm in hospice care and it's okay. The pain is managed fairly well and I must say having a living Faith is a huge consolation to the whole family. Even my littlest, age 12, seems to know that daddy might be with Jesus by Christmas. So, again, I hope that the doctors can bring your PSA down and, if it's alright with you, I'll say a prayer for that intention. Cheers, my friend.
@@pilgrimkiwi2144 Two years ago my PSA was 86, 10 months ago it was 100. One month ago it was 136. MRI indicates prostate lesions and bone scan indicates pelvis node assymetry. Even though I have Kaiser and they recommend biopsy I'm first starting with an online oncology care.
Mar2 2023 went to the er thinking I had pinched nerve or slipped disc. Mar 4 diagnosed stage 4 prostate cancer that had metastasized to most of my bones. Psa was 603 had radiation on one tumor that was pinching the spinal cord. Started hormone therapy after a week or so and now get lupron once every three months and Xtandi daily. The treatment may kill me before the cancer but I’ll give it a try. Psa dropped to 79 after a month and now down to 5 after 2 months
How are you today? I hope you are doing well
Still on this side of the dirt but down to last couple options to keep it in check.
@@michaelmottice8455 Best wishes, Michael. I’m sure it must be tough, but please don’t give up!
P.S.: Have you been treated with Xofigo and/or Pluvicto? It seems like you might be a good candidate for those treatments.
I had a Laser surgery on my Prostate about a year ago, I don't go to the bathroom at night only once. But during the day I pee frequently. Is that a good sign, that my Prostate is not that bad. Waiting for a reply
My husband needs to prepare for CT scan simulation for prostate cancer. How to prepare for this, they gave him suppoistory but can he eat prior to it. Earlier it was unsuccessful because he was not well prepared.
Hello, we have a patient advocate on our helpline that might be able to help with your question. You can find our contact information here PCRI.org/helpline.
Thanks so much!
Thank you very much.🙂👍🏽
thank you ... thank you ... but I want to know if ice cream is OK for dessert after supper ?
Is a TP53 mutation with very high risk PCa likely to be fatal?
Hi, I was diagnosed Oct 2022. Grade9 contained, I was diagnosed sept 2023 with bone mx multiplied sites. I've been told it's very aggressive and a rare mutation which actually attacks my bones making then thin rather than building excess on top. My pain levels are low and controlled with paracetamol my condition is being treated with injected hormones and abiraterone. My psa went from 16 to 37 in for weeks, but on my last test+4 weeks it's raised to 40. I won't lie the speed of progress is very scary, I'm only 59.
I'm 58 diagnosed at 57. Are those PSA levels whole number values? If yes I understand the concern. I had a Gleason 4+4 Grade 8 an aggressive type. PSA went from 7 to 8 within 2 weeks. They thought it was contained but there was some migration, luckily it remained in the pelvic bed and didn't get to the lymph nodes. I'm good now 1 1/2 yrs later having had prostatectomy and had my last hormone shot about 3 weeks ago. Hang in there man, I know it isn't easy but live life to the fullest and stay strong best you can. God hears us but he picks the right moment to answer...kinda inconvenient at times but he has his reasons I guess.
@@MrKitty-zv3dl thanks for the time to reply to my post. I'm very positive on day to day, not so sure on my long term. 1 day at a time, I tell my family there will be times for tears, but it's not hear yet. We just keep fighting, busy living not dieing. Thanks Lee
In a word YES eventually on metastatic pc
Again, these videos are abundantly helpful. A sincere “thank you” for making them broadly available.
II zfllool
My dad is suffering from prostate cancer and has Gleason score 5+4. Currently he is on chemo therapy and PSA level increasing and did fall after 14 cycle. Can you please let me know what to do in these case ? Any idea when PSA will decrease
Hello, we have a helpline with patient advocates that can provide you with information that may help your father’s case.
You can find our contact information at pcri.org/helpline
I am 74 yr old male chinese. My PSÀ over past 6 mths range from 3.9 to 4.3. MRI concluded i have Pirad 5. My urologist decided i need biopsy. Wd u agree to doing biopsy or repeat PSA test before doing biopsy? Your opinion is appreciated. Thank you.
- Henry
I will add this to our list of questions for future videos. In the meantime, a patient advocate on our free helpline may be able to help you with that question. Our contact information is here: pcri.org/helpline
In 2011 I had a 12-needle biopsy. Only 1 sample showed cancer. I was Gleason 6, 3+3. A follow-up 12-needle biopsy showed no cancer. Great. Apparently, any cancer I have is very small. My question is, once a man is a Gleason 6, is he always a 6? Don't men who have higher Gleason scores start out at a 6? Yes, their biopsy might show them to have a Gleason score of 8 or higher, but were they once a 6 and just didn't get a biopsy at that time?
I've heard of PSA, but not Gleason
@@kathleenking47 The doctor uses the numbers 1 to 5 to grade the most common (primary) and second most common (secondary) patterns of cells found in a tissue sample:
Grade 1. The cells look very much like normal prostate cells.
Grades 2-4. Cells that score lower look closest to normal and represent a less aggressive cancer. Those that score higher look the furthest from normal and will probably grow faster.
Grade 5. Most cells look very different from normal.
The two grades added together are your Gleason score. Cancers will score 6 or more. A score of 7 means the cancer is intermediate, and a higher score (8 to 10) means the cancer is more likely to grow and spread.
@@kathleenking47 The doctor uses the numbers 1 to 5 to grade the most common (primary) and second most common (secondary) patterns of cells found in a tissue sample:
Grade 1. The cells look very much like normal prostate cells.
Grades 2-4. Cells that score lower look closest to normal and represent a less aggressive cancer. Those that score higher look the furthest from normal and will probably grow faster.
Grade 5. Most cells look very different from normal.
The two grades added together are your Gleason score. Cancers will score 6 or more. A score of 7 means the cancer is intermediate, and a higher score (8 to 10) means the cancer is more likely to grow and spread.
Is unfavorable teal already fast moving and dangerous?
This guy should be president!
Hi there,and is
Our Dad has been diagnosed with Prostate Cancer , and his having chemo injections but his bladder is now incontinent and he's wetting himself . Any suggestion of how to reduce the flow of urine and are adult diapers the only answer to this problem ?
To treat Prostrate cancer,Use Kx2 Herbal Tea Medicine. That's what I used and it work.Very effective and the result is permanent. No side effect. You can get it from Dr.vikraftsambos on his CZcams channel.
my psa is 120 what's going on.
My dad is 73 years old.
He has developed prostate enlarged.
MRI reveals Pirads-2 nodules in the transitional zone.
PSA shows 16.57*
But after the second time test shows 10.700 with
Psa free 1.900 and 18%
Here, should he go for a biopsy again ?
Help please,my Daddy in Kenya Nanyuki.Help please.
I have grade 2 prostate. I am a lover of eggs.....fried,omelette,etc. I have heard that eggs cause prostate cancer. Is this true?
Thanks again for such a great source of information about Prostate Cancer...Maybe a common question... Are you Related to Dr. Scholz? Daughter? Wife? Because the same last name . Just curious.... Not nosey, Just Love you Both and your Help.
Thank you so much for your kinds words! We are so glad we can help.
She is his daughter-in-law. :)
You're so beautiful..I like your presentation...
When is aggressive...take action
After being told by a UROLOGIST over five years that my prostate is cancerous here am I with the only treatment seamiñly available is the change of CAPHITER
Is it unusual for your urologist-oncologist NOT to tell you your Gleason score? Ours has not (despite us asking). We're on Firmagon/Eligard (1st injections each thus far), opting for hormonal therapy for a newly diagnosed 91yo male patient with possible metastasis (bone scan next week) in otherwise fairly unremarkable health.
👍
If it was I'd be dead already. Still alive and well after 3 years.
Great to hear.
Not clear that I understand what PC is Fatal and what is not. I get alot of PC is not fatal. but what PC is fatal. Do not have enough information to answer the 6 questions. I have GL 9 metastic cancer into Lymph Nodes. So is it serious or not? My research says I have a 20% chance of survival in 5 years.
That’s very serious. Need to take action to cure it . It’s a process to fight with cancer. Change your life style and find a good doctor first. Hope is there. Curable but need to fight for it.
You can save your soul and repent
Yes prostate cancer killed my father!!!! Treat it aggressively. My dad was emaciated when he died. It was horrible to watch.
So sorry to hear about your dad! 😞 my deepest condolences 💐
How dangerous is Gleason score of ten
Hello, our prostate cancer helpline may be able to help with your question. Please feel free to contact us here: pcri.org/helpline
@@ThePCRI mlm
Get ready for the pearly gates, or a pitch fork in Hades!
Joli
En franćais svp merci.
I’m 69 yrs old. Diagnosed Prostate cancer, metastatic Gleason 9, stage 5. Bye bye.
you still here...............
Hello any updates
Repent ,Repent!! Get ready to meet your maker ! At least save your soul ! And to hell with the prostrate !
@@cmilkbhoyz3088 ha ha ha ! We all got to die of something!
@@patrickcoyle796 These people dont need your idiot comments!
I knew a guy who was 44 at time of dx, died one year later.
My Gleason score is 7 is this bad
James,
Feel free to get in touch with out helpline. Our contact information is here: pcri.org/helpline
Get ready for the pearly gates! We all got to die!
jamesturner: in the middle of the road....
No!!!!!!!!
Life is fatal
Is prostate cancer fatal? Ask all the thousands of men who died from it or who surely will die from it in the future. Are prostate cancer treatments fatal? Yes, it is just a bit more time waiting for the end.
Wheñ pŕòstatè ÇAÑÇÈŔ is deteŕmìnèď hòw lonģ shòulď it bè befòŕe treamènt ìs applièd
I believe it depends on your psa number. In less than a year, I went from .03 to 4.0 and the doctor ordered blood tests twice a year. I did have a blood test one month after the 4.0 results, and it showed
biopsy so-called negative with a high grade pin 12-2015, then in 10-2016 tumor 4.4mm, out of prostate so says the MRI, Gleason 8, 5+4. slow growing my ass.
The problem living with the side effects of the treatment for the rest of your life.