Gleason 7 prostate cancer
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- čas přidán 27. 11. 2022
- Have you been recently diagnosed with prostate cancer ? There is a great deal to learn about prostate cancer including what type of cancer you have.
Dr. William Stiles, board certified Urological Surgeon, Osteopathic Physician, Men's Health Expert and functional medicine trained doctor educates men about various prostate conditions, including prostate cancer, benign prostatic hyperplasia (BPH), chronic prostatitis, interstitial cystitis, erectile dysfunction, hormones, and whole body optimization.
Estimated one in seven men will be diagnosed with prostate cancer in their lifetime. An estimated 220,000 men in the U.S. will be diagnosed with prostate cancer this year. Prostate cancer can be a complex issue for the patient and his family to understand. There are many treatment options for prostate cancer including surgical removal of the prostate, external beam radiation (IMRT / SBRT), proton beam therapy, cryotherapy, hormone treatment, chemotherapy, focal treatment, and even not immediately treating prostate cancer for low risk cases (Active surveillance). Early detection of prostate cancer is important. Most prostate cancers are detected when the cancer is still contained within the prostate gland, but some cancers are advanced and have moved outside of the prostate gland (metastatic). Each person with prostate cancer has their own unique conditions and situations that can affect treatment decisions going forward. Cancer staging radiographs (CT scan, bone scan, PET scan, MRI, etc) are often done by the urologist that performed the prostate biopsy to assess for spread of cancer outside of the prostate.
Regardless, of the treatment you choose for prostate cancer, optimizing overall health and wellness is an important part of any successful treatment plan.
Medical Disclaimer:
The Prostate Coach and Dr. William Stiles does not provide medical advice. The content available in our videos, on our website, or on our social media handles do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person. We intend to provide educational information only. The determination of the need for medical services and the types of healthcare to be provided to a patient are decisions that should be made only by a physician or other licensed health care provider. Always seek the advice of a physician or other qualified healthcare provider with any questions you have regarding a medical condition.
Social Media Links:
The Prostate Coach Facebook link: / theprostatecoach
To book a virtual consultation with Dr. Stiles: drwilliamstiles.com
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I have 3+4 and I refused radiation/surgery. My doctor said I'm going to die, well after 15 years, I'm still alive. Now in my late 70' who cares..."
u r cool lol
Was 6 then 3+4=7. I’m watching and doing TRT. MRIs very 6 months, PSMA annually. Stable for over a year. So much literature support this but doctors don’t read. Rainmakers for institutions. They can’t make money on their bad choices they drop you. Study up. Lifestyle trumps longevity with those awful side effects. Be your own advocate. All but castrate resistant treatable even calling it cured. Stay on it.
You are going to die; however, did your doctor say how long you had to live?
@@williamwaters4506he could not explain, the fact is I'm still alive and kicking
Me to 75years changed my diet and exercises feeling good. Cancer is big 💰 money making business
You explained it perfectly....I have watched many videos and never this clear.
Thank you
Wow ! Thank you for your compliment Lilly !
Spend as much time as possible researching prostate cancer and the staging plus treatment. It's too bad we also need to consider the insurance we have as the treatment can be pretty expensive. I was fortunate to have a good Urologist and Radiation Oncologist treat me for a bilateral 3+4 Gleasen 7. I asked a lot of questions and did a lot of homework so I had a good idea what to expect. Don't make a quick decision on treatment for a 3+4 as options are quickly changing. I don't regret my decision to go with radiation as after 6 months post treatment, I'm back to a normal life.
Thanks to the prostate coach for the good explanation. Doctor means teacher and h is a good teacher.
Hi Dennis,
Thank you for the positive feedback. I wholeheartedly agree, doctor means teacher and educating is my passion. It’s why I made this channel.
Glad to hear you are doing well. Thank you for sharing tour experience so others can hear what it’s like 6 months out.
I agree, there is a lot to research and many questions to ask. Sadly, the clinic setting just doesn’t allow enough time to support the patient’s questions and concerns.
I will be putting a course together that goes from A to Z so men and their families can get the information more sequentially and comprehensively.
I appreciate you taking the time to comment! Blessings to you.
@@theprostatecoach8058 i❤
Great explanation!
Thank you !
Trying to simplify the complex.
Thank you doctor .. For this simple and easily understandable content
Absolutely ! Thank you for your comment.
Excellent video. Great job. What about Gleason 8 (4+4) ?
I was 3-4 Gleason 7. No known metastases. Got surgery 2.5 years ago...so far so good, PSAs are undetectable...however, if u care about the sexual & urinary side effects, get radiation 1st, if u r a candidate for it. Your chances of having LESS or milder side effects are better w/ radiation...u have to ask the right questions & listen closely b/c most docs won't come right out and tell you...I regret, I was panicky & just wanted it cut out asap. Big mistake imo.
Same for me. Wish I had slowed my roll, gotten more information and did radiation first. Can’t keep looking in rear view mirror.
Hi MJ, what is considered undetectable PSA, there are any numbers or it's just not present, thank you
Spot on! My stats similar to yours. I undergo HD Brachytherapy in two days. Fortunately there are people like Dr. Stiles putting out videos like this that educate people on side effects of treatments and risks people take. Many urologist do not have the time to properly educate patients. Another "mistake" is opting for surgery if the cancer has in any way escaped the gland. Miss any of it, and the cancer could easily return. Cut the wrong nerve......... whoops.
I was 63 and had one biopsy that was 4+3. The rest were 3+4 but were too diffuse for focal therapy. I chose EBRT mainly because of the incontinence side effects of surgery. They put me on four months of ADT and dropped my T levels from 550 to 10. It was horrible. I cried constantly and was up one night considering killing myself but couldn’t remember where I’d put the ammo for the gun. I still feel like my personality has changed even though my T levels are normal now. Another thing is that regardless of surgery or radiation you lose your ability to ejaculate. They told me this beforehand but I underestimated how this would affect my feelings about myself and the quality of my orgasms.
Thank you for your comment.
Unfortunately, Sexual dysfunction is often a common side effect of any treatment for prostate cancer. Technology is advancing rapidly, and so hopefully there are some innovative ways to improve your sexuality.
Wishing you the best !
I have gleason 7 4+3 and 2 metastases 1 in T10 & the other in my pelvis. After 1 year oc ADT and a petscan The tumour was found on the prostate only. I received Vmat 28 fractions in pelvis &prostate and 5 fractions. any further treatment? or advice. Am 73 years old.
I have 3x4-7. Diagnosed in May.....9,5psa. Have been doing finbenzadol.. numbers were down to 2.1 PSA.. supposed to have high fu surgery in February.. no metastasizing...
PSA looks great !
Great news ! Can you share what dosage you took ? Thanks
Baloney.
If the 3+4=7 cancer is on one side of the prostate, what ablation therapy would you recommend?
All treatments have different cancer control and side effect profiles. Many options. Get many opinions if your situation allows. I wish you the best !
If a person is a Gleason 6 and the biopsy show 10/12 and your doctor told you that you need surgery or radiation treatments is that a good idea from the doctor and this person 49
In a Gleason 3+4 what impact does the less than 1% pattern 4 result have on treatment choices?
Get yourself a genomic assessment, in particular ask about your dna information about the PTEN Gene and BRCA genes, if that’s 1% & under 6mm you should challenge weather it’s even a 3+4 (get a second opinion)
I have 4+3 which has spread to my lymph nodes and right pelvis, I have started hormone treatment and will find out on Friday 23/12/22 what other treatment I will be receiving
Stephen, there are lots of effective treatment options even for advanced prostate cancer.
@@theprostatecoach8058 I know,I will know better on Friday, I know it is not the death sentence it once was
I have 3+4 and am awaiting on the urgent list at Imperial College Hospital London for HIFU or Cryotherapy.
Wishing you the best !
Fenbendazole and iverm;)
My partner has a Gleason score of 3+4=7. He is going to have radiation. I think he should get a second opinion and look into the different test that could be done. I read about a test called PSMA which shows more than just a pet scan and also shows if the cancer has spread. I’m very upset. He is not well versed in medicine like I am and doesn’t want me to speak to the doctor. I don’t know why, but I feel as though I should get the whole picture.
Types of Imaging to help better understand your stage of prostate cancer
czcams.com/video/7Vs3CYRsTMM/video.html
Aren't you more agressive on Gleason 3+4? I was diagnosed 2 yrs ago, and just under active surveilance. MRI showed that it did not progressed.
I too was recently diagnosed with Gleason 3+4 (PSA 4.6). Urologist recommended treatment but said he was OK with me being on AS if I get regular PSA tests and probably another biopsy after a year. If PSA starts climbing too fast, I guess I'll get radiation therapy.
Joe
Thank you for your comment.
Sometimes small volume Gleason 3+4 is watched with active surveillance as guided by your physician. This includes rechecking PSA, repeat MRI, and repeat biopsy every 6 months to 2 years on average.
Thank you for your response, BTW, I am 76 yrs old. due for my next checkup. @@theprostatecoach8058
There’s one hard rule for PCa
# damage the prostate the erection suffers.
Choosing what to do for prostate cancer is one of the toughest decisions a man will make in his lifetime.
Thank you, Dr. osagh, for your exceptional expertise and skill. Your knowledge and dedication are truly commendable. your herbal medication for cancer worked as prescribed I am grateful to have received treatment from a doctor of your caliber. Thank you for your unwavering commitment to your profession….❤