Ep. 21 - Everything You Need to Know About Prostate Biopsies with Dr. James Wysock
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- čas přidán 6. 07. 2024
- Most men are trying to avoid a prostate biopsy despite their PSA being elevated. But sometimes you need one and biopsies are still the gold standard in determining if you have prostate cancer.
Today, we're gonna interview a colleague, a friend from NYU Langone Department of Urology, Dr. James Wysock. Dr. Wysock is a specialist in urologic oncology, advanced imaging techniques, and treatment tools for men with prostate cancer.
Dr. Wysock shares some compelling information about biopsies and shares his thoughts on when do you need a biopsy and what is the best type of biopsy to get.
#prostatecancer #prostate #menshealth #mensweightloss #urology
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📜 Chapters
00:00 Intro
01:14 Welcoming Dr. James Wysock
01:51 Background
06:23 There's no way of diagnosing prostate cancer without a prostate biopsy
09:59 Highest PSA you have ever seen
10:36 Walk through the prostate biopsy process
15:43 Trans-rectal biopsy | Intramuscular injection
18:23 Lowering the risk of Trans-rectal biopsy
20:15 What determines the no. of cores?
22:20 Saturation biopsies: How many cores typically?
24:11 Why should a patient wait for the first urination after being done with a biopsy?
26:28 How far after a biopsy is it safe to get a PSA that gives an accurate reading?
28:22 Transperineal Biopsy
32:37 Which is a better diagnostic pathway, transperineal biopsy or trans-rectal biopsy?
37:24 Focal ablation treatment
38:05 Local anesthesia for the transperineal biopsy
39:51 What is the use of an MRI in transperineal biopsy?
42:09 Connect @
42:51 Outro
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DISCLAIMER: This video is educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video, including but not limited to economic loss, injury, illness, or death. - Věda a technologie
I just had a Transrectal MRI Infused Biopsy of my Prostate five days ago. Only a coiple days of blood in my urine. No fever from infection. Still waiting on test results. This show was a great followup to watch as it answered some question i still had. For example how long to wait for a new PSA test. My last PSA was 5.04 and the MRI did inicate two small nodules new the base of the prostate. Thanks again for a great show.
Kindly make a video on senior woman after menopause. How to boost estrogen level. Which supplements are safe for long term use? What to do and what not to do. Which exercise is good and which is not. How to prevent and treat prolapse etc.
Very informative review of the Prostate exam process.
I had my 2d biopsy, done the way this guy describes 2 weeks ago. They could not push me out the door faster, blood leaking from me everywhere. I was in the ER that night having to have a catheter, which itself clogged with blood.
Biopsies are barbaric and now unnecessary. “Gold standard” only in that there are doctors raking in gold putting men at risk.
6 monthes after you recorded this show you had a London doctor explain that PSAR-PET scans are more reliable. It is unfathomable that Urologist in the USA are still pushing this barbarism for profit.
I have a diagnosis PIRADS 4 on my MRI, I NEED A BIOPSY PERIOD TO target my lesion to see if it is indeed PC. Do I roll the dice and not get one? My 4K PSA test score and EXOdx urine test also show a higher probability.
Ed may be permanent depends on what the biopsy needle goes through and damages nerves, etc.
30 to 60 cores turns that postate into a sponge!
Blood in semen, depends on how many cores to stay up to 6 months.
pet ct psma. no need to biopsy 👻
This only shows the difference in opinion . Episode 86 is so much better advice . This Doctor is very very behind in methodologies and views . Terrible
EP 86 supports doing only TRANSPERNEAL. This doctor is doing both, they know transrectal is dangerous and wrought with too many risks.