Prostate Cancer: What You Need To Know
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- čas přidán 12. 11. 2022
- Guest physician Dr. Peter Incze is a urologist who shares his knowledge about prostate cancer. He talks about early detection, screening, signs, symptoms and treatment.
Prostate cancer is a type of cancer that develops in the prostate gland, which is a small gland located in the male reproductive system. Prostate cancer typically grows slowly and may not cause any symptoms at first. However, as it progresses, it can cause problems with urination, such as difficulty starting and stopping urine flow, frequent urination, and a weak or interrupted stream. Other symptoms may include blood in the urine, erectile dysfunction, and pain in the back or pelvis. Prostate cancer can be detected through a variety of tests, including a prostate-specific antigen (PSA) blood test, digital rectal exam (DRE), and biopsy. Treatment options for prostate cancer depend on the stage and severity of the cancer, but may include surgery, radiation therapy, hormone therapy, and chemotherapy.
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The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practise medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment.
I am also a prostate cancer survivor ! I had a radical prostatectomy during which most of the prostate was removed along with a lymph node and the seminal vesicles! During the surgery the doc said” we almost lost you there but you made it back “
Anyways glad to be cancer free for Over twenty years!
So glad to hear that and have you still around Robert! Thanks for watching and subscribing
Robert -- What kinds of side effects have you had after your surgery, both short and long term?
Yeah
Thanks
Top Doctors are Saying that to Have a Healthy Prostate every Men should have Ejaculation at least 21 times a Mouth ! I do even more ! Long Live the Porn ! lol Clean Those Pipes Fellas ! Its very Important ! And eat Organic Food of course ! Don't let anyone Shame you ! Tell them to go FTS !
Thank you my dad passed away in 2017 at 66 by the time he found out he had prostate cancer it had spread everywhere now I married a man older than me and we are dealing with prostate issues hopefully he goes and gets the tests he needs I saw my mom take care of my dad til his last breath I pray I don't go through that I pray for my hubby and all of you men out there too Godbless
I am very sorry for your loss. I wish you the very best.
My PSA never went over 3.9 however it had doubled in five months. Biopsy showed cancer in one quarter. Three months later I had radical prostatectomy and the cancer had grown quickly to encompass the prostate and the nerve bundles.
The cancer must have been high grade. I’m thankful to be here 17 years later, I was blessed to have a fantastic surgeon.
My surgeon was Dr. Vip Patel in celebration Florida
Wow that's awesome Ray
Whats your symptoms
@@BimboTV I had none except an enlarged prostate and quickly increasing PSA noted in medical examinations and blood draws.
What does PSA stand for?
My story is completetly different of the stories that I have read here. I was diagnosed with testicular cancer when I was 58 and at the same time I had my first PSA test. It came back at 10.5. My urologist treated the known cancer first before looking at the Prostate. A few months after the removal of the testical, I had a MRI that showed nothing and then a biopsy that showed nothing. Finally, my insurance company approved a 3D MRI. After the test, it was determined that all I had was an enlarged prostate. I was put on a testosterone blocker and over the following 9 months my PSA dropped from a 11.2 (it had went up) to a 1.5. I hated the side effects and stopped taking it. 5 years later my PSA has slowly raised back up to a 9.5. FYI, my treatment for the testicual cancer after it was removed was only monitoring with full body CT Scans with and without contrast. Also, no cancer has shown up over the years with the 10 different scans.
I tried reading an 85-page material and this video explained things clearly and succinctly, with some humor sprinkled too.
Thank you!❤
Every time I watch these videos I am in AW. The information you provide, the language use, your candid manner to walk us through the topic is fantastic. Big thank you to Dr. Peter Incze, and of course, to Dr Paul and Dr Brad.
Wow thank you Carolina! Thanks for watching and subscribing
Yeah, if you're young and healthy, just remove the prostate. Problem solved. WTF!
Finally am Cancer free, my doctor confirmed that. I wonder what mught have become of me if i never came across your channel Dr Igho , im glad for having you as my Doctor because your herbs worked like magic.
See what prostate cancer looks like: czcams.com/video/ZNQqpt7ZxL8/video.htmlsi=J6FrYFB4ud-9t_vO
My beloved husband, David, had his prostate removed because it was cancerous. I remember the last thing the doctor said to me at our meeting before his surgery which was " well your husband is not going to die from prostate cancer." His surgery was on Thursday, he stayed in the hospital one night and was released on Friday. On Sunday night, we were walking down the hall getting some exercise, he then stopped, gasped, and drop to the floor. At that point I thought he had tripped. His eyes were open and I called to him and he didn't respond. I called 911 immediately and my family. The First Responders were here in less than 3 minutes they worked on him for a half an hour, he did not respond and passed away on our living room floor I am pretty sure by the time he hit the floor he was most likely taking his last breath. He did have high blood pressure, but that was being treated and managed. We didn't not have an autopsy done as it would not bring him back. Please make sure to tell your doctor who is performing the surgery about all your medical conditions and medicines you are taking. Months after his passing, I found out that the doctor who performed my husband's surgery did not have his complete medical history and medication list. My husband did not die from the cancer, I believe he died because of the surgery, and the doctor not having the necessary information. It is hard to say but that is my gut feeling..
We are so sorry to hear of your loss DJ. It is obviously difficult to know the cause. Thank you for sharing in hopes that others will ensure their doctors have all of the information. All the best. Thanks for watching and subscribing
Sorry for your loss. It sounds like a blood clot may have moved and blocked something vital. Always a risk with surgery.
Xxxxxxxxxxxx
He mostly likely passed out from exhaustion from the surgery and post-anesthesia, he probably should have been resting in bed for at least 5 to 7 days after surgery with only doing lite movements over those 5 to 7 days; after that, he could start to get up to slowing move around for some exercise or lite physical therapy. Never let a doctor tell you to jump right into exercising only two days after being released from the hospital. Recovery from any surgery is a gradual process that can take several weeks to months.
Dr Incze, thank you for your time and efforts on this. You covered it very well
We agree Tory! Thanks for watching and subscribing
At the risk of TMI.
FWIW Now 70.
15 years ago a, new to me, primary physician felt my prostate, it was OK. However, blood test revealed my PSA was 22. Saw a Specialist, urologist, a few weeks later. PSA had "Accelerated" to high 20s. Prostate biopsy, Gleason 3/2 score. A Laparoscopic prostatectomy followed. Mid surgery doc advised my wife the "nerve" may be involved, it was removed. Still in excellent health. Planning on living past 100.
Get your PSA checked!
Thanks so much for sharing. Glad you are ok! Thanks for watching and subscribing
My dad was never tested and he died of prostate cancer that had spread to other parts of his body. 😔 Get tested!
czcams.com/video/ERkDLRd9pTM/video.html
Sorry to hear that Lenora. Thanks for watching and subscribing
My dad died of prostate cancer after it was diagnosed 13 yrs ago
Yes get test sorry for your dad .My dad die too he got test at age of 65 just as he retired . He had high levels at that time there was really two choices. My dad had radiation beads monitor every year in till 84 then spread to bones he had other health issues he pass 2019 . I just got a physical my levels are normal start monitor age 59 this is second year of a physical the level are normal.
@@teresiahkamau6226
So there’s the proof, tested, diagnosed, treated, yet still died from it.
They find it early, treat men longer, take all yr money, still it’s a killer , and still you die from it, go figure.
So glad I found your channel!!!! You guys must know that you both are saving folks lives through the internet!!!
Hi Michael. We are doing whatever we can to help. Our world is complicated now and many people don’t have proper access to healthcare. We see our a channel as a place for people to start. Thanks for watching and subscribing
@@TalkingWithDocs Yes
A truly great video presentation here....tells you just how it is....and exactly how it was for me . At age 68 had prostate removed April 2023, and fortunate that was all contained within the gland, Initial biopsy returned a Gleeson 8 score, which is very aggressive, I had no symptoms at all, just an increase in my PSA results over a 6 month watch period. I have been giving myself a birthday present every year, that was my annual PSA test, and had been doing it since I lost my father to the disease some 25 years ago...I cant thank my GP enough , and cannot emphasise enough, the importance for guys to get the simple blood test done every year.. Currently dealing with an incontennence issue at the moment, but that is improving over time, and a far better outcome than the other result would have been.....JUST DO IT GUYS...for your families sake as much as your own....
did they do it robotically?
I adore you guys. You are a gift to so many people. What honorable, awesome, down to earth work you do here for humanity.🙏
Doing our best Roxy! Thanks for watching and subscribing
Love your sights
Awesome compliments
Excellent and most informative video. It helps to dispel many anxieties.
Thanks for this info my dad have prostate cancer when in mid 50s. It was beaten and unfortunately died of abdominal cancer when he was 70. This is great knowledge for us to check on
Thanks a lot. Key words "try and detect as early as possible " 🙏🏾🙏🏾🙏🏾
Thanks guys that is clearer and simpler explanation than I got from the hospital. Thank you.
Over the space of 4 years I had 4 needle biopsies done on my prostrate, owing to ever increasing PSA numbers. The fourth, which revealed cancer (I was 58 at the time) was a doozy - these procedures are clean but not sterile and it was bloody and gave me fever and chills. 12 samples were taken, 3 of which indicated cancer. I elected to have it removed and the pathology indicated the cancer was contained. This was in 2004. So far, so good. I don't think I'd want to undergo a needle biopsy every year, in the case of the 45 year old patient, but think an annual PSA is prudent. Good, informative video, as always.
Hi Jamaal. Glad to hear you are ok. Thanks for sharing your experience. Thanks for watching and subscribing
7
I was dreading the biopsy also, but had it done transrectal. The nurse must have done the local properly, because I felt no pain at all. The only sensation was a tingling in the penis, on a couple of the biopsies. If I wasn’t able to hear the gun go off, I would still be wondering when he would start.
The results did return positive, and I am currently looking at options.
When you say “indicated cancer,” I assume that you mean an aggressive form of cancer and not the indolent kind.
Likely a radiologist that did the local and biopsy @@robertheinkel6225
A brilliant discussion on prostate cancer, the importance of testing, and a detailed description on various treatments. Perhaps, overall, a very positive view of the outcome with the proviso men get tested early with a simple blood test to determine PSA blood levels. Thanks again for a very informative video
Very welcome David
See what prostate cancer looks like: czcams.com/video/ZNQqpt7ZxL8/video.htmlsi=J6FrYFB4ud-9t_vO
Very well explained by the Doctors in this video. Very informative. God bless these Doctors who are doing a great job 👍
God bless you guys! Awareness is everything and I suspect video’s like this save many lives! Thank you!
Wonderful explanation, docs! Thank you very much, for this and all your videos. The world is a better place for knowing you. Love you …. Kathleen
Why thank you Kathleen. Thanks for watching and subscribing
For what it is worth I wanted to thank you guys for such an informative video. Our farmer friend was just diagnosed with prostate cancer and my husband and I are pretty much his only advocates. He isn't internet savvy and is just pretty much a simple kind of guy. He wouldn't mind me sharing so here goes.
He pretty much hasn't had any medical care since he got shot in Vietnam. Since then, it just started last year when he had a hip replacement and subsequent bloodwork, etc. He is now 74 years old and his PSA was a 12.3. He just recently had a biopsy (12 core samples) and 4 of them were Group 3 and 2 were Group 4. His Urologist told him he is to be scheduled for a bone scan (?) and CT I think it is and he is also talking radiation.
One of us plans on going with him to all of these future appointments - I'm just a little freaked out thinking how bad is this?
Hi Nature. Sorry to hear this the severity will depend somewhat on local and distant spread. This will help guide treatment. He is lucky to have you. Best of luck to him and please thank him for his service. All the best
@@TalkingWithDocs I will indeed tell him. All the best to you guys, too. I do look forward to watching more of y'all's videos. God bless.
Hopefully you have also gotten him to a VA Service rep. Prostate Cancer is one of the presumptive Agent Orange conditions for which he can get a VA disability.
I have now watched many videos on the prostate and its disease treatment. This video has been ,by far, the most intelligently informative. .
Wow Robert thanks so much
excellent format - serious and important - in a format that is palpable and humorous. thanks for helping people
Wow!! great info..this touches home for many folks...if caught "early" (not outside the capsule) there is a good chance of beating it...bottom line: PSA testing, If biopsy, Gleason score...and like the Docs say..take care of your health first!! Thanks Docs..your the Best!! Also, Dr. Paul Incze for his wisdom and knowledge!! Much Appreciated!
Yes Steven Dr Incze was great. Thanks for watching and subscribing
Awesome job explaining it! Thank you!
Very welcome Dave. Thanks for watching and subscribing
Thank you Guys, Doctors for taking the time to do these important videos!
GOOD EXPLAINED SCIENTIFICALLY AND SIMPLE WITH UNDERSTANDABLE ENGLISH ABOUT PROSTATE
Great video guys - thanks Dr. Incze! A DRE isn't the most pleasant exam to have, but neither is dying from metastatic prostate cancer.
Agreed. Thanks for watching and subscribing
ITVpm y UFC is pm
No finger up my butt had it done once embarrassing ran out of office and called back to cancel all subsequent appointments.Luckily it was during Covid so had 2masks on sunglasses and baseball hat so dr could not see my face ,it was red with embarrassment
Your reports are always informative (and fun.) Thank You.
Glad you like them riverbender. Thanks for watching and subscribing
Has the be one of thee best summary of PC and so informative. Thank you 😊
Thank you Dr. Incze for information, including dr. Paul and Brad. Great topic 😊
Very welcome Alida. Thanks for watching and subscribing
Great video! I am two years into the whole process. It was a bit scary when my doctor referred me to a urologist after a spike in my PSA and the word CANCER was mentioned. A biopsie revealed the presence of cancer cells but based on the results and my age (67) no treatment was prescribed and I am on a schedule where my doctor tests me every 6 months. As the doctors pointed out in this video there is a wide range of cancer from low grade to aggressive. I am one the the "lucky" ones who might never need treatment. I thank my GP for the PSA tests and the early detection of the disease. Bottom line get tested, make it part of your yearly physical , it's so easy and if your GP doesn't think it's necessary you can always get a second opinion if you feel you need one.
If I may ask, what have your PSA levels been averaging?
@@tonyhddodge4282 Hi when my PSA was 3.6 my GP referred me to a urologist and when my PSA hit 7.1 that is when I finally got my biopsie.
i’m on my way to see my surgeon. i had aggressive prostate cancer. I had minimal invasive radical prostectomy surgery. Hope everything was caught .Gods will prevails
Excellent as always - thankyou
Glad you liked it ROBIN. Thanks for watching and subscribing
So thankful for you guys and for sharing information with your viewers. Thank you!
Doing our absolute best
You guys have given me no all of us so much great information its beyond words . Thankyou for getting to the point and explaining so many things better than any of my doctors visits has done in the past. One of the best things is that if I miss what is said or really dont understand what was said, with your video I can go back and listen to it over again.
Thankyou so much
Very welcome Gordon. That was always part of the plan with these videos. All the best
Thanks, Docs! Looking forward to the next one.
Thanks snowsoldier! Thanks for watching and subscribing
I was diagnosed with prostate cancer at 44. My PSA level was at 7.2 when checked. Had a biopsy done at age 45 and cancer was found but a very low grade cancer. Now a year later done another PSA test and my score jumped to 9.2 so now dr ordered an MRI. We shall see how this turns out. Thanks for the video
Welcome Parker. Wishing you the best of luck
I had been seeing the urologist for the last 10 years due to BPH. In September 2020 I had a PSA in the normal ranger. A year later, when I was 46, Sept 2021, it jumped to 7.3. I had a biopsy and it was a pT2 tumor. Because of my risk, family, and young age, my urologist said I shouldn’t be sitting here. I had a radical prostatectomy. My PSA has started climbing again even after removing my prostate so there is concern but not enough yet to take action. Watchful waiting right now to watch the PSA. If it continues I may be headed toward a PET-PSMA or to salvage/adjunct radiation therapy. We’ll see where it goes.
@J. Gillentine I just had surgery a month ago. My fear is the cancer coming back. My way of life has changed drastically. How are you doing now? How are you dealing with the life changes?
Please go to celebration Florida and have the surgery by Dr. Vip Patel.
I did.
May I know whats your symptoms
You guys are great. Informative and charming. Thank you
Continued great and valued information on this topic. Many thanks.
Very welcome BW. Working hard to keep it useful. Thanks for watching and subscribing
Routine PSA screen came up a 4 in January 2022. By May was a 10. 12 needle biopsy was positive with Gleason of 7. Radical prostatectomy by robotic surgery, in hospital one day out the next, with minimal pain. Pathology showed cancer contained in capsule. Several lymph nodes taken during surgery also negative. Post-op PSA at 3 and 6 months were both 0.0 I am the poster child for early detection. My surgeon in San Antonio Texas said, "something's gonna getcha, but this ain't it." PLEASE GET AN ANNUAL PHYSICAL AND CHECK UP. YOUR LIFE MAY DEPEND ON IT.
Thanks for sharing
Hows your sex?
I used to watch your channel in the early days when you sat in a dark room to talk. I see it's really taken off. Well done. I was diagnosed with advanced prostate cancer at 48 with metastases to the bone. I've had a lot of treatment and my PSA has fallen to under 0.1. In the UK, they now do this interesting treatment that even if you have stage 4, they will attack the original tumour with radiation. I've had this treatment. I would echo everybody's calls to get tested but this is such a strange disease. I felt stupid for not going to see my doctor earlier but why would you go to the doctor if you have no symptoms? Great video. Keep up the good work.
I hope you are still here.
I went through every step that they spoke on. This was 100% on point.
Thanks Docs! Facing surgery soon, and this information is very welcome and helps to calm some nerves.
Great show. I also am prostate cancer survivor. Dr Inzce mentioned a far important fact, biopsies can be done with and without local numbing. Get the right doctor!
Yes W! Nice to have you around! Thanks for watching and subscribing
Do you have symptoms?
Good information. I had a PSA test done back in 2017 with a result of 1.1 total. Turned 50 last year, recently had another PSA test and the results came back as 5.83 total. My brain is on overload trying to understand how it increased so much in 5 years. Now have an appointment with a Urologist in 4 weeks.
angel good morning good luck with urology try fasting for 2 weeks it will helped at all to reduc inflamation okay
@@danielladrondeguevara4064 Seen a urologist last week and had another PSA done. Results came back broken down differently. PSA total 2.3, PSA free .2 and PSA % free 9L highlight in bold red. Now I’m really confused and concerned because I read some information that states that PSA % free is supposed to be greater than 25% (which mine is at 8.695 but they rounded it up to 9%) and that the lower percent-free PSA means that chances of having prostate cancer is higher.
Excellent video - great information! Every man needs to listen!
Yes they do
Excellent and informative video. Thanks.
Thank you for the info.
Very welcome Tony. Thanks for watching and subscribing
I’ve been diagnosed having prostate cancer. I went to get my regular checkup in May this year and my Dr did my PSA with my bloodwork. It came back 3.65. In 2020 and 2021 my PSA was 1.65. Since my Dr didn’t check my PSA in 2022 he did my examination of my prostate and as usual as he’s done every year he felt nothing. With concern he sent me to a Urologist who tested me for other things and I was ok. Then she did my examination and felt a small nodule. A month later in July I had am MRI that disclosed a matter of concern which on a scale from 1-5 it was a 5 unfortunately and it looked like cancer. I then had the biopsy in August and on my birthday later that month it was confirmed I have cancer. What? So shocked as I am I’m trying to decide either radiation or surgery. I’m at stage 3 high risk. A freaking unwanted interruption. I know God got me for I fear nothing.
So sorry to hear about your cancer. Are you better? Did you have surgery to remove the prostate? What is your age?
excellent guys...love your work.
At 62 I was tested... was having issues for years pee and bowel. Diagnosed 3:4 & psa 26.4... had robotic surgery for removal. Discharged from hospital a few days later Within 20 hours had to have emergency surgery. There was 2 cm hole in my Colon. Spent a long time in ICU and multiple further operations. Stoma and catheter etc. 6 months later Stoma removal. One year later still not back to any normality. I train every day I feel well enough. Currently Cancer free. Every day is a gift.
At 80 my PSA was 7 and my PCP referred me to an oncologist. Biopsies revealed some moderately aggressive cells which were radiated for 10 weeks along with hormone therapy for 18 months. My PSA is now well under one so I advise getting testing early. Listen to your doctor.
Thank you for sharing John and glad you are ok. Thanks for watching and subscribing
Good afternoon docs . Great video. As a cancer survivor I always feel like a loaded cannon. I do keep up with all my doc appointments & test you cannot be complacent. I have learned a lot in this series you all have done thank you more questions for my docs. Hope y’all are having good weather up there .
Glad you liked it Kubota. For our first snow of the season yesterday ❄️. Thanks for watching and subscribing
Thank you, I was diagnosed 5 months ago with a Gleeson score of 6, T2, only 57 and now on Active surveillance (UK), the tumour is nearly half an inch across though!
My PSA, at the age of 53, went from normal to 4.9 in 2018, so I went to see a urologist. 2019 saw the PSA drop to 4.2. 2020 saw it go to 5 in May. By December, it was 7. A biopsy proved four of the 12 test cores/nodes were positive, and one was highly aggressive. My urologist said I was a perfect candidate for surgery because I was young and physically active. I underwent several tests in Feb and March 2021 to make sure it did not spread, which it did not. In April, I had a prostatectomy, going under anesthesia for over four hours! The surgeon removed the prostate, some lymph nodes, and "margins" around the bladder, biopsying them all. Around 33% of the prostate was infected, but thankfully none of the other tissues showed cancer. The recovery for me was rough. It took "MONTHS" for me to feel normal. Thankfully the surgeon was skillful, and all of the nerves that control erection were spared, though I have some reduced bladder capacity (Oddly, it seems the issue fades as time goes on...so weird.) Even better, so far, there is no sign of reoccurrence.
I highly recommend all men, especially older ones, get an annual physical. My annual physical is how I knew something was wrong.
Thanks so much for sharing and congrats. All the best during your continuing recovery
Did you ever take a free PSA test
@@mactheslovac8673
I only had lab-ordered PSA tests either during my annual physical or from the urologist. The physical was no-charge due to my health plan.
I was diagnosed at age 72 with cancer. Looked at my options, and went with removal, by a surgeon that specializes in prostrates. I initially had minor issues with leakage when I strained, but otherwise no issues.
Excellent Information! Now we know what to do, get tested and Examined, "GOD SEND INFORMATION"! Men, get a Clue! INFORMATION INFORMATION
Excellent presentation i wish I had found this earlier very informative and has helped my understanding of of Prostate Cancer. I am from the UK and was diagnosed with Prostate Cancer one year ago with a PSA of 14.7 and had treatment of HDR Brachytherapy followed by External beam therapy. To date my PSA is under point 1 with Hormone therapy Zoladex LA 10.8mg goserelin implant every 3 x months injected into my stomach which will completed next year. Your message to get a PSA test is very important for men over the age of 5O is vital. Please keep up the good work thank you again.
Why thank you Michael. Hope you are ok. Thanks for watching and subscribing
Thank you so much for your valuable info.
Thanks for the push to get my PSA.
Welcome
My husband served in the USMC in Vietnam in 1970-71. Worked on trucks (motor pool). He then was exposed to agent orange from working on those vehicles. He served 4 years but one in Vietnam. 30 years later he went in to have a full physical at age 50. He was diagnosed with prostate cancer. He searched for the perfect dr with the best surgery results. Unfortunately after having it removed there were still cancer cells roaming around. VA has taken care of his treatment and ecstatic to say he is still alive. Still getting treatment and tested every 6 months for his PSA blood tests. He thought he was going to die shortly after being diagnosed but 20 years later he is still here. Should he be PET scanned? He is about 25 lbs overweight but at 73 he’s really doing well.
Hi Janene. Glad he is ok. As for the PET scan best to discuss with his urologist. Thanks for watching and subscribing
How did he get it removed
Thank you for your service 🇺🇸
Your husband is a hero and I’m so happy he’s doing well
@@vic9098 robotically in front
@@BigE-qx1jb thank you! He’s lost the 25 lbs and doing great!
I fell in to the category of PSA score under 10 but eventually found that I had a larger level (gleason score) of 8 which is considered "aggressive". As presented in this video, my urologist discovered the existence of prostate cancer by checking how my PSA scores, (though under 10) were climbing, in the wrong direction. We eventually did a biopsy which confirmed cancer cells as well as my gleason score. A bone scan revealed no metastasis outside of the prostate itself. I elected not to do surgery but instead did a series of radiation treatments combined with lupron. I am about 1 year in to my treatment by continuing with lupron every 3 months as recommended by my urologist and radiation oncologist. My PSA at pre treatment was a little over 6. Initial post treatment reading came in at 1.39. Checking 6 months later, my PSA has dropped to .47. So we are going in the right direction... I am available if anyone has questions. Also I totally agree with the doctors in this video who urge regular PSA scans at least once a year and not be afraid to look in to this for your own sake. Lupron is a drag but it beats cancer...
What is the side effects of radiotherapy?
Hi what was your biopsy like if you had one. Was it bearable and how long to recover after it. Thanks
@@tc9292 : I was put under with a general anesthetic , when I came out of the aneshesia I was a bit sore but nothing horrible.
@@mohammadfarsi321 : Mostly felt fatigued but nothing like nausea , or light headedness, etc..
@@tc9292 : Sorry, I tried answering earlier, but I guess it didn't post. I was put under with general anesthesia so I didn't have to endure the biopsy consciously. So it was bearable. It didn't take long to recover, some soreness for a couple of days. No big deal.
Thank You very much Doctors
Very well done
Nice to hear some of the myths of this terrible disease clarified
And how important the PSA testing is for us
Cheers
Curtis
Thanks Curtis. Awareness is a big part. Thanks for watching and subscribing
Great help. At first I was horrified by the possibilities but the team has set out the parameters such that it seems an issue of taking the right steps at the right time
good one keep them coming.
Thanks upptowne. Thanks for watching and subscribing
I'm 72 and my PSA was 17 , had a biopsy a week ago, came back fast growing cancer, getting a bone scan Wednesday, there are hoping the cancer hasn't spread
My doctor was hoping hormone therapy will stop the cancer
We wish you the best of luck Ralph. Thanks for watching and subscribing
fantastic information!! Thanks so much for this.
Very welcome Gregg. Thanks for watching and subscribing
Just got the call that my daddy has high grade aggressive prostate cancer. He is the strongest healthiest man I know but seeing him so tired and worn out and now this diagnosis truly breaks my heart. My dad is my world and I believe God is the ultimate healer. Thank you for this information it's greatly appreciated
Very welcome. Best of luck to your father
How's God going with that healing
@@BigBopper-zm1kf God is is in the miracle business friend and prayer works. If it's God's will for my dad to be cancer free then he will be. Regardless of the outcome, my faith will remain.
@@rabidlyfree I certainly wish 🤞 you and your father all the best. And good luck with your God too. He must have been having a day off last October 7.
Excellent advice. Need to share this info with my brother.
Good chuckle on the SNL reference. Love seeing the Timmies cup 🇨🇦
Ha Missey. Thanks for watching and subscribing
I had just started with a new doctor, and he wanted to get a baseline on my health. I was sent for a series of tests. This was 2004.
In 2004, my PSA numbers were in the low 20s. I was subjected to numerous DRE. From this I was moved on to multiple biopsies. After some discussion with my doctor, we decided on Brachytherapy. I had 107 seed implants. After a time, my PSA went down to under 1.
I have most functions in good working order, but getting the wrinkles out is intermittent, at best. I am 77 now.
We discovered that sexual activity and riding a motorcycle can raise my PSA.
I am subscribed and I appreciate every video from you guys.
Hi Bob. Thanks for sharing your story and glad you are here to tell it 18 years later. All the best! Thanks for watching and subscribing
Try a vacuum erection device. They're relatively cheap, no side effects, and best of all, they work GREAT!
March 23.received radiation for Gleason 7.9months ago.your video very clear and upbeat .thank you guys.
Best of luck with your recovery Martin!
I'm 71 and taking Tamsulosin at night and Finasteride in the morning. Having blood work every 6 months, feel great. Thanks Docs for this great video. I have subscribed and will be back.
I had proton treatment in 2011. Started out with PSA of 22.2, ended up with a 0.2. In the past year, my PSA has climbed back to 2.1. I’m being closely monitored by my urologist and hoping that I don’t have to consider salvage therapy. With screening and treatment options, I always wondered how so many men ended up dying of prostate cancer. Now I’m more sympathetic.
Glad you are ok thanks for sharing. Thanks for watching and subscribing
Chaskpc -- Where did you have your Proton therapy? Thanks!
@@wsweger Hi William. I had proton therapy at Florida Proton in Jacksonville, FL. I have a my yearly follow up appointment next week. Since my last posting, a PET scan found a small tumor in my prostate that will require salvage therapy. I’m currently trying to find the best place to have an MRI focused biopsy to confirm if it’s prostate cancer. If so, I’m considering either HIFU or cryotherapy. In terms of side effects, all salvage therapy is a crap shoot.
My urologist hates proton therapy, but I would expect that from a surgeon. A good friend of mine finished his proton treatment two weeks before I started mine and his PSA is still around 0.1. Would I have done things differently? Maybe, but I was satisfied with my decision then and I’ll live with it now. I was only 55 at the time and couldn’t wrap my head around possible nerve damage from surgery. Good luck with your journey. If I can be of additional help, please leave a note here.
@@chaskpc - Thanks for the info... good stuff. Just curious, did you have the PET scan done when you had your Proton therapy? Just wondering if I should ask also-- before any therapy.
@@wsweger prior to starting Proton, they will do a bone scan to determine if the cancer has spread. Next, you’ll have four gold markers implanted into your prostate. They will be used to align the proton beam for every treatment. I should also mention that the technician will insert an empty balloon into your colon and fill it with water in order to stabilize and protect your colon and surrounding organs….at every treatment. A great source of information is Robert Markini’s book “You Can Beat Prostate Cancer”. After receiving the treatment, you’ll officially be a member of the Brotherhood of the Balloon.
If I can ask, where are you considering treatment? BTW, there are several new, minimally invasive treatments out there that you might want to consider.
Thank you very much Doctors. My brother-in-law had a slightly high PSA, then had MRI of prostate and told today he has a 10mm prostate lesion which will be biopsied in May. Three of his brothers had prostate cancer, one just finishing treatment and one had prostate removed. Sadly one died as he had a later diagnosis.😰 We are hoping and praying my brother-in-law gets a good result. My brother also is just completing radiation treatment for prostate cancer. Doctors said that prostate cancer is very prevalent at present. 🙏🏼
Blessings to all going through this.
Best of luck to your BIL.
@@TalkingWithDocs Thank you so much! You are very kind.
Welcome
Great video docs very informative , very candid you guys are doing a great service God Bless you !
Thank you kindly
Thank you very much doctors for the knowledge you share. God bless you all.
Why thank you
I always like your videos and find them very helpful. I’ll tell you about what my doctor says about testing for prostate cancer and I would like your reaction. My father died of prostate cancer at 78 because he didn’t like doctors and his brother died of complications from prostate cancer surgery. I switched GP about 3 years ago and when I asked about a PSA test he handed me a sheet with a study from a university saying they don’t recommend getting tested or biopsy for prostate cancer. The reasoning was that most men die with it and there are far more complications and infections from the biopsy’s and surgery. It left me feeling uneasy and confused.
Hi David. It is controversial but we feel the entire body of evidence still does support screening and then action depending on many factors. Maybe a second opinion.
I know a lot more men who have survived prostate cancer than died from it. I would get an opinion from another doctor
Given your family history it seems reasonable to get a 3T-MRI and then (if indicated) a biopsy. And then, if indicated, treatment.
Please get all the tests and do the surgery. I've been through it, the tests were fine and the surgery with robotics is minimal invasion, but because I delayed they had to remove many of the erection nerves so I am left with ED. If i had not delyed 2 whole years that tissue could have been saved. My PSA before surgery was between 10 and 11, which was moderate grade.
I had the surgery 7 weeks ago, and I have felt very fit since and no longer constantly tired. I don't test my PSA until another 3 more months. If PSA is above 0.0, I will need some other treatments.
My GP said I still made the right decision because dying from this type of cancer is not nice.
I'm 68 , 6 feet tall, and super lean body weight as I don't indulge in carbs. sweets or junk food. I changed my diet 5 years ago and went from 96 kg to 81 kg (slow weight loss over 5 months) and I maintain that. I don't exercise often.
@@karenjarman4666how s that possible?
Thank you for the information Doctor, I got me tested everyyear coz my dad died with prostate cancer, he lived only 5 years coz he got no proper treatment, I have also 2 cousins with protate cancer one survive and one died. But because of the pandemic I got no test because they told me my previous test was under normal. But a month ago i got tested again and my PSA test redult is now a little bit high according to my nurology dr. 3.8 and i am under diagnos, according to my dr. He felt nothing strange when he examined both finger and utrasound, n my prostate not so big 29, next is mr exray to see if there is something abnormal. I am hoping for the best i am still 62 yrs old n I'm so worried make me sleppless during night time. Thenk you again for the information.
Very welcome and best of luck with your treatment
I was glad to find an unbiased discussion about Prostate cancer and treatments. So many others discussing the treatment options go out of their way to dispel bias, but finally the whole reason for their discussion is to sway towards a treatment in which they are vested.
Yes Mark the goal of our channel is to educate and empower so you can talk to your doctor and make a decision for yourself
Very good video. Thanks
My PSA went over 4. I had a biopsy. One of the 12 samples he took had a small percentage less than 10 percent of that sample. It was a Gleason 6. Being 3-3. That was in 2016. I had an MRI 18 months later then another biopsy with extra samples take where the MRI showed the target area.. I’m 72 and under active surveillance.
Keep it going Don
Hi Don, I to am under active surveillance after finding in my last biopsy and a slight grade increase to 2. I have another PSA in July. Will see what happens then. The Drs are very good in their explanations. 😉😉👍👍
@keithladd2365
Get to celebration Florida and Dr. Vip Patel.
Have the surgery.
I did.
Same stats here but I had the surgery 3 months after being diagnosed. Final pathology showed T3 as in 3 months it had grown to the prostate wall. Surgeon stated that if I had waited a few years I'd have been in real trouble. Also, I had the gneomic testing and it showed it was non agressive. The testing was wrong.
At age 57, I have travelled a very similar path to that you have outlined (including two biopsies + 2 MRIs), with the same final Gleason scores. Pre-op, an aggressive form of cancer had been detected, even though at the earlier stages it was thought to be relatively benign…either it had changed, or the second biopsy had found a more dangerous type of cancer the first had not. After two years of active surveillance bringing in progressive but un-alarming test results, my surgeon switched to having no hesitation to strongly recommend a virtually immediate radical prostatectomy surgery, plus removal of the seminal vessels, vas defens + dissection of the lymph nodes (to check for cancer spread - result was no cancer particles detected).
Of note is that the MRIs showed nothing alarming, and the second MRI was consistent with the first, ie. no change apparent. It was my surgeon’s insistence for the two biopsies that provided the requisite information to make an informed decision about surgery. PSAs provide valuable data, but only in certain ways. Close to 6 months post-op I have recently received a second zero PSA reading, and have comparative piece of mind that I am, at least for now, cancer free.
Ejaculationless orgasms, temporary incontinence (3 months - on a decreasing scale) and temporary erectile dysfunction (presumably up to 2 years) is a small price to pay for hopefully a long, healthy life. The Physios and my family have been absolutely fantastic, and I now know about Tadalafil, male vibrators & Uberlube! I can still get it up with manual stimulation and still achieve a worthwhile orgasm. Life is good, more predictable, and hopefully longer than it would have been if I had chosen to do nothing.
Suggest that you google ‘A Touchy Subject’ (Australian website, newsletters & YT vids) for lots of great information for post-prostatectomy patients. I can’t recommend them highly enough. Also, the podcast ‘The Penis Project’ (also Australian). Plus, Russ Drummer (an American, as far as I can discern) has posted a very helpful and honest set of YT vids, chronicling his three year recovery pathway, post-op. Search for his YT vblog using the search term ‘drummeruss’. The valuable information he provides is well worth the time invested, listening to his account of his recovery experience, the various stages, his personal thoughts, practicalities, and so forth.
I was diagnosed with a gleason 9 tumor and opted for radiation. My PSA was at 6.0. I had two years of Lupron after the radiation and my PSA is currently .09. My Urologist mentioned he has never had a survivor as long as me with such an agressive cancer.
Congrats! That is awesome. Thanks for watching and subscribing
My husband was diagnosed with Gleason 9 stage 4, low volume (PSA 24) two years ago. He received 26 rounds of radiation and has been on ADT therapy (Lupron injection every 3 months and Abiraterone). His PSA continues to be negligible at 0.03 and his scans look good! He's been treated at the Mayo Clinic and his oncologists have told us that men can survive many years with stage 4 prostate cancer.
Awesome Video, thankyou for such amazing details. I'm 53, had a blood (PSA) test two months ago and results came back at 16 %, my Nurse Practitioner (I'm from Toronto, Canada eh) then recommended a 2nd blood test (and no bedroom playtime !) and my test came back @ 17 %. i was referred to a specialist who did an external ultra sound which confirmed i could empty my bladder like a teenager. He was then able to squeeze me in for the freezing of the prostate (2 weeks later) and took 5 samples from each site of my prostate. (whole procedure felt like 15 minutes. I now wait 2 weeks for my appointment to review the results (my Doctor says "bring your wife, they have better ears"). Thank you also to everyone here who also shared their experience !
could you share the results ?
Excellent video docs thanks for sharing!
Glad you enjoyed it!
Husband speaking here. I would add that a 4K blood test might help with screening. Also the total PSA ratio of bound and unbound PSA. Finally, I plan to have a multi parametric MRI before the biopsy, and so, if MRI shows suspicious areas, then a targeted biopsy, rather than a blind biopsy can be done. If MRI looks good, possibly no need for biopsy. Do you agree?
Yes often in Canada an MRI is used to help target specific areas in addition to ultrasound. But nothing is perfect. Obviously even the biopsy could sample tissue from a non representative area. All the information helps though. Thanks for watching and subscribing
Well, I had my MRI and it was negative. PIRADS 1 and 2, which means high grade prostate cancer either unlikely, or very unlikely. My elevated PSAs were likely due to my enlarged prostate (which the MRI detected & measured), which gives off more PSA than a normal sized one.
I strongly recommend that any man facing a prostate biopsy find a clinic experienced in the newer transperineal biopsy method, which has a lower infection risk than the transrectal approach. I opted for a transperineal biopsy in 2022 and insisted on heavy sedation, just short of general anesthesia. (I was out like a light and remembered nothing.) After effects were pretty minimal. Why should men settle for anything less? It seems to me the urology establishment always downplays the pain that men are routinely subjected to during prostate biopsies, cystoscopies, vasectomies, etc. Men need to start asserting themselves and insist on effective pain control during urological procedures!
Thanks for sharing. Thanks for watching and subscribing
I had my biopsy done transrectally. The nurse injected the prostrate area with a local, and I felt nothing during the procedure. The whole thing lasted 15 minutes, and I drove home afterwards. No infection after the biopsy, and no issues at all, except a positive for cancer.
propofol is a friend of mine
Your absolutely wright my friend. I just had a biopsy done and it was done in a hospital and I was completely knocked out the doctor took 21 samples and 2 came back positive Gleason score was a 6 my psa is just under 4 the doctor wants to just monitor it closely. I am thinking about just having my prostate removed. This worrying sucks.
My prostate biopsy was agony. Demand pain relief. They gave me none.
After suffering from BPH my urologist, used the greenlight laser procedure to cut away extra growth in 2017. He was my hero for correcting a problem that I’ve had for several years and continues with good urine flow, and no other problems in that regard into 2023. However, since 2017 or urologist never reminded me or called me in for PSA test. In the early 2023 and began to feel problems in my testicular area and went in for an ultra scan it was ordered by my general practitioner. I was diagnosed with small cysts, but told I should see my urologist. In doing so, my urologist said I needed to take a PSA test (looking back. I wish he had said that seven years ago).
The PSA came in at 13.15 - followed by an MRI and an 18 core biopsy that showed I had had metatastic cancer at Gleason scale, 4+3 = 7 T2b. A bone scan showed it had not come into the bone or into the bladder or kidneys.
My urologist recommended radiation and hormone treatments, considering that I am at the intermediate stage on the Gleason scale. He also said I could get a second opinion - which I am in the process of doing. And I am now being considered as a candidate for the less invasive and far-less after-effects TULSA-Pro ablation treatment at Indiana University. Medical Center - Urology. And the HALO Laser treatment is another possible avenue I’m investigating. Are you considering these treatments, as well?
Fantastic, thanks Docs!
Thanks Dr Ince, excellent explanation, I have been PSA tested a few times over the last 35 years, negative, must be due another one, although no screening in UK (discouraged because of false-positive and false-negative, over 50’s can request via GP). As I am living Qatar can pay for one. Hope the Canadian Football team do well in the World Cup next week without needing the services of orthopaedic surgeons!
Yes we agree Dr Steve. First time for Canada being there in quite some time. Thanks for watching and subscribing
In 2014, my PSA was 4.1, just had my PSA tested Sep 2022 and is at 7.7, I'm 67. I see my Urologist in a week, fingers crossed. Thanks for the very informative video, will keep you posted. Cheers!
Yes good luck Michael. Thanks for watching and subscribing
What happened at the urologist? I am in the same situation. Thanks.
@@thelo88 Hi Costas. I see my urologist Monday afternoon, I'll let you know what transpires soon afterwards.
@@thelo88 My urologist did a prostate examination today and said he didn't feel any nodules, that's good. He's ordered another blood draw to check my PSAs again. Depending on the results, next step would be an ultrasound with contrast. Then depending on results, potentially a needle biopsy. I told him I'm not keen on a needle biopsy as there's a 5% risk if infection and bleeding. He said that's true, just wait to see the results of the tests ordered today. Good luck!
I had an MRI in my local city with a 2.5 Tesla imager. PiRADS 5 cancer was found. I went to the Mayo Clinic and a 3.0 Tesla was used. They found the primary lesion but also found another. The initial PiPARS 5 was reduced to a PiRADS 4. The second lesion was PiPARDS 3. Who’s right, who’s wrong, just a shade of gray, will never know. But I suggest going to a high volume clinic with the latest and greatest training and equipment.
Thank you guys
Your chemistry taught us biology.
Thank you 🙏🎉🎉🎉🎉
I had a very aggressive cancer. Luckily I changed Drs. just in time and it was found when I was tested. My old Dr. did not urge testing. I would have been in big trouble if I hadn't changed Drs. Get tested .
Glad you are ok Rejean. Thanks for watching and subscribing
My prostate biopsy was a breeze, and I can't wait to do it again, said no one.
Agreed
Perhaps if you get a 3T-MRI (modern machines permit you to go feet first with head out so claustrophobia is not an issue) you may avoid the biopsy.
Really good info and Great Guest.
Thanks Night Dipper. Thanks for watching and subscribing
Great explaination.
You guys rock. I spend 22 out of 24 hours every day in bed because of chronic pain. You guys are very knowledgeable and damn good entertainers.
Why thank you Dr Pepper. Hope 2023 gets better for you! Thanks for watching and subscribing
You guys give a lot of hope to us telling us that there are options but I would choose surgery If I get to choose because once it is gone there is no more cancer.
Understandable James. Thanks for watching and subscribing
New radiation treatments at the right place are so accurate and they now have a gel dam that will protect most all the side affects
THANK-YOU VERY MUCH DOCTORS .
Very welcome
Thank you for this important video. Sharing with my brother and husband and on my FB page.
Nice! Thanks for watching and subscribing
I know that there is only so much that you can cover in the allotted time-slot, but what about nerve (erection) sparing options both with radiation (external and implant) and surgery? I think that this is a very important issue for men (and their wives/girlfriends)...
Hi Joel. Good point. We can add it to the list. Thanks for watching and subscribing
Nerve sparing robotic surgery is the way to go. Certainly worked for me. Get an EXPERIENCED surgeon. Still struggle with incontinence 7 mo post op, but getting better. Impotence NOT an issue. Had mutually satisfactory sex with my wife of 46 years 3 1/2 weeks post op. (Doc said I should have waited a bit.) The important thing is to NOT be embarrassed by any of this and ask your doctor questions. Remember, when you walk into a building that say UROLOGY on the sign outside, you check your dignity and sense of propriety at the door. Good Luck!