But What If...? Regret and Prostate Cancer Treatment Choices
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- čas přidán 30. 05. 2022
- Prostate Cancer Foundation Canada hosts monthly Coast to Coast meetings featuring prostate cancer experts on different topics. May 2022's meeting featured Dr. Christopher Wallis speaking on prostate cancer treatment regret and decisions.
Christopher J.D. Wallis is a Urologic Oncologist at the University of Toronto and Mount Sinai Hospital/University Health Network. He obtained his Doctor of Medicine from the University of British Columbia and his Doctor of Philosophy in Clinical Epidemiology & Health Care Research from the Institute of Health Policy, Management & Evaluation at the University of Toronto and completed his clinical residency in Urology at the University of Toronto affiliated hospitals and his Society of Urologic Oncology accredited fellowship training at Vanderbilt University Medical Center. His research focuses on leveraging a variety of epidemiologic techniques to understand the interaction between processes of care and patient outcomes, with a particular focus on patients with cancer and those undergoing surgery. Recently, his work has focused heavily on understanding the interplay between physician characteristics and patients’ operative outcomes.
For more information on Prostate Cancer Foundation Canada (formerly Prostate Cancer Foundation BC) please visit: www.prostatecanada.ca
The views, information, and opinions expressed in this video are those of the individuals involved and do not necessarily reflect the official policy or position of Prostate Cancer Foundation Canada (PCFC) or its employees. PCFC is not responsible and does not verify for accuracy any of the information contained in the videos available for watching on this site. The primary purpose of these videos is to educate and inform, but these videos do not constitute, or replace, medical or other professional advice.
It is SO important that patients take initiative to research side effects and risks of each type of treatment. One size does not fit all. So many factors enter into the judgement. Do your homework before proceeding. Regret stems from those who don't.
Exactly right. I came within 18 hours of chemical castration (which they euphemistically like to call "hormone therapy") which is typically done in conjunction with external beam radiation. Neither my urologist nor my radiation oncologist ever suggested that brachytherapy might be an option. Via lots of research, I cancelled the hormone shot and now am scheduled for for brachytherapy. For those out there who have been told they need external beam with hormone suppression, I urge you to investigate the long term effects of chemical castration..... from what I can tell, you will never be the same. Logically, brachytherapy (either low dose permanent seeds which deliver a higher dose in the long run, or high dose which is a quick but very strong exposure) makes a lot of sense as it delivers radiation most directly to the location of the cancer. There are also side effects to brachytherapy, of course. These include urinary problems (relatively short term) but these side effects PALE in comparison to chemical castration. PLEASE do your own research and do NOT just accept what the first doc says. A doctor is very likely to recommend the thing that they are specialized in, be it surgery, external beam radiation with chemical castration, or brachytherapy. This is not like being treated for a broken leg where the solution is a no-brainer.... YOU MUST DO YOUR OWN RESEARCH.
@@Brammy007ahow did your treatment work out?
@@tomslick2058 Had first HDR Brachytherapy session in mid Aug..... next (and hopefully final) is due in late Sept. Predictable side effects, took over 2 weeks to begin to shake off the lack of energy and slightly sick feeling..... that is longer than I'd expected but all in all not that bad. I've read many many testimonials about ADT (chemical castration) that bolster my decision to avoid it at all costs. Right now I see the advice I got from my first urologist and oncologist (recommending external beam plus ADT) as borderline malpractice. If I can get rid of this cancer with my current HDR treatments, then the "borderline" will be eliminated from my description of how those two handled my case. It will be some months of monitoring before I know for sure. Thanks for asking. What is your situation?
Thankful for this video. As far as I know I don't have PC but I do have prostatitis. I think the treatment options for PC suck. I also think we have more power over our own health than what the doctors are telling us.
ED in my mind would be a non worry side effect. Incontinence and bowel problems are my big concern.
If you don't have sex than I can see that ED would not be a worry for you.
This appears to be a lot like breast cancer treatment for women, when women aren't presented with ALL treatment options, from which they then may choose. One wonders if "suggested" treatment is motivated by financial concerns, either short term or long term or both. Always do your research and have facts and statistics and ask about treatment options other than what was "suggested". Also ask why the doctor he is "suggesting" whatever treatment, when several other options might exist. Why this particular treatment? You have the right to say a lot about your medical care.