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Can you comment on the pros and cons of Sonoblate vs Focal One for HIFU? Has this question been addressed in the Prostate Health Academy? Thank you.

I agree rising psa will require a trans rectal ultrasound it's a short test 2:13 2:13 2:13 2:14 2:14 2:15 2:15 2:16 2:16 2:16 2:17 2:17 2:19 2:19

Lol!! 🤷‍♀️ looks kinda crazy to me!!😂

I am going into this methodology soon.

Looking for BPH treatment for husband that has no incontinence issues and no sexual dysfunction, those are important to him.

Very informative. Thx.

Thanks doctor.

Spay and neuter your dog

I'm in my 5th year of surviving Prostate Cancer. Surgery, Recurrence, PSMA-PET Positive two local lymph nodes; radiation, 18 months Lupron. Now 5 months on the Carnivore diet and I have never felt better in my life! No joint pain anymore. Way stronger than when eating plants. Eager to workout now. Thriving as a human. Testosterone back to normal. PSA remains non detectable.

I’m having the Aquablation procedure on May 28th, 2024. I don’t have an excessively large prostate but I do have what’s called a median lobe where the prostate is growing up pushing on my bladder restricting the outlet causing an overactive bladder. I’m a week away and hope the recovery goes well. I’ve been fighting this problem for at least a decade of having to pee a hundred times a day and night. An awful way to live. I tried the flomax. That was not good for me and when I stopped it I experienced dizziness that was horrible. So I decided on Aquablation.

As I am a diabetic person My physician asked me to do a PSA checkup test with Hemoglobin A1C .The result was a little bit high 5.54 ng/ml , and he referred me to a specialist. An MRI and a biopsy later, I discovered I was a 65 year old living with a Gleason 6 prostate cancer. I'm so grateful that my Doctor took action, knew that there was a history of prostate cancer in my family and encouraged me to do the test. I now can do active surveillance and get on with my life. Now I changed all my life style and start ketogenic diet In addition to I stop eating dairy foods and sugar and rice and and all products that feeds cancer since 3 months also I practice prolonged DRY fasting about 17 hrs for one month and i do two Psa tests one after 2 months and it was 3.54ng/ml and the other one after dry fasting and it was 2.7ng/ml . I lost about 12 KGS since 3 months That encourage me to complete fasting hoping that tumor marker will give me more good results.

Since we recorded this podcast with Dr. Pohlman, I have added ProACT (adjustable continence therapy) to my practice which is another great solution, simple, for men SUI,

Hilarious I think my wife's pregnant we're going to buy a test tomorrow it's all good we love each other😅😅😅

Surprise surprise we goin to planned parenthood

Can you help my husband to keep all his function? Can you explain this to me please, our urologist never did. The 3T MRI, no contrast, was done in May. Not seen a doctor since begining of May just before this MRI. Thank-you Prostate gland measures 6.6, 5.5, 4.4 centimeters on CC, TR and AP dimensions respectively with estimated volume of 84 cc and PSA density of 0.063 ng/ml/cm3. 9.5 mm ill-defined nodule with obscured margins are noted within posterior medial aspect of left peripheral zone at mid gland which show mild hypointense signal on ADC and mild hyperintense signal on high B value DWI sequences likely representing PI-RADS 2/3 lesion. No other peripheral zone lesion is noted. PSA is 4.86.

Dr. Pohlman, I just had a cystoscopy done and my urologist pointed out during the procedure the median lobe was the main cause of impeding flow. I do have an enlarged prostate as well. We discussed the TURP option and the prospect of permanent retrograde ejaculation is disconcerting. He said he would start with incising the median lobe, is this something similar to what you described in this podcast? Should I be asking him about the procedures you talked about? He mentioned nothing of what you talked about preserving anti grade ejaculation.

Loll

What about your seamen does it dry up will it be gone and what about the effect on erections

What is the biggest prostates can this be performed on?

Is optilume stay in permanently or is the balloon removed after a certain length of time?

I need appointment Dr

So would an immune disorder like RA effect the PCE test results.

I have a high risk stage 4 PC and have just had a course of 6 sessions of RT . It went well with very little in the way of side effects. So I guess that was Sbrt I would also comment that I have seen some papers that say that for PC it is more effected by high doses rather than lots of lower doses ( something about the alpha/ beta ratio-google it if you’re interested) -so I am happy that my oncologist went for this ( it also was much more convenient for me)

Would using sbrt compared to ibrt, have a higher risk for bladder or rectal cancer in the future?

If you're considering the therapy, be sure to investigate the difference between Ultra Sound and MRI guidance. Targeting is at least important as the laser. Huge.

Outstanding presentation on Salvage options after radiation failure. It appears I'm in this boat. Rapidly rising PSA after radiation treatment. The CT pelvic scan and the skeleton imaging did not show metastasis prostate cancer anywhere,,my oncologist schedule me for a PMSA PET SCAN approximately two weeks from today. I see now if they don't find anything with the PMSA doesn't necessarily mean I'm free and clear. It just mean possibly a MRI, with a guided biopsy. This feels like it will never end for me but I will continue to push on

Podiatrists get that all the time 😢

Thanks.....needless to mention its effect on weak kidneys

X

Well since I live in South Florida I guess I can just eat some palmettos they're ever were.

Yeah. No free lunch. You go down before you go up

Why aren't they putting stents into the urthea?

Bodybuiklers could take 500mg-1g a day of a oral pill filled with test undeca to get large levels instead of injecting 500-1g per week ..wirh no liver issues and no pip or any use of needles or injection sites ..intresting

Spiegeleier pur

There package and nuts are so small it’s like getting punched in the arm😂😂

vasectomy too expensive???

Weeeeeellll, they are Asian, so....

The very first transgender race lol

What's crazy is they go through all these rigorous training and still get knocked out buy a novice American boxer 😂😂😂😂 should have changed your face Mr Chin😂😂😂😂 See what I did there? 😂😂😂

When my wife says she wants a baby:

And yet none of them fell on the floor or passed out ?😂😂

Has to be wearing a cup.

What does one say…

😂😂😂😂😂😂😂😂😂

Scheduling now 🏃‍♂️💨

I’m guessing one of those journals in the garbage, is TRT is contraindicated for people with prostate cancer.

Love the jacket. 🙌🏻🙌🏻

Sounds promising

😂😂😂😂😂

Thank you for this segment.