Timestamps: 0:49 What is the MiPS2 test and how does it work? 2:14 Can urine tests be used as a partial substitute for biopsies? 4:52 How does the 95% accuracy rate of urine tests affect the screening process? 7:17 What percentage of cancer is missed by different screening methods? 9:25 Can a PSMA scan cover the blind spots of an MRI? 9:58 Does MiPS2 function similarly to other urine tests? 11:15 Are urine tests helpful for those who don't have access to an MRI? 12:02 Is there much in the way of useful reporting data related to MiPS2? 13:43 Can PSA density provide information about the potential presence of cancer? 14:50 Are urine tests helpful for patients with more standard PSA levels? 16:46 Alex's conclusions
Alex Scholz asks the BEST, most relevant questions that covers the the topics we patients (and Doctors) want to know/hear. Very well thought out and structured presentation. Well done. Thank You.
I started with a psa going from 2 to 4 about 25 years ago; I’m 74 now. It has continued to creep up over the years and now it is 14, down from 16 2 years ago. I’ve had bph for many years also. Was seen by the head of Urology at NIH 3 or 4 years ago, had the MRIs, etc, 3-4 spots looked suspicious, and those 4 spots were sampled in addition to 8 other areas. Results? No cancer. The Dr said, because I have bph, of course I will have a higher psa #!! The larger the prostate, the higher the psa #. Simple!!! He said not To Worry at my age and the slow increase of the psa number is normal. He said I may get prostate cancer in the future but I will probably die from Something else….but not prostate cancer. Thank God!
As a 61 year old, my PSA had never been above a 4.0, although it increased from 2.7 to 4.0 over the course of 18 months. Concerned about this modest to minor PSA increase, my PCP referred me to a urologist. On my first visit to my urologist I was asked to provide a urine sample. I didn't know there was a relationship between urine and prostate cancer, but I did what I was asked and, of course, provided the urine sample. At my second visit, and, coincidentally on my last day of work before I retired, my urologist shared that there was a high likelihood that I had prostate cancer based on my urine test results. That led to a prostate biopsy that confirmed that I did, in fact, have prostate cancer. Three months later (one year ago today) I had brachytherapy, and my PSA after last month's test was 0.28, down from 0.37 five months ago and 0.58 nine months ago. The urine test played an important role in my diagnosis and I am thankful that my urologist used that test to help diagnose my cancer.
@bmurray3198 Good to know. I’m 66yo, decided I need a relationship with a urologist and they mentioned a urine test. I’m surprised that a rise of. 2.7 to 4 over 18 mo was an alarm and did indeed indicate cancer. I’ve always heard 4 was the upper end of the”OK”. In your case it was the rise in PSA over time that triggered. Anyway, really good data in your post. Thank you.
Thank you so much for your information. It will be a year in December of 24 since i had my surgery. Im 58 yrs old and decided to have prostate removed with a 3+4 gleason score. I did PSA test for a year and the finally did the URINE test and thats what made me proceed with the MRI FUSION. Thats when it was noticed that a small cancer was in the prostate. It never penatrated the prostate, but i decided to have it removed. It definitely changed my life in 1 day but i believe i chose the right thing todo. I feel great . So for anybody watching these videos they are amazing and i would recommend keep watching there so educational. Good luck everyone, and KEEP ON KEEPING ON.
Another advantage of having a urine test is that indication of another cancer might show up in the test results. There could be occult blood (invisible to the naked eye) determined from the test that could be related to, say, bladder cancer.
I had a urine test at same time of PSA and PSA was done right after digital and was elevated (6 something) but that was same as it had been for a couple years and was just after a digital. However the doctor ordered a biopsy and I was doubtful but he said he did feel a little something during digital. Not horrible but something…anyway, the biopsy results were 3 +4 in one place only. Opted for active surveillance and 6 month follow-up biopsy had become 4+3 in same one location and PSMA Pet/ MRI indicated slightly larger lesion but still in one place and no spread. Now I will have NANO knife and am hoping for the best. Long story short is that the biopsy still is the best and most accurate test as the PSMA Pet/MRI didn’t show the change to 4+3. At least it was for me.BTW I am now 72 and my local urologist never did a digital and said that PSA after 70 was no longer needed. Good thing I went to the big city university hospital an hour away. My biopsy was mri and ultrasound guided. Local only did ultrasound and I kept asking for mri and ultrasound guided but they said I had to have ultrasound guided first due to insurance so what it boiled down to is that they did not have mri with ultrasound capabilities. Go to the big city university hospital if you can is my suggestion. Dr. Is right. Don’t settle for probably …I understand that there is a conference coming up this coming week in San Diego. I believe that FOCAl therapy is the topic but may be just one of many. Would be great to hear about the conference…
Are the MiPS2 tests useful in patients who have been diagnosed with PCs, treated with hormone blockers and RT and then one year after stopping ADT their PSA doubles within 3 months? How do we find out if the PSA (0.27) is down to remaining prostate cells kicking out PSA or a return of cancer?
I went to the local doctor because of frequency and urgency and got the PSA MRI Hormone Therapy and Radiation treatment for Prostate cancer as it was discovered that I had unfavourable intermediate prostate cancer. That was over a year ago and I still suffer urgency and frequency and weak flow. In fact I had to use catheters for 3 months. The question on my mind today is that the reason for my original problems was an enlarged prostate and now it is the same, but I was told by a surgeon that it was impossible to operate on my prostate because I have had radiation treatment. Why was my enlarged prostate not operated on before it radiated? Surely this would have cured my original complaint first and foremost? I am 77 years old and I am told that most older men start this awful journey after going to the doctor complaining about their peeing. I am in the UK being treated by our Wonderful NHS.
I am a U.S Air Force Veteran 20yrs 64 yrs old PSA 7.1 up from 5.1 a year ago I have had a Prostrate Pacific MRI with contrast. And a PMSA / PET Scan and now they want to do an Trans-perennial Biopsy. The VA is extremely difficult to communicate and schedule appointments. The PMSA results which showed a malignant neoplasm…… Do you think this urine test would benefit me. I am still extremely not happy having to do the Biopsy, I asked the Doctor based on what we know why can’t we just treat it and forgo the Biopsy? I would very much appreciate your input. It’s been 13 months and still requesting treatment…….. Thank you both 🙏 I always enjoy your videos🙏
I also had elevated PSA levels, had the MRI with contrast and discovered a lesion. But, I agreed to the biopsy and had 14 cores taken. 12 random and two in the lesion. Very diseased prostate but no malignancy. Perhaps you should consider getting a combination random plus targeted biopsy. Just a thought.
@@TERRY-cb2ku Hi Terry, Thank you for your reply🙏 that’s great news! Yes, I agree with you I am going to have to surrender to the Biopsy it’s the only way to know what’s really going on inside my prostrate. Happy Holidays to you and yours😊🇺🇸
My 67 yr old partner had his prostate surgically removed 2 years ago by robotic keyhole method after having 6/8 biopsies detecting cancer(under MRI). His prostate was on the larger size. Post surgery his PSA was initially zero then over months slowly rose to 2 by June this year then 3 months later to 4. No repeat PSA was done at 4. Today he had a PSMA PET scan which is only showing an indeterminate area in one of his 'sit ' bones. Nothing else is evident. I think I heard the specialist mention that the scan has a 80 per cent false negative at PSA 4 but a 20% false negative when done at a PSA of 10. I am not sure I fully understand exactly what this means. I realise PET scans are not 100% accurate. The plan is to keep doing 3 month PSAs and another PSMA PET scan when reaches 10. In our country we paid for private care as the public system is a long wait. We do not have health insurance. If the cancer has entered his hip bone what are the treatments? Thank you.
@@ceciliaclark9406 Yes, it all depends on your insurance. Many need referrals, but your doctor should not have an issue giving you one, if you want a prostate check. All the tests you mention is routinely done at urologist office. You could also get a list of urologists in your network that your insurance would accept. Then research the best one, then get your doctor to refer you. You have to be your own patient advocate. If you don't like your doctor well get another one. When serious medical issue come up, don't be rushed into a treatment plan or surgery, you need to do your own research. That's the reason I watch this channel, I spent months researching for my husband when he was diagnosed with prostate ca in Nov 23. There is so much to learn if you truly want to participate in your healthcare. It was his urologist who found the cancer, when it wasn't even on our minds, and helped find an amazing oncologist,. We ended up with 2 oncologists in 2 different states, and so grateful his cancer was caught early, and he's finished with his treatments.
@@ceciliaclark9406 Yes, many insurance company requires it. Your doctor should not have any issue referring you, for a prostate check. The tests you mentioned is routinely performed at an urologist office. If your doctor doesn't want to...well, I say you need a new doctor. My husband's cancer was found because of his urologist, when cancer was not on our minds.. The amazing oncologist she referred turned out to be a top oncologist in another state that actually has been on this channel. He ended up with 2 oncologist. We are very grateful his cancer was found early, and he has completed is treatments. This channel helped us tremendously understand all of the testing and options that is now available. We participate in our healthcare decisions. From the cancer diagnosis to the end of treatment, we spent hours upon hours, with lots of note taking to learn, and understand the whole process.
@@ceciliaclark9406 Yes, many insurance company requires it. Your doctor should not have any issue referring you, for a prostate check. The tests you mentioned is routinely performed at an urologist office. If your doctor doesn't want to...well, I say you need a new doctor. My husband's cancer was found because of his urologist, when cancer was not on in our minds.. The amazing oncologist she referred turned out to be a top oncologist in another state that actually has been on this channel. He needed up with 2 oncologist. We are very grateful his cancer was found early, and he has completed is treatments. This channel helped us tremendously understand all of the testing and options that is now available. We participate in our heartcare decisions. From the cancer diagnosis to the end of treatment, we spent hours upon hours, with lots of note taking to learn, and understand the whole process.
In 2021 based on my biopsy I was diagnosed with lograde cancer. I had HDR Brachytherapy treatments and while having two PSMAs where NO cancer was found, my PSA level continues to rise and most recent (Sept 2024) level was 10.8. My quest is why does my PSA rise so high without the presence of prostate cancer?
Had an MRI, small nodule showing a pirad3. Had a isopsa, showed 4.9. Is this test an additional tool to the isopsa to rule out high grade? Or which is better- do they compliment each other? PSA is 4.7
I just had my yearly Physical with my GP, My PSA count went "DOWN"??? From 2.05 to 1.45???? My concern is WHY??? I am on Heart Medication and Cholesterol Lowering meds and have read that that can effect the #??? I been on these meds now since AUG 30th 2020 and Nothing else has changed?? So "WHY" Did my PSA Drop like That??? I'am on the schedule for my Yearly EXAM with my Urologist at the end of this MONTH OCT 2024. So, I don't understand what has happened??? And I do Have the ever so famous "BPH"....
Congratulation, you are doing excellent work. Please speak more slowly and clearly, the older age audience, like me, has slower ability of understanding your speaking. Especially the non Americans need more time to comprehend your English. Thank you.
Again: Your site is our ONLY source of CURRENT Prostate Cancer information. My PSA increase after 11 year past radiation treatment has resulted in 3 BIOPSIES ( all Benign!) Yet 2 PSMA's showing cancer in the prostate. Now my Urologist are all CONFUSED and say I am a "Wait and See " Patient. PSA test every 90 days. I am NOT comfortable with that. This is NOT a Science.
@@gmv0553 Yes , 2 .. Both Negative and the my PSA continued to climb. My Urologist are confused and just put me on a "Wait and See" protocol. This makes me uncomfortable That is my situation.
Thank you thank you…what are the recent developments with MRI’s I am due to get an mri at tower imaging in Santa Monica is there something specific I should ask for?
@@schmingusss I had High Dose Radiation (a type of Brachytherapy). My PSA dropped to .3 and stayed there for 10 years. Just recently started to climb again.
I went to the local doctor because of frequency and urgency and got the PSA MRI Hormone Therapy and Radiation treatment for Prostate cancer as it was discovered that I had unfavourable intermediate prostate cancer. That was over a year ago and I still suffer urgency and frequency and weak flow. In fact I had to use catheters for 3 months. The question on my mind today is that the reason for my original problems was an enlarged prostate and now it is the same, but I was told by a surgeon that it was impossible to operate on my prostate because I have had radiation treatment. Why was my enlarged prostate not operated on before it radiated? Surely this would have cured my original complaint first and foremost? I am 77 years old and I am told that most older men start this awful journey after going to the doctor complaining about their peeing. I am in the UK being treated by our Wonderful NHS.
![[#2024MAMA] ROSÉ (로제), Bruno Mars - APT. | Mnet 241122 방송](http://i.ytimg.com/vi/dgGqD28J6aQ/mqdefault.jpg)
Timestamps:
0:49 What is the MiPS2 test and how does it work?
2:14 Can urine tests be used as a partial substitute for biopsies?
4:52 How does the 95% accuracy rate of urine tests affect the screening process?
7:17 What percentage of cancer is missed by different screening methods?
9:25 Can a PSMA scan cover the blind spots of an MRI?
9:58 Does MiPS2 function similarly to other urine tests?
11:15 Are urine tests helpful for those who don't have access to an MRI?
12:02 Is there much in the way of useful reporting data related to MiPS2?
13:43 Can PSA density provide information about the potential presence of cancer?
14:50 Are urine tests helpful for patients with more standard PSA levels?
16:46 Alex's conclusions
This is my go-to team for the most accurate and informative answers of understanding prostate cancer. Thank you.
Alex Scholz asks the BEST, most relevant questions that covers the the topics we patients (and Doctors) want to know/hear. Very well thought out and structured presentation. Well done. Thank You.
It is clear that she knows the subject matter, but she doesn’t want to take the spotlight from the person being interviewed. She is great!
It's so helpful listening to Dr. Scholz. Thank you for all the great content around Prostate cancer PCRI puts out.
I started with a psa going from 2 to 4 about 25 years ago; I’m 74 now. It has continued to creep up over the years and now it is 14, down from 16 2 years ago. I’ve had bph for many years also. Was seen by the head of Urology at NIH 3 or 4 years ago, had the MRIs, etc, 3-4 spots looked suspicious, and those 4 spots were sampled in addition to 8 other areas. Results? No cancer. The Dr said, because I have bph, of course I will have a higher psa #!! The larger the prostate, the higher the psa #. Simple!!! He said not
To
Worry at my age and the slow increase of the psa number is normal. He said I may get prostate cancer in the future but I will probably die from
Something else….but not prostate cancer. Thank God!
Thanks for all the great information that you provide. Alex, you are a wonderful interviewer !
Both of you are the best🎉
Great job.
As a 61 year old, my PSA had never been above a 4.0, although it increased from 2.7 to 4.0 over the course of 18 months. Concerned about this modest to minor PSA increase, my PCP referred me to a urologist. On my first visit to my urologist I was asked to provide a urine sample. I didn't know there was a relationship between urine and prostate cancer, but I did what I was asked and, of course, provided the urine sample. At my second visit, and, coincidentally on my last day of work before I retired, my urologist shared that there was a high likelihood that I had prostate cancer based on my urine test results. That led to a prostate biopsy that confirmed that I did, in fact, have prostate cancer. Three months later (one year ago today) I had brachytherapy, and my PSA after last month's test was 0.28, down from 0.37 five months ago and 0.58 nine months ago. The urine test played an important role in my diagnosis and I am thankful that my urologist used that test to help diagnose my cancer.
@@bmurray3198 I’m a bit confused about the measurements of a PSA test. Is .38 the same as 3.8 or is it actually just .38 of 1%?
@@craftsmanctfl3493 I think it means .38 ng/ per ml of blood
@@craftsmanctfl3493 0.38 is not the same as 3.8. 3.8 is ten times higher than 0.38. PSA value is not a percent of 1.0.
@bmurray3198 Good to know. I’m 66yo, decided I need a relationship with a urologist and they mentioned a urine test. I’m surprised that a rise of. 2.7 to 4 over 18 mo was an alarm and did indeed indicate cancer. I’ve always heard 4 was the upper end of the”OK”. In your case it was the rise in PSA over time that triggered. Anyway, really good data in your post. Thank you.
@@jp7357 A rapid rise in PSA can also indicate possible prostate cancer, even if it's under 4.0.
Thank you so much
Thank you so much for your information. It will be a year in December of 24 since i had my surgery. Im 58 yrs old and decided to have prostate removed with a 3+4 gleason score. I did PSA test for a year and the finally did the URINE test and thats what made me proceed with the MRI FUSION. Thats when it was noticed that a small cancer was in the prostate. It never penatrated the prostate, but i decided to have it removed. It definitely changed my life in 1 day but i believe i chose the right thing todo. I feel great . So for anybody watching these videos they are amazing and i would recommend keep watching there so educational. Good luck everyone, and KEEP ON KEEPING ON.
Good information, thank you
Another advantage of having a urine test is that indication of another cancer might show up in the test results. There could be occult blood (invisible to the naked eye) determined from the test that could be related to, say, bladder cancer.
I had a urine test at same time of PSA and PSA was done right after digital and was elevated (6 something) but that was same as it had been for a couple years and was just after a digital. However the doctor ordered a biopsy and I was doubtful but he said he did feel a little something during digital. Not horrible but something…anyway, the biopsy results were 3 +4 in one place only. Opted for active surveillance and 6 month follow-up biopsy had become 4+3 in same one location and PSMA Pet/ MRI indicated slightly larger lesion but still in one place and no spread. Now I will have NANO knife and am hoping for the best. Long story short is that the biopsy still is the best and most accurate test as the PSMA Pet/MRI didn’t show the change to 4+3. At least it was for me.BTW I am now 72 and my local urologist never did a digital and said that PSA after 70 was no longer needed. Good thing I went to the big city university hospital an hour away. My biopsy was mri and ultrasound guided. Local only did ultrasound and I kept asking for mri and ultrasound guided but they said I had to have ultrasound guided first due to insurance so what it boiled down to is that they did not have mri with ultrasound capabilities. Go to the big city university hospital if you can is my suggestion. Dr. Is right. Don’t settle for probably …I understand that there is a conference coming up this coming week in San Diego. I believe that FOCAl therapy is the topic but may be just one of many. Would be great to hear about the conference…
Are the MiPS2 tests useful in patients who have been diagnosed with PCs, treated with hormone blockers and RT and then one year after stopping ADT their PSA doubles within 3 months? How do we find out if the PSA (0.27) is down to remaining prostate cells kicking out PSA or a return of cancer?
I went to the local doctor because of frequency and urgency and got the PSA MRI Hormone Therapy and Radiation treatment for Prostate cancer as it was discovered that I had unfavourable intermediate prostate cancer.
That was over a year ago and I still suffer urgency and frequency and weak flow.
In fact I had to use catheters for 3 months.
The question on my mind today is that the reason for my original problems was an enlarged prostate and now it is the same, but I was told by a surgeon that it was impossible to operate on my prostate because I have had radiation treatment.
Why was my enlarged prostate not operated on before it radiated?
Surely this would have cured my original complaint first and foremost?
I am 77 years old and I am told that most older men start this awful journey after going to the doctor complaining about their peeing.
I am in the UK being treated by our Wonderful NHS.
I am a U.S Air Force Veteran 20yrs 64 yrs old PSA 7.1 up from 5.1 a year ago I have had a Prostrate Pacific MRI with contrast. And a PMSA / PET Scan and now they want to do an Trans-perennial Biopsy. The VA is extremely difficult to communicate and schedule appointments. The PMSA results which showed a malignant neoplasm…… Do you think this urine test would benefit me. I am still extremely not happy having to do the Biopsy, I asked the Doctor based on what we know why can’t we just treat it and forgo the Biopsy? I would very much appreciate your input. It’s been 13 months and still requesting treatment……..
Thank you both 🙏 I always enjoy your videos🙏
I also had elevated PSA levels, had the MRI with contrast and discovered a lesion. But, I agreed to the biopsy and had 14 cores taken. 12 random and two in the lesion. Very diseased prostate but no malignancy. Perhaps you should consider getting a combination random plus targeted biopsy. Just a thought.
@@TERRY-cb2ku Hi Terry,
Thank you for your reply🙏 that’s great news! Yes, I agree with you I am going to have to surrender to the Biopsy it’s the only way to know what’s really going on inside my prostrate. Happy Holidays to you and yours😊🇺🇸
Terry - did you have the transrectal or transperineal biopsy?
@@marguit71 Hi Terry I am getting the trans-perineal less risk of infection Ray 🇺🇸
@@scoot77777 I agree. That’s what I will be doing as well. My brother-in-law had a transrectal biopsy and was in ICU for days with a sepsis infection.
My 67 yr old partner had his prostate surgically removed 2 years ago by robotic keyhole method after having 6/8 biopsies detecting cancer(under MRI). His prostate was on the larger size. Post surgery his PSA was initially zero then over months slowly rose to 2 by June this year then 3 months later to 4. No repeat PSA was done at 4. Today he had a PSMA PET scan which is only showing an indeterminate area in one of his 'sit ' bones. Nothing else is evident.
I think I heard the specialist mention that the scan has a 80 per cent false negative at PSA 4 but a 20% false negative when done at a PSA of 10. I am not sure I fully understand exactly what this means. I realise PET scans are not 100% accurate. The plan is to keep doing 3 month PSAs and another PSMA PET scan when reaches 10. In our country we paid for private care as the public system is a long wait. We do not have health insurance.
If the cancer has entered his hip bone what are the treatments? Thank you.
If you have questions about prostate cancer and need help from our Helpline team, you can email us here: help@pcri.org
what is more accurate?
PMSA/Pet scann or MRI to see if cancer cells are growing or shrinking?
I wanna know what does it take for a doctor to do a PSA? Or a prostate check, let alone a urine sample.
You need a urologist
@threeftr3349 you also need your primary care physicians to send a referral.
@@ceciliaclark9406
Yes, it all depends on your insurance. Many need referrals, but your doctor should not have an issue giving you one, if you want a prostate check. All the tests you mention is routinely done at urologist office.
You could also get a list of urologists in your network that your insurance would accept. Then research the best one, then get your doctor to refer you.
You have to be your own patient advocate. If you don't like your doctor well get another one. When serious medical issue come up, don't be rushed into a treatment plan or surgery, you need to do your own research.
That's the reason I watch this channel, I spent months researching for my husband when he was diagnosed with prostate ca in Nov 23. There is so much to learn if you truly want to participate in your healthcare. It was his urologist who found the cancer, when it wasn't even on our minds, and helped find an amazing oncologist,. We ended up with 2 oncologists in 2 different states, and so grateful his cancer was caught early, and he's finished with his treatments.
@@ceciliaclark9406 Yes, many insurance company requires it. Your doctor should not have any issue referring you, for a prostate check.
The tests you mentioned is routinely performed at an urologist office. If your doctor doesn't want to...well, I say you need a new doctor.
My husband's cancer was found because of his urologist, when cancer was not on our minds.. The amazing oncologist she referred turned out to be a top oncologist in another state that actually has been on this channel. He ended up with 2 oncologist. We are very grateful his cancer was found early, and he has completed is treatments.
This channel helped us tremendously understand all of the testing and options that is now available. We participate in our healthcare decisions. From the cancer diagnosis to the end of treatment, we spent hours upon hours, with lots of note taking to learn, and understand the whole process.
@@ceciliaclark9406 Yes, many insurance company requires it.
Your doctor should not have any issue referring you, for a prostate check. The tests you mentioned is routinely performed at an urologist office. If your doctor doesn't want to...well, I say you need a new doctor.
My husband's cancer was found because of his urologist, when cancer was not on in our minds.. The amazing oncologist she referred turned out to be a top oncologist in another state that actually has been on this channel. He needed up with 2 oncologist. We are very grateful his cancer was found early, and he has completed is treatments.
This channel helped us tremendously understand all of the testing and options that is now available. We participate in our heartcare decisions. From the cancer diagnosis to the end of treatment, we spent hours upon hours, with lots of note taking to learn, and understand the whole process.
In 2021 based on my biopsy I was diagnosed with lograde cancer. I had HDR Brachytherapy treatments and while having two PSMAs where NO cancer was found, my PSA level continues to rise and most recent (Sept 2024) level was 10.8. My quest is why does my PSA rise so high without the presence of prostate cancer?
Had an MRI, small nodule showing a pirad3. Had a isopsa, showed 4.9. Is this test an additional tool to the isopsa to rule out high grade? Or which is better- do they compliment each other? PSA is 4.7
I just had my yearly Physical with my GP, My PSA count went "DOWN"??? From 2.05 to 1.45???? My concern is WHY??? I am on Heart Medication and Cholesterol Lowering meds and have read that that can effect the #??? I been on these meds now since AUG 30th 2020 and Nothing else has changed?? So "WHY" Did my PSA Drop like That??? I'am on the schedule for my Yearly EXAM with my Urologist at the end of this MONTH OCT 2024. So, I don't understand what has happened??? And I do Have the ever so famous "BPH"....
I cannot find any information about MiPS2. But lots of hits on MPS2 and MPS2+ urine tests for PCa screening.. Are they the same test?
Do u have to fast to take urine test PS2 thank u
Congratulation, you are doing excellent work. Please speak more slowly and clearly, the older age audience, like me, has slower ability of understanding your speaking. Especially the non Americans need more time to comprehend your English. Thank you.
You can change the playback speed. That might help. Also, turn on closed captioning.
65103 Gaylord Lodge
Again: Your site is our ONLY source of CURRENT Prostate Cancer information. My PSA increase after 11 year past radiation treatment has resulted in 3 BIOPSIES ( all Benign!) Yet 2 PSMA's showing cancer in the prostate. Now my Urologist are all CONFUSED and say I am a "Wait and See " Patient. PSA test every 90 days. I am NOT comfortable with that. This is NOT a Science.
Have you had a MRI? A MRI saved my life showing cancer in the top of the prostate. A MRI biopsy verified the cancer!
@@gmv0553 Yes , 2 .. Both Negative and the my PSA continued to climb. My Urologist are confused and just put me on a "Wait and See" protocol. This makes me uncomfortable That is my situation.
@@gmv0553 Did you have a prostatectomy?
Thank you thank you…what are the recent developments with MRI’s I am due to get an mri at tower imaging in Santa Monica is there something specific I should ask for?
@@schmingusss I had High Dose Radiation (a type of Brachytherapy). My PSA dropped to .3 and stayed there for 10 years. Just recently started to climb again.
I went to the local doctor because of frequency and urgency and got the PSA MRI Hormone Therapy and Radiation treatment for Prostate cancer as it was discovered that I had unfavourable intermediate prostate cancer.
That was over a year ago and I still suffer urgency and frequency and weak flow.
In fact I had to use catheters for 3 months.
The question on my mind today is that the reason for my original problems was an enlarged prostate and now it is the same, but I was told by a surgeon that it was impossible to operate on my prostate because I have had radiation treatment.
Why was my enlarged prostate not operated on before it radiated?
Surely this would have cured my original complaint first and foremost?
I am 77 years old and I am told that most older men start this awful journey after going to the doctor complaining about their peeing.
I am in the UK being treated by our Wonderful NHS.