Ep. 22 - Is SBRT (Cyberknife) a Good Treatment for Prostate Cancer?
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- Опубликовано: 27 июл 2024
- There are many treatments for prostate cancer and one of them is radiation therapy. Within radiation therapy, there are all sorts of treatments for prostate cancer and one of them is stereotactic body radiation therapy (SBRT) also known as CyberKnife.
In this episode, Dr. Geo and this week’s guest, Dr. Johnathan Haas. Dr. Jonathan Haas, MD is a Radiation Oncology Specialist in Mineola, NY. He is affiliated with medical facilities NYU Langone Health Tisch Hospital and NYU Langone Hospital-Long Island.
If you're interested in learning more about SBRT, you call 1-833-663-2927
#prostatecancer #prostate #menshealth #mensweightloss #urology
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📜 Chapters
00:00 Intro
00:46 Welcoming Dr. Jonathan Haas
01:12 What got you into the medical field and Radiation Oncology?
05:33 Primarily prostate cancer | Brachytherapy
06:30 Cyberknife story | Stereotactic Body Radiation Therapy (SBRT)
10:21 Men's Health Seminar
11:47 Overview of radiation therapy
13:13 Radiation therapy works through oxidative stress
15:03 SBRT advantages
17:13 Side effects of SBRT
21:28 Who's the right patient for SBRT? | Miko stratification
24:48 Who's not the right candidate for SBRT?
26:51 Is SBRT a focal therapy?
27:51 Most common side effects of SBRT
31:01 Final thoughts
33:51 Can we treat just that one lymph node with SBRT?
34:39 What's considered recurrence after SBRT?
35:58 Connect @
36:41 Outro
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DISCLAIMER: This video is educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video, including but not limited to economic loss, injury, illness, or death. 
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As a patient of Dr. Jonathan Haas I must say that from the first meeting with him I felt confident that I was talking to the right person and arrived at the right place to receive the best treatment possible for my prostate cancer diagnosis.
He is special doctor and a great human.
This is the type of informative video I have been looking for!...Thanks for this!...Two weeks ago, my oncologist had me do three sessions (only 3!) for a small but definite site of cancer, close to my prostate--which had been thoroughly radiated six years ago...After 5 years of very low PSA readings post-EBRT for a Gleason 7 rated prostate cancer situation, last year my PSA began to rise...from .05, to .31, then .99, and finally, 1.39.....So my original oncologist told me that SBRT would now be in order, as the amazing new PET scan technology had spotted two lymph nodes close to the prostate, that faintly reacted to the scan medication. The three sessions were done three days consecutively, no complications felt by me, whatsoever! At the age of 77, I am still able, after all this, to have an occasional erection, etc. This new SBRT tech is incredibly awesome! Your video answered a couple of questions I had, concerning side effects, the duration of them, etc. No problems at all since the SBRT experience, two weeks ago. I love modern medical technology!
Starting my 5 sessions of sbrt at Stanford next week. Completed a bunch of tests last week where they setup the machine. All very easy so far. My prostate cancer is one small spot and this will hopefully be the only treatment i need.
Pls why did you select this treatment type
@@ikhideomo7407 my cancer was very early and treatable with only five sessions of the SBRT. On another machine, it would’ve been at least 15 sessions. I live two hours from Stanford so having only five sessions saved me a lot of trips.
First 12 minutes is trivia about this guys career. Actual treatment info starts at 12 minutes (+)
Thanks for the comment.
The DRs experience level is super important in choosing your provider.
@@WallaceDunn This is true, but this is a video on SBRT/Cyber knife, not on how to choose a Doctor.
Not trivia!...Very interesting to get to know physicians as being real folks!
@@alanaldpal950 Your problem is obvious...remove the stick!
I was diagnosed recently, (Gleason 3+4), came up during a physical. The first urologist was adamant that surgery was the only way to go, and dismissed SBRt and any forms of radiation treatment as causing more problems than solving them. A second surgeon told me the same. But a third one told me both are options... So I am seeing a radiation oncologist next. I was surprised by their refusal (2 out of 3) of even considering radiation, and it was not because of my particular case but across the board: the ONLY treatment for prostate cancer IS surgery! I wonder if this is normal. I am not in the States, but in Western Europe, with access to excellent medical care facilities. My PSA is 3.4. Next week I will have more information, and if surgery is the way to go, so be it. But I need to have an informed opinion, and not just "do this because it is the best for you". Thanks Dr. Haas for the clear overview of this form of treatment.
Were the ones saying surgery was the only option surgeons who would perform the op?
I am wandering why the great host never mentioned ADT, which looks like a standard therapy added to SBRT. Maybe Sbrt can take care of a localized prostate cancer on its own?
Kindly make a video on senior woman after menopause. How to boost estrogen level. Which supplements are safe for long term use? What to do and what not to do. Which exercise is good and which is not. How to prevent and treat prolapse etc.
Good presentation gentlemen, I have an appointment next week with a local SBRT oncologist. I’m reasonably sure this is the choice for my early stage diagnosis.
In my uneducated opinion :) here are my thoughts.
Interestingly he did not mention pencil beam proton therapy. They can do short cycle treatments just like SBRT, focused beam, works like smart bomb technology, does not travel through the target like SBRT. This could be more advantageous because you will theoretically have less collateral damage which could mean less chances for a secondary cancer down the road. The downside is that proton therapy is more expensive and most insurances will deny it.
Proton has been approved by Medicare. Your provider team can file an appeal if your insurance denies it. Pretty common now.
I believe I just saw a report/data indicating protons may not be as effective as photon sbrt. I’ll see if I can find that.
Fascinating conversation thank you! Would love to read more about the antioxidant argument / 6 pounds point you guys mentioned if you have any links or references
Good talk.
Can they not use less radiation for the key nerve bundles and penile bulb? No offense, but not crazy about blaming age on the ED items..just speak specifically to what the procedure causes since you don't know exactly how much can be attributable to each. Also I understand that even medication will not help, you must end up with a penile implant or using injections. Can you confirm?
Is this appropriate for a patient with kidney transplants? Is scatter a problem? What is the treatment modality (not activity surveillance) that poses the least risk to the tramsplant kidney/ureter?
Do you have a free place for prostate cancer patients and their family
Dr Haas, what about SpaceOAR? Do you implant a spacer to protect the rectum from radiation burns?
My research shows DRs are steering away from the various “shield” methods.
@@WallaceDunnthat is untrue. We do not perform sbrt prostate without spaceoar or something similar.
We use spaceoar for all prostate sbrt. It makes a huge difference in dose to the rectum when implemented properly
I have had prostate cancer and have been using miami cyberknife with intermediate Gleason 7 psa13.7 I just found a lymph node with cancer and am treating it the same therapy do you think it will work
As a recent patient with the same situation as you have, I can tell you that it will work! It worked for me.
I had radiation in 2010 for colorectal Cancer. I now have been diagnosed with gleason 8 PC in only a single core on the right side.
Does the prior radiation exclude me from having SBRT? Or is Cyberknife so precise that it could be an option?
I don't think so but see a SBRT specialist. And practice aggressive lifestyle inteventions. All the best
I think radiation can be repeated after a minimum of 3-4 years. It’s possible that radiation to prostate would affect the rectum and bladder to some extent. Besides modern radiation techniques are precise and more effective these days.
I don’t feel my husband is getting the care he should get. I’m scared.
@libdamastropietro4429 don’t be scared, put faith over fear! But remember your husband (with your help) is his best patient advocate! If HE doesn’t feel he’s getting the care he should, by all means request primary care and urology refer him for a second opinion! Do all the research ahead, which apparently YOU are in the process of if you watched this video. Prostate cancer treatment has come a long way in recent years, and there’s no need to give up hope! It’s the most survivable and most treatable form of cancer out there! If he’s early stage like me, it looks like this is perhaps the best choice! Best of luck to your hubby (and you) and I’ll certainly be praying for you! God already knows what his best course of treatment is, I firmly believe that with all my heart!
What about semen loss will there be any semen when your treatment is finished, nobody ever talks about this
Why do you feel this way?
@@hyway62testicles are usually excluded from the treatment field.
@@ElCidPhysics90 what about seminal vesicles? if they are treated then no semen? i too heard that there will be no semen
Small spot- SBRT or nanoknife IRE???
Nano if u want no side effects