Spend as much time as possible researching prostate cancer and the staging plus treatment. It's too bad we also need to consider the insurance we have as the treatment can be pretty expensive. I was fortunate to have a good Urologist and Radiation Oncologist treat me for a bilateral 3+4 Gleasen 7. I asked a lot of questions and did a lot of homework so I had a good idea what to expect. Don't make a quick decision on treatment for a 3+4 as options are quickly changing. I don't regret my decision to go with radiation as after 6 months post treatment, I'm back to a normal life. Thanks to the prostate coach for the good explanation. Doctor means teacher and h is a good teacher.
Hi Dennis, Thank you for the positive feedback. I wholeheartedly agree, doctor means teacher and educating is my passion. It’s why I made this channel. Glad to hear you are doing well. Thank you for sharing tour experience so others can hear what it’s like 6 months out. I agree, there is a lot to research and many questions to ask. Sadly, the clinic setting just doesn’t allow enough time to support the patient’s questions and concerns. I will be putting a course together that goes from A to Z so men and their families can get the information more sequentially and comprehensively. I appreciate you taking the time to comment! Blessings to you.
Was 6 then 3+4=7. I’m watching and doing TRT. MRIs very 6 months, PSMA annually. Stable for over a year. So much literature support this but doctors don’t read. Rainmakers for institutions. They can’t make money on their bad choices they drop you. Study up. Lifestyle trumps longevity with those awful side effects. Be your own advocate. All but castrate resistant treatable even calling it cured. Stay on it.
I was 3-4 Gleason 7. No known metastases. Got surgery 2.5 years ago...so far so good, PSAs are undetectable...however, if u care about the sexual & urinary side effects, get radiation 1st, if u r a candidate for it. Your chances of having LESS or milder side effects are better w/ radiation...u have to ask the right questions & listen closely b/c most docs won't come right out and tell you...I regret, I was panicky & just wanted it cut out asap. Big mistake imo.
Spot on! My stats similar to yours. I undergo HD Brachytherapy in two days. Fortunately there are people like Dr. Stiles putting out videos like this that educate people on side effects of treatments and risks people take. Many urologist do not have the time to properly educate patients. Another "mistake" is opting for surgery if the cancer has in any way escaped the gland. Miss any of it, and the cancer could easily return. Cut the wrong nerve......... whoops.
I was 63 and had one biopsy that was 4+3. The rest were 3+4 but were too diffuse for focal therapy. I chose EBRT mainly because of the incontinence side effects of surgery. They put me on four months of ADT and dropped my T levels from 550 to 10. It was horrible. I cried constantly and was up one night considering killing myself but couldn’t remember where I’d put the ammo for the gun. I still feel like my personality has changed even though my T levels are normal now. Another thing is that regardless of surgery or radiation you lose your ability to ejaculate. They told me this beforehand but I underestimated how this would affect my feelings about myself and the quality of my orgasms.
Thank you for your comment. Unfortunately, Sexual dysfunction is often a common side effect of any treatment for prostate cancer. Technology is advancing rapidly, and so hopefully there are some innovative ways to improve your sexuality. Wishing you the best !
I have gleason 7 4+3 and 2 metastases 1 in T10 & the other in my pelvis. After 1 year oc ADT and a petscan The tumour was found on the prostate only. I received Vmat 28 fractions in pelvis &prostate and 5 fractions. any further treatment? or advice. Am 73 years old.
I have 3x4-7. Diagnosed in May.....9,5psa. Have been doing finbenzadol.. numbers were down to 2.1 PSA.. supposed to have high fu surgery in February.. no metastasizing...
I have 4+3 which has spread to my lymph nodes and right pelvis, I have started hormone treatment and will find out on Friday 23/12/22 what other treatment I will be receiving
Get yourself a genomic assessment, in particular ask about your dna information about the PTEN Gene and BRCA genes, if that’s 1% & under 6mm you should challenge weather it’s even a 3+4 (get a second opinion)
Unfortunately, that is true. There are so many potential treatments depending on your specific situation. Radiation docs recommend radiation, surgeons recommend surgery, etc.
My partner has a Gleason score of 3+4=7. He is going to have radiation. I think he should get a second opinion and look into the different test that could be done. I read about a test called PSMA which shows more than just a pet scan and also shows if the cancer has spread. I’m very upset. He is not well versed in medicine like I am and doesn’t want me to speak to the doctor. I don’t know why, but I feel as though I should get the whole picture.
I too was recently diagnosed with Gleason 3+4 (PSA 4.6). Urologist recommended treatment but said he was OK with me being on AS if I get regular PSA tests and probably another biopsy after a year. If PSA starts climbing too fast, I guess I'll get radiation therapy.
Joe Thank you for your comment. Sometimes small volume Gleason 3+4 is watched with active surveillance as guided by your physician. This includes rechecking PSA, repeat MRI, and repeat biopsy every 6 months to 2 years on average.
If a person is a Gleason 6 and the biopsy show 10/12 and your doctor told you that you need surgery or radiation treatments is that a good idea from the doctor and this person 49
This video points to the importance of getting your PATHOLOGY done at a center of excellence and/or getting 2nd opinions from a center of excellence. Your treatment decision is going to based on PATHOLOGY so it needs to be accurate. That means if you have 3+4 disease, you want to know how much cancer is "3" and how much is "4." If you have very little 4, there are some professionals out there who would support active surveillance for that - under certain circumstances. Remember this: your doctor has no idea what kind of cancer you have because he/she probably never sees it; only your PATHOLOGIST knows and he/she needs to be GOOD! Your doctor rolls out recommendations based on the PATHOLOGIST'S findings.
@alecfoster4413 MRI is very useful for understanding greater details about the prostate and tumor such as size, location, and suitability for certain treatments. Thanks for your comment !
THE MORE THEY DO GUIDEDED MRI THE MORE 3-4 THEY 'FIND ---- AND IF YOU LOOK AT THE STATS FROM JOHN HOPKINS THE VAST MAJORITY DID NOT NEED TX --- F THEM ITS ALL A BUSINESS MORE THEY CAN MAKE FOR THEIR GROUP WITH EVEN A LITTLE REASON TO DO IT THEY WILL
Thank you for your comment. There is much to improve upon when looking at modern healthcare. Prostate cancer cases expected to double to 2.9 million cases worldwide by 2030.
You explained it perfectly....I have watched many videos and never this clear.
Thank you
Wow ! Thank you for your compliment Lilly !
Spend as much time as possible researching prostate cancer and the staging plus treatment. It's too bad we also need to consider the insurance we have as the treatment can be pretty expensive. I was fortunate to have a good Urologist and Radiation Oncologist treat me for a bilateral 3+4 Gleasen 7. I asked a lot of questions and did a lot of homework so I had a good idea what to expect. Don't make a quick decision on treatment for a 3+4 as options are quickly changing. I don't regret my decision to go with radiation as after 6 months post treatment, I'm back to a normal life.
Thanks to the prostate coach for the good explanation. Doctor means teacher and h is a good teacher.
Hi Dennis,
Thank you for the positive feedback. I wholeheartedly agree, doctor means teacher and educating is my passion. It’s why I made this channel.
Glad to hear you are doing well. Thank you for sharing tour experience so others can hear what it’s like 6 months out.
I agree, there is a lot to research and many questions to ask. Sadly, the clinic setting just doesn’t allow enough time to support the patient’s questions and concerns.
I will be putting a course together that goes from A to Z so men and their families can get the information more sequentially and comprehensively.
I appreciate you taking the time to comment! Blessings to you.
@@theprostatecoach8058 i❤
I have 3+4 and I refused radiation/surgery. My doctor said I'm going to die, well after 15 years, I'm still alive. Now in my late 70' who cares..."
u r cool lol
Was 6 then 3+4=7. I’m watching and doing TRT. MRIs very 6 months, PSMA annually. Stable for over a year. So much literature support this but doctors don’t read. Rainmakers for institutions. They can’t make money on their bad choices they drop you. Study up. Lifestyle trumps longevity with those awful side effects. Be your own advocate. All but castrate resistant treatable even calling it cured. Stay on it.
You are going to die; however, did your doctor say how long you had to live?
@@williamwaters4506he could not explain, the fact is I'm still alive and kicking
Me to 75years changed my diet and exercises feeling good. Cancer is big 💰 money making business
I was 3-4 Gleason 7. No known metastases. Got surgery 2.5 years ago...so far so good, PSAs are undetectable...however, if u care about the sexual & urinary side effects, get radiation 1st, if u r a candidate for it. Your chances of having LESS or milder side effects are better w/ radiation...u have to ask the right questions & listen closely b/c most docs won't come right out and tell you...I regret, I was panicky & just wanted it cut out asap. Big mistake imo.
Same for me. Wish I had slowed my roll, gotten more information and did radiation first. Can’t keep looking in rear view mirror.
Hi MJ, what is considered undetectable PSA, there are any numbers or it's just not present, thank you
Spot on! My stats similar to yours. I undergo HD Brachytherapy in two days. Fortunately there are people like Dr. Stiles putting out videos like this that educate people on side effects of treatments and risks people take. Many urologist do not have the time to properly educate patients. Another "mistake" is opting for surgery if the cancer has in any way escaped the gland. Miss any of it, and the cancer could easily return. Cut the wrong nerve......... whoops.
I was 63 and had one biopsy that was 4+3. The rest were 3+4 but were too diffuse for focal therapy. I chose EBRT mainly because of the incontinence side effects of surgery. They put me on four months of ADT and dropped my T levels from 550 to 10. It was horrible. I cried constantly and was up one night considering killing myself but couldn’t remember where I’d put the ammo for the gun. I still feel like my personality has changed even though my T levels are normal now. Another thing is that regardless of surgery or radiation you lose your ability to ejaculate. They told me this beforehand but I underestimated how this would affect my feelings about myself and the quality of my orgasms.
Thank you for your comment.
Unfortunately, Sexual dysfunction is often a common side effect of any treatment for prostate cancer. Technology is advancing rapidly, and so hopefully there are some innovative ways to improve your sexuality.
Wishing you the best !
Excellent video. Great job. What about Gleason 8 (4+4) ?
I have gleason 7 4+3 and 2 metastases 1 in T10 & the other in my pelvis. After 1 year oc ADT and a petscan The tumour was found on the prostate only. I received Vmat 28 fractions in pelvis &prostate and 5 fractions. any further treatment? or advice. Am 73 years old.
Thank you doctor .. For this simple and easily understandable content
Absolutely ! Thank you for your comment.
If the 3+4=7 cancer is on one side of the prostate, what ablation therapy would you recommend?
All treatments have different cancer control and side effect profiles. Many options. Get many opinions if your situation allows. I wish you the best !
I have 3x4-7. Diagnosed in May.....9,5psa. Have been doing finbenzadol.. numbers were down to 2.1 PSA.. supposed to have high fu surgery in February.. no metastasizing...
PSA looks great !
Great news ! Can you share what dosage you took ? Thanks
Baloney.
At Gleason 6 Stage 1 , I'm on active surveillance, but I really feel they have not given me enough information to stay on the course.
Prostate Health and Wellness Masterclass
ruclips.net/video/RZ_dfJ5fr6g/видео.html
Great explanation!
Thank you !
Trying to simplify the complex.
I have 4+3 which has spread to my lymph nodes and right pelvis, I have started hormone treatment and will find out on Friday 23/12/22 what other treatment I will be receiving
Stephen, there are lots of effective treatment options even for advanced prostate cancer.
@@theprostatecoach8058 I know,I will know better on Friday, I know it is not the death sentence it once was
In a Gleason 3+4 what impact does the less than 1% pattern 4 result have on treatment choices?
Get yourself a genomic assessment, in particular ask about your dna information about the PTEN Gene and BRCA genes, if that’s 1% & under 6mm you should challenge weather it’s even a 3+4 (get a second opinion)
Some people are only offered certain treatments
Unfortunately, that is true. There are so many potential treatments depending on your specific situation. Radiation docs recommend radiation, surgeons recommend surgery, etc.
I have 3+4 and am awaiting on the urgent list at Imperial College Hospital London for HIFU or Cryotherapy.
Wishing you the best !
Fenbendazole and iverm;)
My partner has a Gleason score of 3+4=7. He is going to have radiation. I think he should get a second opinion and look into the different test that could be done. I read about a test called PSMA which shows more than just a pet scan and also shows if the cancer has spread. I’m very upset. He is not well versed in medicine like I am and doesn’t want me to speak to the doctor. I don’t know why, but I feel as though I should get the whole picture.
Types of Imaging to help better understand your stage of prostate cancer
ruclips.net/video/7Vs3CYRsTMM/видео.html
Aren't you more agressive on Gleason 3+4? I was diagnosed 2 yrs ago, and just under active surveilance. MRI showed that it did not progressed.
I too was recently diagnosed with Gleason 3+4 (PSA 4.6). Urologist recommended treatment but said he was OK with me being on AS if I get regular PSA tests and probably another biopsy after a year. If PSA starts climbing too fast, I guess I'll get radiation therapy.
Joe
Thank you for your comment.
Sometimes small volume Gleason 3+4 is watched with active surveillance as guided by your physician. This includes rechecking PSA, repeat MRI, and repeat biopsy every 6 months to 2 years on average.
Thank you for your response, BTW, I am 76 yrs old. due for my next checkup. @@theprostatecoach8058
If a person is a Gleason 6 and the biopsy show 10/12 and your doctor told you that you need surgery or radiation treatments is that a good idea from the doctor and this person 49
This video points to the importance of getting your PATHOLOGY done at a center of excellence and/or getting 2nd opinions from a center of excellence. Your treatment decision is going to based on PATHOLOGY so it needs to be accurate. That means if you have 3+4 disease, you want to know how much cancer is "3" and how much is "4." If you have very little 4, there are some professionals out there who would support active surveillance for that - under certain circumstances. Remember this: your doctor has no idea what kind of cancer you have because he/she probably never sees it; only your PATHOLOGIST knows and he/she needs to be GOOD! Your doctor rolls out recommendations based on the PATHOLOGIST'S findings.
In conjunction with your urologist's interpretation of an MRI.
@alecfoster4413 MRI is very useful for understanding greater details about the prostate and tumor such as size, location, and suitability for certain treatments.
Thanks for your comment !
@@theprostatecoach8058 👍
There’s one hard rule for PCa
# damage the prostate the erection suffers.
Choosing what to do for prostate cancer is one of the toughest decisions a man will make in his lifetime.
4 plus 3 is far worse than 3 plus 4
Yes - 4 plus 3 is worse than 3 plus 4.
It also depends on other factors like the percentage of 4 or 3 as well as overall clinical grade.
THE MORE THEY DO GUIDEDED MRI THE MORE 3-4 THEY 'FIND ---- AND IF YOU LOOK AT THE STATS FROM JOHN HOPKINS THE VAST MAJORITY DID NOT NEED TX --- F THEM ITS ALL A BUSINESS MORE THEY CAN MAKE FOR THEIR GROUP WITH EVEN A LITTLE REASON TO DO IT THEY WILL
Thank you for your comment.
There is much to improve upon when looking at modern healthcare.
Prostate cancer cases expected to double to 2.9 million cases worldwide by 2030.