Dr. Scholz Answers Radiation Questions | Answering YouTube Comments #8 | The PCRI
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- Опубликовано: 8 фев 2021
- Medical Oncologist Mark Scholz, MD, answers RUclips commenter's questions. This episode focuses on questions about radiation therapy and its side effects.
0:11 Is Cialis or Viagra a helpful solution for handling permanent ED issues after radiation treatment?
1:19 How likely is someone to be impotent 1, 5, 10, 15 years after combined radiation treatment with brachytherapy and 25 sessions of external beam radiation? One radiation oncologist says it is unlikely problems will develop and the other radiation oncologist says the loss of erectile function will be imminent.
2:47 The PCRI did a video on radiation side effects, but never really covered the seriousness of the delayed side effects as far as I can tell. Is there any way for you to assess the degree of delayed side effects several years ago? Does the data exist? It seems that the side effects of surgery are predictable, but with radiation, the long-term side effects seem like a mystery.
4:53 If beam radiation is so accurate, why do they tell us that erectile dysfunction is likely to occur down the road because the margins (nerve bundles) will get collateral damage?
5:37 Does IMRT have the same cure rates as surgery?
6:09 Does the location of the tumor within the prostate affect recommendations for treatment (surgery vs. radiation) and potential side effects? I realize that both surgery and radiation treat the whole prostate gland, but suppose, for example, the tumor is at the apex of the urethra - could this increase the risk of incontinence with either treatment? Would this alter the treatment recommendation?
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Who we are:
The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.
The information on the Prostate Cancer Research Institute's RUclips channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
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You folks rock ! Thank you all for the valuable good you do. You all are appreciated!
I really appreciate your PCRI videos. Recently diagnosed with PC, I really like the way each video targets key PC subjects without long extended videos. My wife and I have been able to obtain a lot of info in a short time! Thanks!
Thank you for all the detailed information, it helps answer many questions that many of us have or have not thought of to ask. Many thanks again for your expert opinion and shared knowledge.
So thankful for this channel. I educated myself. I am going for a biopsy in 2 weeks. MRI went from a Pirad 2 to Pirad 3 in about a year and 3 months. PSA climbed to 4.5 recently hence another MRI recently and Pirad 3 designation. Radiologist found a node which on the first mri was benign but over a year later has grown by 20 percent and about half of the nodule border can not be seen now which is suspicious. My PSA has been bumping up every six months but not doubling or triple like in some friends of mine who had cancer so I am optimistic. Please keep your fingers crossed for me. Thanks a million
Hi Michael what did the biopsy show you?
@@kennytraylor6798 negative thank goodness. Thanks for asking. If you are having prostate issues I wish you well
@@michaelrichmond3315 thanks my friend. Great to hear. My situation is Gleason 3+3 went on active surveillance one year ago. Then decided to send my biopsy off to make sure it was 3+3 to John Hopkins and they side 3+4 but less then 5% was grade 4. So I am still on AS but wanting on my decipher genomics test to come back. Dr. Sean says in multiple of his videos that if you have a Glisan 3+4 and the four represents less than 5% that they act just like a 3+3. My PSA is 6.4
@@kennytraylor6798 good luck my friend sounds like you are proactive and on top of the situation the best to you my friend
I'm on the 13th of 28 IMRT/IGRT treatments. I have favorable intermediate Pca. Stage IIb. small tumor in rt. apex....Gleason 3+4=7, 10% of 4, considered highly treatable. I have, to this point, no side effects save a little burning during urination. I feel so fortunate that I had so little disease in the prostate. No ADT, no Hormone therapy, just 28 treatments, total 70gray, 2.5 gray per treatment. I can't stress for men to check their prostate PSA annually. I caught the PSA Velocity early at age 72 and the treatment is considered "curative". Don't be squeamish, or modest.....get an annual Digital Rectal Exam and PSA test every year....you catch this sneaky demon early and you have a great chance of surviving and thriving with all the advancements made in imaging like PSMA gallium 68 CT/PET scans that determine is there is metastasis or not....the science is remarkable.....take care of yourselves men and be your own patient advocate...
Thank you for this and we love your dog, Hunter as well!
You are a great team. Pretty obvious how well organized it is. Nice to see all the specific questions answered. Increasing awareness and creating quicker change in response to research. Grateful for your good works. Yayayayayay
great information and format with the Q&A sessions, and thanks to Hunter for joining :) handsome fella
Great questions. 😉. Thanks!
I am a 77 year old male. I had radical prostatectomy 18 years ago. At the time of surgery my Gleason score was 6. I had 13 years of a PSA of .01 or less. For the last 5 years my PSA has risen from .02 to 0.45. I am getting a PSMA PET scan in 3 weeks. The recent bone scans and MRI were negative. Do I absolutely have recurrent prostate cancer? What questions should I ask my Urologist and Oncologist after the PET scan? What if the PSMA PET scan is also negative?
Goodmorning Dr. Scholz your videos are fantastic and a very rare and precious advice for men with prostate cancer (like myself). What i would like to ask you is this; I have just learned of a therapy that i didn't hear of up to now and, also, it looks like you haven't mentioned it yet in your videos. J am talking of HI-FU. On your opinion does it have any consistency? Thank you Dr Scholz
We have a few videos on HI-FI or that discuss HI-FU in the broader context of focal therapies. You can find those by searching "PCRI HIFU" and "PCRI Focal Therapy."
Thank you very much.
Great video again! Lovely dog with good name hunter!👍
I am 56 diagnosed with advanced metastatic prostate cancer, my psa dropped immediately on lueopron and xtandi and now my doctor wants me to do radiation on my prostate, is it worth doing radiation ?
Probably because you don't want to be on hormone blockers forever right?
🙏🏻❤️🙏🏻
Would this be the same outcome for men who has already had their prostate removed?
That is a great question for a future video; I will add it to the list.
The outcomes for salvage radiotherapy are different than standard radiotherapy and depend on a number of new factors, for example, how well the patient has recovered from surgery and the amount of time that has elapsed since the operation.
Our helpline facilitator has a more robust understanding of the literature on that subject and would be happy to share relevant studies. I know you already have the contact information but for anyone else's benefit: pcri.org/helpline
Great info, cute dog!
👍🏼
Hi.im from india( Kolkata ) . Can I contact Dr.scholz for my father. He is suffering from prosted cancer (3+4,4+3) . I want to send all the reports and willing to talk to the Dr.scholz.what are the process.please tell me.!!!
Dr. Scholz does not work for the PCRI, but we do have a free helpline where you can talk to a patient advocate who is trained by Dr. Scholz. You can find the contact information here: pcri.org/helpline
If your father is interested in seeing Dr. Scholz as a patient, you can find contact information on his practice's website: www.prostateoncology.com/
I am on hormone therapy and have gone through radio therapy in the pelvic bone. Is it beneficial to take wheat grass juice to counter fatigue I am experiencing ?
Many urologists believe a radical prostectomy is a barbaric surgery. More urologists consider it the gold standard. At the age of 66 my urologist suggested the longer your lifespan the choice of a radical prostectomy is better. Please weigh in on this. Thanks
I think our patient advocate, Jonathan, would best be able to weigh in on that opinion and whether it is still true. You can find our contact information on this page: pcri.org/helpline
Call, email, or submit the form on that page, and we will get him in touch with you.
Being on hormone therapy, can I take viagra rather than cialis, which is very expensive?
There are not much data comparing them in the setting of penile rehabilitation, but Dr. Scholz has mentioned Viagra, Cialis, and other similar drugs interchangeably as options to try as long as men discuss it with their physicians and make sure it is otherwise safe.
Please DO NOT recommend focal treatment. Reason being, cancer is still prevalent in the prostate and shows up in other areas after focal treatment. Talking from inputs of two close friends. They had focal cryotherapy and mri guided focal laser therapy. Now they are considering other avenues of treatment because cancer cells showed up in the non treated areas after couple of years.
Focal therapy does have lower cure rates, generally, than radical therapy, but patients oftentimes choose focal therapy because there are fewer risks of side effects and because the cure rates are still good in appropriate cases and because they can be followed to ensure that they do not have an unmanageable relapse. If anyone is interested in how the cure rates and side effect profiles compare, feel free to contact our helpline at pcri.org/helpline.