Only just found this on RUclips, an excellent clear guide to this topic, it definitely pays to get all the information you can on your specific diagnosis and generally about prostate cancer, it will empower you, thank you Doctor stiles
When my prostate was removed my PSA was undetectable for about 6 months, then ticked up a little. My urologist then put me on lupron and/or eligard. That brought my PSA back to undetectable -- for a while. Eventually, my PSA started to slowly rise (as bone scan revealed my cancer was metastatic and in my bones) and my urologist put me on erleada (in addition to lupron/eligard). My PSA then became undetectable for a about a year, then started to tick up over two 3 month periods of PSA testing. My urologist then sent me to an oncologist that started me on taxotere chemo based on a PSMA PET scan. My baseline PSA was 0.49. After three taxotere chemo cycles my PSA had risen to 1.59. When I went for my 4th taxotere cycle (and PSA blood work) my oncologist told me that when I come back in for my 5th chemo cycle, that if my PSA (taken on the day of my 4th chemo cycle) is still rising he would put me on another type of chemo, then set me up to see another oncologist that can administer Lutetium 177 infusions every 6 weeks.
@@derekgb3780 My urologist took 12 prostate gland biopsies. I think my Gleason score numbers were 7 and 8s and that I had an aggressive form of prostate cancer. My PSA (while on taxotere) finally rose to 4.65. I've been on Jevtana now for six cycles. Two cycles ago my PSA had dropped to 3.1. My oncologist plans to keep me on jevtana as long as my PSA keeps dropping. I had been experiencing some bone pain throughout my right hip. My radiologist-oncologist hit me we a one-time shot of radiation in my right hip, and now I have no pain. My problem now is that I have heavy blood in my urine. My urologist had me take a CT scan which couldn't reveal the source of the blood. Now I will have to have a cystocopy to find out the source of the bleeding.
Have you ever talked about TOOKAD VTP therapy. The FDA shot it down in 2020, but I believe it’s done, to a smaller degree, in Europe. Any opinions. Do you know of more resent trail outcomes. Thanks Doc.
Only just found this on RUclips, an excellent clear guide to this topic, it definitely pays to get all the information you can on your specific diagnosis and generally about prostate cancer, it will empower you, thank you Doctor stiles
Thank you Carl
@@theprostatecoach8058😅
Great help thanks.
Glad it helped !
Thank you for hour comment
Thank you
Absolutely !!!
Do you recomend MRI instead of CT scans to detect bone lesions outside the afected prostate?
When my prostate was removed my PSA was undetectable for about 6 months, then ticked up a little. My urologist then put me on lupron and/or eligard. That brought my PSA back to undetectable -- for a while. Eventually, my PSA started to slowly rise (as bone scan revealed my cancer was metastatic and in my bones) and my urologist put me on erleada (in addition to lupron/eligard). My PSA then became undetectable for a about a year, then started to tick up over two 3 month periods of PSA testing. My urologist then sent me to an oncologist that started me on taxotere chemo based on a PSMA PET scan. My baseline PSA was 0.49. After three taxotere chemo cycles my PSA had risen to 1.59. When I went for my 4th taxotere cycle (and PSA blood work) my oncologist told me that when I come back in for my 5th chemo cycle, that if my PSA (taken on the day of my 4th chemo cycle) is still rising he would put me on another type of chemo, then set me up to see another oncologist that can administer Lutetium 177 infusions every 6 weeks.
Lots of treatment options, even for metastatic prostate cancer. Thank you for sharing Walt.
Pluvicto (Lutetium 177) only costs about $250,000 wholesale price for those 6 infusions and is not a cure. Check the effect on sinuses.
What was your original Gleason score and T stage if you don't mind me asking?
@@derekgb3780 My urologist took 12 prostate gland biopsies. I think my Gleason score numbers were 7 and 8s and that I had an aggressive form of prostate cancer. My PSA (while on taxotere) finally rose to 4.65. I've been on Jevtana now for six cycles. Two cycles ago my PSA had dropped to 3.1. My oncologist plans to keep me on jevtana as long as my PSA keeps dropping. I had been experiencing some bone pain throughout my right hip. My radiologist-oncologist hit me we a one-time shot of radiation in my right hip, and now I have no pain. My problem now is that I have heavy blood in my urine. My urologist had me take a CT scan which couldn't reveal the source of the blood. Now I will have to have a cystocopy to find out the source of the bleeding.
@@1royalpalm Wishing you all the best from the UK. Had mine removed January this year so still uncertain times ahead for me.
Have you ever talked about TOOKAD VTP therapy. The FDA shot it down in 2020, but I believe it’s done, to a smaller degree, in Europe. Any opinions. Do you know of more resent trail outcomes. Thanks Doc.
I am not aware of the results of TOOKAD VTP.