Thank you Dr Mark, and may the Lord bless you and your family . You are a truly a good physician and also a great blessing to prostate cancer patients.
Glad HDR worked out for you! My only fear w HDR is long term urinary urgency or burning. Did you have these side effects and did they clear up? Thank you.
@@cooperjdcox49 Was HDR your only treatment? I had HDR. Just before I had the procedure, my PSA was 12.68. Because of COVID-19, I had to wait a year to check my PSA. My first and only PSA so far was 4.04.The doctors wanna see me in six weeks. They thought the PSA should be lower. What was your PSA after a year.
@@cooperjdcox49 Good morning were you on active surveillance before treatment? What is your PSA now ? Did you have a Gleason 3+4 ? Thank you and Merry CHRISTMAS
Sensible advice...of course, the question of where ARE the "Quality Centers", is sometimes difficult to determine if you are not in a major city (and sometimes even if you are in a major city).
My husband, 60, has basic intermediate risk prostate cancer (Teal). Not mentioned in Dr Scholz's excellent list of options, is NanoKnife therapy (irreversible electroporation). It would be great to hear his thoughts on this to see whether that can be considered to be a valid option. In terms of side effects it is promising. Some studies put IRE effectiveness at comparable levels with surgery.
Hi, our prostate cancer helpline may be able to answer your questions and help you find helpful information. Please feel free to contact us here: pcri.org/helpline
Got a prostatectomy three weeks ago as Gleason score was 4+4. After histopathology ( 3+4) have been advised to go in for hormone therapy with Bicalutamide 50 mg. Is the line of treatment good and appropriate. I am in my 69th year at present.
Rakesh, Hello! Are they planning to add another hormone therapy in the near future? Bicalutamide is usually initiated a few weeks before starting hormone therapy with a drug like Lupron to prevent the testosterone flare associated with that medication. Also, do you mean that the biopsy pathology was 4+4 and the surgical pathology was 3+4, or the other way around? The best person to speak to from our organization would be one of our patient advocates on the free helpline. you are welcome to contact us here: pcri.org/helpline
Dr. Scholz: if I have both bladder cancer (non-muscle invasive) as well as intermediate grade prostate cancer, is it true that for the treatment of the prostate cancer I should not do radiotherapy, because radiotherapy will more likely cause recurrence of bladder cancer? Thanks.
I read an article in the internet back in 2008 that people who had hip xray have 2 or 5 times chance to develop prostate cancer, as my father been dignosed at age 68 and i am only 36 and had hip xray a month ago now i am suffering from anxiety adepression how accurate is this risk factor.
Dr Scholz, Could you please explain how and why some men are not suitable candidates for seed implants? How and why does calcification occur? Is it possible to still have seed implants where a prostate shows calcification?
My father 74 age recently been diagnosed Gleason 3+4=7 , 2 grade, psa 8,8,biopsy 4 of 12 positve all left and left centar 1 and 2 (6%-10%),3 and 4(11%-20%) Tretman recomnded
Hi, my psa 9.0 and 3+4=7 , 3 positive, 2 were 3+3 and 1 was 10% 4, I'm wondering what treatment your father chose and how was side effects and how is he now. Thank you
I have Gleason 7. I didn;t get to choose a treatment. I was told that CyberKnife was available and the only one for my age. I have done two of the five treatments so far. Very unpleasant. Can;t wait to finish. Gotta be done.
Too late for me but then my doctor really did not cover any options on how and if it could be slowed down. For sure did not cover the risk for bad side affects. Hormone treatments have given me a terrible life from side affects. I have no idea if it gave me more time at age 75.
🎯 Key points for quick navigation: 00:00:00 *📊 Dr. Scholz discusses treatment hierarchy for intermediate risk prostate cancer, focusing on Basic-Teal subtype treatment options.* 00:00:58 *🩺 Low-Teal candidates lean toward active surveillance, and High-Teal benefits more from combination therapies.* 00:01:25 *🔬 Basic-Teal patients face numerous options including surgery, various radiation therapies, and hormone blockades.* 00:02:18 *⚖️ Treatment comparison considers cure rates, convenience, discomfort, and long-term side-effect risks.* 00:02:45 *🏥 Radioactive seed implants offer the highest cure rates among treatment options.* 00:03:44 *⏱️ Seed implants and SBRT are convenient, with shorter treatment durations compared to IMRT and IMPT.* 00:04:38 *🌡️ Hormone blockade therapy (TIP) is noted for having minimal long-term side-effects.* 00:05:29 *💡 Radiation options have comparable long-term side-effects, whereas surgery presents higher risks of impotence and incontinence.* 00:06:28 *📈 Seed implants lead in convenience and cure rates; hormone blockade allows delay in final treatment decisions.* 00:07:18 *📝 Patients should list and eliminate unwanted treatment options to focus on preferable choices, aiming to avoid negative outcomes.* Made with HARPA AI
Innovative cancer Institute in Miami Florida a good place for radiation therapy for a 3+4=7 my psa has been 13.7 now is 8.2 has been dropping I found it high after covid 19
This is overly simplistic at best. There is no attempt to differentiate between intermediate risk based on Gleason score, capsular penetration and other factors that can and should strongly influence one’s decision on treatment. In addition, characterizing hormone blockade’s side effects as insignificant is misleading.
@@jimo50 Doctors obfuscate and minimizes the horrific quality of life destroying and life shortening side effects of ADT CASTRATION. Dementia and brain fog are always denied as well as the very long term partial or total CASTRATION because testosterone recovery takes years, if ever. After 18 months or more of Leuoprolide type ADT, 75 percent of all men WILL NOT RECOVER THEIR TESTOSTERONE LEVELS EVEN AFTER A MEDIAN TIME OF FIVE YEARS. ....Up to twenty percent of older men will never recover above CASTRATE LEVEL and suffer the rest of their miserable lives as ZOMBIE EUNUCHS. We are being coerced, deceived, intimidated and extorted into CASTRATION against our will like concentration camp inmates.
How fo you say men recover after hormone blockade or ADT, when a significant number of older men NEVER RECOVER their testosterone levels above castrate level??? ....Isnt this information necessary for full disclosure before men can give FREE AND FULLY INFORMED CONSENT??????
@@johnmchale8308 Once penile tissue atrophies, there is NO RECOVERY. However, even on ADT CASTRATION with its total destruction of libido, it is still possible to achieve partial or full erections if a concerted effort is made with the help of mental, visual, and physical stimulation, and with help from 5 mg daily of Cialis, or even Alprostadil or triMix injections. This is absolutely necessary because nocturnal erections are non existent, and penile tissue needs oxygenated blood into the penis to prevent permanent atrophy. It may seem like a frustrating waste of effort because orgasms are impossible, but, just like exercise to prevent or reduce muscle wasting, getting erections on ADT is essential. Use it or lose it.
Thank you Dr Mark, and may the Lord bless you and your family . You are a truly a good physician and also a great blessing to prostate cancer patients.
Great Video that spells out exactly what the title states. A rare example of a great teacher.
One of your best, thanks. I had HDR Brachytherapy and am very happy with the results.
Glad HDR worked out for you! My only fear w HDR is long term urinary urgency or burning. Did you have these side effects and did they clear up? Thank you.
@@artmaltman That did not happen in my case. Inflammation only lasted 10 days.
@@cooperjdcox49
Was HDR your only treatment? I had HDR. Just before I had the procedure, my PSA was 12.68. Because of COVID-19, I had to wait a year to check my PSA. My first and only PSA so far was 4.04.The doctors wanna see me in six weeks. They thought the PSA should be lower. What was your PSA after a year.
@@arthro9259 Yes. My PSA had been increasing by one point every year to an 8. My first PSA after will be in March. Treatment was in November.
@@cooperjdcox49 Good morning were you on active surveillance before treatment? What is your PSA now ? Did you have a Gleason 3+4 ? Thank you and Merry CHRISTMAS
Sensible advice...of course, the question of where ARE the "Quality Centers", is sometimes difficult to determine if you are not in a major city (and sometimes even if you are in a major city).
In the the go box t and to see ghosts during voting years v
In the the go box t and to see ghosts during voting o v
Gosh this is good information. So Easy to understand and helpful. Thank you.
Thank you for all of this wonderful information
My husband, 60, has basic intermediate risk prostate cancer (Teal). Not mentioned in Dr Scholz's excellent list of options, is NanoKnife therapy (irreversible electroporation). It would be great to hear his thoughts on this to see whether that can be considered to be a valid option. In terms of side effects it is promising. Some studies put IRE effectiveness at comparable levels with surgery.
Hi, our prostate cancer helpline may be able to answer your questions and help you find helpful information. Please feel free to contact us here: pcri.org/helpline
Proton Beam
Got a prostatectomy three weeks ago as Gleason score was 4+4. After histopathology ( 3+4) have been advised to go in for hormone therapy with Bicalutamide 50 mg. Is the line of treatment good and appropriate. I am in my 69th year at present.
Rakesh,
Hello! Are they planning to add another hormone therapy in the near future? Bicalutamide is usually initiated a few weeks before starting hormone therapy with a drug like Lupron to prevent the testosterone flare associated with that medication.
Also, do you mean that the biopsy pathology was 4+4 and the surgical pathology was 3+4, or the other way around?
The best person to speak to from our organization would be one of our patient advocates on the free helpline. you are welcome to contact us here: pcri.org/helpline
I wish focul therapy options were addressed and how they compare to radiation in terms of cure rates.
Dr. Scholz: if I have both bladder cancer (non-muscle invasive) as well as intermediate grade prostate cancer, is it true that for the treatment of the prostate cancer I should not do radiotherapy, because radiotherapy will more likely cause recurrence of bladder cancer? Thanks.
I read an article in the internet back in 2008 that people who had hip xray have 2 or 5 times chance to develop prostate cancer, as my father been dignosed at age 68 and i am only 36 and had hip xray a month ago now i am suffering from anxiety adepression how accurate is this risk factor.
Hello, our prostate cancer helpline may be able to help with your question. Please feel free to contact us here: pcri.org/helpline
Dr Scholz, Could you please explain how and why some men are not suitable candidates for seed implants? How and why does calcification occur? Is it possible to still have seed implants where a prostate shows calcification?
This was good at identifying treatments, but without some numbers, its really hard to distinguish between options.
My father 74 age recently been diagnosed Gleason 3+4=7 , 2 grade, psa 8,8,biopsy 4 of 12 positve all left and left centar 1 and 2 (6%-10%),3 and 4(11%-20%)
Tretman recomnded
Hi, my psa 9.0 and 3+4=7 , 3 positive, 2 were 3+3 and 1 was 10% 4, I'm wondering what treatment your father chose and how was side effects and how is he now. Thank you
@@masoudsaeedinia2191 External Beam Radiotherap EBRT he dont have side efect
I have Gleason 7. I didn;t get to choose a treatment. I was told that CyberKnife was available and the only one for my age. I have done two of the five treatments so far. Very unpleasant. Can;t wait to finish. Gotta be done.
What is unpleasant about the SBRT? (I am high Teal so if I don’t do surgery it will be hormone plus SBRT plus HDR. thank you.
User Name, any sides?
Does your age matter when it comes to seed implants when you have basic teal ?
Too late for me but then my doctor really did not cover any options on how and if it could be slowed down. For sure did not cover the risk for bad side affects. Hormone treatments have given me a terrible life from side affects. I have no idea if it gave me more time at age 75.
my god i have been looking for this !!
Which doctors and treatment centers in California does Dr Scholz recommend for a man with prostate cancer?
Hello MBS, our prostate cancer helpline can help you find a information for your area. Please feel free to contact us here: pcri.org/helpline
🎯 Key points for quick navigation:
00:00:00 *📊 Dr. Scholz discusses treatment hierarchy for intermediate risk prostate cancer, focusing on Basic-Teal subtype treatment options.*
00:00:58 *🩺 Low-Teal candidates lean toward active surveillance, and High-Teal benefits more from combination therapies.*
00:01:25 *🔬 Basic-Teal patients face numerous options including surgery, various radiation therapies, and hormone blockades.*
00:02:18 *⚖️ Treatment comparison considers cure rates, convenience, discomfort, and long-term side-effect risks.*
00:02:45 *🏥 Radioactive seed implants offer the highest cure rates among treatment options.*
00:03:44 *⏱️ Seed implants and SBRT are convenient, with shorter treatment durations compared to IMRT and IMPT.*
00:04:38 *🌡️ Hormone blockade therapy (TIP) is noted for having minimal long-term side-effects.*
00:05:29 *💡 Radiation options have comparable long-term side-effects, whereas surgery presents higher risks of impotence and incontinence.*
00:06:28 *📈 Seed implants lead in convenience and cure rates; hormone blockade allows delay in final treatment decisions.*
00:07:18 *📝 Patients should list and eliminate unwanted treatment options to focus on preferable choices, aiming to avoid negative outcomes.*
Made with HARPA AI
Innovative cancer Institute in Miami Florida a good place for radiation therapy for a 3+4=7 my psa has been 13.7 now is 8.2 has been dropping I found it high after covid 19
This is overly simplistic at best. There is no attempt to differentiate between intermediate risk based on Gleason score, capsular penetration and other factors that can and should strongly influence one’s decision on treatment. In addition, characterizing hormone blockade’s side effects as insignificant is misleading.
@@jimo50
Doctors obfuscate and minimizes the horrific quality of life destroying and life shortening side effects of ADT CASTRATION.
Dementia and brain fog are always denied as well as the very long term partial or total CASTRATION because testosterone recovery takes years, if ever.
After 18 months or more of Leuoprolide type ADT, 75 percent of all men WILL NOT RECOVER THEIR TESTOSTERONE LEVELS EVEN AFTER A MEDIAN TIME OF FIVE YEARS.
....Up to twenty percent of older men will never recover above CASTRATE LEVEL and suffer the rest of their miserable lives as ZOMBIE EUNUCHS.
We are being coerced, deceived, intimidated and extorted into CASTRATION against our will like concentration camp inmates.
I am “not buying” the hormone therapy being a simple on off regarding negative side effects and duration.
Hormone therapy is brutal. Hot flashes, extreme fatigue, mood swings.
How fo you say men recover after hormone blockade or ADT, when a significant number of older men NEVER RECOVER their testosterone levels above castrate level???
....Isnt this information necessary for full disclosure before men can give FREE AND FULLY INFORMED CONSENT??????
That thinking has changed, lack of T to castration levels atrophies the penis muscles and more than 6 will takes many months to wash out.
@@johnmchale8308
Once penile tissue atrophies, there is NO RECOVERY.
However, even on ADT CASTRATION with its total destruction of libido, it is still possible to achieve partial or full erections if a concerted effort is made with the help of mental, visual, and physical stimulation, and with help from 5 mg daily of Cialis, or even Alprostadil or triMix injections.
This is absolutely necessary because nocturnal erections are non existent, and penile tissue needs oxygenated blood into the penis to prevent permanent atrophy.
It may seem like a frustrating waste of effort because orgasms are impossible, but, just like exercise to prevent or reduce muscle wasting, getting erections on ADT is essential.
Use it or lose it.