because of Dr Scholtz, when my husband was diagnosed this channel helped guide him to insist on a MRI and a guided guided biopsy, and the pet scan, he went to two urologist that did. It want to consider the guided Biopsy and MRI, my husband finally found the best hospital that has a wing for urology/oncology and he had all of the above testing, he is 76 and was diagnosed stage 4 but with the great oncologist and the right hormones and radiation he is doing FANTASTIC…. Better then we could have hoped for considering the stage of cancer he was told he had… Thank you to this channel, you are helping so many men deal with prostate cancer
Thanks so much for these videos it helped me make my decisions. I realize how important it is to do your own research as my doctors did not inform me of options that were available. Possibly due to financial incentives. These videos are informative ,logical, and on point from everything I have researched.
Sadly, financial considerations more often then we wish seems to be very prominent in how our treatment is done. We must teach ourselves as much as we are capable just as some kind of protection?
My psa was 2.9 Gleason 9 , I had prostate surgery, I had a recurrence in two years pas .2 had radiation psa went to.001 , a year later my psa started to rise went to 6.9 , I’m now on hormone therapy psa . 04
Thanks for guidance. Radical prostatectomy and radiation treatment taken. Yet PSA monthly readings are 0.43, 0.34, 0.19, 0.24. Please do suggest further actions 🙏🙏
Here we go with sleepless nights. I did radiation for 20 sessions, I was diagnosed with unfavorable intermediate prostate cancer , PSA as high as 14.1. After treatment it dropped to .01, 3 months later .49, 2 months later .51,,,3 months later 3.1 (YES),, 2 months later 4.24. My head is spinning 😮. Just had a pelvic CT scan, waiting on the results but what I'm seeing on this video and others this scan is useless. Also Im schedule for a skeleton scan two weeks from the pelvic scan, again another useless procedure. Im preparing for the worst. Metastasis in the lymphs and bones. New Year is bringing many challenges
@RH-xd3nx yes, just came today via email, my oncologist was supposed to call me today but he had a family emergency so they rescheduled for tomorrow phone call. I can open it up but I think I will wait until tomorrow morning
I was diagnosed with Prostate cancer at 54 years of age in 2019. PSA of 10 (fast rising) Gleason 7 (4+3) Grade 3. I had external beam radiation for 9 weeks. I chose not to do hormone therapy. My PSA reached its nadir of 0.7 2 years in. Now, I am 5 years since treatment and the last 3 PSA tests have been rising. Up to 1.38 now. Anybody had this experience? Was it a reoccurrence or just the PSA "Bounce"? I am scheduled with my former oncologist in a week but wondering what others have experienced.
Had prostate removed four years ago I'm 66 years PSA went from 0.06 to 0.24 in that time. Had pet scan done recently says there is one small spot in the bed where the prostate was. Should I jump into radiation therapy and hormone therapy right away or should I watch my PSA level and if PSA level goes up again then reconsider radiation and hormone therapy. Another question do I have to do radiation and hormone therapy or can I do one or the other
No Mention of Cryogenic treatment (Radiation) after 8 years PSA Recurrence? That is where my Urologist said the next step will be after Pet Scan and then a definitive Biopsy. Why no Cryo discussion?
I am 15 months after the hormone shot 6 month Luprin and my testosterone is still only 42 the doctors will not give any answers of why. My live sucks any help you can offer
I will add this to our list of questions for future videos! There may be a generic number from studies, but a lot of it may depend on the individual characteristics of your cancer. If you would like to discuss your situation with one of our patient advocates, you can find the contact information for our free helpline here: www.pcri.org/helpline
Thanks for the advice. I check my PSA every three months. Is their any food or herbs that can reduce the PSA. Can I try Licorice, Beetle nut, soya to control testastrone, Dihydro testastrone and as receptor blockers?
I had a biopsy with a Gleason of 3+4. We decided to have a radical prostatectomy. Post operation it was determined to be Gleason 3+3, margins were clear, no seminal vesicle invasion, and lymph nodes were clear. There was EPE. My PSA was clear for 1.5 years but now has been slowly growing every 3 months(0.021, 0.028,0.036, 0.047) Decipher test shows low risk (0.24). On one hand Gleason 6, clear margins, and low Decipher risk. On the other hand my PSA is increasing. How worried should I be about this and what could be causing the rising PSA?
Don't stress. Your PSA is rising super slow and your Decipher risk is low. This bodes well for you. However, this is likely to be real given you are having a consistent rise. Talk to your doctor. You could go for salvage RT now or wait until the PSA gets above 0.1. It does help to give yourself 2 years to heal from the surgery though. I was in a similar situation and just had salvage RT once my PSA crossed 0.1
@@elitetrader5468 Thanks for the reply. My PSA was .087 when taken a month ago. Waiting for it to reach. 1 before additional treatment. How did your treatment go? Any complications from RT? Cancer free for how long since RT? Thanks.
@@grapes3435 Treatment was a bitch (you have to have a very full bladder on the table and it can be excruciatingly painful). I have GI issues now and I feel like my libido/errections are worse. I finished March 24th. Haven't had a first PSA check yet so unclear as to where I stand as of now. First PSA check in July.
@@grapes3435 You might as well start planning for treatment now. It takes a couple weeks of planning/tests prior to starting at which point your PSA will be above 0.1. The earlier the better. Unfortunately, this is real given your consistent upward rise. Wishing you the best. This disease is horrible.
If you're breathing there's always hope. I'm 3 years in, and it has been a roller-coaster ride. Hang in there and keep asking questions, keep researching, be your own advocate.
As a physician and prostate cancer patient I can’t tell you how valuable your videos are. Keep up the good work and thank you!
because of Dr Scholtz, when my husband was diagnosed this channel helped guide him to insist on a MRI and a guided guided biopsy, and the pet scan, he went to two urologist that did. It want to consider the guided Biopsy and MRI, my husband finally found the best hospital that has a wing for urology/oncology and he had all of the above testing, he is 76 and was diagnosed stage 4 but with the great oncologist and the right hormones and radiation he is doing FANTASTIC…. Better then we could have hoped for considering the stage of cancer he was told he had…
Thank you to this channel, you are helping so many men deal with prostate cancer
I had psma guided surgery 3 years ago, cancer was determined and cut out and I am cancer free with low psa around 0,5 to 0,8. 🙏
Grateful for Dr. Scholz and for you and your good organization in pulling together the inquiries. Sooo well done and very valuable information.
Thank you so much! Your videos have helped ne understand prostate cancer and have made my office visits to my doctor so much more productive.
Thanks so much for these videos it helped me make my decisions. I realize how important it is to do your own research as my doctors did not inform me of options that were available. Possibly due to financial incentives. These videos are informative
,logical, and on point from everything I have researched.
Sadly, financial considerations more often then we wish seems to be very prominent in how our treatment is done. We must teach ourselves as much as we are capable just as some kind of protection?
Thank you for this.
Ed here, going thru this now. been thru surgery, 33 radiation treatments/ lupron. psa is slowly rising. never any systoms. surgery was hell.
Excellent questions. Very well done. I hope your puppy, Hunter, is doing well.
You guys are so helpful we your comments and knowledge, thank you so much,
Kind regards Glenn.
Thanks for the information about the PSA bump.
Dr Scholtz..You are great !
Thank you so much, this takes a load off my mind.
Another great informative video!
My psa was 2.9 Gleason 9 , I had prostate surgery, I had a recurrence in two years pas .2 had radiation psa went to.001 , a year later my psa started to rise went to 6.9 , I’m now on hormone therapy psa . 04
Dang, that makes me sad.
Are you alive
Thank you. 💜
So well done, thx a lot!
How long does a PSA bump cycle last for ?
Thanks for guidance. Radical prostatectomy and radiation treatment taken. Yet PSA monthly readings are 0.43, 0.34, 0.19, 0.24. Please do suggest further actions 🙏🙏
Here we go with sleepless nights. I did radiation for 20 sessions, I was diagnosed with unfavorable intermediate prostate cancer , PSA as high as 14.1. After treatment it dropped to .01, 3 months later .49, 2 months later .51,,,3 months later 3.1 (YES),, 2 months later 4.24. My head is spinning 😮. Just had a pelvic CT scan, waiting on the results but what I'm seeing on this video and others this scan is useless. Also Im schedule for a skeleton scan two weeks from the pelvic scan, again another useless procedure. Im preparing for the worst. Metastasis in the lymphs and bones. New Year is bringing many challenges
Hi my friend, Did you get a psma pet?
@RH-xd3nx yes, just came today via email, my oncologist was supposed to call me today but he had a family emergency so they rescheduled for tomorrow phone call. I can open it up but I think I will wait until tomorrow morning
@RH-xd3nx the CT pelvic scan, didn't show anything. Things were the same from last year scan.
@BigZWD Hope alls well my friend. I'm pretty sure you are fine.
@@RH-xd3nx I'm trying to be optimistic. I will send you an update tomorrow once I speak with my oncologist 👍
I was diagnosed with Prostate cancer at 54 years of age in 2019. PSA of 10 (fast rising) Gleason 7 (4+3) Grade 3. I had external beam radiation for 9 weeks. I chose not to do hormone therapy. My PSA reached its nadir of 0.7 2 years in. Now, I am 5 years since treatment and the last 3 PSA tests have been rising. Up to 1.38 now. Anybody had this experience? Was it a reoccurrence or just the PSA "Bounce"? I am scheduled with my former oncologist in a week but wondering what others have experienced.
Thank you so much.
If you have a ride in PSA after ADT is stopped when do you rely on doubling time vs looking at a PET scan?
Both PSMA PET scan and doubling time are important.
Thank you. These are helpful.
Thank you, very helpfull info.
Had prostate removed four years ago I'm 66 years PSA went from 0.06 to 0.24 in that time. Had pet scan done recently says there is one small spot in the bed where the prostate was. Should I jump into radiation therapy and hormone therapy right away or should I watch my PSA level and if PSA level goes up again then reconsider radiation and hormone therapy. Another question do I have to do radiation and hormone therapy or can I do one or the other
I am in the same boat and waiting for the answer like you ive got an appointment in April at my hospital
@bluenose007 my hubby too
I had a prostatectomy mid year. My previous PSA level had always been low. Is future 3 monthly PSA monitoring any use for men like me?
No Mention of Cryogenic treatment (Radiation) after 8 years PSA Recurrence? That is where my Urologist said the next step will be after Pet Scan and then a definitive Biopsy. Why no Cryo discussion?
I am 15 months after the hormone shot 6 month Luprin and my testosterone is still only 42 the doctors will not give any answers of why. My live sucks any help you can offer
That lupron is rough and sometimes ur testatrone doesnt come back
What is the success rate for radiation used for recurrent prostate cancer. 20% 50% ???
I will add this to our list of questions for future videos! There may be a generic number from studies, but a lot of it may depend on the individual characteristics of your cancer. If you would like to discuss your situation with one of our patient advocates, you can find the contact information for our free helpline here: www.pcri.org/helpline
how long is hormonal treatment good for?
It is patient specific.
Thanks for the advice. I check my PSA every three months. Is their any food or herbs that can reduce the PSA. Can I try Licorice, Beetle nut, soya to control testastrone, Dihydro testastrone and as receptor blockers?
What about after surgery and the psa never goes down to zero but is still fairly high? Is this still considered a recurrence ?
If the PSA was never undetectable then that's not a recurrence that's a persistently elevated PSA so salvage RT would be recommended.
I had a biopsy with a Gleason of 3+4. We decided to have a radical prostatectomy. Post operation it was determined to be Gleason 3+3, margins were clear, no seminal vesicle invasion, and lymph nodes were clear. There was EPE. My PSA was clear for 1.5 years but now has been slowly growing every 3 months(0.021, 0.028,0.036, 0.047) Decipher test shows low risk (0.24). On one hand Gleason 6, clear margins, and low Decipher risk. On the other hand my PSA is increasing. How worried should I be about this and what could be causing the rising PSA?
Perhaps your biopsy was accurate in terms of 3+4 and your post-prostatectomy pathology read of 3+3 was inaccurate.
Rather than vice-versa.
Don't stress. Your PSA is rising super slow and your Decipher risk is low. This bodes well for you. However, this is likely to be real given you are having a consistent rise. Talk to your doctor. You could go for salvage RT now or wait until the PSA gets above 0.1. It does help to give yourself 2 years to heal from the surgery though. I was in a similar situation and just had salvage RT once my PSA crossed 0.1
@@elitetrader5468
Thanks for the reply. My PSA was .087 when taken a month ago. Waiting for it to reach. 1 before additional treatment. How did your treatment go? Any complications from RT? Cancer free for how long since RT? Thanks.
@@grapes3435 Treatment was a bitch (you have to have a very full bladder on the table and it can be excruciatingly painful). I have GI issues now and I feel like my libido/errections are worse. I finished March 24th. Haven't had a first PSA check yet so unclear as to where I stand as of now. First PSA check in July.
@@grapes3435 You might as well start planning for treatment now. It takes a couple weeks of planning/tests prior to starting at which point your PSA will be above 0.1. The earlier the better. Unfortunately, this is real given your consistent upward rise. Wishing you the best. This disease is horrible.
What is elderly?
The medical community defines elderly as 65 or older.
@@elitetrader5468 Thanks
What if PSA is over 4,000 ..reduces to mid teens ..then bumps up to near 800?
Sounds like my husband
PSA. 20++. any hope
If you're breathing there's always hope. I'm 3 years in, and it has been a roller-coaster ride. Hang in there and keep asking questions, keep researching, be your own advocate.
THANK YOU ALEX, YOU ARE THE BEST