Hormone Therapy & Radiation for Prostate Cancer | We Answer Your Youtube Questions #6 | The PCRI
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- Опубликовано: 10 июл 2024
- Mark Scholz, MD, a medical oncologist specializing in prostate cancer, answers RUclipsr's questions about hormone therapy and radiation (especially brachytherapy).
0:11 Is hormone therapy monotherapy an option for intermediate-risk prostate cancer? Would the treatment go on indefinitely, or would you end it when the PSA is undetectable?
2:41 Can hormone therapy in a man cause hair loss in his sexual partner?
3:37 What is the difference between Eligard and Lupron?
3:54 Does androgen deprivation therapy (also known as hormone therapy) cause diabetes?
4:49 Have advancements in radiation therapy resulted in lower rates of long-term erectile dysfunction?
6:12 Can you explain why some men are not suitable candidates for radioactive seed implants?
7:24 How and why does calcification occur?
8:14 Can you have a radioactive seed implant if there is calcification in the prostate?
8:21 How do you find a doctor who has done a lot of seed implants and is good at it?
Don’t know your stage? Take the quiz: Visit www.prostatecancerstaging.org
To learn more about prostate cancer visit www.pcri.org
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.
#ProstateCancer #Prostate #MarkScholzMD
64 PSA of 10.04 Gleason score 4+3 in 3 samples, 3+4 in the rest. Working on 28 sessions of radiation with a side of Lupron, hot flashes yes, fatigue not really, bowel issues absolutely but manageable. Hopefully after all said and done, I’ll be clear for a while if not ever. I’ll just be glad when I’m done
I am 58 years old.
I have just been diagnosed with prostate cancer. The cancer is aggressive and has metastasized on the pelvic bone.
The prostate is 42 cc.
Treatments that have been discussed so far as I am awaiting for pathology and bone scan results:
Hormonal therapy
Chemotherapy
Radiation
Note: ablation was not brought up.
I am determined to fight
I had 40 radiation treatments from June to August. Everything is working fine for me😀
With or without hormone therapy ?
How old are you ?
The best prostate cancer advice on RUclips! Thank you🤗
Your videos about prostate cancer are and outstanding resource for those of us confronting this disease. Thank you.
Thank you for these straight, and very well-informed, answers to important and difficult questions.
Thank you so much for the information may God bless you
Excellent work, glad you are providing this information. thanks.
Thank you for this important prostate topic - excellent presentation.
Thank you for this beneficial information on prostate cancer.
Great info! Clear,concise and very informative. Thank you very much. You make age progression much easier.
Thank God for your help.
Thank you again for all your information
Thank you doctor. We watch all your videos. It helps so much. Hello to Hunter
Thank you for this.
Thank you.
Thank you again. I spoke with Jonathan some time back about duration of ADT for Gleason 9 very high risk prostate cancer. I have been on it for a year now and plan on 18 months. I completed radiation therapy last April. My radiation oncologist agrees with the 18 months but I saw one oncologist who disagreed and said 28 to 36 months minimum. My radiation oncologist showed me a recent study that supported the 18 months. I was wondering what you thought about this. Thank you. Michael DuBois
It is very good information
I would like to know about proton therapy for PC,how good,where is the best center?,thanks,dr ted
hi i had gleason 3 plus 4 mri went from pirads 2 to pirads 4 with possible extracapsular extention i was going for radiation external 5 doses will i now need hormone therapy because of the possibly extention please let me know thank you very much
55 year old with intermediate unfavorable prostate cancer wondering if forgoing adt with radiation therapy has been researched and what are the results? Would like to avoid the use of ADT.
I hope you get an answer.. I am in the same situation except borderline between favorable/unfavorable intermediate and older (68).. ADT is reported to be more effective if you do it in conjunction with radiation but my question is why not do it AFTER if PSA levels indicate a potential problem and testing confirms radiation didn’t get it all??
What are the common short term effects of HDR Brachytherapy and for how long?
What PSA level do you think it would be safe to take an Abriaterone holiday. If the Abriaterone is resumed is it as effective as the first time around or is it less effective.
Thank you for this site. It's been very informative.
If I’m taking hormone medication and my psa has drop from 36 to 5.37 and dropping should I still consider proton therapy?
HI There, thank you so much for hese incredibly clear and helpful videos. I have advanced prostate cancer, recently diamosed
Gleeson 8. Have bone metastasis in my lumbar spine and Pelvis, just two spots. And they say small tumours. I live in Mallorca Spain. My type of cancer is called adenocarcinoma. The oncologist has started me on Caodex tablets one a day and injections of Decapeptyl I think this is Lupron.......they are sugggesting I stay on this for the rest of my life. They are not suggesting radiating the cancer in my prostate.....is his normal practice and a safe route forward for me please?
What can you do about heat rash from the hot flashy😢
Is hormone therapy started after robotic surgery for removal of portion of prostrate gland for making the urethra free from obstruction?
Good video/Q&A session, would cialis or viagra be a helpful solution after radiation treatments to help with any potential permanent ED issues?
Are there any studies done for men with GI conditions such as IBD who undergo prostate radiation? In other words, can radiation affect the small intestine or the rectum that is already inflamed?
I want to find out if my husband diagnosed with Gleason 8 but encapsulated, could get Stereotactic radiation? The commitment to 40 sessions, every week day for IRMT or Proton seems so excessive!
Here is a video we have on SBRT for Gleason 8 and higher: ruclips.net/video/Mvd4qYsNRIU/видео.html
What side effects does Xtandi have? Does it cause bleeeding?
Thanks for explanation what to expect from radiation. My question is: my radiologist , she said after SBTR I should take a 6 months hormone therapy. Is than normal ?
I was told I need to start Hormone therapy for six months along with radiation. I’m ready to fight for life.
@Vincent50 doing the same started hormone treatment 3 weeks ago just getting set up for radiation had my first appointment last week I go back to my simulation appointment in February then start radiation treatment a week or two after that.. my oncologist wants me to wait a little longer to heal up I had my prostate removed August 3rd this year. PSA was supposed to go to undetectable but it only went down to 0.3 so I have to do Salvage radiation. good luck to you and your treatment
What is the relationship between EBRT and nocturia?
I have 4+3=7 and a little 8 and 9. 20% of appox 70cc prostate. Lupron and radiation. Any chance of survival?
When I started radiation treatment my Gleason score was 3+4 and my PSA was at 7.5. My radiation treatment lasted 6 weeks. During that time, I was also taking Luperon. A month later my PSA was at .23. However, I am being told that I have to continue taking Luperon for another 2 years. Is that common?
Hello, please reach out to our Helpline team so they can help you research questions regarding your specific case: pcri.org/helpline
Remember, you don't have to do anything that they tell you.
You are not an inmate in their concentration camp to be experimented on.
They can recommend but do not let them coerce you into any particular treatment
Ask about shorter term ADT, a milder form such as Bicaludamide monotherapy which is now generic, cheap and in pill form
....get clear answers on how much the additional ADT will increase your chances of cure or additional overall survival AND
carefully balanced that against the horrific side effects and risks such as increased risk of cardiovascular disease and real risk of testosterone recovery failure leading to permanent CASTRATION
FREE AND FULLY INFORMED CONSENT
How are you doing ? If I may ask? i have a score like yours and I am eager to find out some info from someone who knows please ricardo.
Can hormone therapy be safely delayed or avoided completely after SBRT therapy?
I have just completed my 5th SBRT Radiotherapy session for prostate cancer and I was told that everything went very well.
My doctor has recommended that I start hormone therapy as a precautionary method to avoid possible cancer recurrence.
My Gleason score is 4 + 3 Grade 3.
My last scan before the SBRT therapy showed no spread of cancer to lymph nodes and other scans have shown that I do not have cancer in any of my bones.
I am 72 years old in good physical condition who exercises regularly and eats a healthy mediterranean diet.
Do you have to have the shot before radiation
What are risk in 7 GL prostrate cancer if we take harmone therapy for 6 month
It depends on a number of factors, but Gleason 7 prostate cancers ususally have very high survival rates. If you want to discuss your case with a patient advocate, feel free to contact us at pcri.org/helpline.
Mine was a 7
I am a stage 4 prostate cancer bone metastases since since March 2018, after 9 cycles of chemotherapy, now I am on harmone therapy since August 2020. What is my future Dr.
It is probably hard to say for sure, but our patient advocate may be able to provide you with some useful information. You can contact us here: pcri.org/helpline
How r u now???
It sounds like I am at the beginning of this process. One question though. Over the last few years my amount of ejaculate has steadily decrease until there is now none. I read somewhere that the tube that goes through the prostrate can be blocked by the swelling prostrate. I am told that this is caused by my age (71) and the drugs I am on. Is it possible the upcoming hormonal treatment, heaven forbid radiation, will have any effect on this? Thanks
D'Arcy, feel free to contact our helpline with any questions. You can find our contact information here.
Here are some videos on the subject:
Overview of Prostate Cancer Treatment Side Effects:
ruclips.net/video/p3AytAC63A0/видео.html
Side Effects of Radiation for Prostate Cancer:
ruclips.net/video/blQCmC2_ioM/видео.html
Reducing Side Effets of Hormone Therapy for Prostate Cancer:
ruclips.net/video/efza9vq-cg8/видео.html
My partner is 90 and the doctors would not consider radiation therapy as they said at his age it would be too harsh. They put in on hormone therapy but he as very low energy now and can hardly walk
Hello, here is video where Dr. Scholz talks about mitigating the side effects of hormone therapy. Maybe this can help: ruclips.net/video/E_zZ-lG6eeY/видео.html
Why can't anyone provide an answer to the vital question..
HOW MUCH BENEFIT IS GAINED BY ADDING ADT TO RADIATION THERAPY???
This info is essential in determining if the terrible toxic effects of ADT are worth the added increase in life expectancy.
Patients need to know to compare Quality of Life to quantity of life😮
Yes it is beneficial so there's your answer
The question is...
How much benefit so men can weigh that benefit against the horrific quality of life destroying and life threatening side effects...
Studies prove that ADT CASTRATION of 18 months or more actually reduces overall survival by two years.
But your doctor will never tell you this critical fact.
@@robwells230new landmark study on this basically adds no benefit with intermediate 4-7 grade 3 with radiation. They just did a video on this
@@simmomantua8910
ADT BENIFICIAL?????
Not necessarily what world class expert Dr. Nelson Stone says.
Watch the video by Grand Rounds Urology
LONG TERN MORBIDITY MORTALITY OF ADT AND RADIATION THERAPY
Sorry, in last comment i was misplace SBRT with SBTR
You never talk about just removing the cancer.
You are perhaps a bit misleading when you say...with hormone therapy, ED is temporary....
I suggest that in order to get informed consent, patients MUST be given honest information about ALL the side effects and risks, INCLUDING the fact that uo to 20,% of older men who receive ADT will never recover their testosterone levels above castrate level and remain castrated for the rest of their lives.
Why do you do the politicly correct use of the plural pronoun they, when you are refering to the singular pronoun HIM? It is annoying and much too common.
What an ass post