Surgery or Radiation or Active Surveillance - Which Should a Prostate Cancer Patient Choose?

Please click on this link to create a free Prostate Cancer video channel subscription.
th-cam.com/users/malecare?su...
Kirsten L. Greene, MD, MAS, FACS is a urologist, Professor and Chair of the Department of Urology at the University of Virginia School of Medicine. She received her M.D. degree from Johns Hopkins University in 2000. Dr. Green guides the newly diagnosed prostate cancer patient through their most important treatment choices in this easy to understand video.
Our interviewer is oncology social worker and Malecare's Director, Darryl Mitteldorf, LCSW.
Please click SUBSCRIBE for more information and post your questions and comments below.
More information about Prostate Cancer: malecare.org

[@steveg2509]

What a remarkable woman!

[@johnklingensmith493]

Best I’ve seen and thank you so much. Really calmed me down and considering continued surveillance for life. Pirads 5 and 1.5 cm tumor

[@davidsauls7440]

Great information, enjoyed the relaxed back and forth interaction. Will continue monitor Malecare.

[@robertmonroe3678]

We’ll done, but when she mentions avoiding the serious side effects of surgery and radiation I don’t think she is thinking of secondary cancers caused by radiation nor some other possible side effects of removing the prostate or radiating it. That would add further weight to her insightful analysis of active surveillance for very low and low risk cancer starting at 4:00.

[@jnickulas]

Excellent presentation with a lot of helpful information. Thank you to both!

[@Malecare]

Thanks for taking time to comment. I hope you find our other presentations helpful, too.

[@larrysteimle2004]

Well done. Thank you. I had a radical prostatectomy 17 years ago and just recently was diagnosed with a return of prostate cancer with PSA 15 and a 6 cm tumor in my hip bone. I've had 5 radiation treatments and am on Zytiga with some positive results so far. (PSA 0.5) Will have CT scan in a couple of months. No pain meds necessary. I'm 86 years old.

[@robgerety]

Thanks for this. Sub'd. Is it correct that biopsy does not serve to identify actual existing metastatic disease and only estimates risk of existing or future metastatic disease based on type of cancer cells identified inside the prostate? If so, shouldn't anyone with any amount of grade 4 cells on pathology following biopsy have a psma pet scan to rule out metastatic disease before making treatment decisions? Why rely on a pathology report of cells inside the prostate when we now have a scan that pretty much definitively identifies all prostate cancer cells anywhere in the body?

[@kirubealbekele4955]

what exactly is a high risk vs low risk cancer?
Are all prostate cancers that are restricted to the prostate gland low risk despite the gleason score and PSA value?

[@queensnonprofit]

Great video!

[@janetw9430]

If there is a single lesion or even 2, would nanoknife IRE be a good choice?

[@MM-sf3rl]

What about bio-markers. If you have a very low Decipher score does that qualify you for AS? Would one have a low Gleason score if they had cribriform vs a less aggressive type of PCa. Could cribriform be 3+3?

[@janetw9430]

Some men live with low grade cancer and die of something else. Why treat the prostate cancer and end up with regretful side effects for the rest of your lives?

[@queensnonprofit]

HIFU CHOOSE HIFU