There is a huge difference between the recommendations for prostate treatments between a city of 200,00 to 500,000 in Texas and a medical center close to a place like UCLA. Men who learn of PCRI are blessed. And I am one of them. Many of my colleagues simply have the entire prostate removed asap. They know of no real options other than chemotherapy or old styled radiation. They have one meeting with a urologist (surgeon) and a decision is made. And the surgery is scheduled by the urologist.
Currently on #21 of 28 daily IMRT treatments. 69 yo, diagnosed BPH and Gleason 8 w/ Mets on left hip illium bone on 3/22. Treatment was Casodex one week before Lupron injection, Casodex discontinued after 6 weeks. Radiation effects have manifested with episodes of urinary urgency, slight to moderate burning sensation during urination, and fatigue. Effects of BPH still a periodic issue. Second Lupron injection scheduled for in July. Lupron recommended for 18-25 months administered every three months. Last PSA result on 11/21 was 7.12. All this began with a complaint of waking 3-4 times nightly w/ need to urinate in 11/21. Referral to urologist and here I am. Plan is to wait at least two months after IMRT before checking PSA levels and going to UCSF for a PSMA PET scan to check for any remaining Mets. This is definitely not a cake walk. I thank this channel for educating and helping me understand to available treatment processes. 👍🏽
I have 7 radiation treatments left out of the 43 in my treatment plan on Lupron also . It’s definitely not a cake walk , radiation treatments make you have sharp pains and feeling like your urinating glass . We’re all in the same boat ,just pray that this cures it so that this hell was worth it .🤞
I just completed 8 weeks of IMRT, my last PSA was 0.04, I’m on Lupron and fortunate enough to also be getting Xtandi, so I’m presuming I’m probably “cured”, yet I continue to watch this channel because of its clarity and positivity - it reinforces virtually all the medical choices and decisions that were made in my case, which is very reassuring. Anyway, my point is, I still watch your channel even though I no longer “need to”. Or maybe its to see the Dalmatian.
@@Rihaanshots Gleason scores were unexpectedly 8 and 9, mostly in one lobe, maybe 7 in the other. PSMA PET showed some unclear uptake in one of the local (pelvic) nodes, but nowhere else. Bone scan fortunately showed no bone involvement. PSA one month after completion of IMRT was still
Hello and thank you for producing such high quality content in an easy to understand format. I am always cheered by the positivity in this channel . You are both very good.
I opted not to do hormone therapy, being 66 years old the side effects of ADT were something I didn't want to experience. I am doing a combination of IMRT and Brachky Therapy praying for a positive result.
I had 28 radiation treatments, originally they were going to do 40 but change their minds also has hormone treatments with it. That was 2 years ago and I'm doing good PSA below 1.
Had Hormone therapy and subsequent radiation therapy 3 months later ending 10/7/2019 after 28 days of radiation. Three months later, PSA was .01. Three years later (almost), it is now .03. I am assuming this has been a very successful treatment. I will 76 in November. My Urologist seems quite happy for me. I see him every six months with PSA test done each time. Sex life has been affected, but viewing the alternative, it hasn’t been a problem.
I had my 15th of 45 Radiation treatment today for Prostate Cancer. I'm in N.E. Florida and could not be Happier with my decision to be treated at the Ackerman Cancer Center. Offices in Jacksonville & Fernandina Beach!
The title mentioned treatment of relapsed cancer, but this is not discussed in the video. Are you planning another video to address cases of relapses after radiation? Thanks!
@@imxploring Our apologies! We accidentally switched our thumbnails/titles: Here is the video you are looking for: th-cam.com/video/nv9yY5Vkz2c/w-d-xo.html
My Gleason 8 was in the lymph nodes 44 radiation treatments. Chemo and other stuff now in remission hoping to stay that way. Over 2 years being treated till remission it’s a long haul and still on other drugs don’t give up.
I was scheduled for 42 treatments. First 25 were for the lymph nodes surrounding the whole Prostate. Then a boost of 5% and the field was more targeted for the next 5 treatments. Then another boost of 5% for concentration on the Prostate. This while on Hormone ( Lupron ) Dr. said next 2 yrs.
Pretty similar situation here with my treatment but was started on hormone therapy before and during radiation. They also treated the lymph nodes although from their testing the cancer was only in prostate. Almost 3 months of taking Casodex and also a Lupron shot to start before treatment. Continued with both during radiation treatment. Just finished 9 weeks of radiation and taking the Casodex a month ago. Now I just have a Lupron shot every 3 months for the next year at least. Haven’t had any bloodwork done yet as a follow up but hoping for good news when that happens in a few months. Still feeling effects of treatment, fatigue, hot flashes and frequent trips to urinate. Hope those subside going forward. Best of luck to you.
I had a Gleason 9 tumor and opted for Lupron and proton radiation. It’s been five years and my PSA is at .09. My Urologist said he has never seen a Gleason score that high survive that long. Guess I should feel lucky.
I would like you to elaborate further on tissue changes that occur following radiation. For example, clearly the prostatic urethra is still there…but surely all the epithelial tissue that made that structure is dead. So what is it now? Scar tissue? If I looked at this under a microscope, what would I see?
Always a big push for radiation treatment. Interested to hear the options on a reoccurring cancer after radiation. Also need to discuss further complications from radiation. The last line in the video was of great interest... "You get one chance to get this right... the radiation is a permanent choice." That statement needs to be explained a bit further for folks when considering the initial treatment options when possible reoccurance is put into the equation.
I think he meant that the effects of radiation are permanent, so you want a team that knows what they're doing and has lots of experience. My husband was diagnosed a year ago with advanced prostate cancer (inoperable) involving abdominal lymph/pelvic nodes, Gleason 9, PSA 24. His doctor at Mayo immediately started him on ADT therapy and Abiraterone, as well as 26 rounds of radiation. He's been in remission since then and his PSA continues to be negligible. The radiation was a psychological boost for my husband, as he felt like the cancer was being burned away. He was able to go back to work a couple months after it finished. Fatigue was the primary side effect. He did develop something called radiation proctitis (rectal inflammation), which occurs in about 10% of prostate patients. Medication has helped that. The hormone therapy is tolerable and the hot flashes have become milder over time. He's just grateful to be alive and doing very well, all things considered.
@@daisuke6072 I guess you simply ask and determine what is comfortable for you. If I'm going to hire someone to paint my house, I'd prefer someone who has experience and comes highly recommended, as opposed to someone just starting out. My husband and I have every confidence in the Mayo Clinic. You have a team of highly skilled doctors in your corner, not just one. (We found that our local medical centers are woefully understaffed and communication was poor, which is partially due to the pandemic.).
@@ga6589 I have a friend dealing with a Pc reoccurance after initial RT about 4 years ago. Apparently RT isn't an option again so the choices are limited since he's having issues finding someone that will do surgery that is confident in an acceptable outcome. On the young side... so post operative side effects of salvage surgery are a major concern.
I completed proton therapy to prostate 2.5 years ago for favorable intermediate PC 2/12 biopsies Gleason 7 and my PSA is now .08. I have very symptomatic low T and want to start T replacement. What do you think? I am a depressed but healthy 70 year old.
Hi, I had Gleason scores of 7-8 & 9 in 2017. I did 40 radiation treatments and 2 years lupron. My PSA since then has always been less than .1, I checked my testosterone levels a month ago and it was 95. I just started trt then. Feeling better now and my workouts are much better, also not feeling like a dark cloud over my head. Much better mood now. I'll get my PSA and testosterone levels checked again around the middle of July. Best of luck to you if you do go on trt
Had SBRT going on two years ago. My PSA is dropping and had no bad symptoms until about a year out and I got strictures. I had a balloon dilation and things are going well except for mild pain and frequency. I hope the stricture does not return-oh yeah, had bad hematuria with large clots that were hard to pass but a few weeks after dialation, hematuria went away
In 2015 I had Proton Radiation for prostrate cancer. I have had no relapse.The down side is my libido went down 0. I am single and 74 so that isn't an issue for me but may be for a married man. I recomend the University of Washington cancer center for treatment.
They don’t go near the Urethra,what happens is they push a needle up your bum and through the anal wall to get to the prostate and take little bits from various spots all around the prostate. Just have to have a couple of mega antibiotics before and after procedure. Will have blood coming out your arse and dick when you piss and shit for a few days,scared the shit out me and very painfull. Hope you haven’t got cancer man.
Biopsy was extraordinarily painful for me! I was almost chastised because of my reaction. I had difficulty walking for two days - afterwards 2 weeks of “normal discomfort”.
Doc I was diagnosed with Gleason 6 PC and did not do anything about it yet. I'm scheduled for a MRI and PSA test but news came out about success on trial for colorectal cancer at Memorial Sloan Kettering and I'm wondering if I can be a part of trial for prostate cancer cure ? I'd like to hear from you.
2 Questions 1)Had Prostatectomy (wish I would have known about Dr Scholz before that) didn't do radiation or ADT right away. 2 yrs later. Started ADT 6 months ago, psa at "undetectable", started radiation. (36 sessions) how will I know the radiation is working? 2) Thoughts on radiation and lupron without zytiga ?
My prostate was surgically removed in 1995. Over the years since then my PSA (monitered semiannually) has gradually risen to 3.+ How do you expalin this. I am now having a PET scan. What should I expect?
I have Gleason 6 in one core stage 1 I was going to try watchful waiting but my Docter wants to put me on casodex is this a accepted treatment for Gleason 6
In a word, NO. Get another doctor. You are a prime candidate on that information for Active Surveillance which will save you from side effects. Hormone treatment has severe side effects.
Age 50 and my most recent biopsy showed a Gleason 3+4:7 score. I am very nervous about doing radiation or surgery but feel I must choose one as active surveillance was not recommended by my urologist at this point. I am meeting with the radiologist next week but may be leaning more towards having the prostate removed. My doctors practice in Memorial Sloan Kettering so I do feel I am in good hands but still very anxious as to what the best option is for me.
We understand! There are a lot of questions and we would love to help. Here is the link to our Helpline. They can give you information and help you through the process: pcri.org/helpline
My first biopsy had 2 cores gleason 3+4 with 15% grade 4 was recommended removal prostate, recommended prostatectomy but I decided to go into active surveillance. Active surveillance Protocol means I had another biopsy last december 2023, this was 20 cores biopsy they found the same 2 cores gleason 3+4 BUT ALSO another 2 cores of Gleason 4+3 was told this is going to spread and need treatment . Often Prostate cancer is multifocal and sometimes biopsy misses higher grade cancer.
William, We have this video on the interpretation of PSA test results after radiation therapy: th-cam.com/video/zQktPZ6U80s/w-d-xo.html We have a few other videos, too, that provide information about monitoring and interpreting the PSA after radiation, and one of them may describe the implications of hormone therapy in different situations. You can find those by searching "PCRI PSA After Radiation" on TH-cam, here, or by searching "PSA After Radiation" on our website, PCRI.org. I am not sure whether a PSA result 0.014 would be a cause for concern for someone in your situation, but depending on your staging and other details of your situation, you and your doctor should be able to get a good sense of whether or not that result is expected or whether it is a potentially dangerous sign. Generally, or in a vast majority of cases, it would not be concerning, but there may be some rare situations in which maybe it could be a cause for some level of concern. If you have any concerns, you can contact our helpline. We have patient advocates who may be able to provide you with some information relevant to your case, and then you could discuss all of that with your doctor. Our contact information is at pcri.org/helpline. I will also add this to our list of questions for future videos.
Excellent content! Can you make a video about prostate cancer being more prevalent in black men. Is this true?.. and if so has there been any new developments in slowing down this phenomenon? This makes me nervous since I am a black male. Thank you for what you guys do! ❤😊
About how many treatments by a radiation - SBRT - expert would you expect in order to get your criterion of excellent specialist? we have an idea for RP but not RT.
My second go around with prostate cancer happened after 8 years and appeared in my lower lymph nodes. After radiation (25 treatments) I was put on Orgovyx rather than Lupron. My PSA is now 2.4 down from 18.0 The testosterone levels climbed from 18... to over 400... after a 3 month "vacation". So....the Orgovyx treatment continues again.
If the psa drops dramatically after the first hormone shots (300 down to 100) and ct scans show no evidence of metastic disease, is radiation still necessary? The patient is a very young 88 year old.
Had 28 days of IMRT radiation and hormone suppressant injections. Had the spaceoar inserted. I’ve been okay except very recently having more problems with loose bowels. Hopefully this is temporary. Other than that, feeling pretty good.
Hello, We have a free helpline that can provide you with information. You can find our contact information at pcri.org/helpline. We also have a few videos on Nanoknife and other focal therapies that you can find by searching "PCRI focal therapy" or "PCRI nanoknife." Dr. Scholz's general philosophy is that the quality of the practitioner is the most significant factor and that the form of focal therapy probably does not make much of a difference.
Just a comment. I suffered sever bladder spasms with radiation. I am 75YO. The radiation played havoc with my bladder. It has taken around 7 months to heal. In and out of hospital and Urgent Care, several UTI's because I have had a catheter for the 7 months. The radiation Doctor told me very minimal side effects. If you are going to have radiation research it first. I found out what happened to me is common with radiation. If I had to do it all over agin I would have the prostate removed.
Great informational video. I had the high dose radiation treatments done two years ago, so instead of 8 to 12 weeks of therapy, mine was done with 5 treatments, 1 every other day. Finding a good doctor is very important but equally important is the team that administers the therapy. I was lucky that I found both. Two years post my PSA is less than 0.02 and I recently started back on testosterone injections. Another thing that is very important is to start post ED therapy to get the blood flowing to your penis again, this can be done by using a penis pump as most likely you will not be waking up with a morning wood for a while. Hope my comments are helpful.
I suspect that will be in the black hole of "further trials" for years like most of the other "breakthroughs" announced with great fanfare. Forgive my cynicism. Also I saw it's $11,000 per dose, which may make Soros, Gates or Zuckerberg able to afford it but not your ordinary Joe!
I HAD 42 radiation treatments for cancer and I go back for blood test to see if my PSA IS STILL THERE IF HIGH IT WOULD BE THE NEXT TREATMENT FOR HIGH PSA
How does radiation of the prostate gland affect the red and white blood cell count. It appears that after almost 8 years, that my CBC indicates that I am anemic, although at the age of 75, I am still active, work out at the gym. Can radiation affect the bone marrow? I feel healthy, follow a vegetarian diet and exercise daily. A comprehensive blood test at an oncology clinic showed nothing. Is Anemia common in Prostate radiation.
I don't know if someone would see this comment but,My dad (has high risk cancer) had hormonotherapy(that decreased PSA from 70ng/ml to 0.3ng/ml right after he had his radiation treatmant then mesured PSA after 3 months and surprise PSA is 239ng/ml?!!!(Like a month before radiation it was 0.3 and boom it turned 200 after) So his doctor is now shocked and recommended to do different test and change the type of hormonotherapy from triptolin to Zoralex .Tmrw he'll re-do the test hopefully those results were false
Question: All the prostate hormone treatment plans that I have heard of are for 90 days of treatment. You mentioned that hormone treatments can control PSA levels for 10 years. My question is… How long is it possible to remain on a hormone treatment plan without receiving radiation??
It is possible to do ADT monotherapy without any local treatment, but he is referring to people who have incurable prostate cancer who have to stay on hormone therapy indefinitely to control the disease.
@@ThePCRI sir my uncle have detected with prostate cancer in dec 2021 having oligo metastatic stage in prosted , pelvic lymph nods and single 12mm spot in pelvic bone 4+5=9 glison score psa = 3.11 before ADT age = 64 year we have started ADT from January 2022 firmagon 80mg /month zelgor 250 (abiraterone) 4 tablet/day after 90 days of ADT we have done psma pet scan again and found good results, the size of tumor reduced in all three sides and PSA 0.10 now. we are continuing our ADT and our doctor have suggested to continue ADT only and have active surveillance. Doctor sir is advising we will go for radiation (igrt) latter, since the ADT is responding well. SIR MY REQUEST TO YOU IS PLEASE SUGGEST SHOULD WE GO FOR RADIATION IMMEDIATELY SINCE IT IS HIGH RISK STAGE OR WE SHOULD WAIT AND DO ACTIVE SURVEILLANCE WITH CONTINUED Androgen deprivation therapy. PLEASE HELP
My wife had breast cancer, the tumor was removed and course of chemo was undertaken. On completion of chemo, she was sent off for radiation therapy. I was devastated at the result. All her skin covering the breast just sloughed off from radiation burns, all you could see was the layers of fatty tissue underneath the skin. I was required to change thedressing twice a day, not a very pleasant undertaking for me, or my wife. Now if this Dr is suggesting men undergo similar radiation treatement, patients need to seriously consider the ramifications of doing so.
My dad got radiation for prostate cancer and it work his wasn’t that bad , but the down side was he bleed out his butt the rest of his life. They did to many treatments.
Hi my name is David Oliver I was diagnosed with prostate cancer only on one side of the prostate my team lead doctors put me on bicalutamide for two months after came lupron injections every three months then into radiation treatment my body did very well with all the treatments still on going lupron in the beginning was 25.79 then with bicalutamide my psa came down to 15 something with lupron injections psa came down to 4.32 the psa kept dropping to 2.63 an then the radiation treatment came into play after six weeks of radiation psa dropped down to .081 with future psa testing .061 .058 all this what I have said an eating right doing my part as well my question is will I be cured thanks David Oliver
Doctor spoke about benefits of Hormone Therapy ADT, but he never mentioned the side affects each are barbaric in my opinion.Stopping after 6 months as I Alive but not living on ADT
Why do they usually continue with hormone treatment after radiation for prostate cancer....and the higher the gleason score, the longer on hormone therapy. I understand that hormone therapy, by limiting testosterone, shrinks the cancer but doesn't eliminate it??? Its the radiation that can kill the cancer?? So why remain on hormone treatment when it seems to be 'masking' any lingering metastasis but not actually eliminating it???
The worst thing about picking a good physician, is the "Hypocritical Oath" (worded and spelled correctly). A good doctor will seldom call out a bad doctor. That "Oath" I spoke about stays as information confined to a tight knit circle of lab coats.
Men with urinary problems of enlarged prostate must do any surgical treatment to enhance urine flow (Transurethral resection of the prostate - TURP), if needed, definitely before radiation
I would like to share 2 videos by Dr. Melina Roberts from Calgary, Canada to help with prostate cancer on TH-cam: 1. Benefits of High Dose Vitamin C IVs and 2. FOUR Benefits of High Dose Vitamin C IVs.
Typically, radiation oncologists irradiate the entire prostate gland and not just the tumor. If the tumor protrudes out of the gland, then they may increase the size of the radiation field to treat the entire tumor. There are some experimental programs that are using radiation to treat only the tumor (and a safe margin around a tumor) within the prostate, and not the entire prostate gland, but this is only available at a few institutions like UCLA. The objective is to see if they can achieve the same kind of cure rates as whole gland radiation while also achieving a lower side effect rate. If you have any more questions, feel free to contact our helpline at pcri.org/helpline.
@@ThePCRI that is really helpful information. Do you know if ucla will treat patients from out of state ? Out of country? Is that the best place to go for radiation treatment ? What would be your other top choices ?
I believe that UCLA will treat out-of-state patients, but I am not exactly sure all of the details there. The patient advocate on our helpline may know more about that, and he may also be able to tell you about other programs that have a good reputation in different parts of the country. pcri.org/helpline
Merci dr Que pensez vous de la radiothérapie pro taxi que, avec implants d’or Est ce que vous pouvez faire un émissaire pour expliquer cette nouvelle technologie cordialement
There are two major problems of radiation. It's not prophylactic, therefore doesn't prevent new cancer. Biopsy results show radiation doesn't sterilize the cancer cells in 25% to 75% of patients However, many prostate cancer cells can be rendered dormant for extended period of time..someone let me know if this is a true or not
All good information. Thank you! The only question/concern is: Getting high quality, reputable, Dr’s/radiologists/ centers of excellence all sound like great advice but in reality, the medical system is not built that way. Proximity to treatment usually trumps top of the field providers. Everyone does not have access or resources to travel the country looking for top tier health care. So…many end up with what’s available. Thankfully at least with the information you provide we can ask questions and have an idea of appropriate health care. Thank you so much!
Yes you can. It's an option I'm looking I to now. I had one doc say that it was better to combine the two, but another one I spoke to said the difference in outcome wasn't that great. Ask around
I absolutely refused to undertake hormone therapy......Finished up with 39 sessions of IMRT this past March. PSA dropped from 14.5 to 5.7 in just a few months and will hopefully continue the drop for up to 2 years. Thus far I have had absolutely no side effects whatsoever. No one knows what the future may hold regardless of your decision.....best of luck!
@@wolfgang9570 I very much appreciate your input on this. I’m planning on having radiation therapy sessions for six weeks, and I’ve opted, not to go through hormone therapy.
I finished my radiation on 8/16/2024, and I declined hormone therapy. I did SRBT with 5 treatments. PSA will be checked in 60 days. I went to UAB clinic in Birmingham, AL. Good luck.
There is a huge difference between the recommendations for prostate treatments between a city of 200,00 to 500,000 in Texas and a medical center close to a place like UCLA. Men who learn of PCRI are blessed. And I am one of them. Many of my colleagues simply have the entire prostate removed asap. They know of no real options other than chemotherapy or old styled radiation. They have one meeting with a urologist (surgeon) and a decision is made. And the surgery is scheduled by the urologist.
Very helpful, especially the comment about not recommending surgical treatment basically under any circumstances.
Currently on #21 of 28 daily IMRT treatments. 69 yo, diagnosed BPH and Gleason 8 w/ Mets on left hip illium bone on 3/22. Treatment was Casodex one week before Lupron injection, Casodex discontinued after 6 weeks. Radiation effects have manifested with episodes of urinary urgency, slight to moderate burning sensation during urination, and fatigue. Effects of BPH still a periodic issue. Second Lupron injection scheduled for in July. Lupron recommended for 18-25 months administered every three months. Last PSA result on 11/21 was 7.12.
All this began with a complaint of waking 3-4 times nightly w/ need to urinate in 11/21. Referral to urologist and here I am. Plan is to wait at least two months after IMRT before checking PSA levels and going to UCSF for a PSMA PET scan to check for any remaining Mets.
This is definitely not a cake walk. I thank this channel for educating and helping me understand to available treatment processes. 👍🏽
All the best to you, hang in there. Follow your gut, you'll never go wrong.
I have 7 radiation treatments left out of the 43 in my treatment plan on Lupron also . It’s definitely not a cake walk , radiation treatments make you have sharp pains and feeling like your urinating glass . We’re all in the same boat ,just pray that this cures it so that this hell was worth it .🤞
Witt a little luck u are going to be cured don’t loose faith keep strong the fight must continue and victory is around the corner
Thanks for the info
I wish u all the best keep strong 💪 u are wining my friend never give u got this 🙏
I just completed 8 weeks of IMRT, my last PSA was 0.04, I’m on Lupron and fortunate enough to also be getting Xtandi, so I’m presuming I’m probably “cured”, yet I continue to watch this channel because of its clarity and positivity - it reinforces virtually all the medical choices and decisions that were made in my case, which is very reassuring. Anyway, my point is, I still watch your channel even though I no longer “need to”. Or maybe its to see the Dalmatian.
Hi Bruce, good to here that. I just wanted to know like what was your Gleason score and also was it spread in lymph nodes?
Glad to hear this Bruce! Congratulations!
@@Rihaanshots Gleason scores were unexpectedly 8 and 9, mostly in one lobe, maybe 7 in the other. PSMA PET showed some unclear uptake in one of the local (pelvic) nodes, but nowhere else. Bone scan fortunately showed no bone involvement. PSA one month after completion of IMRT was still
Hello and thank you for producing such high quality content in an easy to understand format. I am always cheered by the positivity in this channel . You are both very good.
I opted not to do hormone therapy, being 66 years old the side effects of ADT were something I didn't want to experience. I am doing a combination of IMRT and Brachky Therapy praying for a positive result.
I've made the same decision, will be getting brachytherapy in December. How are you doing now?
So far so good my PSA numbers have dropped and for the most part Im well.@@toddmorrison7342
ADT IS LIVING DEATH
@@toddmorrison7342 PSA started at 5.8 now 0.827
I know I feel like a zombie 🧟 7 days keep fighting my friends soon they will be a cure have faith
I had 28 radiation treatments, originally they were going to do 40 but change their minds also has hormone treatments with it. That was 2 years ago and I'm doing good PSA below 1.
U got the bull 🐂 by the Horn keep the faith and enjoy 😊 life
Am hoping for the same outcome. E.D. is my big thing, but same number of treatments, I have 4 left as of this writing.
Had Hormone therapy and subsequent radiation therapy 3 months later ending 10/7/2019 after 28 days of radiation. Three months later, PSA was .01. Three years later (almost), it is now .03. I am assuming this has been a very successful treatment. I will 76 in November. My Urologist seems quite happy for me. I see him every six months with PSA test done each time. Sex life has been affected, but viewing the alternative, it hasn’t been a problem.
How much muscle loss resulted from the hormone therapy?
@@dontrend5956 min
@@dontrend5956 - Exercise with weights and change your diet to more fruits and vegetables. To off set muscle loss .
This is great 👍 news for most of us dealing with pc u are wining friend keep strong 💪 😻
Sex life effected--HOW? Impotence? Lack of desire? Shrinkage of organ? Please elaborate, if you want to. . .
I had my 15th of 45 Radiation treatment today for Prostate Cancer. I'm in N.E. Florida and could not be Happier with my decision to be treated at the Ackerman Cancer Center. Offices in Jacksonville & Fernandina Beach!
Wish I knew this two years ago. However, this is great to learn now.
Thank you Both! Very nicely done! Highly educational! 🙏
Ur so knowledgeable and calm i admire you , i just finished my radiation treatment
Im in oxford university hospital in uk
As a viewer of PCRI with Alex & Dr S., watching many videos that helped me make Pca treatment choices, the "must see" PCRI one MINUTE starts at 05:01.
The title mentioned treatment of relapsed cancer, but this is not discussed in the video. Are you planning another video to address cases of relapses after radiation? Thanks!
Yeah.... I was waiting for that information as well. Hopefully they cover that in another video.
Our apologies! We accidentally switched our thumbnails/titles: Here is the video you are looking for: th-cam.com/video/nv9yY5Vkz2c/w-d-xo.html
@@imxploring Our apologies! We accidentally switched our thumbnails/titles: Here is the video you are looking for: th-cam.com/video/nv9yY5Vkz2c/w-d-xo.html
Excellent information!🙏🙏🙏
My Gleason 8 was in the lymph nodes 44 radiation treatments. Chemo and other stuff now in remission hoping to stay that way. Over 2 years being treated till remission it’s a long haul and still on other drugs don’t give up.
We hope that remission is long and durable and hopefully even a cure! If you ever have any questions, feel free to contact us at pcri.org/helpline.
Info from support groups are very important too.
I was scheduled for 42 treatments. First 25 were for the lymph nodes surrounding the whole Prostate. Then a boost of 5% and the field was more targeted for the next 5 treatments. Then another boost of 5% for concentration on the Prostate. This while on Hormone ( Lupron ) Dr. said next 2 yrs.
Pretty similar situation here with my treatment but was started on hormone therapy before and during radiation. They also treated the lymph nodes although from their testing the cancer was only in prostate. Almost 3 months of taking Casodex and also a Lupron shot to start before treatment. Continued with both during radiation treatment. Just finished 9 weeks of radiation and taking the Casodex a month ago. Now I just have a Lupron shot every 3 months for the next year at least. Haven’t had any bloodwork done yet as a follow up but hoping for good news when that happens in a few months. Still feeling effects of treatment, fatigue, hot flashes and frequent trips to urinate. Hope those subside going forward. Best of luck to you.
Research ADT & Lupron, before taking!
I had the 28 day pelvic radiation and 17 day Focal Boost to lesions. PSA 0.02 now.
72 years old stage 4 prostate cancer with bine mets left femur tumour and lymph nodes and some spots in pelvis life expectancy with treatment?
00:23- "Eradicated"? Perhaps "irradiated" is a better fit here?
I had a Gleason 9 tumor and opted for Lupron and proton radiation. It’s been five years and my PSA is at .09. My Urologist said he has never seen a Gleason score that high survive that long. Guess I should feel lucky.
How long on Lupron ?
@@JohnDoe-xz8os two years
I would like you to elaborate further on tissue changes that occur following radiation. For example, clearly the prostatic urethra is still there…but surely all the epithelial tissue that made that structure is dead. So what is it now? Scar tissue? If I looked at this under a microscope, what would I see?
Obrigada. Seu comentário foi importante para mim.
Thanks. His comment was important to me.
Thanks. His comment was important to me.
My nurse told me it would appear intact under mri. But it is aged or much older.
great series
A question for you; if you are having radical surgery, what are the pros and cons for taking or leaving lymph nodes?
thank you
Good information again!!
Always a big push for radiation treatment. Interested to hear the options on a reoccurring cancer after radiation. Also need to discuss further complications from radiation.
The last line in the video was of great interest...
"You get one chance to get this right... the radiation is a permanent choice." That statement needs to be explained a bit further for folks when considering the initial treatment options when possible reoccurance is put into the equation.
I think he meant that the effects of radiation are permanent, so you want a team that knows what they're doing and has lots of experience. My husband was diagnosed a year ago with advanced prostate cancer (inoperable) involving abdominal lymph/pelvic nodes, Gleason 9, PSA 24. His doctor at Mayo immediately started him on ADT therapy and Abiraterone, as well as 26 rounds of radiation. He's been in remission since then and his PSA continues to be negligible. The radiation was a psychological boost for my husband, as he felt like the cancer was being burned away. He was able to go back to work a couple months after it finished. Fatigue was the primary side effect. He did develop something called radiation proctitis (rectal inflammation), which occurs in about 10% of prostate patients. Medication has helped that. The hormone therapy is tolerable and the hot flashes have become milder over time. He's just grateful to be alive and doing very well, all things considered.
@@ga6589 yes but how much is "lots of experience"? 100 treatments? 500? I don't think I've heard any quantification.
@@daisuke6072 I guess you simply ask and determine what is comfortable for you. If I'm going to hire someone to paint my house, I'd prefer someone who has experience and comes highly recommended, as opposed to someone just starting out. My husband and I have every confidence in the Mayo Clinic. You have a team of highly skilled doctors in your corner, not just one. (We found that our local medical centers are woefully understaffed and communication was poor, which is partially due to the pandemic.).
Thanks. His comment was important to me.
@@ga6589 I have a friend dealing with a Pc reoccurance after initial RT about 4 years ago. Apparently RT isn't an option again so the choices are limited since he's having issues finding someone that will do surgery that is confident in an acceptable outcome.
On the young side... so post operative side effects of salvage surgery are a major concern.
I had Gleason 8 and after radio therapy but since then I have a hard time to have any bowl movement . Can that been helped ? Thanks !😊
RUN TO YOUR DOCTOR . CONSTIPATION CREATES OTHER PATHOLOGIES
I completed proton therapy to prostate 2.5 years ago for favorable intermediate PC 2/12 biopsies Gleason 7 and my PSA is now .08. I have very symptomatic low T and want to start T replacement. What do you think? I am a depressed but healthy 70 year old.
Hi, I had Gleason scores of 7-8 & 9 in 2017. I did 40 radiation treatments and 2 years lupron. My PSA since then has always been less than .1, I checked my testosterone levels a month ago and it was 95. I just started trt then. Feeling better now and my workouts are much better, also not feeling like a dark cloud over my head. Much better mood now. I'll get my PSA and testosterone levels checked again around the middle of July. Best of luck to you if you do go on trt
Had SBRT going on two years ago. My PSA is dropping and had no bad symptoms until about a year out and I got strictures. I had a balloon dilation and things are going well except for mild pain and frequency. I hope the stricture does not return-oh yeah, had bad hematuria with large clots that were hard to pass but a few weeks after dialation, hematuria went away
Friend u are strong 💪 keep fighting a cure is around the corner keep the faith u are not alone 😻🙏good luck
In 2015 I had Proton Radiation for prostrate cancer. I have had no relapse.The down side is my libido went down 0. I am single and 74 so that isn't an issue for me but may be for a married man. I recomend the University of Washington cancer center for treatment.
Did the radiation ALONE kill your Libido, or were you on ADT--which most certainly DOES kill your sexual desires.
Hi please explain ,what exactly is hormone therapy
HOW IS THE URETHRA TUBE PROTECTED FROM PUNCTURE DURING BIOPSY ???...... AND IF PUNCTURED DOES IT CAUSE PROBLEMS LIKE BLOCKAGE FROM LESIONS.?
They don’t go near the Urethra,what happens is they push a needle up your bum and through the anal wall to get to the prostate and take little bits from various spots all around the prostate. Just have to have a couple of mega antibiotics before and after procedure. Will have blood coming out your arse and dick when you piss and shit for a few days,scared the shit out me and very painfull. Hope you haven’t got cancer man.
The doctor doing the biopsy uses ultrasound to place each biopsy needle. They have to avoid the urethra. At least that is my uneducated guess.
BIOPSY IS BARBARIC. THERE ARE BETTER OPTIONS
Biopsy was extraordinarily painful for me! I was almost chastised because of my reaction. I had difficulty walking for two days - afterwards 2 weeks of “normal discomfort”.
Doc I was diagnosed with Gleason 6 PC and did not do anything about it yet. I'm scheduled for a MRI and PSA test but news came out about success on trial for colorectal cancer at Memorial Sloan Kettering and I'm wondering if I can be a part of trial for prostate cancer cure ? I'd like to hear from you.
2 Questions
1)Had Prostatectomy (wish I would have known about Dr Scholz before that) didn't do radiation or ADT right away.
2 yrs later. Started ADT 6 months ago, psa at "undetectable", started radiation. (36 sessions) how will I know the radiation is working?
2) Thoughts on radiation and lupron without zytiga ?
Had IMRT for lymph node involvement. A significant side effect was diarrhea.
ALL THERAPY HAS HORRIBLE SIDE EFFECTS. BIG PHARMA, BIG BRIBES
My prostate was surgically removed in 1995. Over the years since then my PSA (monitered semiannually) has gradually risen to 3.+ How do you expalin this. I am now having a PET scan. What should I expect?
PSA UNDER 10 IS OK
Thank you for the informative information
I have not heard any mention of the 4K blood test. Can you address that ?
Hello,
We have these two videos that discuss the 4k test:
th-cam.com/video/k811g78YRQE/w-d-xo.html
th-cam.com/video/YLqB1kRnEak/w-d-xo.html
I have Gleason 6 in one core stage 1 I was going to try watchful waiting but my Docter wants to put me on casodex is this a accepted treatment for Gleason 6
In a word, NO. Get another doctor. You are a prime candidate on that information for Active Surveillance which will save you from side effects. Hormone treatment has severe side effects.
CORRUPT DOCTOR
As in the case òf PROSTATE CANCER how long must it be before surgery is applieď
NEVER SURGERY
Excellent content ,tks
Age 50 and my most recent biopsy showed a Gleason 3+4:7 score. I am very nervous about doing radiation or surgery but feel I must choose one as active surveillance was not recommended by my urologist at this point. I am meeting with the radiologist next week but may be leaning more towards having the prostate removed. My doctors practice in Memorial Sloan Kettering so I do feel I am in good hands but still very anxious as to what the best option is for me.
We understand! There are a lot of questions and we would love to help. Here is the link to our Helpline. They can give you information and help you through the process: pcri.org/helpline
My first biopsy had 2 cores gleason 3+4 with 15% grade 4 was recommended removal prostate, recommended prostatectomy but I decided to go into active surveillance. Active surveillance Protocol means I had another biopsy last december 2023, this was 20 cores biopsy they found the same 2 cores gleason 3+4 BUT ALSO another 2 cores of Gleason 4+3 was told this is going to spread and need treatment . Often Prostate cancer is multifocal and sometimes biopsy misses higher grade cancer.
Hello im on hormone therapy plus ive just finished my radiation treatment my psa test results now say 0.014 im not sure what that means Dr Schulz
William,
We have this video on the interpretation of PSA test results after radiation therapy: th-cam.com/video/zQktPZ6U80s/w-d-xo.html
We have a few other videos, too, that provide information about monitoring and interpreting the PSA after radiation, and one of them may describe the implications of hormone therapy in different situations. You can find those by searching "PCRI PSA After Radiation" on TH-cam, here, or by searching "PSA After Radiation" on our website, PCRI.org.
I am not sure whether a PSA result 0.014 would be a cause for concern for someone in your situation, but depending on your staging and other details of your situation, you and your doctor should be able to get a good sense of whether or not that result is expected or whether it is a potentially dangerous sign. Generally, or in a vast majority of cases, it would not be concerning, but there may be some rare situations in which maybe it could be a cause for some level of concern. If you have any concerns, you can contact our helpline. We have patient advocates who may be able to provide you with some information relevant to your case, and then you could discuss all of that with your doctor. Our contact information is at pcri.org/helpline.
I will also add this to our list of questions for future videos.
Excellent content! Can you make a video about prostate cancer being more prevalent in black men. Is this true?.. and if so has there been any new developments in slowing down this phenomenon? This makes me nervous since I am a black male. Thank you for what you guys do! ❤😊
Hello,
We have a couple of videos in that topic here:
th-cam.com/video/aBxLpa5I5MY/w-d-xo.html
th-cam.com/video/h60VtuRG3fA/w-d-xo.html
About how many treatments by a radiation - SBRT - expert would you expect in order to get your criterion of excellent specialist? we have an idea for RP but not RT.
I had prostate cancer 6 years ago 43 treatments,how long before sex comes back
My second go around with prostate cancer happened after 8 years and appeared in my lower lymph nodes. After radiation (25 treatments) I was put on Orgovyx rather than Lupron. My PSA is now 2.4 down from 18.0 The testosterone levels climbed from 18... to over 400... after a 3 month "vacation". So....the Orgovyx treatment continues again.
THEY WILL KILL YOU IF YIU DONT RESEARCH
If the psa drops dramatically after the first hormone shots (300 down to 100) and ct scans show no evidence of metastic disease, is radiation still necessary? The patient is a very young 88 year old.
STOP THE KILLER RADIATION
GET TREATMENT ONLY IF IT IS SPREADING . DOCTORS ARE GREEDY
Had 28 days of IMRT radiation and hormone suppressant injections. Had the spaceoar inserted. I’ve been okay except very recently having more problems with loose bowels. Hopefully this is temporary. Other than that, feeling pretty good.
What is the view on nanoknife as an example of focal treatment
I have had it twice but disease has returned
What should be the next step
Hello,
We have a free helpline that can provide you with information. You can find our contact information at pcri.org/helpline.
We also have a few videos on Nanoknife and other focal therapies that you can find by searching "PCRI focal therapy" or "PCRI nanoknife." Dr. Scholz's general philosophy is that the quality of the practitioner is the most significant factor and that the form of focal therapy probably does not make much of a difference.
Just a comment. I suffered sever bladder spasms with radiation. I am 75YO. The radiation played havoc with my bladder. It has taken around 7 months to heal. In and out of hospital and Urgent Care, several UTI's because I have had a catheter for the 7 months. The radiation Doctor told me very minimal side effects. If you are going to have radiation research it first. I found out what happened to me is common with radiation. If I had to do it all over agin I would have the prostate removed.
Great informational video. I had the high dose radiation treatments done two years ago, so instead of 8 to 12 weeks of therapy, mine was done with 5 treatments, 1 every other day. Finding a good doctor is very important but equally important is the team that administers the therapy. I was lucky that I found both. Two years post my PSA is less than 0.02 and I recently started back on testosterone injections. Another thing that is very important is to start post ED therapy to get the blood flowing to your penis again, this can be done by using a penis pump as most likely you will not be waking up with a morning wood for a while. Hope my comments are helpful.
Anything on the 'promises ' of immuno-therapy?
The Glaxo-Smithkline's DOSTARLIMAB
RE: Memorial Sloane Kettering Cancer Center - New York.
I suspect that will be in the black hole of "further trials" for years like most of the other "breakthroughs" announced with great fanfare. Forgive my cynicism. Also I saw it's $11,000 per dose, which may make Soros, Gates or Zuckerberg able to afford it but not your ordinary Joe!
I HAD 42 radiation treatments for cancer and I go back for blood test to see if my PSA IS STILL THERE IF HIGH IT WOULD BE THE NEXT TREATMENT FOR HIGH PSA
PSA DOES NOT MEAN CANCER . JUST A MARKER TO BE MONITORED
Can tell you radiation messed up bladder and back. 6 years. But gald didn't cut it out. My cancer is very low .01 diet and exercise.
Was there long term impact to your bladder?
How does radiation of the prostate gland affect the red and white blood cell count. It appears that after almost 8 years, that my CBC indicates that I am anemic, although at the age of 75, I am still active, work out at the gym. Can radiation affect the bone marrow? I feel healthy, follow a vegetarian diet and exercise daily. A comprehensive blood test at an oncology clinic showed nothing. Is Anemia common in Prostate radiation.
Which stage of cancer do u have???
I don't know if someone would see this comment but,My dad (has high risk cancer) had hormonotherapy(that decreased PSA from 70ng/ml to 0.3ng/ml right after he had his radiation treatmant then mesured PSA after 3 months and surprise PSA is 239ng/ml?!!!(Like a month before radiation it was 0.3 and boom it turned 200 after) So his doctor is now shocked and recommended to do different test and change the type of hormonotherapy from triptolin to Zoralex .Tmrw he'll re-do the test hopefully those results were false
UF YOUR DAD IS OVER 75, YOU MUST WATCH SCHULTZ VIDEOS FIR THIS AGE
@@KDean22 my dad was only 60 years old and he passed away a year ago .But I have now my aunt husband who has it too and he s about 70 years old
Question: All the prostate hormone treatment plans that I have heard of are for 90 days of treatment.
You mentioned that hormone treatments can control PSA levels for 10 years.
My question is… How long is it possible to remain on a hormone treatment plan without receiving radiation??
It is possible to do ADT monotherapy without any local treatment, but he is referring to people who have incurable prostate cancer who have to stay on hormone therapy indefinitely to control the disease.
@@ThePCRI
Many Thanks for your response..!!
@@ThePCRI sir
my uncle have detected with prostate cancer in dec 2021 having
oligo metastatic stage
in prosted , pelvic lymph nods and single 12mm spot in pelvic bone
4+5=9 glison score
psa = 3.11 before ADT
age = 64 year
we have started ADT from January 2022
firmagon 80mg /month
zelgor 250 (abiraterone) 4 tablet/day
after 90 days of ADT we have done psma pet scan again and found good results, the size of tumor reduced in all three sides and PSA 0.10 now.
we are continuing our ADT and our doctor have suggested to continue ADT only and have active surveillance. Doctor sir is advising we will go for radiation (igrt) latter, since the ADT is responding well.
SIR MY REQUEST TO YOU IS PLEASE SUGGEST SHOULD WE GO FOR RADIATION IMMEDIATELY SINCE IT IS HIGH RISK STAGE OR WE SHOULD WAIT AND DO ACTIVE SURVEILLANCE WITH CONTINUED Androgen deprivation therapy.
PLEASE HELP
My wife had breast cancer, the tumor was removed and course of chemo was undertaken. On completion of chemo, she was sent off for radiation therapy. I was devastated at the result. All her skin covering the breast just sloughed off from radiation burns, all you could see was the layers of fatty tissue underneath the skin. I was required to change thedressing twice a day, not a very pleasant undertaking for me, or my wife. Now if this Dr is suggesting men undergo similar radiation treatement, patients need to seriously consider the ramifications of doing so.
My dad got radiation for prostate cancer and it work his wasn’t that bad , but the down side was he bleed out his butt the rest of his life. They did to many treatments.
Hi my name is David Oliver
I was diagnosed with prostate cancer only on one side of the prostate my team lead doctors put me on bicalutamide for two months after came lupron injections every three months then into radiation treatment my body did very well with all the treatments still on going lupron in the beginning was 25.79
then with bicalutamide my psa came down to 15 something with lupron injections psa came down to 4.32 the psa kept dropping to 2.63 an then the radiation treatment came into play after six weeks of radiation psa dropped down to .081 with future psa testing .061 .058 all this what I have said an eating right doing my part as well my question is will I be cured thanks David Oliver
Doctor spoke about benefits of Hormone Therapy ADT, but he never mentioned the side affects each are barbaric in my opinion.Stopping after 6 months as I Alive but not living on ADT
Why do they usually continue with hormone treatment after radiation for prostate cancer....and the higher the gleason score, the longer on hormone therapy. I understand that hormone therapy, by limiting testosterone, shrinks the cancer but doesn't eliminate it??? Its the radiation that can kill the cancer?? So why remain on hormone treatment when it seems to be 'masking' any lingering metastasis but not actually eliminating it???
Ii had Bracko theropy why I have to go so often go too.the loo.
The worst thing about picking a good physician, is the "Hypocritical Oath" (worded and spelled correctly). A good doctor will seldom call out a bad doctor. That "Oath" I spoke about stays as information confined to a tight knit circle of lab coats.
Will an abdominal CT Scan cause ED. I've had 2 and it seems like I've had some mild to moderate erection issues.
Thankyou soo much
How does the radiation affect a very large prostate? I was told it will swell the prostate and stop urine flow. Is this true?
Men with urinary problems of enlarged prostate must do any surgical treatment to enhance urine flow (Transurethral resection of the prostate - TURP), if needed, definitely before radiation
I would like to share 2 videos by Dr. Melina Roberts from Calgary, Canada to help with prostate cancer on TH-cam: 1. Benefits of High Dose Vitamin C IVs and 2. FOUR Benefits of High Dose Vitamin C IVs.
Thanks. His comment was important to me.
Does PSA correlate with amount of cancer? Thank you Dr. Scholz and Alex; awesome team and content we're all curious about.
Mt PSA was 5.8 & I was locally advanced Gleason 8=4+4, T3b, N0, M0. My friends PSA was 51 & he was Gleason 6=3+3, T2b, N0, M0. Hope this helps..
@@colly0410 Tks!
why is there only 1 chance with radiation?
Does it matter how big the tumor is ? Do they do more radiation if the tumor is bigger and less if smaller?
Typically, radiation oncologists irradiate the entire prostate gland and not just the tumor. If the tumor protrudes out of the gland, then they may increase the size of the radiation field to treat the entire tumor.
There are some experimental programs that are using radiation to treat only the tumor (and a safe margin around a tumor) within the prostate, and not the entire prostate gland, but this is only available at a few institutions like UCLA. The objective is to see if they can achieve the same kind of cure rates as whole gland radiation while also achieving a lower side effect rate.
If you have any more questions, feel free to contact our helpline at pcri.org/helpline.
@@ThePCRI that is really helpful information. Do you know if ucla will treat patients from out of state ? Out of country? Is that the best place to go for radiation treatment ? What would be your other top choices ?
I believe that UCLA will treat out-of-state patients, but I am not exactly sure all of the details there. The patient advocate on our helpline may know more about that, and he may also be able to tell you about other programs that have a good reputation in different parts of the country. pcri.org/helpline
My comment, patient is to do his part and not out all his eggs in one basket.
Merci dr
Que pensez vous de la radiothérapie pro taxi que, avec implants d’or
Est ce que vous pouvez faire un émissaire pour expliquer cette nouvelle technologie cordialement
There are two major problems of
radiation. It's not prophylactic, therefore
doesn't prevent new cancer. Biopsy
results show radiation doesn't sterilize
the cancer cells in 25% to 75% of patients
However, many prostate cancer cells can
be rendered dormant for extended period
of time..someone let me know if this is a true or not
I was informed that radiation turns the prostate into jelly which makes surgery if needed difficult. Is this totally incorrect?
All good information. Thank you! The only question/concern is: Getting high quality, reputable, Dr’s/radiologists/ centers of excellence all sound like great advice but in reality, the medical system is not built that way. Proximity to treatment usually trumps top of the field providers. Everyone does not have access or resources to travel the country looking for top tier health care. So…many end up with what’s available. Thankfully at least with the information you provide we can ask questions and have an idea of appropriate health care. Thank you so much!
Does this cause burning micturition?
Can someone have radiation therapy without going through hormone therapy? I’m just curious to know if it’s even possible.
Yes you can. It's an option I'm looking I to now. I had one doc say that it was better to combine the two, but another one I spoke to said the difference in outcome wasn't that great. Ask around
I absolutely refused to undertake hormone therapy......Finished up with 39 sessions of IMRT this past March. PSA dropped from 14.5 to 5.7 in just a few months and will hopefully continue the drop for up to 2 years. Thus far I have had absolutely no side effects whatsoever. No one knows what the future may hold regardless of your decision.....best of luck!
@@wolfgang9570 I very much appreciate your input on this. I’m planning on having radiation therapy sessions for six weeks, and I’ve opted, not to go through hormone therapy.
I finished my radiation on 8/16/2024, and I declined hormone therapy. I did SRBT with 5 treatments. PSA will be checked in 60 days. I went to UAB clinic in Birmingham, AL. Good luck.
By the way I'm 51