Demystifying PSA Velocity: Understanding, Monitoring, and Implications
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- เผยแพร่เมื่อ 11 มิ.ย. 2023
- Dr. William Stiles, board certified Urological Surgeon, Osteopathic Physician, Men's Health Expert and functional medicine trained doctor educates men about various prostate conditions, including prostate cancer, benign prostatic hyperplasia (BPH), chronic prostatitis, intersitial cystitis, erectile dysfunction, and whole body optimization.
Estimated one in seven men will be diagnosed with prostate cancer in their lifetime. An estimated 220,000 men in the U.S. will be diagnosed with prostate cancer this year. Prostate cancer can be a complex issue for the patient and his family to understand. There are many treatment options for prostate cancer including surgical removal of the prostate, external beam radiation (IMRT / SBRT), proton beam therapy, cryotherapy, hormone treatment, chemotherapy, focal treatment, and even not immediately treating prostate cancer for low risk cases (Active surveillance). Early detection of prostate cancer is important. Most prostate cancers are detected when the cancer is still contained within the prostate gland, but some cancers are advanced and have moved outside of the prostate gland (metastatic). Each person with prostate cancer has their own unique conditions and situations that can affect treatment decisions going forward. Cancer staging radiographs (CT scan, bone scan, PET scan, etc) is often done by the urologist that performed the prostate biopsy to assess for spread of cancer outside of the prostate.
Medical Disclaimer:
The Prostate Coach and Dr. William Stiles does not provide medical advice. The content available in our videos, on our website, or on our social media handles do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person. We intend to provide educational information only. The determination of the need for medical services and the types of healthcare to be provided to a patient are decisions that should be made only by a physician or other licensed health care provider. Always seek the advice of a physician or other qualified healthcare provider with any questions you have regarding a medical condition.
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Good information. I had a PSA test done back in 2017 with a result of 1.1 total. I’ll be 51 this month. Recently had another PSA test done a month ago and the results came back as 5.83 total. My brain is working on overload trying to understand how it increased so much in 5 years. Now have my first appointment with a Urologist tomorrow.
I equate an elevated PSA to a check engine light coming on in the car. Only 15-20% of men with elevated PSA have cancer confirmed on prostate biopsy. Lots of options for elevated PSA including MRI of the prostate, checking advanced markers, recheck PSA, immediate random vs. MRI guided biopsy.
Glad you are dialed in with a urologist.
Wishing you the best !
@@theprostatecoach8058 Urologist requested another PSA. Had blood drawn yesterday and received results today. This time it was broken down differently. PSA total 2.3, PSA free .2 and PSA % free 9L highlight in red. Now I’m confused. Can you shed some light for me to best understand?
I’m 60 y/o. My PSA last year was 3.27 ng/ml with a normal sized prostate at 23g and documented 0.5mm cyst. These findings got me worried. A year later, February 2024, my repeat PSA went up to 3.84 but my prostate increased to 33.9 g. The cyst decreased slightly in size. Needless to say it’s been a source of constant concern. My urologist didn’t seem to worry but told me to repeat the PSA in 3 months. May I have your thoughts please?
Woozers thanks for this channel
Of course. Are there any specific topics you would want addressed in future videos ?
So I’m aware of PSA density calculator. Is there a PSA velocity calculator?
No PSA velocity calculator that I am aware of. Just look at your PSA from year to year. Most docs consider an elevation of PSA by 0.75 per year over a 2 year period to be concerning. Every case is different. Talk with your physician for guidance.
@@theprostatecoach8058 Thank you!