Treatment decisions for prostate cancer in 2021.

Discusses the complexity and variety of prostate cancer and how this factors into the decisions involving therapy including watchful waiting or robotic prostatectomy or modern radiation therapy as well as the new treatment options of improved hormone therapy, chemotherapy and immunotherapy.

[@kmmillat8417]

I am fortunate to to find great human being like you are still in this world who distributes their
Light of knowledge for others.
Thank you and may God bless you.

[@paulsdrc]

I was diagnosed some years ago (I was 50), the MRI showed one mass “the size of a dime”. I decided I would have HIFU treatment, by the time we jumped through all the hoops six months had passed. They wanted another MRI, and that showed there was now two masses “the size of a quarter”. And the doctors scratched their heads and said “that shouldn’t happened, you don’t have small cell carcinoma”. I did have HIFU and am cancer free 9 years now.

[@peacefulruler1]

May I ask who did your HIFU?

[@paulsdrc]

@@peacefulruler1 Doc Lazar at California HIFU, but there are allot of places doing it now…

[@keithwalker6892]

Mine discovered at 75 and 92 now. Dr told me mine very small and he told me I would probably die of some thing else than Prostate cancer so just take PSA levels and mine has gone from 10 to 23 . He did a Biopsy but told me not to worry and just go with PSA tests about every 6 months

[@VimMitt]

May i know what Gleason score it was and did u have any treatment .,

[@noblena]

Thank you for the information Dr Miller. I was diagnosed with a T1c prostate cancer a week ago. The urologist recommended radiation. Lately, I was looking at surgery but your graphs and data are pulling me back to radiation because of the almost the same survival rates.

[@RH-xd3nx]

Please do your research on radiation as well, though very rare it can give you a secondary cancers ( bladder, bowel, and very very rare leukemia.

[@robertmonroe3678]

IMRT or SBRT + a HDT Brachytherapy boost seems one standard intermediate risk treatment nowadays. Or radical prostatectomy.

[@brettm7597]

Very nicely done! I really appreciated seeing so much of what I have read consolidated into a single presentation. I do wonder how the PSMA PET scans might figure into the calculators that indicate for instance a Gleason 8 cancer will emerge 52% of the time within 5 years if the PSMA PET scan demonstrates the cancer localized within the prostate at the time of the PSMA PET scan?
Those PSMA PET scans might have some impact on how accurate all of those charts or calculators are going forward.
As others mentioned, I am curious to see how the TULSA procedure or HIFU might overlay onto the longevity charts in the coming years. With PSMA PET scans, it would be tempting to use the TULSA PRO on high grade cancer that is shown to be located strictly within the prostate. The quality of life is far superior using TULSA and it can be retreated if the PSA begins to rise again.

[@Myabel59]

Thanks really good info.

[@rayp7135]

A lot of good information but comparison with focal treatments and long term outcomes with quality of life considerations would be interesting to see side by side as well

[@voiceofreason33916]

No mention of Focal treatment HIFU or TULSA. Where would they fall in options?

[@VimMitt]

I live in Houston tx and can you tell me which Urologist has done over or closer to 400 prostatectomy? Can u find out for me? Please do and let me know. I am afraid to ask . I need surgery for my prostate cancer after doing all the research. Thanks for education .

[@user-bh1vu8tm4u]

Just what i need, a video that's 2 years old.

[@stanleybaird7903]

Proton beam therapy is the way to go

[@stellaeze1758]

Thanks you so much Dr Obulor for your ultimate help in curing my cancer permanently, although the word wouldn't believe in herbs. I will because you have shown me the power of these herbs, i sincerely appreciate you Dr..

[@Gnosis2078]

Good vieo. Straight forward and to the point.

[@VimMitt]

Sir recently i was diagnosed prostate cancer and yet to decide which treatment option to take. It is Gleason 3 plus 4 = 7 . I am 68 yr old but question I have is if i go surgery over radiation how my life style is going to change if i develop incontinence. I do not care about sexual impotency . I do not want to travel with pad and diapers all my life. What is the probability of developing incontinnance in long term!

[@dgre334]

I had 4+3 and surgery one year ago. What did you decide?

[@alliaj1]

​@@dgre3343months ago i had Da Vinci surgery, inkotonence, PSA ok, have orgasm. Im happy with results....

[@williamsarchibald3904]

Cómo escucharlo en español

[@VimMitt]

Radiation has a long term side effects which surgery do not. U develop scarring of tissue and creates a lot of problem in 5 years. In my opinion surgery is better option.

[@MikeS888]

Correct, side effects with surgery - incontinence, ED - are immediate, no need to wait 5 years. Check out the YT channel "Prostate Cancer Research Institute" for a wealth of information if you have not done so already. Good luck with whatever you choose..

[@johnhixson7040]

I'm not taking neutering drugs. I'd rather die. Better to die than be emasculated.

[@bb3b644]

Me too!

[@daisuke6072]

In the words of Woody Allen, don't mind dying so long as I'm not there when it happens

[@coumguy]

I had no choice. It was hormone or die. That was 15 years ago. Ive walked my daughter up the aisle. I now have 5 grandkids. In 2022 I walked Camino Frances which is 800km long. I am in Santiago now beginning another Camino. So if youd rather die than be 'emasculated' you are a strange person.