Had prostate cancer since I was about 75 now 94 and only PSA checks and,. Not noticing any thing. Dr said some thing else will kill me. Think Prostate cancer good money maker for Drs. PSA now 40 and hasn’t changed for awhile. This is the truth,
who would choose surgery with this data and why? do some men really just take the surgeons advise without looking around? my surgeon did tell me to investigate radiology but didn’t give me any input and he never even heard of cyberknife. i’m pretty sure i’ll do the knife not the scalpel
@@cancerfactswithdr.b3082, no suggestions yet. Will continue to follow and try to get you more publicity. The format "makes it plain" and is very helpful.
With one part of my intermediate favorable 7(3+4) PC located at the Apex with no margin from the urethra, would you still recommend cyberknife, or brachytherapy,...or surgery? Radiotherapeuths recommand brachytherapy, or cyberknife. Surgeons, surgery...
WOTDAPHKKKK😳🤔🥺 Dude are you telling me that AFTER all this crap I'm going through post surgery the cancer can STILL come back? I'm a few days past a month post surgery and the incontinence is driving me nuts, I'm leakng like the Exxon Valdez, going through diapers 4 or 5 a day if I can't get to the toilet fast enough. My belly felt and feels like it's going to fall out every time I bend over, if I bend backwards to stretch it feels like I'm going to tear something on the inside. Am I being too impatient with the healing process? My situation was a 14 on my PSA. Biopsy showed 1/4 of the 12 sites tested had cancer. My Gleason scale was 5. I just turned 60 and was told if I were older they'd play the let's watch it and see what happens game. My father died from prostate cancer, my aunt and her son from cancer, my uncle is dealing with prostate cancer and one of my 2 brothers had his removed 14 years ago and the damn cancer came BACK. He's now on hormone therapy as chemo in these covid days would be a death sentence cos chemo destroys the immune system. As I'm going over what I just wrote I feel more settled in choosing the surgery. But that was my initial question, what do you think would've been my best option given my circumstances and family history of this bastard disease? Also, on the initial biopsy the gleason was 5, in the 5 weeks from then to the surgery the post op biopsy of the tissue jumped up to a 7 almost 8. Did that mean had I left it in there the cancer would've aggressively spread? Amy advice will be helpful @CancerFactsWithDrB I'm hoping I didn't have the wrong decision and that's been bothering me lately.
I think the possibility of a wrong decision in retrospect bothers all of us. I believe if you go to treatments then you lose the option of the organ removal I was told. Nothing left to connect. I am 72 but an unusually physical and active 72 running and still climbing in my own tree service. The leaking is driving me nuts as is the complete loss of an erection ability. An orgasm just squirts out urine. But I am alive, cancer free with my last exam at now about 9 weeks post op. I went back to work at 3 weeks. It hurt sometimes but I am not one to sit around. I don't hurt at all anymore. I'd like to find out what my doc found when he pulled out the prostate compared to the solid 7 on the biopsy he found. Or maybe I am better not finding out....Ah happy to be alive and enjoy life despite all the negs.
@@treemands Hi Bro. How you are doing ok. I'm heading back to you grind today myself. I sit a lot and not sure how it's gonna be even I start leaking... next to a student in a car. Lol. The rectus stuff was driving me nuts but I think I want doing the kegel exercises enough. Going to start treating that joke in training to race by bike. I'm going to be looking into pumps and such. I'm understanding where going in, the body is very weird and everything is connected. When it does there no prostate it wrongly assumes there no orbit m penis she no need to get erect. Crazy prior that God really DID drown l design is to make more people, be fruitful and multiply. I'm not looking for blue kids, my new grandson gives me soon that giggly feelings, but it's still like to have repair with my wife. I'm the same, orgasm squirts urine. WWE are still pretty new ion this. My Doc seats it's been 6 months to a year before we start seeing any real progress. I do massages on it s free times a day, stretch it out also cos we lose . 5 inch from pulling the urethra inside is to attach to the bladder. I've noticed a small gain back in the length so sorry us trying to happen. I try to set the depends in a way that allows some freedom to hang down rather than having it squish Mr. Charlie. Can't be sure it gravity is did it's just but it's more comfortable. Anyway, guys get going now. Stay in touch and good luck with everything. It's GOOD to be alive 💪🏻😎💪🏾
@@treemands It’s just criminal that these clinicians are allowed to get their lies away, if one is active, as you say, there will be annoying leakage, I am a landscaper, lifting, building, shovelling, concreting, twisting and manoeuvring there is constant leakage. If one just lives an old fellah’s life it’s ok, so that’s the figures they use. They go on about the “nerve sparring surgery” but it’s only ever a result of 12 weeks monitoring, after that they put any failure down to natural age attrition or Peronies, but it’s not, it’s the deterioration of the very complex erectile tissue. Just investigate nocturnal penile tumescence and you’ll learn about shrinkage, nerve damage and loss of libido. Every paper ever written on prostate cancer warns of overservicing , I wish I could have been shown that information Pryor to surgery. Post radical my Gleason score moved DOWN 2 grades to 3+3=G6. Apparently That happens around 25% of post surgery pathology. The prostate is a fragile and valuable organ, just be careful what you allow anyone to do to it, particularly anyone who makes a fortune out of collecting them.
@Dorris Tammy yeah, Steve Jobs tried that in the beginning of his cancer stage then quit it immediately because your herbs and vitamins idea is a bunch of crap.
I can’t find any good information on the meaning of PSA scores that over two years go up and down, but the overall movement is up. Started at .9, went to 3, then back to 2.5. Over last year it was as high as 5.5, but then down to 4.4. Doctor has no explanation for this. Should I do the biopsy?
You should get an MRI first, that will tell you the volume of anything in there, Have the P$A test early in the morning, always at the same clinic, no horse riding or cycling or motorcycle riding and definitely no sex activity for 3 days Pryor to the p$A test. Make sure you are well hydrated, no alcohol the day before the test. All that will give you a reliable base line psa reading.
Thank you for this very informative presentation! 2 urologists I have seen (at the same practice) have been recommending surgery because my MRI shows some "fuzziness" on the left hand side right at where the capsule is protruding. Also they are recommending Imrt over CK. Any thoughts on these? Also is there any way to get a consult with you? Thanks!
Do not do surgery. You should get a Cyberknife consult at a facility not associated with the surgeon. As a radiation oncologist we get all of our prostate cancer patients from urologist. Therefore it becomes a huge conflict of interest to criticize surgery. However the Cyberknife data has surpassed the surgery data as of 2016.
My prostate is 72cc and I have some retention issues. While I prefer SBRT, I am hearing surgery may be better as it will relieve the retention issues. Are there options I can pursue for retention if I opt for SBRT? And am I at much higher risk of increased retention because of SBRT?
Thanks very excellent. Wondering if a person with a nodule is likely to have prostate cancer. I have not taken a PSA in a while. Was normal 24 months ago.
Based on the PLCO study Journal of Urology 2005;173:746-750 The 4,449 men with positive DRE screens and negative PSA had a 3-year biopsy rate of 27%. Men with positive DRE at diagnostic followup had a biopsy rate of around 90%. However, few men, even of those with positive DRE screens, had positive diagnostic DREs.
I had undergone Cyberknife treatment 16 months ago. I developed radiation cystitis which is one of the long-term possible complications that can occur with Cyberknife. It seems that on many of the websites and TH-cam videos, this has never been addressed or was just simply glossed over. What are the treatments for radiation cystitis is hyperbaric therapy. Which means you have to be inside the glass tube for two hours for 30 Dash 40 sessions. My problem is that I am claustrophobic. Nobody discusses the rate of radiation cystitis that can develop following Cyberknife. This needs to be addressed. I believe it is a disservice if this is not discussed as part of the possible complications again occur from Cyberknife. You have to remember that you are getting 40 doses of radiation condensed into five sessions.
Did you have a Cyberknife treatment or a SABR treatment which stands for stereotactic ablative body radiotherapy which can also be delivered by 8 different radiation machines.
@@pedrog4651 Every camp is hiding its own disadvantages. My urologist who proposed a radical prostatectomy for my Gleason 6 did not even informed me that Cyberknife exists...
Do your research before you decide ! Understand the side effects ! If you choose Robotic Surgery look for a very skilled surgeon who has a high number of Successful surgeries . I had surgery over 6 years ago . PSA is , no incontinence concerns , able to have errections . No regrets for having surgery .
800 surgery’s is considered the learning curve for robotics surgery. Find out how many men your surgeon has directed to Active Surveillance and how many robotic surgeries has been completed.
Had prostate cancer since I was about 75 now 94 and only PSA checks and,. Not noticing any thing.
Dr said some thing else will kill me. Think Prostate cancer good money maker for Drs.
PSA now 40 and hasn’t changed for awhile. This is the truth,
who would choose surgery with this data and why? do some men really just take the surgeons advise without looking around? my surgeon did tell me to investigate radiology but didn’t give me any input and he never even heard of cyberknife. i’m pretty sure i’ll do the knife not the scalpel
Great series! I have recommended this to a number of groups that I am in. Thanks
If you have any suggestions or specific questions I will answer them
@@cancerfactswithdr.b3082, no suggestions yet. Will continue to follow and try to get you more publicity. The format "makes it plain" and is very helpful.
With one part of my intermediate favorable 7(3+4) PC located at the Apex with no margin from the urethra, would you still recommend cyberknife, or brachytherapy,...or surgery? Radiotherapeuths recommand brachytherapy, or cyberknife. Surgeons, surgery...
WOTDAPHKKKK😳🤔🥺
Dude are you telling me that AFTER all this crap I'm going through post surgery the cancer can STILL come back?
I'm a few days past a month post surgery and the incontinence is driving me nuts, I'm leakng like the Exxon Valdez, going through diapers 4 or 5 a day if I can't get to the toilet fast enough.
My belly felt and feels like it's going to fall out every time I bend over, if I bend backwards to stretch it feels like I'm going to tear something on the inside. Am I being too impatient with the healing process?
My situation was a 14 on my PSA. Biopsy showed 1/4 of the 12 sites tested had cancer.
My Gleason scale was 5. I just turned 60 and was told if I were older they'd play the let's watch it and see what happens game.
My father died from prostate cancer, my aunt and her son from cancer, my uncle is dealing with prostate cancer and one of my 2 brothers had his removed 14 years ago and the damn cancer came BACK.
He's now on hormone therapy as chemo in these covid days would be a death sentence cos chemo destroys the immune system.
As I'm going over what I just wrote I feel more settled in choosing the surgery. But that was my initial question, what do you think would've been my best option given my circumstances and family history of this bastard disease?
Also, on the initial biopsy the gleason was 5, in the 5 weeks from then to the surgery the post op biopsy of the tissue jumped up to a 7 almost 8. Did that mean had I left it in there the cancer would've aggressively spread?
Amy advice will be helpful @CancerFactsWithDrB
I'm hoping I didn't have the wrong decision and that's been bothering me lately.
I think the possibility of a wrong decision in retrospect bothers all of us. I believe if you go to treatments then you lose the option of the organ removal I was told. Nothing left to connect. I am 72 but an unusually physical and active 72 running and still climbing in my own tree service. The leaking is driving me nuts as is the complete loss of an erection ability. An orgasm just squirts out urine.
But I am alive, cancer free with my last exam at now about 9 weeks post op. I went back to work at 3 weeks. It hurt sometimes but I am not one to sit around. I don't hurt at all anymore.
I'd like to find out what my doc found when he pulled out the prostate compared to the solid 7 on the biopsy he found. Or maybe I am better not finding out....Ah happy to be alive and enjoy life despite all the negs.
@@treemands Hi Bro. How you are doing ok. I'm heading back to you grind today myself. I sit a lot and not sure how it's gonna be even I start leaking... next to a student in a car. Lol.
The rectus stuff was driving me nuts but I think I want doing the kegel exercises enough. Going to start treating that joke in training to race by bike. I'm going to be looking into pumps and such. I'm understanding where going in, the body is very weird and everything is connected. When it does there no prostate it wrongly assumes there no orbit m penis she no need to get erect. Crazy prior that God really DID drown l design is to make more people, be fruitful and multiply. I'm not looking for blue kids, my new grandson gives me soon that giggly feelings, but it's still like to have repair with my wife.
I'm the same, orgasm squirts urine. WWE are still pretty new ion this. My Doc seats it's been 6 months to a year before we start seeing any real progress.
I do massages on it s free times a day, stretch it out also cos we lose . 5 inch from pulling the urethra inside is to attach to the bladder. I've noticed a small gain back in the length so sorry us trying to happen.
I try to set the depends in a way that allows some freedom to hang down rather than having it squish Mr. Charlie. Can't be sure it gravity is did it's just but it's more comfortable.
Anyway, guys get going now. Stay in touch and good luck with everything. It's GOOD to be alive
💪🏻😎💪🏾
@@treemands
It’s just criminal that these clinicians are allowed to get their lies away, if one is active, as you say, there will be annoying leakage, I am a landscaper, lifting, building, shovelling, concreting, twisting and manoeuvring there is constant leakage.
If one just lives an old fellah’s life it’s ok, so that’s the figures they use.
They go on about the “nerve sparring surgery” but it’s only ever a result of 12 weeks monitoring, after that they put any failure down to natural age attrition or Peronies, but it’s not, it’s the deterioration of the very complex erectile tissue.
Just investigate nocturnal penile tumescence and you’ll learn about shrinkage, nerve damage and loss of libido.
Every paper ever written on prostate cancer warns of overservicing , I wish I could have been shown that information Pryor to surgery.
Post radical my Gleason score moved DOWN 2 grades to 3+3=G6.
Apparently That happens around 25% of post surgery pathology.
The prostate is a fragile and valuable organ, just be careful what you allow anyone to do to it, particularly anyone who makes a fortune out of collecting them.
@Dorris Tammy yeah, Steve Jobs tried that in the beginning of his cancer stage then quit it immediately because your herbs and vitamins idea is a bunch of crap.
I can’t find any good information on the meaning of PSA scores that over two years go up and down, but the overall movement is up. Started at .9, went to 3, then back to 2.5. Over last year it was as high as 5.5, but then down to 4.4. Doctor has no explanation for this. Should I do the biopsy?
You should get an MRI first, that will tell you the volume of anything in there,
Have the P$A test early in the morning, always at the same clinic, no horse riding or cycling or motorcycle riding and definitely no sex activity for 3 days Pryor to the p$A test.
Make sure you are well hydrated, no alcohol the day before the test.
All that will give you a reliable base line psa reading.
Here's hoping AOH1996 makes it though phase 2 and 3 trials. Fingers crossed.
Thank you for this very informative presentation! 2 urologists I have seen (at the same practice) have been recommending surgery because my MRI shows some "fuzziness" on the left hand side right at where the capsule is protruding. Also they are recommending Imrt over CK. Any thoughts on these? Also is there any way to get a consult with you? Thanks!
Do not do surgery. You should get a Cyberknife consult at a facility not associated with the surgeon. As a radiation oncologist we get all of our prostate cancer patients from urologist. Therefore it becomes a huge conflict of interest to criticize surgery. However the Cyberknife data has surpassed the surgery data as of 2016.
Is there focal therapy for Cyberknife. Also does prostate size matter?
2:38 Point three: you may be listening to minuets, but I think you meant "minutes". Thanks for this info, it's very helpful.
You said that; surgery is not recommended after radiation treatment... Is radiotherapy treatment the same as radiation treatment?
What about nano knife?
My prostate is 72cc and I have some retention issues. While I prefer SBRT, I am hearing surgery may be better as it will relieve the retention issues. Are there options I can pursue for retention if I opt for SBRT? And am I at much higher risk of increased retention because of SBRT?
What was your decision? I have treated patients with IPSS scores of over 20. Sometimes we do a TURP 6 months before SABR.
I am 70 I have Gleason 6 stage one they found less then 5% cancer in one core out of 15. Why would my Doc want to put me on casodex/
Casodex is not indicated in your case based on this information
Thanks very excellent. Wondering if a person with a nodule is likely to have prostate cancer. I have not taken a PSA in a while. Was normal 24 months ago.
Based on the PLCO study Journal of Urology 2005;173:746-750 The 4,449 men with positive DRE screens and negative PSA had a 3-year biopsy rate of 27%. Men with positive DRE at diagnostic followup had a biopsy rate of around 90%. However, few men, even of those with positive DRE screens, had positive diagnostic DREs.
There are 3 options, 1 get a biopsy, 2 get a mpMRI and targeted biopsy, 3 get a microUS and targeted biopsy
@@cancerfactswithdr.b3082 What is DRE ?
@@patricktrussell7465Digital Rectal Exam
I had undergone Cyberknife treatment 16 months ago. I developed radiation cystitis which is one of the long-term possible complications that can occur with Cyberknife. It seems that on many of the websites and TH-cam videos, this has never been addressed or was just simply glossed over. What are the treatments for radiation cystitis is hyperbaric therapy. Which means you have to be inside the glass tube for two hours for 30 Dash 40 sessions. My problem is that I am claustrophobic. Nobody discusses the rate of radiation cystitis that can develop following Cyberknife. This needs to be addressed. I believe it is a disservice if this is not discussed as part of the possible complications again occur from Cyberknife. You have to remember that you are getting 40 doses of radiation condensed into five sessions.
Did you have a Cyberknife treatment or a SABR treatment which stands for stereotactic ablative body radiotherapy which can also be delivered by 8 different radiation machines.
@@cancerfactswithdr.b3082 so is radiation cystitis not a side effect to Cyberknife treatment ?
@@pedrog4651 Every camp is hiding its own disadvantages. My urologist who proposed a radical prostatectomy for my Gleason 6 did not even informed me that Cyberknife exists...
@@amakridis not survalence a option?
Do your research before you decide ! Understand the side effects ! If you choose Robotic Surgery look for a very skilled surgeon who has a high number of
Successful surgeries . I had surgery over 6 years ago . PSA is , no incontinence concerns , able to have errections . No regrets for having surgery .
800 surgery’s is considered the learning curve for robotics surgery.
Find out how many men your surgeon has directed to Active Surveillance and how many robotic surgeries has been completed.
@@justdoesntaddup8620 wow 800 !...my urologist has 400 under his belt and he's pushing hard to get me on the table...not a good thing?
I had surgery one year ago. Psa is okay, but I am incontinent, impotent and anorgasmic.. I don't feel anything reaching an orgasme.
@@quintbont3629 What kind of surgery did you have?
@@josephbranch2342 Robotic surgery! I have no idea how skilled my surgeon was.