because of Dr Scholtz, when my husband was diagnosed this channel helped guide him to insist on a MRI and a guided guided biopsy, and the pet scan, he went to two urologist that did. It want to consider the guided Biopsy and MRI, my husband finally found the best hospital that has a wing for urology/oncology and he had all of the above testing, he is 76 and was diagnosed stage 4 but with the great oncologist and the right hormones and radiation he is doing FANTASTIC…. Better then we could have hoped for considering the stage of cancer he was told he had… Thank you to this channel, you are helping so many men deal with prostate cancer
@@christined2495 SAME here. Age 75. My PSA went from 1200 to 264 after radiation Refused ADT. Considering hormone. Not in a hurry. Radiation takes full effect on 2 years
My husband is on Hormone therapy and will be for two years he has had 44 radiation treatments , but he has been blessed he has had only a few hot flashes no other side effects, I mean “NO “ other side effects, which I know is rare, he has a PSA of 0.2 So now he has completed radiation as if this week and will wait for February for his PSA Please consider the hormone therapy, it truly is the perfect cocktail along with the radiation, and my husband has done fantastic with them, also my buns And is blessed we live in the Charlotte area and is going to a great hospital with a wonderful team of drs a oncologist/urologist, a wonderful radiologist as well, the care he has received has been excellent and we consider this such a blessing we never doubt the care he has received
Thanks so much for these videos it helped me make my decisions. I realize how important it is to do your own research as my doctors did not inform me of options that were available. Possibly due to financial incentives. These videos are informative ,logical, and on point from everything I have researched.
Sadly, financial considerations more often then we wish seems to be very prominent in how our treatment is done. We must teach ourselves as much as we are capable just as some kind of protection?
My psa was 2.9 Gleason 9 , I had prostate surgery, I had a recurrence in two years pas .2 had radiation psa went to.001 , a year later my psa started to rise went to 6.9 , I’m now on hormone therapy psa . 04
Here we go with sleepless nights. I did radiation for 20 sessions, I was diagnosed with unfavorable intermediate prostate cancer , PSA as high as 14.1. After treatment it dropped to .01, 3 months later .49, 2 months later .51,,,3 months later 3.1 (YES),, 2 months later 4.24. My head is spinning 😮. Just had a pelvic CT scan, waiting on the results but what I'm seeing on this video and others this scan is useless. Also Im schedule for a skeleton scan two weeks from the pelvic scan, again another useless procedure. Im preparing for the worst. Metastasis in the lymphs and bones. New Year is bringing many challenges
@RH-xd3nx yes, just came today via email, my oncologist was supposed to call me today but he had a family emergency so they rescheduled for tomorrow phone call. I can open it up but I think I will wait until tomorrow morning
Thanks for guidance. Radical prostatectomy and radiation treatment taken. Yet PSA monthly readings are 0.43, 0.34, 0.19, 0.24. Please do suggest further actions 🙏🙏
Had prostate removed four years ago I'm 66 years PSA went from 0.06 to 0.24 in that time. Had pet scan done recently says there is one small spot in the bed where the prostate was. Should I jump into radiation therapy and hormone therapy right away or should I watch my PSA level and if PSA level goes up again then reconsider radiation and hormone therapy. Another question do I have to do radiation and hormone therapy or can I do one or the other
No Mention of Cryogenic treatment (Radiation) after 8 years PSA Recurrence? That is where my Urologist said the next step will be after Pet Scan and then a definitive Biopsy. Why no Cryo discussion?
I was diagnosed with Prostate cancer at 54 years of age in 2019. PSA of 10 (fast rising) Gleason 7 (4+3) Grade 3. I had external beam radiation for 9 weeks. I chose not to do hormone therapy. My PSA reached its nadir of 0.7 2 years in. Now, I am 5 years since treatment and the last 3 PSA tests have been rising. Up to 1.38 now. Anybody had this experience? Was it a reoccurrence or just the PSA "Bounce"? I am scheduled with my former oncologist in a week but wondering what others have experienced.
Thanks for the advice. I check my PSA every three months. Is their any food or herbs that can reduce the PSA. Can I try Licorice, Beetle nut, soya to control testastrone, Dihydro testastrone and as receptor blockers?
I will add this to our list of questions for future videos! There may be a generic number from studies, but a lot of it may depend on the individual characteristics of your cancer. If you would like to discuss your situation with one of our patient advocates, you can find the contact information for our free helpline here: www.pcri.org/helpline
I am 15 months after the hormone shot 6 month Luprin and my testosterone is still only 42 the doctors will not give any answers of why. My live sucks any help you can offer
I had a biopsy with a Gleason of 3+4. We decided to have a radical prostatectomy. Post operation it was determined to be Gleason 3+3, margins were clear, no seminal vesicle invasion, and lymph nodes were clear. There was EPE. My PSA was clear for 1.5 years but now has been slowly growing every 3 months(0.021, 0.028,0.036, 0.047) Decipher test shows low risk (0.24). On one hand Gleason 6, clear margins, and low Decipher risk. On the other hand my PSA is increasing. How worried should I be about this and what could be causing the rising PSA?
Don't stress. Your PSA is rising super slow and your Decipher risk is low. This bodes well for you. However, this is likely to be real given you are having a consistent rise. Talk to your doctor. You could go for salvage RT now or wait until the PSA gets above 0.1. It does help to give yourself 2 years to heal from the surgery though. I was in a similar situation and just had salvage RT once my PSA crossed 0.1
@@elitetrader5468 Thanks for the reply. My PSA was .087 when taken a month ago. Waiting for it to reach. 1 before additional treatment. How did your treatment go? Any complications from RT? Cancer free for how long since RT? Thanks.
@@grapes3435 Treatment was a bitch (you have to have a very full bladder on the table and it can be excruciatingly painful). I have GI issues now and I feel like my libido/errections are worse. I finished March 24th. Haven't had a first PSA check yet so unclear as to where I stand as of now. First PSA check in July.
@@grapes3435 You might as well start planning for treatment now. It takes a couple weeks of planning/tests prior to starting at which point your PSA will be above 0.1. The earlier the better. Unfortunately, this is real given your consistent upward rise. Wishing you the best. This disease is horrible.
🎯 Key points for quick navigation: 00:00:06 *📈 Treatment Urgency for Rising PSA* - Decisions on treatment urgency depend on the goal: cure vs. quality of life. - Salvage cure is more effective if pursued early when PSA rises. - Intermittent hormone therapy may allow PSA to rise temporarily. 00:01:29 *🎯 Metastatic Spots & Radiation Limits* - Experts advise treating up to five metastatic spots, ideally fewer. - Risks increase with more spots due to potential immune system impact. 00:02:22 *🧭 PSA Monitoring Post-Radiation* - Monthly PSA checks advised to detect recurrence patterns. - Distinction between cancer recurrence and inflammatory PSA bounce is crucial. - New scans simplify identifying actual recurrence. 00:04:15 *🔍 Misinterpretation & Doctor Awareness* - Misinterpretations can lead to unnecessary treatments. - Educating doctors is essential to prevent incorrect cancer diagnosis from inflammatory PSAs. 00:04:45 *🩺 Prognosis for Lymph Node Relapse* - Higher cure chances for relapses in pelvic lymph nodes. - Some successes seen even in isolated bone metastasis. - Better odds with fewer affected lymph nodes. 00:05:35 *⏲️ PSA Check Frequency Post-Treatment* - PSA checks every three months for the first two years post-treatment. - Every six months for years three to five, then annually. - Testosterone recovery marks a critical point for continued monitoring. Made with HARPA AI
If you're breathing there's always hope. I'm 3 years in, and it has been a roller-coaster ride. Hang in there and keep asking questions, keep researching, be your own advocate.
As a physician and prostate cancer patient I can’t tell you how valuable your videos are. Keep up the good work and thank you!
because of Dr Scholtz, when my husband was diagnosed this channel helped guide him to insist on a MRI and a guided guided biopsy, and the pet scan, he went to two urologist that did. It want to consider the guided Biopsy and MRI, my husband finally found the best hospital that has a wing for urology/oncology and he had all of the above testing, he is 76 and was diagnosed stage 4 but with the great oncologist and the right hormones and radiation he is doing FANTASTIC…. Better then we could have hoped for considering the stage of cancer he was told he had…
Thank you to this channel, you are helping so many men deal with prostate cancer
@@christined2495 SAME here. Age 75. My PSA went from 1200 to 264 after radiation
Refused ADT. Considering hormone. Not in a hurry. Radiation takes full effect on 2 years
My husband is on
Hormone therapy and will be for two years he has had 44 radiation treatments , but he has been blessed he has had only a few hot flashes no other side effects, I mean “NO “ other side effects, which I know is rare, he has a PSA of 0.2
So now he has completed radiation as if this week and will wait for February for his PSA
Please consider the hormone therapy, it truly is the perfect cocktail along with the radiation, and my husband has done fantastic with them, also my buns
And is blessed we live in the Charlotte area and is going to a great hospital with a wonderful team of drs a oncologist/urologist, a wonderful radiologist as well, the care he has received has been excellent and we consider this such a blessing we never doubt the care he has received
Grateful for Dr. Scholz and for you and your good organization in pulling together the inquiries. Sooo well done and very valuable information.
Thank you so much! Your videos have helped ne understand prostate cancer and have made my office visits to my doctor so much more productive.
I had psma guided surgery 3 years ago, cancer was determined and cut out and I am cancer free with low psa around 0,5 to 0,8. 🙏
Thanks so much for these videos it helped me make my decisions. I realize how important it is to do your own research as my doctors did not inform me of options that were available. Possibly due to financial incentives. These videos are informative
,logical, and on point from everything I have researched.
Sadly, financial considerations more often then we wish seems to be very prominent in how our treatment is done. We must teach ourselves as much as we are capable just as some kind of protection?
Ed here, going thru this now. been thru surgery, 33 radiation treatments/ lupron. psa is slowly rising. never any systoms. surgery was hell.
Thanks for the information about the PSA bump.
Excellent questions. Very well done. I hope your puppy, Hunter, is doing well.
You guys are so helpful we your comments and knowledge, thank you so much,
Kind regards Glenn.
My psa was 2.9 Gleason 9 , I had prostate surgery, I had a recurrence in two years pas .2 had radiation psa went to.001 , a year later my psa started to rise went to 6.9 , I’m now on hormone therapy psa . 04
Dang, that makes me sad.
Are you alive
Thank you for this.
Dr Scholtz..You are great !
Here we go with sleepless nights. I did radiation for 20 sessions, I was diagnosed with unfavorable intermediate prostate cancer , PSA as high as 14.1. After treatment it dropped to .01, 3 months later .49, 2 months later .51,,,3 months later 3.1 (YES),, 2 months later 4.24. My head is spinning 😮. Just had a pelvic CT scan, waiting on the results but what I'm seeing on this video and others this scan is useless. Also Im schedule for a skeleton scan two weeks from the pelvic scan, again another useless procedure. Im preparing for the worst. Metastasis in the lymphs and bones. New Year is bringing many challenges
Hi my friend, Did you get a psma pet?
@RH-xd3nx yes, just came today via email, my oncologist was supposed to call me today but he had a family emergency so they rescheduled for tomorrow phone call. I can open it up but I think I will wait until tomorrow morning
@RH-xd3nx the CT pelvic scan, didn't show anything. Things were the same from last year scan.
@BigZWD Hope alls well my friend. I'm pretty sure you are fine.
@@RH-xd3nx I'm trying to be optimistic. I will send you an update tomorrow once I speak with my oncologist 👍
Thank you so much, this takes a load off my mind.
Thanks for guidance. Radical prostatectomy and radiation treatment taken. Yet PSA monthly readings are 0.43, 0.34, 0.19, 0.24. Please do suggest further actions 🙏🙏
Another great informative video!
Thank you. 💜
So well done, thx a lot!
Had prostate removed four years ago I'm 66 years PSA went from 0.06 to 0.24 in that time. Had pet scan done recently says there is one small spot in the bed where the prostate was. Should I jump into radiation therapy and hormone therapy right away or should I watch my PSA level and if PSA level goes up again then reconsider radiation and hormone therapy. Another question do I have to do radiation and hormone therapy or can I do one or the other
I am in the same boat and waiting for the answer like you ive got an appointment in April at my hospital
@bluenose007 my hubby too
How long does a PSA bump cycle last for ?
If you have a ride in PSA after ADT is stopped when do you rely on doubling time vs looking at a PET scan?
Both PSMA PET scan and doubling time are important.
No Mention of Cryogenic treatment (Radiation) after 8 years PSA Recurrence? That is where my Urologist said the next step will be after Pet Scan and then a definitive Biopsy. Why no Cryo discussion?
Thank you. These are helpful.
I was diagnosed with Prostate cancer at 54 years of age in 2019. PSA of 10 (fast rising) Gleason 7 (4+3) Grade 3. I had external beam radiation for 9 weeks. I chose not to do hormone therapy. My PSA reached its nadir of 0.7 2 years in. Now, I am 5 years since treatment and the last 3 PSA tests have been rising. Up to 1.38 now. Anybody had this experience? Was it a reoccurrence or just the PSA "Bounce"? I am scheduled with my former oncologist in a week but wondering what others have experienced.
My PSA went from 1200 to 264 with radiation. I refused ADT.
I am considering hormone therapy. I am 75. My testosterone can't be dangerous
Thanks for the advice. I check my PSA every three months. Is their any food or herbs that can reduce the PSA. Can I try Licorice, Beetle nut, soya to control testastrone, Dihydro testastrone and as receptor blockers?
Thank you so much.
I had a prostatectomy mid year. My previous PSA level had always been low. Is future 3 monthly PSA monitoring any use for men like me?
how long is hormonal treatment good for?
It is patient specific.
What about after surgery and the psa never goes down to zero but is still fairly high? Is this still considered a recurrence ?
If the PSA was never undetectable then that's not a recurrence that's a persistently elevated PSA so salvage RT would be recommended.
Thank you, very helpfull info.
What is the success rate for radiation used for recurrent prostate cancer. 20% 50% ???
I will add this to our list of questions for future videos! There may be a generic number from studies, but a lot of it may depend on the individual characteristics of your cancer. If you would like to discuss your situation with one of our patient advocates, you can find the contact information for our free helpline here: www.pcri.org/helpline
I am 15 months after the hormone shot 6 month Luprin and my testosterone is still only 42 the doctors will not give any answers of why. My live sucks any help you can offer
That lupron is rough and sometimes ur testatrone doesnt come back
My testosterone went from 1200 to 264 after radiation. I refused ADT. I am considering hormone therapy. I am 75. My testosterone can't be bad
GOD BLESS YOU
I had a biopsy with a Gleason of 3+4. We decided to have a radical prostatectomy. Post operation it was determined to be Gleason 3+3, margins were clear, no seminal vesicle invasion, and lymph nodes were clear. There was EPE. My PSA was clear for 1.5 years but now has been slowly growing every 3 months(0.021, 0.028,0.036, 0.047) Decipher test shows low risk (0.24). On one hand Gleason 6, clear margins, and low Decipher risk. On the other hand my PSA is increasing. How worried should I be about this and what could be causing the rising PSA?
Perhaps your biopsy was accurate in terms of 3+4 and your post-prostatectomy pathology read of 3+3 was inaccurate.
Rather than vice-versa.
Don't stress. Your PSA is rising super slow and your Decipher risk is low. This bodes well for you. However, this is likely to be real given you are having a consistent rise. Talk to your doctor. You could go for salvage RT now or wait until the PSA gets above 0.1. It does help to give yourself 2 years to heal from the surgery though. I was in a similar situation and just had salvage RT once my PSA crossed 0.1
@@elitetrader5468
Thanks for the reply. My PSA was .087 when taken a month ago. Waiting for it to reach. 1 before additional treatment. How did your treatment go? Any complications from RT? Cancer free for how long since RT? Thanks.
@@grapes3435 Treatment was a bitch (you have to have a very full bladder on the table and it can be excruciatingly painful). I have GI issues now and I feel like my libido/errections are worse. I finished March 24th. Haven't had a first PSA check yet so unclear as to where I stand as of now. First PSA check in July.
@@grapes3435 You might as well start planning for treatment now. It takes a couple weeks of planning/tests prior to starting at which point your PSA will be above 0.1. The earlier the better. Unfortunately, this is real given your consistent upward rise. Wishing you the best. This disease is horrible.
🎯 Key points for quick navigation:
00:00:06 *📈 Treatment Urgency for Rising PSA*
- Decisions on treatment urgency depend on the goal: cure vs. quality of life.
- Salvage cure is more effective if pursued early when PSA rises.
- Intermittent hormone therapy may allow PSA to rise temporarily.
00:01:29 *🎯 Metastatic Spots & Radiation Limits*
- Experts advise treating up to five metastatic spots, ideally fewer.
- Risks increase with more spots due to potential immune system impact.
00:02:22 *🧭 PSA Monitoring Post-Radiation*
- Monthly PSA checks advised to detect recurrence patterns.
- Distinction between cancer recurrence and inflammatory PSA bounce is crucial.
- New scans simplify identifying actual recurrence.
00:04:15 *🔍 Misinterpretation & Doctor Awareness*
- Misinterpretations can lead to unnecessary treatments.
- Educating doctors is essential to prevent incorrect cancer diagnosis from inflammatory PSAs.
00:04:45 *🩺 Prognosis for Lymph Node Relapse*
- Higher cure chances for relapses in pelvic lymph nodes.
- Some successes seen even in isolated bone metastasis.
- Better odds with fewer affected lymph nodes.
00:05:35 *⏲️ PSA Check Frequency Post-Treatment*
- PSA checks every three months for the first two years post-treatment.
- Every six months for years three to five, then annually.
- Testosterone recovery marks a critical point for continued monitoring.
Made with HARPA AI
What is elderly?
The medical community defines elderly as 65 or older.
@@elitetrader5468 Thanks
What if PSA is over 4,000 ..reduces to mid teens ..then bumps up to near 800?
Sounds like my husband
DO NOT WORRY. PSA IS A SCAM
@@PanAmPattiPSA IS A SCAM
My PSA went from 1200 to 264 after radiation. I refused ADT and am considering hormone. I am 75 and not much testosterone in me
@@PanAmPattihow is your husband? Please reply
PSA. 20++. any hope
If you're breathing there's always hope. I'm 3 years in, and it has been a roller-coaster ride. Hang in there and keep asking questions, keep researching, be your own advocate.
Mine went from 1200 to 264 after radiation. PSA is a scam.
I refused ADT and am considering hormone. I am 75
@@KDean22did it metastasized anywhere
@@jasdipkahlon7002 YES. To hipbone and lymph nodes
THANK YOU ALEX, YOU ARE THE BEST