Відео

Not happening 😂

I was diagnosed with prostate cancer back in 2015 just before I turned 44, they didn’t give me options not even radiation seeds. I regret having surgery because I lost alot after and it just wasn’t worth it mentally and physically. I lost a lot because of evasive treatment. I wish doctors can really go over stuff than quick to say surgery.

I had a pirad 1, my psa was 3.4 and my exodx was 28. Would a psma pet be useful on top of a 12 core biopsy?

You did not go over gleason 7 4+3 … I had 12 of 12 80% in each biopsy… also beyond the capsule in perineal and possible in localized lymph node

Appreciate this informative video. I do have concerns which wasn’t covered by this video which is what are the most common injuries occurred when performing a TPB. There a two that comes to mind which is the potential damage/injury to the prostatic urethra and/or hemorrhage from any arterial vessels in that region. If anyone can comment or if the physician can comment with rate of probability would be helpful. Also, what methods are use to treat if those injuries occur.

BRILLIANT VIDEO. I’m going to go back and look at your earlier videos. I have BPE but at 80 years old I am obviously wary of this becoming cancer. I have an exam once a year, although usually just finger and ultrasound, not PSA.

Thanks a lot. Got some idea. Thanks a lot. Please keep making vedio like this. It will also save life. Thanks for helping. 🙏🙏🙏

Thanks for your information

my radiology oncologist wants me to do 5 days of stereotactic radiation and 18 months adt. im a 3+4 7 intermediate unfavorable 2b. im 66 and RT starts Friday , adt begins in 4 days. my decipher score is .97 . why do I need 18 months of horrnone therapy? had I joined the clinical trial, it would only have been 6 months.

Well I had prosacectermy in 2017 with a low psa count now in 2025 my psa is a high 170 and have stage 4 prostate cancer. I was eligible for a trial of nuclear medicine every 6 weeks at Peter maccallum cancer centre and after my 6th episode was told it hasn't worked for me being 30% of failures now iam off again to the hospital for chemo of

Please tell us how do we get our length to return. I did understand every thing else that you covered.

Thanks. A well presented and argued piece. The problem I have is that the PCa is ISUP 2 with PSA of 8 which would be ‘favourable’ intermediate ‘but for’ an MRI detected anterior EPE (not seen on PSMA PET) & a tiny prostate of 16ml. The data I find is that the risk of metastasis following RP for men with MRI detected EPE is around 25-50% in 3 years (Mazzone 2022, Rakauskas 2022); & following RT it could be as low as 5% in 3 years for a ‘low risk’ EPE or 30% for a ‘high risk’ EPE (Gomez-Iturrigia 2020). Based on that data it seems treatment is no better than no treatment, with the big caveat that the ‘no treatment’ choice relies on eyeballing the data of the big RCTs because they don’t have MRI EPE. Overlaying that is the vagaries and randomness of GS & ISUP GG, & the grade shift caused by targeted and saturation punch biopsy sampling; my brother had 3 pathologists report on his saturation systemic plus targeted biopsy and got 3 different GS and conflicting findings of ductal adenocarcinoma. Pretty much a reflection of the data from repeat biopsies and up and down grading at pathological grading of dissected prostates. If you want to make another change to biopsies (although the industry is moving slowly towards imaging based diagnosis like other cancers), then look at fine needle aspiration instead of punch cores. I understand Gleason was positive in moving in that direction. BTW, your claim about 20 times the metastasies of Gleason 6 is not persuasive given the very low incidence in the GS cohort. While true it’s misleading. Cheers, from Australia!

Thank you for your informative videos!! I'm 64. I had biopsy last August: 2 cores positive one 3 +3, one 3 +4 (5% 4); 5.0 PSA; After 2nd opinion with UCSF Dr. Carroll, Kaiser finally agreed to do MRI. It showed a tumor 1.9cm confined to prostate (random biopsy has estimated 2mm, so 10x larger - not trusting biopsy too much). Now going to have targeted fusion biopsy at Kaiser. I am hoping for active surveillance, but if the new biopsy comes back "bad" I may do SBRT with Kaiser, or maybe pay out of pocket for focal treatment with Dr. Carroll...does that all sound reasonable?

Dr. Ahdoot, thank you for your videos. I am 44 and was diagnosed with prostate cancer stage 1. I had traditional biopsy, 8 of the 12 samples are positive. My dad and grandfather had it. I saw 2 different doctors and one recommends active surveillance after performing a targeted biopsy. Second doctor recommends surgery. What would you suggest?

Where are you located Doc ?

Hi doctor my husband was just diagnosed with prostate cancer. He is 49, PSA right now 5.7. Biopsy showed his prostate to be 3+3 on 4 parts of the prostate and 3+4 on other 3 parts. They scheduled him for bone scan, not a psma pet sacn. I am calling his doctor to change the scan. What should be the best treatment for him?

On somewhat different note, do you have any thoughts on if a daily Omega-3 supplement can increase or decrease PC risk? I've read conflicting literature and am not sure what to make of it. I'd like to take for its many other proven health benefits but dont want to take any chances.

Would it be worthwhile to have the most accurate metastasis test on say a yearly basis and if no sign just watch and wait as a sort of way of hedging your bet against suffering as you watch and wait.

Im 65 and Its been 14 months since i had brachytherapy treatment for 3+4 Gleason score with psa of 23. Psa is now 1. Did not want surgery to remove prostrate Had active servalance for 3 years after psa level was climing steadily at 3+3 .3 biopsies, MRI,cat scan and peta scan, I have to mention the digital exam did not detect the legion as it was on the anterior side,thats why psa test is important. Testosterone level is normal and sexual function normal as before treatment, happy me !!!and if i may still some ejaculation. This may get dry I recommend bracytherapy if its the right time over surgery removal, prostatectomy, i understand way more problems with the prostatectomy. Thanks for the brerk down on your video .keep up the good work for prostrate cancer and men ,and tell them to get a psa test at least staring at 50 cheers

I was just informed by my Urologist yesterday that I have a Gleason score of 4+3. He has referred a PET Scan and its scheduled for 2/11/24 with follow up with the doctor on 3/12/24. He's sent my tissue samples for further evaluation, genetic I think, not sure. He's leaning towards radiation as a treatment option. I'm 79. Videos like yours are very helpful. Thanks. Also. I thank God I have health insurance. To go thru this is bad enough, but without proper insurance it would be unbearable. Live alone with minimal emotional support. But I'm focused on getting better.

Excellent

Regarding the MRI, is there a constrast agent that is not a GBCA? I'm worried about the toxcicity of gadolinium with stage 3 CKD.

My Gleason scores, 2 non detect, 3 were 3+4 and 7 were 3+3. PSA was 4.1. I go to MD Anderson in March to decide treatment

Why is radiation treatment not being discussed here?

Thank you so much Dr. Im trying to educate myself as much as possible, before my TRUS biopsy results on wednesday. I just hope it didnt miss and get a false negative, as no one told me not to ejaculate several days before biopsy (i did 3x in 36hrs prior, 1x 12hrs prior). But urologist on the day said it will be ok? My zMRI with contrast showed an 8mm "Shadow"... i dont know if a shadow means its definately cancer? Im only 56yrs young and PSA has been up and down, from 9.0 in 2017, to 5.0, then in following years to 2.0 to 4.5 to 8.6 to 5.4 so general doctor said not to worry as cancer usually goes up and up... hope i havent left it too long?? Pretty scared. Had weak urine flow since 2005, and weak ejac since about 2018. Doctor didnt seem to think there was any urgency. Only options to refer me on to fix it "if i want". My prostate size is about 90 (cc? Or mm?). Was size 50 about 4yrs ago ...again, no urgency of anything serious was suvgested to me by my general doc in rural country town. Im wondering if he should have?

Thanks for sharing, Doctor! I have been watching your videos to gather as much info as possible for my upcoming biopsy in Feb. Will wait and see what to do when the result comes back. Hoping for a BPH after all.

Thank you for your information. In a 3T MRI outlined PI Rad 4 lesion at 1 o'clock 1cm, how many cores do you take, Are they all focal?

All this prostate epidemic started after the psa test. Most men will get prostate cancer but very few will die from it unless you follow these money hungry doctors who are doing biopsies and cutting into the prostate spreading the cancer cells. Its a big buisness treating prostate cancer. Doctors are causing the problem by overtreatment causing the cells to escape and spread. Its a known fact, the treatment is causing the metastasis. Its all about profit and greed. The fda is involved. Hopefully our new administration will get the criminal injustice out of our medical industry in America. I believe he will because big pharma is where all the billions for bidens campaign came from, it was big pharma. Im talking with proof to back it up. Healthcare in American is for massive profits. Why do you thing Foucchie and all his colleagues were pardened. He made tens of millions for himself and billions for big pharma. Pushing treatments for profit. Treaments thats cause more problems in turn needs more treatments.

Needed this, have 3 +4 and looking into my options,

Wonder what the charts would look like if they factored in the men that died as a result of their surgery or complications afterwards like death from blood clots after surgery.

I had negative 3T Multiparametric MRI. My PSA was going up every 6 month. A PSMA PET scan detected absorption. A Transperineal biopsy was performed using sonogram and MRI images and several cores had 3+4 on the gleason score. SBRT with adaptive MRI was performed and PSA now is .58 after 3 month. The advances in MRI and PSMA PET scan aids the detection of Cancer tools that were not available several years ago. SBRT with MRI with the SpaceOAR is not painful and good solution

The new technology is great if your insurance covers it 😢

Shut up and get on with the information!!!

Just diagnosed. Thank you for this information.

I had an MRI on my prostate that came back with a PIRADS score of 1. A week later I got a biopsy and it came back with cancer and a Gleason rating of 8 and 9. Go figure. I ended up being treated for Prostate Cancer. So, in my case my MRI was not trusted. Oh yeah, my PSA was at 6.5 at this point.

what about PAE?

What is the chance of infection if there is no rectal culture taken ahead of time to see what antibiotics are best for the trans rectal biopsy?,and should there be any other test done other than a basic quick rectal exam of the prostate via gloved finger,and 4 PSA test ,before being recommended for a biopsy?,I ask because no digital rectal exams nor any MRI was done, because all I had was the one quick rectal exam wirh gloved finger,and 4 psa test, absolutely nothing else, and I am scheduled for a transrectal biopsy in a week from today,and Vantin for my antibiotic,this is why I ask,and I have not had any rectal cultures done either,thank you. Should I get a second opinion,or just go with what I am scheduled for?,I am just curious, because I have never had any type of biopsy in the past whatsoever.

I love straight up data. That was useful. Thank you, Dr. Ahdoot. I hope you & your family are safe from the fire....jt

I had mine removed three years ago still clear another two years to get the all clear Viagra no good i use a pump it works good still pass very small amount of urine now band again if i sneeze it passes very little good luck to everyone one take care Richard from Sunderland in England

Check out nanoknife focal treatment

Can the Gleason score change over time?

The love of my life has metastatic prostate cancer. He also has a nephrostomy tube. He was diagnosed a year and a half ago. He won't take any treatment. He hurts all of the time, especially at night. He barely sleeps. Is still going to work every day. He has knots on his back, and they hurt. He won't go to the doctor. I'm absolutely terrified. I pray for a miracle every day. I wish to God there was something I could do for him. I can't live without him. I'm so afraid for him. He doesn't have health insurance, he pays for what little he goes to the doctor out of pocket. I just thought I'd have more time with him. I don't know that there's anything that can be done for him. I just want him to stay with me, or take me with him.

I have both 3+4 and 4+3, Gleason 7. I believe the 4+3 puts me in grade group 3. There was little discussion, if any, of 4+3 Gleason 7. Would this put me, generally in the expectant outcomes of Gleason 8 patients? Thank you.

I was having rapid increases in my PSA level. Doubled every year. They did a biopsy of my prostate it looked good. I insisted on an MRI of my prostate. I had a deadly form of prostate cancer in the exact center of my prostate. That is why it was missed during the biopsy. The biopsy only samples the outside of the prostate.

I am undergoing The Triplet Treatment for my prostate cancer at age 65. My PSA was 100, and my Gleason score was 7,8,9 in certain areas of the prostate, but now, with my treatment, my PSA is 0.285 after two months. I was not able to urinate when it first started to complicate my life back in August 2024. I train 6 days a week with weights and treadmill aerobics. I also do situps to flatten my stomach. I also take calcium, magnesium, and D3 vitamins every day. I drink three cups of green tea, which makes me urinate much harder, like when I was 50. I was in good shape before this all happened, and I am in better shape now. How long can I live? From what I read, it does not look like I will reach my late 70's. Please write back.

Excellent summary of the data. Appreciate the nuance in the commentary.

Most will not believe what I'm about to tell you. Went to primary care Dr. For routine check up at 69. PSA 11. he recommended i see a urologist. 2 months later my PSA. WAS 17. BIOPSY WAS then done 8 pulls cancer 15% in 2 pulls. Growth is outside the prostate capsule. Gleason good 7. 3+4. They categories me as stage 3 cancer.Proton was recommended and hormone therapy. I agreed to neither one. The urologist told me Proton and then changed to photon therapy . His reason didn't sit well with me so I walked away. A year later my PSA WAS A 34. ( NO DECIMAL POINT ) still no treatment whatsoever. Lots of testing. MRI, PET scan, cat scan, bone scan, negative lymph node scan negative. Trip to the hospital over a year ago random PSA done . Was a 23.. I am 73. I have NO symptoms. I go to bed at 9 and up every morning at 5:20 No pee breaks Employed full time . I will die WITH prostate cancer, NOT From It. I have God's word on it.

Small area of Gleason 3+3=6, Grade 1 prostate cancer in one biopsy sample. 77 years old. Now scheduled for 3-Tesla MRI at Mayo Clinic in February after my prostate settles down from HOLEP laser surgery. Almost totally recovered from some urinary incontinence post-surgery. My presumption is that if anything more is found on the MRI, I will be having that MRI targeted biopsy soon after. Am I correct doctor?

RIGHT NOW there is no need to go to any doctors for any prostrate problems, FIRE your doctors right away. STOP the sugars and some other unhealthy foods, some cheese and drink ginger powder tea with lemon 3 times daily at first less later when you are better. You will get better fast. Say goodby to your prostrate problems if you do as I said and save a ton of money

Doctor, If i may ask, at your age right now and had Gleason6, would you do active surveillance or Treatment?