If you have enlarged prostate DO not ejaculate before psa test for at least 5 days, six days even better. Do not measure psa if you have constipation. My psa was day 1 after ejaculation 7.4, 3 days after 6.7, 4 days after 6.4, 5 days after 6.1, 6 days after 5.7. Prostate size 52cc age 58. Take lycopene supplement 25mg every day, it will also drop psa. Hope that helps. 🙏
@yiotisdemetriou Many thanks for putting up that message as I have always suffered from a very high PSA for the last 10 years or so. My annual exam comes around end of Jan and as a cyclist Im usually in training for the summer months or a special event in the early season . I'm much older than u and I suspect my prostrate is larger , although I do not know its Vol. About a year ago I got a reading of 7.5 , which got them a bit panicked and I got called back in and told I needed another test, well I knew it was going to be a bad one because they wanted me to test there that instance , and I had been riding in the morning + ejeculated the night before .. = PSA 9 and then on to a complete exam + MRI. . After all that I got another test and results were better . The small Asian Dr explained to me it would be impossible for me to get my PSA down to 3 ( as my Dr wanted ) because of my size ( 6 foot and about 90 kgs ) + and enlarged prostrate , he said he could being only 5 ft and 50 kgs , me not a chance. his advice was as follows No sex for 2 weeks No riding a bike for 2 weeks before the test and maybe I would be able to get down to a PSA of about 6 Anyway , hope this helps someone.
You do not have to ejaculate, just watch porno and it will elevate you PSA. I live with a smart lady. She taught Home Ec and Personal Finance in HS and has a masters degree. Yet in our talk the other day she admitted she did not know the purpose of thee prostate in men. They do not teach her subjects in HS anymore. I recently got a new Primary Care Physician. He ordered blood tests, MRI and EC. He recommended B12 but did not order a PSA even though I have a cancer flag in my prostate history from a biopsy, twenty years ago. I have also had two prostate reductions (TURP's). I told my PCP that a doctor on line stated that B12 can elevate the risk of prostate cancer. He wanted me to bring him a copy of the statement. I told him he is getting paid a lot to look it up.(nicely). I am 88 years old and in good health, married three times, lived with several, currently 15 years. 2 degrees with over 300 credit hours. Owned 3 homes, worked for 12 companies. Our world is run by computer software. Incredible technology but, only the coders and programmes can run it and they are for sale. Just like the State Dept. being run by the interpreters I have 6 close friends with prostate cancer. 2 died, six months after I insisted they get their psa checked 2 died over two years ago and two are in treatment. Good doctors and good engineers are on the list of endangered species. AI will finish us off..
How were you able to test? Did your purposely do it in those day increments before the test? I’m concerned about my psa, I’m 43 in December it was 1.2 and did a random test last week. Got 3. Waiting to see a urologist in 2 weeks. I had sex prob 2-3 days before test. Wondering if that’s a cause it came higher. I am so concerned
My PSA had been rising during my 40’s finally topping out at 6.35 when I was 52 years old, I had 2 urologists screaming at me there was no way lower your PSA and that I needed a biopsy! I started KETO/OMAD and started doing longer fasts periodically, fast forward 2 years my PSA had dropped to 3.0! Now at 58 years young my PSA is 2.9, I asked my doctor how this could be, she ran out of the room! We all need to educate ourselves and take charge of our health!
2 yrs and 8 months between psa testing thx too med system covid interruption. 🇨🇦. Psa went from 7.05 too 5.60. Only thing different is i drastically cleaned up my diet like you. Last 6 months on strict keto/paleo lifestyle. Can't wait for next blood work and neurologist appointment in April.
@@gronig6pat833 yea it’s horrible what they’re doing, just begged my primary care for several blood tests I told them I would pay out of pocket if insurance didn’t cover it he refused and is sending me to a specialist.
Unfortunately most corporate Doctors can't be bothered actually talking to their patients. Their goal is to check off the boxes and move onto the next of 70 to 90 patients per day. The art of medicine died with profit based medical care.
I am 63 years old and had a PSA blood draw performed and it was 5.5. Neither my primary provider or my Urologist told me that ejaculating 24 hours prior to a PSA blood test would cause my PSA to be falsely elevated. I discovered this fact while doing my own research. I did ejaculate the day before my blood draw. I waited 3 months and had my PSA rechecked and made sure I did not ejaculate for a week before my blood draw. My recheck was 5.1. I believe providers need to do better job educating patients on this.
Suggest seeing someone for further examination. I have prostate cancer and haven’t yet seen a PSA as high as yours. PSA is only an indicator measurement. I’d suggest seeing an urologist and at least having a check.
I had two ejaculations within 12 hours of my psa test not knowing it could give false reading at age 59. Test came back at 3.1 resulting in my doctor recommending a specialist consult ( I didn’t make an appointment) The following year I refrained from an ejackulation for 2 or 3 days before the next test and it was 1.5. Doctor never told my an ejackulation before the test could give a false positive.
Also vigorous exercise can increase the PSA. No-one told me that either. I did 2 hours of hard tennis the night before the test and had PSA of 9.33. One month later with no exercise I had a PSA of 5.67.
@@minerdave A PSA of 5.5 or even 5.5 is not unusual at all in older men. It might mean trouble but usually means BPH, an enlarged but cancer-free prostate.
My VA doctor had been checking my prostate for years. He once said "I know it's uncomfortable but a time may come when I find something wrong". That time came in Feb. 2013 when he felt 2 small bumps. In Mar. 2013, I was sent to Urology where the pathologist said "Something is wrong". A biopsy was done in late-April and the results came back in early-May; positive for stage T2C adenocarcinoma (which means it was in both lobes of the prostate). In Jun. 2013, an oncologist told me it had reached stage T3A (it was outside the prostate). He told me that, at the rate it was moving, I would have maybe 5-6 years to live without treatment. I opted for radiation treatment; had that done in Sept.-Nov. 2013. Since that time, my PSA has been at 0.1 or lower; I'm checked every year by the VA. For the previous 6 years prior to my doctor finding those bumps, my PSA had been between 1.01 and 1.67. The day he found those bumps in 2013, my PSA was 2.07; which is still very low. I was 59 at the time I went thru this. Today, I'm 68 and thank God every day I'm still here!
I thank you for speaking out about the history of your prostate because I am worried for my son, whom has been constantly going to bathroom through the night and not getting enough sleep, this was spoken about with his GP who did a urine test and found blood in it but doctor said it was too small to be concerned with and would do further test in 6 months but because I raised my concern over this another test for same was done and still seeing the results being the same and giving my son tablets to help stop the night visits to the bathroom being so frquented the GP recommended my son to see an oncologist and results from this was that they would see my son again in 3 months time and left without saying anything more, but have now bought this forward to be seen earlier in March. I searched on the internet and read that university research has found that people with certain disabilities do not get treatment for cancer, which is very concerning because my son has the same disability that does not get included for cancer treatment. SO I was just wondering if this HAPPENS RIGHT ACROSS THE WORLD?
@@mikeedward3161i was getting up to pee 4-5 times a night, and getting worse. Doc put me on proscar and after a couple months was sleeping thru the night and peeing like a teenager during the day. That was 15 years ago, I’m still on proscar and still sleeping thru the night.
Interesting. Thanks for that update. Mine was 4.2, three months ago, now it's 1.6. But I haven't had a DRE in about 1y8m. Guess I should have them check that next week.
I was 75 and I hadn't had a prostate test ever. I fell out of bed and my back started to ache, so I went to the hospital for an X-ray. The X-ray showed a need for a CAT scan and while I was at the hospital, in spite of the fact that I had been feeling great, they took some blood tests. The blood test showed that I was in perfect health except for the fact that my PSA was 61...not 6.1! I was scheduled for a needle biopsy and cancer was inside both sides of my prostate. They took a whole-body CAT scan and found that the cancer was still just in my prostate. To be extra sure, they gave me an MRI of my entire pelvic region and the cancer was still only in my prostate. I decided to go for radiation therapy. First, they put me in some stirrups as if I were having a baby and injected about 20 rods between my legs, and gave me internal radiation with a new treatment that doesn't leave any radiation inside of your body. Next, they gave me the first of 4 shots in my rear end the effect of which lasts for 6 months that kills the testosterone that the cancer uses as food. Then I had 10 minutes of external radiation every day for 25 days. After my last of four shots to kill the testosterone, we waited 6 months for the last shot to wear off and then waited another 4 months to check my PSA and testosterone. The PSA is ZERO!!! and my testosterone is raising. I will have another blood test in 3 months and another blood test 3 months after that to make sure that the PSA stays at zero and the testosterone continues to rise. The Lord has been very good to me!
I really like this channel. Im 51 now but back in January 25,2022 my Psa was 2.93. August 10, 2022 was 3.99. February 19,2023 was 3.19. Today July 19, 2024 doctor said it drop significantly to 2.48. It was a great feeling to see that on my chart. God is good. And change my diet up alot.
Excellent sir...when a common non medical man can't get informed even after visiting drs.. urologist.. your evidence based information is great great help to people all over the world...thx to whole team for their constant effort to upinform the people...
That young lady is a wonderful interviewer! I’ve just been referred to a Urologist as my PSA doubled from last year so I’m doing my initial research. These interviews and presentaions are very helpful in alleviating my anxiety.
My PSA was between 4 and 12 for a whole yr...in Sept 2020, a cancer cell was found. It was determined it was an aggressive cell, so in Oct 2020, my prostate was removed. As of Aug 2021, ALL is back to normal (PSA), with all functions working 100% again...!! 👊
To whoever can benefit from my own personal case. My PSA has always been high but I did not know it as a young man. The very first time I heard about PSA was from a routine work test in 1995 (I was 50 years old). He really scared me to death when he said my PSA was so high above the 10 or 12 that most men had when they have cancer. So I was the willing sheep and went through my first biopsy. Big mistake. After the biopsy I began to leak pee - little, but it never went away and this leaking condition was not there before the first biopsy. The biopsy came negative and I forgot all about it until one day at a bar with friends I realized that I could not pee at all. That was around 2009, fourteen years after the first biopsy. Confused because it never happened before, I went home and spent the whole night trying to pee; nothing; big pain as the bladder got bigger full of liquid and began pressing all my organs; I asked god to please kill me cause I did not know what to do and the pain was maddening. I called a friend; explained that I could not drive and my friend took me to the hospital. At the hospital (UCLA at Torrance, California) they put a catheter in my ureter (first time ever) and all my pain went away immediately. From that day on I learned to put catheters my self and I always keep a supply in my car, at work, and in my home; it is inconvenient to insert a catheter but not a big deal and the relief is immediate and I prefer to do it myself because I take my time whereas in the hospital they simply push it through no matter what. Another thing that I learned was that drinking was a big factor for my prostate health so I stopped drinking. In my car and at work (when I worked, retired now) I use to keep gloves and hand sanitizer to disinfect the gloves and the catheter. After that first catheter experience, in 2009 my PSA was 16. I went through my second biopsy at Harbor UCLA Medical Center in California. Negative. I promised myself I will never get another biopsy just because my PSA is elevated, the risk of infections is very high. And I have not and will not go through another biopsy. So fast forward to 9/16/2019 my PSA according to Quest Diagnostic was 19.2. Dr. Neyssan Tebyani in Orange County, one of the best urologists in California was worried about me. I told him that I am already used to high PSA and I will not be going through any surgery or shaving of my prostate or another biopsy - rectal exam okay once a year. You can call Dr. Tebyani and ask if he has a patient with almost 20 PSA to confirm. I take Flomax every day and I urinate the same as I have urinated in the last decade. I am 74 now. My case may be unique or not. I do not recommend anyone to do what I did. I am just saying that Urology needs to conducts a meta-study to certify the percentage of men who have elevated PSA and live a normal life cancer free. I guess the resulting info from such meta-study would not be good for the field because it is good money to do the biopsies and good practice for graduating doctors in teaching hospitals who are in need of cases to practice. l researched the average PSA level for cancer patients and it is around 10. In 2021 I will ask my urologist to give me the medicine that reduces the size of the prostate. I am aware of the reduction of libido with that medicine and for that reason alone I have been refusing it but at my age I am ready for it in order to pee better and avoid frequent trips to the bathroom. Again, my case is only for those readers who have high PSA levels for decades and live cancer free. I hope this help them.
I have high PSA too but had the biopsy luckily absolutely no side effect from it. The found no cancer. Advanced blood test still negative and scans. So this shows absolutely not everyone that has high PSA has prostrate cancer. I have no other problems.
Awesome and relevant video. I am over 50 years old and my PSA peaked from 4 to 6 then lowered to 4.5. I have no symptoms and everything else, blood pressure, blood sugar, weight, etc are measured as normal. I am consulting with an urology surgeon, oncologist, research scientist and local cancer patients to explore my options. The oncologist described my condition as an intermediate cancer risk compared to individuals that are low risk and high risk. Thankfully, the body scan and bone scan did not detect any evidence of cancer. However, the biopsy detected a small malignant tissue in one of my prostates. My urologist has recommended aggressive surveillance to continually monitor the situation. As I stated earlier, I am exploring my options.
I too am a victim of the discernible prostate fickle fairy of fate. I was living my life feeling good when I took the PSA , and when the results came back I was told, I was not. In my youth, I was a sailor, but then it was my doctor that gave me what I never had before, a rectal exam, a biopsy, and PSA with a very high, bell-ringing score. If I were to live my life over again, I would limit my life to cigars and whiskey, fast horses and women and gin.❤
Hi. Thanks for the video. It came a bit late for me as my PSA came in at 15.1, then 6 months later had increased significantly, the concern being the speed. Had MRIs which showed an anomaly. One a year later showed it more clearly and I went for a biopsy. That was uncomfortable, but no more than that. They found cancer on one side, and I have just finished radiotherapy. My post-treatment PSA is 0.02. Anyone putting off going for test or treatment should be aware it is no great test. The only side effect from the radiotherapy that I found difficult to cope with was lethargy. It was all-pervading. Never felt so tired over a period before. Even two weeks after treatment, I was suffering. I lost hair on my thighs. This appears, now 6 weeks later, to be permanent. No bother. However, there's a parting, about half-and-inch wide in my pubic hair. As I came out of the shower once, my wife looked at my bits and started laughing. No man wants that of course. She said it looked like a face of a man with big eyes, a large nose (honest. She said that.) and a lop-sided grin. Not sure how that last bit works. All in all, no problem. One of the most easily treatable potentially fatal cancers. I met a chap while waiting for my turn for radiotherapy who left it too late and the cancer spread into his bones and organs. He had weeks to live. The only reason he was having radiotherapy was to ease the pain in his side. His wife came with him, not wanting to waste a moment of their time left together. The last thing every one of us, including you, will do on this earth is hurt those who love you, and hurt the ones who love you the most the most. Put it off as long as possible. Go for a PSA test.
I'm in my 70s and I made a mistake a few years ago of thinking my rising PSA was just a sign of old age. The doctor finally convinced me to get a biopsy and it turned out that I did have cancer......which has since been treated. So guys don't ignore the warning signs.
Autopsies of men dying after the age of 80 show that they all have malignant cells in their prostates, regardless of the cause of death. The UK and Sweden believe that treating prostate cancer after the age of 65 does not prolong life, but does cause complications both of testing and treatment, so they have stopped testing after 65.
@@67daltonknox many years ago I heard that same statistic that a lot of men who have died and had an autopsy showed that they had cancer cells in their prostate even though that's not what they died of. I don't have a medical background to make an assumption of that fact but I do believe that some prostate cancers do spread and do cause death.
@@cheshirecat9081 I don't remember exactly what it was but I'll say it was like an 8 or a 9. I got tested for blood work every year and it hadslowly gone up about 1or 1.5 points every year but I thought that was due to old age and I didn't think it was going up that fast. But my doctor insisted I get it biopsied and I finally agreed.
Had my PSA test done...came back at 34.5...doctor couldn't believe i was still alive...had 39 radiation treatments and 3 years of Lupron injections...going on 6 years of cancer free.
I felt a bit unwell in 2018 getting pains in my joints, I had my blood test done and it came back reading 125 , that was the beginning of my cancer journey, I had tablets to reduce my testosterone levels and then had six very strong doses of chemotherapy, that cleared my bones , but I know have to have hormone injections every three months , the treatment is working, so it's ongoing .
I am 75 and had my prostate out ten years ago, I had a psa of 7 and biopsy showed cancer. Quite quick operation, one night in the hospital in Toronto in a ward of men recovering like me. Some had waited too long to correct the situation; it had spread, and they were into a long haul. Get a PSA test. no big deal if caught early..
My story. D.O.B. 1947, Retired age 65 2012 . 2017 PSA 2.1 had creeped up over previous years an increase of 1.1 in 24 months. Primary care physician scheduled tests every 24 months but in hindsight realized he had some concern because he palpated my prostate because that was a first for him. 24 months later just before age 72 I had my P.S.A.. which was 9.0. Had a second test 30 days later it was 8.4. Scheduled an appointment with a urologist and the P.A checked my prostate and said I should get a biopsy. That Internet said I still had only a 50% chance of cancer at that PSA. Had the biopsy, not a big deal, just a little uncomfortable but in hindsight found it should have been done on 2017. The doctor called to tell me is was positive. My first question was “What was the Gleason Score?” It was 9. The only good news was it was not 10. At an office visit I discussed it with the Doctor and he recorded it as Stage 1B. Went through additional work ups CATScans and such, met with a Radiologist and discussed various options. Approximately 8 weeks after the biopsy I met with the Doctor and advised I would like surgery which was scheduled about a month later. During that wait the Doctor said he would like me to meet with another surgeon about a problem discovered with my gallbladder. It was decided I would get two surgeries the same day, one to remove my prostate and the second to remove my gallbladder. After surgery I would wait 6 months to get 7 weeks, 34 Radiation treatments. Everything turned out well and now I take Ultra Sensitive PSA tests every 3 months. My PSA is now less than .01 which is considered undetectable which means I’m cancer free. After Surgery my pathology report said I had Stage 3b Cancer. If I had my biopsy in 2017 or my doctor had ordered another PSA 12 months later rather than 24 months it would have been much better in my opinion.
Was diagnosed with advanced high risk prostate cancer couple months ago…I was put on hormone therapy treatment not long after…when I started the treatment my PSA level was 37 it has now dropped down to 0.35
Iam from Sri Lanka I tried so many times to get an explanation from my doctors about psa.but failed.when we ask for explanation the doctors lower their spectecels and stairs 😅at you the message they give you is don't waste my time.Therefor a very big thank you for both of you.
I have a prostrate 80 gms, PSA 7.8. Doctor suggested that I get an MRI. Which I did go through. Report said a benign prostrate that is non cancerous. Of course that was very satisfying.
This is a great video and advice. I am in the same range in terms of size and PSA. Had both MRI and biopsy (16 samples) and all clear for the moment thankfully.
Many elderly men will die having prostate cancer and never know about it. The PSA is not even done in Great Britain due to its high false positive rate which results in unneeded surgeries and treatment, plus it will not reveal the most deadly kind of prostate cancer. At age 68 I had a urologist check out my prostate and he said it was fine for a man my age and that I would no longer need to even have a PSA taken because they stop that at age 70 anyways. He said I would no longer need to see him unless I had a problem. Now I did have frequent nightly urination for 40 years until it just became convenient to blame it on my prostate. This past summer when I started a keto diet/lifestyle I did lose 40 pounds and got off my 4 high blood pressure meds, but another thing I noticed with keto being a highly anti-inflammatory diet is that I was only needing to get up and urinate just once a night, usually 4 hours after I went to bed, and this is something that has not happened in decades. Plus, my urine flow is stronger and the volume is greater. So I like my results as well as no longer being on any meds (just had my annual physical last week and my doctor was very, very happy with my health and lab results.).
A little bit of misinformation in your post. There is no national screening program in the UK, but PSA tests can be requested for free through your GP.
@@kathymercer9259 High resolution MRI is way better than the best ultrasound. I'm 70 and my last PSA was 14.9 down from 17 almost 2 years before. The MRI at the closest hospital 2 hours away is ancient and low-rez but still nothing showed and I still refused a biopsy. Finally went down to Edmonton 5 hours away and got the good one. Scored 2 out of 5 so I'm not concerned. I take a variety of supplements to deal with urinary issues and it's not perfect but everything functions fine and I can live with it. Read The great Prostate Hoax by Richard J. Ablin who came up with the PSA test back in '70. And The Whole Life Prostate Book by Dr. H. Ballentine. Richard Ablin explains how doctors and clinics are destroying patient's lives for money ripping out perfectly good prostates. Most men over 65 have prostate cancer but the vast majority of those will die of something else before a slow moving cancer will even cause symptoms. It's the aggressive ones you need to catch. I take no pharma meds for anything other than ADHD and only started those 6 months ago. 5 years since a local doc did a DRE and mistakenly reported a lump the urologist couldn't find and he really dug in there for much longer. I have abnormally high testosterone for my age which along with the BPH seems to be why my PSA stays fairly high.
When my PSA rose to almost 9.0 I got a biopsy. The pathology lab couldn't make a decision, so a second lab was used and they decided I had Gleason 3 3 malignancy. A surgeon recommended a radical prostatectomy, but the side-effects sounded awful so I got a second opinion, meaning an MRI. The MRI showed almost no chance of clinically significant cancer. For three years afterwards I got annual follow-up MRIs that likewise found very little cancer risk. But my PSA was up to almost 11.0. My doctor felt the high PSA might be due to my highly-enlarged prostate, so he prescribed Finasteride. My last PSA was about 6.0. So that drug seems to work to bring down my PSA. I'm not going to get any more MRIs for awhile -- my only treatment is the Finasteride.
Please be informed your PSA while taking Finasteride is multiplied by 2 which is about 12. Ask your doctor. I'm in a similar situation. Stay healthy and vigilant.
Just was told my PSA is 15.58. Told to see a urologist. Thanks for your video. UPDATE: Saw a Urologist. Had MRI done with Tesla 3 machine. It showed doctor where to do a targeted biopsy (not a random biopsy). 10 samples taken. Biopsy results revealed cancer in 2 out of 10 samples. Of those 2 samples, the cancer in each sample was 1/10 of the sample size. Dr. said its not very aggressive. The options I was given, were from radical to ignoring it completely. I chose the option to wait 6 months and repeat the targeted biopsy. Then we will know how fast it is growing (or not) and can revisit my options. If its still basically the same size I may not do anything. My problem peeing is being controlled by .4mg Tamsulosin so I am not at this time pressured to do anything but wait til the next biopsy, which is right around the corner now. Will update again.
Wow, thank you for such an informative video! The interviewer asked all the right questions and the doctor gave all the right information in a way we can understand it. Really appreciate it!
I’ve been living with metastatic prostate cancer for five years now. I wouldn’t be in this position if I’d had a primary care doctor that was looking out for me in terms of PSA testing. For all men approaching the age of 50, demand that your doctor give you a annual PSA test. If he/she won’t find one who will. That and a annual DRE. This way, with a history of data points, if your PSA rises appreciably in a given year then your doctor can determine if further investigation is needed, i.e. a biopsy. Take this very seriously. You don’t want to be in the position I am. My quality of life sucks. Just do it.
@@jeffyoung1396 I know all this and have done the digital rectal exam but you don’t answer my questions ?! You are of no help ! I do 70 hours a week of research just on the prostate, already 1 month now, which makes 280 hours. Listen to Doctor Albin on UA-cam ( The PSA Hoax ) also you can check ( Proton Beam Therapy) or Prostatic Artery Embolization, or Urolift which are in and out interventions that could benefit many men but do your research ! Doctor Ken Berry talks on UA-cam about reducing your prostate size by low carb high fat diet . Thank you from my heart to yours , Michael ❤️🎶🙏
I was having a routine blood test and asked for a PSA test to be added because my brother had been diagnosed with PC. The test result showed a PSA level of 30.4 and I was fast tracked through for rectal exam, MRI, bone scan, second comparison MRI , before being recommended for radiotherapy treatment followed by hormone injections , three years of treatment altogether. I am now two and a half years in, just two more injections to go, latest PSA was 0.029, so the treatment is obviously working. The side effects of the treatment, loss of libido, muscle loss, hot flushes, haven't been too bad, ( at 70 I wasn't using my libido anyway ) . The muscle loss has been the most noticeable and the most inconvenient. I'm hoping that once treatment is finished that I'll be able to rebuild some of it.
This was the best explanation I've received, at 68. Bravo! Remember, healthcare in the US is FOR PROFIT! So get MRI first. Needle biopsy as last resort....
In 2013 my PSA was 1.6. In 2014 I had a bladder infection and my PSA went up to 18. Over the next few months it went back down to around 6. Since then it has hovered around 4.7. I am 65 years old. My last PSA was 4.0. I just had an MRI and the urologist said I have a large prostate. Now I have to go in for a biopsy next week. Wish me luck.
@@john_carb the urologist for me want to go straight to the biopsy. Guest i better ask about the MRI W Contrast. My question with doctors is which procedures pay them the most.
Thanks for all the info. I got my Dr. to admit that getting a MRI 1st was a good idea. My argument was my immune system is low I've lost 25 lbs after having a lot of dental done. Teeth removed and wisdom teeth removed. No eat just drinking juiced meals. This crushes my immune system. Now I'm just getting over shingles. The Urologist made it very clear that I could get a infection with a biopsy. With my immune system low, why should I risk it ? I'm sure I'll hear MRI cost more. Lol the money want matter. I'm gonna get that book. I'll report back after all is done.
Men, please get your prostate exam (PSA) and DRE....I think you should get the exams at least once a year. My dear husband died a few months ago from Prostate cancer. I can't tell you how many times we heard, "Well, if you have to get cancer, prostate is the best one to have." I so disagree. My husband suffered so much...chemical castration and other horrific medications. Please, take care of yourselves. I miss my husband every day. I wish you all the very best.
I didn't even know a MRI was available for this. My doctor recommended a biopsy immediately. Turns out I had cancer and it was treatable but would have been nice to know about the options.
This happened to me and I was pissed. Was referred to an oncologist who told me prostate biopsies are like playing darts blindfolded. Had an MRI that actually uncovered more cancer in a different quadrant the biopsy missed. With today’s MRI technology there is no need to subject yourself to a biopsy.
@@drkside53 MRI doesn't eliminate the need for biopsy, although it allows the biopsy to be more targeted. If MRI shows anything suspicious, even if they are 99% sure it's cancer, they will still do a biopsy because scans alone cannot tell the histology of the tumour (basically how aggressive it is), which is important in determining the best treatment.
@@kenemmens6281Oh Ken you know so little. Do you know how many Cuban's try to get to America each year? They come in little boats, some even in floatation devices risking their lives to leave that Hell hole. Their standard of living is far, far below not only America but other developed countries. One example is that the average age of a Cubans furniture is 40 years! They are unable to get certain goods and services such as certain foods and things like garbage removal. When we give up our freedoms to live under Communism and hand the Government, the reins of our lives we not only lose freedom but a normal happy existence. Again, thousands dare the ocean waves to get into America. Now tell me Sparky how many Americans are trying to get into Cuba and give up their US captainship? Go tell whomever filled your head with this nonsense to live in Cuba for 6 months. They will come back with a greater appreciation for America.
@@joereidy5732 you couldn't be more informed or righter...is that term correct? Tell me about it!!! But I've been lucky enough to travel, even to the US,so l have elements to compare...All the best mate and thanks for sticking out.
The problem with some Doctors now days is that they don't take the time to explain options and procedures in detail. All because of their time limit/patient
They also seem to want to just treat the symptoms rather than check the potential causes for BPH, like hormonal imbalances. They say an increase in DHT causes BPH, yet I was never tested for DHT levels. Seems like they want to treat the symptoms, have you visit every six months, and eventually perform surgery on you. I don’t think that’s the best overall treatment protocol.
@purrungas2012 These days many young doctor have not passion for their patients .. not a listener and cultivate good medical professionals attitude .. all want to rush thru the process and see the next patients quickly and wait for their month end pay check !
I had prostate cancer 3 years ago. My PSA changed from just under 3 to 9 in six months and that triggered the referral to the urologist who did several tests to determine that yes, I had two cancerous nodules. I chose radiation as my treatment has went in every day for just over 3 months. The follow-up PSA was now at 1+, and six months later it was 0.4. I do checkups every 6 months (bladder also) and so far I am fine. But I will have exams every 6 months for the rest of my life to be sure the cancer does not return because the little bugger is always lurking about when you get older. I lost several friends to prostate cancer over the past decade and that prompted my immediacy. Glad I did it. Much better alternative to surgery if you catch it early enough.
@@alfonsorj70 I had no obvious effects during treatment although afterwards I have found (1) I need to pee more often than before (like every 2 hours) and (2) I no longer can keep an erection and there is no more semen. So, I am a eunuch but I am an ALIVE eunuch so I will take that tradeoff any day.
Both my father and my maternal grandfather had prostate cancer, so I started having PSA tests at 40. For years they ran between 2.1 and 2.4 and the general consensus was that since i was under 4.0 I had no worry. However, in 2007, at age 60, it jumped to 3.0 and that concerned me. I found a doctor who would do a digital exam and he found a lump. A needle biopsy found 2 cancers. I had a radical prostectomy by a traditional surgeon (my only mistake. I should have had robotic surgery) and have been cancer free ever since.
I have watched urologist and oncologist have PC; so what is the link between these medical practitioners with knowledge and us the unknowing, I would say the "Western Diet" the meats are raised in very poor conditions, with feed that is not "Proper" for the animals and the chemicals dumped into them; watched how "Farmed Raised" chickens are raised, you never touch another chicken.
Such a fantastic explanation. I was diagnosed with a G6 lesion from needle biopsy after my PSA rose from 3 to 5 in 2014. I've been on Surveillance since with 2 further MRI showing no change, PIRADS 3 score. Over the last few years my PSA has doubled to 9. Just had results back from MRI - no change. But my prostate has doubled in size from 27 to 60cc. Diagnosis from Uro. Clinically insignificant G6 lesion present, with chronic prostatitis and BPH. I'm age 56. The MRI technology has saved me from unnecessary cancer treatment in middle-age. My uro says I may not need further intervention for maybe another decade.
@@MrWayne6363 When I was first referred it was for minor burning on urination and I had a PSA test age 48 as routine work. This opened one massive can of worms. If you have a lesion which is G8 or above then immediate treatment is necessary, but the vast majority of men have G6 or the weaker form of G7 (3+4) which can be safely monitored. If your prostate is 50cc in size that accounts for a whole 5 of your PSA score, so some men like myself have these low risk G6 cancers but their PSA goes crazy because a guys prostate grows during his 50s. G6 is considered to be almost benign as it rarely spreads. I would have an MRI before you even consider a biopsy, and if that MRI does not show significant cancer (they are programmed to ignore G6 and detect G7 and above) I'd ask to go on Surveillance which gives you plenty time to act if you ever need to. Meanwhile just enjoy life. Prostate cancer is not like other cancers. It has a 96% cure rate, and many of the tumors are so low grade that it is better for your quality of life just to monitor. Of course you may have zero cancer and just BPH. Or a mild prostate infection. Good luck and hit me up when you get some news. All the best to you.
My biggest takeaway here is that my doctor is not communicating with me as he should be. A language barrier has not helped. But this has been very helpful. Thank you.
I learned about PSA on my own. Mis information from my doctors, especially from my primary care doc. Now my specialist believes in the PSA blood test. Where as my primary care doctor will never order the PSA test. This allows me to be Hands-On with my own health care. Because some doctors just cannot be trusted. At age 70 I'm at .5 and used to be much lower when younger. At age 88 my Fathers PSA was 6.0 but still no prostate cancer.
@V1-Vr-Rotate V2-VY-VX I'm 74 with a .55 PSA there is nothing to sweat in fact the AMA suggests after 70 no further PSA readings are necessary unless there is cause, you will most likely die from something else, you have a great score.
I’m 57 and recently my PSA came out 5.0 doctor gave flomax to take for 3 months is been less than a month taking this medicine and my urine flow got better. Looking forward to bringing to normal level.
My PSA has been slowly going up 1 to 2 points every year for last 10 years. Have had 27 biopsies, 6 CT scans, 2 MRIs. Numerous labs. All negative. Do have prostitus and enlargement. Taking Flowmax. Last PSA 12. 3 urologist keeping 'eye" on it. One urologist told me he had patient that had PSA of 3 and had cancer.
I went to the doc because my hip hurt. I was diagnosed Stage 4 and my PSA was 1900. After chemo, radiation and hormone therapy it is now 25. I now feel great. I'm only 53 and there is no history of cancer in my family and I had no symptoms. Guys get the test. Even the finger.
Prostate cancer often progresses to the bone. Have you had an isotope scan. It tells you if there is cancer in the bone. My psa was 64. I am too 53. I live in Finland. I have also reseived radiotherapy and cytostatics. And hormone therapy. My psa is now 0.84. No metastases were found in any studies. The only sympton was that i had to urinate often
Hi , I am also suffering with hip pain , I think I also have other symptoms, did a psa test and came back ok . But I had to literally beg for one from my doctor . Now I’m worried because pain is still there ! Did pain killers make your pain go away ? I’m 57
Excellent presentation thanks - but - surely a key indicator is not so much the ACTUAL PSA figure but HOW IT IS CHANGING WITH TIME, which would presumably rule out Cancer if the number was "high" but just sits there (same number) over the years. My suggestion is a PSA test when young to be used as a baseline check for any future rise as we age.
June 2010 I went in for my yearly physical. I was 63 years old. Blood work came back. My Doctor said you have a jump on your PSA from the year before. I then saw a urologist. I had a biopsy and I was positive for Prostate Cancer 9 out of 12 samples. August 2010 I had Robotic Surgery and my Prostate was removed. I then had PSA blood tests every 3 months. They were all about 0. The Prostate Cancer did not return and I'm 74 . I get PSA tests once a year.
Yea and my PSA I am 72 is like a yo yo for the last 20 years or so, everything from well riding a bike can do that. That was after the old finger in the keister by the doctor who said you are just fine. Anyway each man is different, good luck with the cancer, had mine other end in the mouth from drinking all that sweet tasting agent orange.
I’m 77 years old and a Vietnam veteran that was exposed to Agent Orange, a cancer causing chemical. Six years ago my PSA was 2.0, just recently it was 6.5. I do have an enlarged prostate per a sonogram about 8 months ago, and I have a history of having prostate infections. I’ve been a cyclist for 53 years and that can also raise PSA. I’m seeing a Urologist soon, so the tests that you’ve mentioned here are something I’ll mention if necessary. Thank you.
During the last years my PSA was below 4, prostate volume 70mls. This year prostate size was 100ccm, PSA 7. Went to get an MRI (400€ in Germany) -> cancer. Surgery in 2 weeks. My advice, even if you have a large prostate and a "fairly" low PSA, get an MRI. Makes no sense to have the money on your bank account when you are dead.
I have a PSA of 9 but small prostate. As a result of the blood test I was sent to have the MRI which confirmed there is cancer. Next step is a hospital day stay but not until 25 November to explore, take samples. Two weeks after that meet with my surgeon to plot a way forward. What is frustrating is the hospitals in Australia have so much attention on Covid that people like me appear to be sidelined. I most likely won’t be treated until into 2022 which is really stressful.
@@joelsmith1919 Had my surgery on the 15th, back home on Tuesday. Surgery was done in Heidelberg with a DaVinci manipulator. I now have seven little holes in my body. All closed, I am allowed to shower. I don't thaink that doing the surgery here in germany is a solution, since you have to drink a lot of water the weeks afterwards (2-3l/d). The flight back to Australia would be a nightmare.
I’m now going through this because of a PSA score that was elevated 6.2 and my urologist did a freePSA test combined with a PSA test. And now wants to do a scan or a biopsy. What he didn’t mention is there is another test the P2 PSA that can be used with both of the other two test to get a PHI score or prostate health index which could dismiss the need for further testing and also would cut in to their bottom line. So I asked did he do the P2PSA test and he won’t answer that question and is now ignoring me. I believe they either did the test and don’t want to disclose the results because it would mean I don’t need any further testing or I doubt that he doesn’t know about it so I would have to assume he is more interested in making money than patient health. This is why we don’t trust doctors. So if your doctor orders a PSA and you find out it is between the range of four and 10 ng/mL ask for a PHI score before any additional testing is done. So I’m going to a independent lab to have the P2 PSA test done after advice from Mayo Clinic. My last two cents is don’t let them scare you into unnecessary and painful procedures and do your homework. Chances are according to the statistics you are just fine and probably just need to find a more honest or knowledgeable doctor.
I casually mentioned a problem at the end of a doctors visit about how I had an episode where I couldnt urinate. A few Q's to rule out UTI and I had a PSA blood test. My PSA was 72. I was 56 and this was in 2016. So, Gleason 9 and underwent Chemo and radiotherapy, then hormone treatment. PSA was down at 0.1 or undetectable for 5 years. My PSA has started to creep up to 2.0 and restarted hormone treatment and the PSA dropped to 0.1 very quickly. I will be on hormone treatment for one year and hopefully all will be well. The PSA test just indicates that something is amiss. The only way to tell if there is a problem is by an MRI and biopsy. Not many cancers have such a good indication of efficacy of treatment, and routine PSA tests can indicate when problems appear.
I'm 67 and my PSA has been checked 3 times in the last year and it is between 11.5 and 12.5. I had a biopsy and no cancer was found but I'm still pretty worried about the PSA being this high.
I am 79.... My prostate is ten times normal size. Dr. Say it's trophy size. My PSA was 23 last check. Biopsy was negative. Having a little trouble peeing at times. Take stinging nettle extract helps that allot. Good luck!
Hi WillBilly. Not trying to sell you anything, but this is a good video. ua-cam.com/video/72j8NXuJ1oY/v-deo.html The video is why I take Super Beta Prostate, which helped shrink my prostate. It has zinc and beta sistosterol. You also might have your Dr. prescribe doxycycline for a couple weeks, which is an antibiotic. Sometimes you can have an infection in the prostate even though the urine shows no bacteria. That hidden infection can cause problems in the prostate too! Good luck.
I used to think a digital rectal exam had something to do with computers….found out differently. 😀Here is a suggestion for those who do get diagnosed with a 3+4 Gleason. My prostate was a normal size. My PSA went up to over 5 over a fairly long period of time; started in my early 50’s around 1 but some years later doubled to a bit over 2 and finally over 4. Had a couple of rectal biopsies and finally showed a Gleason 6. However, the urologist said my lesion (from the MRI) was likely cancer and to get a perineal version. That showed the cancer. I am 70 yo. The problem with “active surveillance” can be problematic as you can wait too long. My surgeon said 4 of 5 guys who did not opt for any treatment wound up with cancer that broke the prostate gland wall. I got lucky in that I had the best current treatment which is the nanoknife. The urologist said unless I had cancer in other areas that the various PSA’s and MRI’s showed, I should see a reduction in PSA of about 30%. My first PSA showed a reduced PSA of 80%. I realize I have to continue with surveillance of course, for the rest of my life.
Thank you for mentioning your NanoKnife treatment. It's added to my list of possible treatments when (if) my 3+3 expands. I've recently met a urologist who does HIFA and I've heard about a freezing technique that has been discussed on this channel.
@@glenrose7925 I think there is likely more risk with freezing, radiation ultrasound etc. if nanoknife was not around I’d have probably done Proton radiation.
Great and very informative. I never heard of the blood test or urine test that can shed some insight. Have to wonder why these were never mentioned by my Urologist prior to my MRI that showed nothing. Even after the MRI the Urologist was "almost" suggesting a TRUS. My PSA was only 4.1 and my volume from the MRI was 39, which in the video is even within the normal range. I think any man going to a Urologist should watch this video and take very careful notes and ask very specific questions of their Urologist if he is even remotely considering recommending a TRUS. TRUS, according to the internet, is the most over prescribed invasive surgical procedure done in America. Seems like since it is an outpatient procedure Urologist are overzealous in recommending and performing.
Trans rectal ultra sound. Not surgical, not really what I would call invasive. Not harmful, not going to cause infection. Now the needle biopsy sounds surgical and invasive and can cause infection.
This is the first video on which I have heard about the relationship of prostate size to PSA. I am told by DRE that I have an enlarged but smooth (no nodules) prostate. My PSA has been gradually rising under TRT as has the size of my prostate as I have reached age 75. Actual volume has not been measured by ultrasound, just by DRE. I was worried by the rise of PSA above 4.4, until I heard in this video about the “10 to 1 ratio”. So 4.0 maybe be an inflection point for a “normal” size (non BPH) prostate around 40 cc in volume. But if you have a 60 cc prostate, that inflection point is raised to 6.0 PSA, and 10.0 for a 100 cc prostate, etc. This information is very valuable to me in making a decision about potential diagnostic steps and treatment for a “high” PSA, which really isn’t high for my prostate size. It should be much more universally distributed than it is, by urologists and endocrinologists, and in particular, by primary care physicians who refer you to these specialists when there really isn’t anything out of the ordinary going on.
@@30secondamerican19 Well, the relationship is apparently often true, no question about that or Dr Scholz wouldn’t be saying it, and it correlates with what the VA urologists told me. BUT, I just had my 85cc prostate removed 3 days ago, to get the Gleason 4+5 left anterior transition zone apex lesion inside it removed. Don’t ignore a rising PSA because you are in denial that cancer can’t be happening to you. Get a multi parametric MRI done to find out what is causing your rising PSA. If it is just size, then great, shift your worries to possible BPH, and deal with any of those non cancerous problems. If you do have a lesion, the MRI will facilitate a focal fusion biopsy to properly grade your cancer for appropriate treatment. The last three days haven’t been fun, but my robotically assisted Cleveland Clinic surgeon was able to get negative margins, bilateral nerve sparing, and bladder neck sparing, about as good as possible at this stage of treatment. We will check for undetectable PSA in 6 weeks and go from there. Best wishes for your diagnosis, and treatment if it proves necessary. Ed
Precisely Correct. I Was Referred By My PCP When My PSA Rose From 2.8 In 2014 To 4.6 In 2020 And That Very Well Could Have Been From The Prostate Growing. Then At The Urologist Office This Doctor Did The Rectal Exam For Enlarged Prostate. His Finger Didn't Even Penetrate My Anus When He Pronounced I Had An Enlarged Prostate. Come On I Thought To Myself. Already Sceptical Having Worked For An Accident Doctor Who Treated Patients With Physical Therapy And Revealing To Me That There Wasn't Anything Wrong With Them!!! I Went To School With A Guy Who's A Plastic Surgeon Now Who Never Attended Undergraduate School Aside From The Campus. Never Went To Class. His Father Was A Plastic Surgeon Who Somehow Paid Someone At The School To Pass His Son. We Were Somewhat Friends And All He Did During The Week Was Passed Counterfeit $50.00 Dollar Bills All Day Going To Gas Stations Getting $4.00 Worth Of Gas Giving The Gas Station Attendees The Fake $50.00 Bill And Receiving $46.00 In Real Money Daily While Selling Coke All Day Every Day So Yes I'm Sceptical As Hell With Everyone Who Tells Me Damn Near Anything!!!
Hi in 2016 It was found that I had a very high psa reading of 150+ I was 76 years old at the time and a reasonable athlete in my age group. Following 6 months of chemo therapy and on going hormone prostap injections my psa came down gradually to 0.358 at last count I am now 81 and quite fit and still running And I train regularly. I think I have been very lucky. A big thanks to all the doctors etc: who research this disease.
@@akashsuryavanshi8257 84 now and back running after 2 year break gradually improving my 5k time down from 44mins to 38mins in 7 weeks not like when I ran 23min 5k at 75 years old. Psa 2.8 and plenty of hot flushes
A vigorous prostate massage also can produce a brief elevation of the PSA level. Low concentrations of PSA have been identified in urethral glands, endometrium, normal breast tissue, breast milk, salivary gland tissue, and the urine of males and females.
The problem is every urologist wants to immediately do a MRI guided biopsy if the PSA is outside the reference range despite the patients age or other factors which may cause a high PSA. The MRI guided biopsy has its own problems with relatively high morbidity.
I have a quite large prostate and in the last 5 years my PSA ranged between 4 -5. In this period I’ve had another parameter measured: “free PSA”. I am being told that as long as ratio between PSA and free PSA is higher than 15% you are safe. My ratios are so far above 20%, so with this criteria I feel comfortable. If ratios should go lower than 15%, then a rectal test is recommended. A biopsy should be the last option due to collateral effects, but if the rectal test is suspicious it is the next thing to do. My experience.
My prostate was double the normal size and my PSA had steadily increased to a level reaching almost 4. Dr recommended a biopsy to be sure. Biopsy showed cancer so I had a prostatectomy after recommendation from my urologist.
@@Tbone.357 can you reach climax still. I want this procedure as I can't get all my pee out and have to wear willy nappies in my underpants or I get a noticeable wet patch😱
Thank you, PCRI for your contribution to the Prostate Cancer. I am a cancer patient and under care. I had 3 needle biopsies with no problem. They injected two antibiotic shots on my shoulders before and a pill to prevent infection. The main concern should be "missed tumors" by needles. It is really scary, isn't it? How can we avoid such a human error?
This video has been very informative. I appreciate the discussion on non invasive tests. I’m scheduled for a needle biopsy in September, 2022, but I prefer to have non invasive tests first.
I live with prostate cancer as a “guinea pig”. PSA in 9 range. Friend had PSA of 1.5 and lots of cancer, but it had jumped from 0.75 to 1.5 over a year, so PSA Velocity is important. Plus he had significant family history of prostate cancer.
PSA should always be used from baseline and grows significantly in older men. It is a surrogate bio marker, much like CRP. As such it is inaccurate, but a good marker during treatment and combined with medical history. Novel biomarkers as an alternative are under research.
Yes you are blessed my dad has just been diagnosed with prostate cancer this week and we are trying to get him to the UK for private treatment because the health care system in Africa is terrible
It’s not free, you pay taxes for it and the worst part, you don’t even know which tax or multiple taxes pay for it. That’s why your cost of living is high there.
Had a “peach size” prostate and a PSA of 6. After years of diagnosis and numerous procedures the DNA of urine and Holmium laser were the two most valuable and effective. Several TURPs just delayed the resolution by Holmium laser. In my opinion. Age 75.
@@PhilMelbourne Holmium Laser Enucleation of the Prostate. Hollows out the core of the prostate reducing its size. You could possibly go home the same day of the procedure. See Cleveland Clinic or University Hospital Cleveland websites. Analysis of DNA in urine can determine risk for Gleason 7 or higher cancer. These procedures are relatively new. Recently approved by Medicare if your that age.
My PSA was at 9 my urologist wanted to do a biopsy. Well I didn’t do the biopsy’ chickened out’ so I asked for another PSA test and it was 8 my prostate is enlarged I was exercising before I went for test I have high blood pressure and taking meds for it which I think is the reason for a high reading. How I got tested for PSA test , I couldn’t pee and had to go to hospital they put in a catheter to relieve me ‘ man that felt good “ best pee I’ve ever had , they wanted to keep it in but I said no take it out I went home and for about a month my urine was slow coming out but it was coming now I can go no problem was on Tamsulosin for two months I have since stopped taking it and everything is fine. My urologist said to have PSA test every two to three months and see if it goes down. My next test is in April “ fingers crossed”. P.S I’m 69 years old and have read that people over 70 do not need a prostate biopsy mainly because they will die of something else
I'm nearly 78 with lumbar spinal stenosis. Some years ago, my GP (since retired) referred me to the local urology clinic with a PSA (my request) reading approx. 6 as I recall which he thought required it. A rectal exam revealed an enlarged prostate but no cause for concern. Even so, a "12 pin" biopsy also followed - negative. Since then, I've had MRI scans, the latest of which I was told by the urologist was OK but was accompanied by a "written test", FOLLOWING which "on review" a spot for concern had been found on the prostate. I decided against further biopsy invasive investigation and have preferred to have PSA checks maintained. The latest have been 10 something, FOLLOWED by 9 something...a fluctuation of no great surprise to me, but nonetheless referring me back to the urologist on the "over 7.5 level" employed between urology and GP. I am now faced with booking a further appointment with the urology dept. to see what they say, with my previous hospital record to refer back to. The connection between gland size and PSA reading was informative, which, together with the likelihood of increased age bringing an increased PSA reading, helps me face the prospect of "here we go again", whatever the outcome. In the meantime, I employ a healthy diet at a bodyweight of 170lbs/188cms in height, and neither smoke nor drink. minus any family/genetic "history" of this particular disease.
I was told that long continuous driving can cause a PSA spike. I had just drove over 20 hours in two consecutive days prior to my last blood test. My urologist naturally has sent me for another test.
I had my first PSA when I was 40. It was .04. I had them pretty much annually after that. Over the years it went slowly to .07, which is where it was the last five or six times I had the test. I think one year it dropped to .06, then back to .07 the next. The last few years my doctor has decided I don't need it. He said it's an unreliable test and that many people have unnecessary surgery due to the test, when even if they had prostate cancer they are likely to die of something else before it killed them.
It was the same reasoning my one but last, male GPO followed: statistically overtreatment on just a PSA score is an higher risk than not doing anything. But a digital rectal exam (DRE) makes all the difference here, he always combined the two and so does his successor, a female GPO BTW. Most people, including my present GPO at first are not aware that threshold alarm levels for the PSA test differ by age. I found the following thresholds as published by the Dutch Association of Urologists: 40-49 years
Find another doctor, and continue your your PSA simple blood tests.. There are many news tests now to confirm prostate cancer. Doing surgery is the old way, so many new treatments. My husband has cancer at 64, just found after a by chance 6 month PSA went up 2 point to 4.2 over is yearly results of 1.7. Thank goodness its looks like it's still the prostate, diagnosed with high-risk cancer Gleason 8. One more confirmation with a PSMA pet scan and then treatment starts.
I am searching through internet about prostate cancer about psa, since i was 40 I've been checking my PSA coz my dad died with pc and i have two cousins one died n one survived. Since my psa was .03 the dr. Told med come back for check up again after 6 yrs but I still worreing I always complaing to my lokal dr. That i visit the the cr prquently and they told me just because of my disbetes, last month when I went to the dr. I told him I want to have psa again he is a new dr. And he check me with dre no lump or abnormal he said but when my psa came its 3.8 so he send me to urologist and my urilogist perform dre n ultrasound coz my second psa still 3.8 so now next will be mri this week I hope for the best....
I had a psa test and nothing too drastic score wise 3.8? But just to be on the safe side I had a few more tests then a biopsy. They found cancer and I had a Gleeson score of 7. Because of my age (53) it was decided it best to be removed. For me I feel this was the best decision as the cancer had just started to brake through the wall of the prostate(only found that out afterwards). I had a robotic protestectomy which went extremely well, it is major surgery but nowadays it is almost routine. There are quite a few different treatments for this cancer, and everyone is different so you might not need surgery. If you are at all worried please get yourself checked out, and yes it can be embarrassing but don't let that stop you. The doctor's are dealing with this all the time. A year and a half on and everything is back to normal (apart from no more children), my psa is now 0.006. I think the more people talk about this the more it will become normalized, and the better men will feel able to deal with what is a very scary situation to be in.
I'm a perfect example of someone with PSA 2.3 and having cancer, and this might explain why the test is so controversial. In July 2020, my blood test showed a PSA of 2.3, but two months later I developed a urinary tract infection (UTI) that made the PSA spike to 7.5. The spike in the PSA led to an MRI and a biopsy that confirmed a Gleason 7 score. The size of my prostate was 29cc. Without the UTI, I wouldn't have known I had cancer. I opted for brachytherapy and so far I'm doing fine, other than the typical side effects--frequent urination and weak urine flow for the next few months. My case shows that the PSA cannot be relied on.
@@iamking29johnson7 The normal range for PSA is less than 4.0. But if you've had your prostate treated with either radiation, brachytherapy or surgery, your PSA should be less than 0.5. If not, check with your doctor.
@@iamking29johnson7 You must be fairly young to have a PSA so low. At age 55, my PSA was also less than 2.0. You still need to check it every year because it can rise quickly. Sounds like you have nothing to worry about.
Mine is up to 197....Cancer was detected 20 years ago when the 1st PSA test was taken it was 24...I never did a thing except keep on taking PSA tests since the biopsy came back as 7 large tumors with cancer in 2001..
Glad I found this video. I am 55 and actually still race Motocross an cycle regularly. like 4 days a week on the bicycle to train. i got a PSA test last year and it was a 3.4. had an injury on a mountain bike which had me at a urologist. He was uncomfortable with the 3.4 but my primary care doctor didnt think it was a big deal. He scheduled a follow up and retested me. and it came back a 4.2. immediately wants to do a biopsy. Did not ask about my lifestyle, family history, or do a DRE. I had no idea that riding my bicycle and sex would affect my PSA reading. i likely did both within 24 hrs of both tests. i have zero symptoms of any prostate issue whatsoever and DO NOT WANT THIS BIOPSY. I am getting retested actually today and next thursday and am abstaining from all fore mentioned activity to see if it affected the PSA like I read in countless articles. Again I have zero symptoms unless I drink a gallon of coffee in the winter. No way are we poking a perfectly good prostate full of holes for nothing. Even the first test was likely skewed by my cycling and other factors. literally everything i have read says no sex or bicyling 3 days prior to testing and was not told this by any of the doctors that have seen me.
Good luck with the follow-up test. If your PSA is still high, remember that a mpMRI followed by a targeted biopsy, if necessary, is less invasive, has fewer risks, and is more likely to detect an aggressive lesion should it exist when compared to a random biopsy. If you have any questions, feel free to contact our helpline; our contact information is here: pcri.org/helpline
This has been extremely useful information. It puts my mind at ease in some ways. Especially when the doctor was speaking about the 10:1 ratio of prostate size and PSA values.
I learned as a pharmaceutical rep selling AVODART that velocity is really important and this doctor did not talk about it. Velocity is the time it takes for the prostate to grow from one test to the next. If this year and my PSA is 2 is fine for a 70 year old but if next year is a 5 that is a concern and that is velocity. That is why you should know your number and do a PSA every year.
We have a few videos on this that you can find by searching "PCRI PSA velocity" or "PCRI PSA Doubling Time". PSA velocity is only useful in select cases if a person has not already been treated for prostate cancer because the prostate makes a lot of background PSA and it can dramatically rise and fall for a variety of benign reasons. After treatment, especially surgery since all (or most) of the prostate tissue is removed, then the PSA velocity (once it has risen to 0.1 or higher) can help predict the cancer's level of aggression.
Very helpful, thank you. This is the first time I’ve heard that a psa level can be directly related to the size of the prostate. I’m mid 60s, enlarged prostate, and my psa has been stable at 9 for a few years now. 12 point needle biopsy showed zero traces of any cancer. After watching this I’m less worried about that above normal number and will just continue with my every 6 month psa and exam. Thank you again.
I'm in almost exactly the same situation, with a biopsy showing no cancer and a PSA level constantly around 8-9. My GP said "we'll just consider that normal for you," without explaining the relationship between PSA levels and prostate size. This video has cleared up a mystery and given me some reassurance.
I'm 69 I had a PSA test 6 months ago it was 4.2 my PCP wasn't too concerned I had read an article a couple of weeks earlier about a new test call a PSE epi switch test I ask him about it he was not aware of it he looked it up and said he run that test.it came back with a level of 6.2 he referred me to a Urologist who did a biopsy it came back positive for prostate cancer. The standard PSA test is reported to be 55% effective the PSE epi switch is proported to be 94 % effective. I would highly recommend to get new test...
What I didn't hear was that PSA screening was deprecated by the AMA. They disrecommended it because it did more harm than good. The harm was several things, but mostly unneccesary needle biopsies. In my case, my PCP referred me to Urologist, who also found nothing from DRE. He wanted to biopsy my prostate with 12 sticks because "That's what we do." Dr. Scholz glossed over the reason that "PCPs are concerned about referring patients for unneeded treatment." This patient (me) is concerned more than my PCP or Urologist, and I declined. Unneccesary prostate biopsies are the reason PSA is bad.
My PSA was at levels between 10 and14 but went as high as 19. This was the case for many years. I’m now 67 and having had a PAE last October my PSA has fallen to 2. My prostate was 250cc now at 100cc with further shrinkage to come. Just a complete difference from before. My quality of life is so much better after years of suffering weak flow and then ending up with catheter off and on for six months or so.
@@andrewthomson6851 , it’s weird because I had a physical in March and he never gave me my results. I finally called him 2 months later when I never received it in the mail and he said my PSA was 6.0. He asked me if I ejaculated 48 hours before the physical. How am I going to remember that 2 months later ? I asked if he wanted me to take another blood test and he said yes. I went on vacation for 4 days and took the blood test on the 5th day. It came back at 4.8. I also have a physical job which could make it fluctuate. I believe last year it went from 4.1 to 4.0 .Now that it went up to 4.8 he may want me to get an MRI . I will find out on June 17th
What I learned after having prostate cancer. At age 50 start tracking your own PSA levels. Keep a record of your PSA levels. If they double in a year you need to have a scan with contrast done of your prostate. Some doctors want to just do the needle biopsy. The problem with that is it will always miss a tumor located in the center of your prostate. My tumor was in the center of my prostate, so my biopsy came back as being normal. I continued to track my PSA levels and they kept rapidly increasing. I insisted on the scan with contrast. That's how the tumor was detected. Some tumors are aggressive and mine was that kind of tumor. Never agree to watchful waiting of a tumor. Have it removed ASAP. Your insurance will pay for a penile implant so you can still have intercourse after the surgery.
Mine has gone from 5.2 to 9.6 over the last 6 years. I have had three biopsy's. The first two biopsy's indicated cancer cells with a 6/6 range. All of them with slowly gaining PSA's. My last biopsy could not find a tumor, nothing, At that point the PSA was around 9.0 and digital found nothing. We have been doing 6 months follow up since the original diagnosis in the summer of 2015. After the biopsy, my next PSA showed a the PSA at 9.6 so they did an MRI. Nope, nothing showed up and the prostate was fairly close to normal size. I was tested for Prostatitis and found a positive for infection. Throughout all of this I have had no symptoms at all. My last PSA was 9.4 with another PSA due next month. I cannot seem to get even an educated guess as to why my PSA stays up and no tumor can be found. I have no intention of stopping the monitoring, but I am now 73 and I know they are going to lose interest soon because of the theory that something else will probably get me before this does, but I would like to know it this type of situation has any precedence.
I'm in the same situation. I'm 71 years old and relatively healthy with all good numbers, except PSA. In the last 8 years my PSA was 4.4 then has gone to as high as 11.4. Then back to 8.3. I've had multiple DRE exams . 2 prostate needle biopsy. One of those was with extra needles samples taken. Also had an MRI exam. Nothing was ever detected in any test. No Cancer, Thank GOD. What else can elevate thePSA numbers?. They want to do another needle biopsy again. Last time I had a lot of bleeding from it. Needless to say im not excited about another test.
@@daveschidlmeier6425 In 2021 my PSA was 1.43 and in one year shot up to 10.49 which triggered my GP to order up a urologist. Before my actual appointment my second PSA blood test which was only two weeks after the first, went down to 7.75. The urologist did a exam and said he felt a "small bump" on my prostate and scheduled me for a biopsy. They took 12 cores a month later and I just found out all cores were benign. He wants to keep an eye on my and have another PSA test in three months to see where I stand. I did however find out that having sex just before a PSA test will raise your PSA and also just 5 weeks before the PSA I also had a colonoscopy which may or may not have anything to do with it. Until my PSA test I had no symptoms at all. So maybe an unknown or no symptom infection but that is just my guess. I will know better in a few months. But a sure thing is that I was worried sick for two months wondering if I had cancer and if so how bad. For now I am relieved that the biopsy came back benign.
This doctor spoke a lot of sense as opposed to much of the nonsense which has been spoken about PSA by people who should know better. As an oncologist who has managed the clinical development of two of the leading prostate cancer drugs, Zoladex and Casodex, I would say the PSA is the best blood test we have for cancer apart from alpha foetoprotein and B HCG in germ cell tumours. As this doctor rightly says, what matters having done the test is the interpretation. I would have liked a bit more discussion of the value of repeating tests over time and looking at the upward slope if there is one. The concept of repeating the test after a few months if there is doubt seems not to have reached many GPs and dare I say some urologists.
My psa went from .69 to 7.9 in nine months. I retested two weeks after the 7.9 reading and it dropped to 2.1. I'm going to retest in a month or so and see if it's back to baseline.
At 78 my doctor sent me for a blood test it came back with a psa reading of 100 a red flag for cancer i was put on hormone therapy to stop what cancer feeds on ,as I am a retired naturopath i decided to research natural products trialled through reputable sources i selected certain natural products and added them to the medication i was placed on 3 months later my Psa is now 1.5 hopefully I have beaten the bullet ,but I will keep the regime going to reduce it further the natural products can be of great help and are not costly ,the urologist told me to keep on the regime indefinitely until I get the all clear!
@@gruntalot1 yes actually over 100 the doctor asked me if I had a will as the prognosis looked pretty grim at the time ,so far no pain, readings dropping dramatically looks like my natural regime is kicking in the urologist tells me he doesn't need to seem again the oncologist is stopping his medication and will monitor my progress !
If you have enlarged prostate DO not ejaculate before psa test for at least 5 days, six days even better. Do not measure psa if you have constipation. My psa was day 1 after ejaculation 7.4, 3 days after 6.7, 4 days after 6.4, 5 days after 6.1, 6 days after 5.7. Prostate size 52cc age 58. Take lycopene supplement 25mg every day, it will also drop psa. Hope that helps. 🙏
@yiotisdemetriou
Many thanks for putting up that message as I have always suffered from
a very high PSA for the last 10 years or so. My annual exam comes around
end of Jan and as a cyclist Im usually in training for the summer months or
a special event in the early season . I'm much older than u and I suspect
my prostrate is larger , although I do not know its Vol. About a year ago
I got a reading of 7.5 , which got them a bit panicked and I got called back
in and told I needed another test, well I knew it was going to be a bad one
because they wanted me to test there that instance , and I had been riding
in the morning + ejeculated the night before .. = PSA 9 and then on to a
complete exam + MRI. . After all that I got another test and results were
better . The small Asian Dr explained to me it would be impossible for me to
get my PSA down to 3 ( as my Dr wanted ) because of my size ( 6 foot and
about 90 kgs ) + and enlarged prostrate , he said he could being only 5 ft and
50 kgs , me not a chance. his advice was as follows
No sex for 2 weeks
No riding a bike for 2 weeks before the test
and maybe I would be able to get down to a PSA of about 6
Anyway , hope this helps someone.
I have not ejaculated in over a year and got a psa score of 9.6. Does abstinence contribute to high psa?
You do not have to ejaculate, just watch porno and it will elevate you PSA. I live with a smart lady. She taught Home Ec and Personal Finance in HS and has a masters degree. Yet in our talk the other day she admitted she did not know the purpose of thee prostate in men. They do not teach her subjects in HS anymore.
I recently got a new Primary Care Physician. He ordered blood tests, MRI and EC. He recommended B12 but did not order a PSA even though I have a cancer flag in my prostate history from a biopsy, twenty years ago. I have also had two prostate reductions (TURP's). I told my PCP that a doctor on line stated that B12 can elevate the risk of prostate cancer. He wanted me to bring him a copy of the statement. I told him he is getting paid a lot to look it up.(nicely).
I am 88 years old and in good health, married three times, lived with several, currently 15 years. 2 degrees with over 300 credit hours. Owned 3 homes, worked for 12 companies. Our world is run by computer software. Incredible technology but, only the coders and programmes can run it and they are for sale. Just like the State Dept. being run by the interpreters
I have 6 close friends with prostate cancer. 2 died, six months after I insisted they get their psa checked 2 died over two years ago and two are in treatment.
Good doctors and good engineers are on the list of endangered species. AI will finish us off..
How were you able to test? Did your purposely do it in those day increments before the test? I’m concerned about my psa, I’m 43 in December it was 1.2 and did a random test last week. Got 3. Waiting to see a urologist in 2 weeks. I had sex prob 2-3 days before test. Wondering if that’s a cause it came higher. I am so concerned
My PSA had been rising during my 40’s finally topping out at 6.35 when I was 52 years old, I had 2 urologists screaming at me there was no way lower your PSA and that I needed a biopsy! I started KETO/OMAD and started doing longer fasts periodically, fast forward 2 years my PSA had dropped to 3.0! Now at 58 years young my PSA is 2.9, I asked my doctor how this could be, she ran out of the room! We all need to educate ourselves and take charge of our health!
2 yrs and 8 months between psa testing thx too med system covid interruption. 🇨🇦. Psa went from 7.05 too 5.60.
Only thing different is i drastically cleaned up my diet like you. Last 6 months on strict keto/paleo lifestyle. Can't wait for next blood work and neurologist appointment in April.
@@gronig6pat833 yea it’s horrible what they’re doing, just begged my primary care for several blood tests I told them I would pay out of pocket if insurance didn’t cover it he refused and is sending me to a specialist.
Man o man, this is all my uro needed to tell me. In 5 mins of this clip, i learned more about my psa and prostate than i did in 4 yrs with my doctors.
Unfortunately most corporate Doctors can't be bothered actually talking to their patients. Their goal is to check off the boxes and move onto the next of 70 to 90 patients per day. The art of medicine died with profit based medical care.
What was your result. I did for my father recently and worried
@@wcneathery3100 9i.*
@@wcneathery3100 amen to that most dr don’t talk at all
I am 63 years old and had a PSA blood draw performed and it was 5.5. Neither my primary provider or my Urologist told me that ejaculating 24 hours prior to a PSA blood test would cause my PSA to be falsely elevated. I discovered this fact while doing my own research. I did ejaculate the day before my blood draw. I waited 3 months and had my PSA rechecked and made sure I did not ejaculate for a week before my blood draw. My recheck was 5.1. I believe providers need to do better job educating patients on this.
Suggest seeing someone for further examination. I have prostate cancer and haven’t yet seen a PSA as high as yours. PSA is only an indicator measurement. I’d suggest seeing an urologist and at least having a check.
I had two ejaculations within 12 hours of my psa test not knowing it could give false reading at age 59. Test came back at 3.1 resulting in my doctor recommending a specialist consult ( I didn’t make an appointment) The following year I refrained from an ejackulation for 2 or 3 days before the next test and it was 1.5. Doctor never told my an ejackulation before the test could give a false positive.
Also vigorous exercise can increase the PSA. No-one told me that either. I did 2 hours of hard tennis the night before the test and had PSA of 9.33. One month later with no exercise I had a PSA of 5.67.
@@mikephillips8810 0
@@minerdave A PSA of 5.5 or even 5.5 is not unusual at all in older men. It might mean trouble but usually means BPH, an enlarged but cancer-free prostate.
My VA doctor had been checking my prostate for years. He once said "I know it's uncomfortable but a time may come when I find something wrong". That time came in Feb. 2013 when he felt 2 small bumps. In Mar. 2013, I was sent to Urology where the pathologist said "Something is wrong". A biopsy was done in late-April and the results came back in early-May; positive for stage T2C adenocarcinoma (which means it was in both lobes of the prostate). In Jun. 2013, an oncologist told me it had reached stage T3A (it was outside the prostate). He told me that, at the rate it was moving, I would have maybe 5-6 years to live without treatment. I opted for radiation treatment; had that done in Sept.-Nov. 2013. Since that time, my PSA has been at 0.1 or lower; I'm checked every year by the VA. For the previous 6 years prior to my doctor finding those bumps, my PSA had been between 1.01 and 1.67. The day he found those bumps in 2013, my PSA was 2.07; which is still very low. I was 59 at the time I went thru this. Today, I'm 68 and thank God every day I'm still here!
I thank you for speaking out about the history of your prostate because I am worried for my son, whom has been constantly going to bathroom
through the night and not getting enough sleep, this was spoken about with his GP who did a urine test and found blood in it but doctor said it
was too small to be concerned with and would do further test in 6 months but because I raised my concern over this another test for same was done and still seeing the results being the same and giving my son tablets to help stop the night visits to the bathroom being so frquented the
GP recommended my son to see an oncologist and results from this was that they would see my son again in 3 months time and left without
saying anything more, but have now bought this forward to be seen earlier in March.
I searched on the internet and read that university research has found that people with certain disabilities do not get treatment for cancer,
which is very concerning because my son has the same disability that does not get included for cancer treatment.
SO I was just wondering if this HAPPENS RIGHT ACROSS THE WORLD?
@@mikeedward3161i was getting up to pee 4-5 times a night, and getting worse. Doc put me on proscar and after a couple months was sleeping thru the night and peeing like a teenager during the day. That was 15 years ago, I’m still on proscar and still sleeping thru the night.
Thanks For telling your story.
I have been going to the VA for years and never had a prostate check. Even after finding is high, it was written off as nothing.
Interesting. Thanks for that update. Mine was 4.2, three months ago, now it's 1.6. But I haven't had a DRE in about 1y8m. Guess I should have them check that next week.
I was 75 and I hadn't had a prostate test ever. I fell out of bed and my back started to ache, so I went to the hospital for an X-ray. The X-ray showed a need for a CAT scan and while I was at the hospital, in spite of the fact that I had been feeling great, they took some blood tests. The blood test showed that I was in perfect health except for the fact that my PSA was 61...not 6.1!
I was scheduled for a needle biopsy and cancer was inside both sides of my prostate. They took a whole-body CAT scan and found that the cancer was still just in my prostate. To be extra sure, they gave me an MRI of my entire pelvic region and the cancer was still only in my prostate. I decided to go for radiation therapy. First, they put me in some stirrups as if I were having a baby and injected about 20 rods between my legs, and gave me internal radiation with a new treatment that doesn't leave any radiation inside of your body. Next, they gave me the first of 4 shots in my rear end the effect of which lasts for 6 months that kills the testosterone that the cancer uses as food. Then I had 10 minutes of external radiation every day for 25 days. After my last of four shots to kill the testosterone, we waited 6 months for the last shot to wear off and then waited another 4 months to check my PSA and testosterone. The PSA is ZERO!!! and my testosterone is raising. I will have another blood test in 3 months and another blood test 3 months after that to make sure that the PSA stays at zero and the testosterone continues to rise.
The Lord has been very good to me!
And urine problem is solved or catheter is used after radiation when ur PSA is zero
My dad also suffering from this
Dr Scholz is really reassuring and informative. Also the young lady who does the interviewing does an excellent job as well
Agreed
Doesn't she though. Wonder if she's a nurse or someone in his office or from somewhere else in the medical community?🤔
@@StuStevens-rn7rb She has the same surname as Dr. Scholz. Spouse or daughter?
Who's dr Sholz? @@cedarwaxwing3509
Its a nice series.
I really like this channel. Im 51 now but back in January 25,2022 my Psa was 2.93. August 10, 2022 was 3.99. February 19,2023 was 3.19. Today July 19, 2024 doctor said it drop significantly to 2.48. It was a great feeling to see that on my chart. God is good. And change my diet up alot.
Excellent sir...when a common non medical man can't get informed even after visiting drs.. urologist.. your evidence based information is great great help to people all over the world...thx to whole team for their constant effort to upinform the people...
That young lady is a wonderful interviewer! I’ve just been referred to a Urologist as my PSA doubled from last year so I’m doing my initial research. These interviews and presentaions are very helpful in alleviating my anxiety.
Yes I agree elevation is a question
I'da lika C 'er sit onna hizza face axtuualley..
My PSA was between 4 and 12 for a whole yr...in Sept 2020, a cancer cell was found. It was determined it was an aggressive cell, so in Oct 2020, my prostate was removed. As of Aug 2021, ALL is back to normal (PSA), with all functions working 100% again...!! 👊
You should have had stereotactic radiosurgery.
I wouldn't call having your prostate removed "back to normal"
@@PhilMelbourne Maybe normal before included the inability to get a chubber!
Who knows?
Normal PSA after a prostatectomy is zero. If non-zero, there are cells elsewhere in the body making PSA, which is not normal.
@@davidecasassa8679 when I said normal I meant my reading have been at (Zero), since it was removed.
To whoever can benefit from my own personal case.
My PSA has always been high but I did not know it as a young man. The very first time I heard about PSA was from a routine work test in 1995 (I was 50 years old). He really scared me to death when he said my PSA was so high above the 10 or 12 that most men had when they have cancer. So I was the willing sheep and went through my first biopsy. Big mistake. After the biopsy I began to leak pee - little, but it never went away and this leaking condition was not there before the first biopsy. The biopsy came negative and I forgot all about it until one day at a bar with friends I realized that I could not pee at all. That was around 2009, fourteen years after the first biopsy.
Confused because it never happened before, I went home and spent the whole night trying to pee; nothing; big pain as the bladder got bigger full of liquid and began pressing all my organs; I asked god to please kill me cause I did not know what to do and the pain was maddening. I called a friend; explained that I could not drive and my friend took me to the hospital. At the hospital (UCLA at Torrance, California) they put a catheter in my ureter (first time ever) and all my pain went away immediately. From that day on I learned to put catheters my self and I always keep a supply in my car, at work, and in my home; it is inconvenient to insert a catheter but not a big deal and the relief is immediate and I prefer to do it myself because I take my time whereas in the hospital they simply push it through no matter what. Another thing that I learned was that drinking was a big factor for my prostate health so I stopped drinking. In my car and at work (when I worked, retired now) I use to keep gloves and hand sanitizer to disinfect the gloves and the catheter.
After that first catheter experience, in 2009 my PSA was 16. I went through my second biopsy at Harbor UCLA Medical Center in California. Negative. I promised myself I will never get another biopsy just because my PSA is elevated, the risk of infections is very high. And I have not and will not go through another biopsy.
So fast forward to 9/16/2019 my PSA according to Quest Diagnostic was 19.2. Dr. Neyssan Tebyani in Orange County, one of the best urologists in California was worried about me. I told him that I am already used to high PSA and I will not be going through any surgery or shaving of my prostate or another biopsy - rectal exam okay once a year. You can call Dr. Tebyani and ask if he has a patient with almost 20 PSA to confirm.
I take Flomax every day and I urinate the same as I have urinated in the last decade. I am 74 now. My case may be unique or not. I do not recommend anyone to do what I did. I am just saying that Urology needs to conducts a meta-study to certify the percentage of men who have elevated PSA and live a normal life cancer free. I guess the resulting info from such meta-study would not be good for the field because it is good money to do the biopsies and good practice for graduating doctors in teaching hospitals who are in need of cases to practice.
l researched the average PSA level for cancer patients and it is around 10.
In 2021 I will ask my urologist to give me the medicine that reduces the size of the prostate. I am aware of the reduction of libido with that medicine and for that reason alone I have been refusing it but at my age I am ready for it in order to pee better and avoid frequent trips to the bathroom.
Again, my case is only for those readers who have high PSA levels for decades and live cancer free. I hope this help them.
I have high PSA too but had the biopsy luckily absolutely no side effect from it. The found no cancer. Advanced blood test still negative and scans. So this shows absolutely not everyone that has high PSA has prostrate cancer. I have no other problems.
Hi any updates?
Awesome and relevant video. I am over 50 years old and my PSA peaked from 4 to 6 then lowered to 4.5. I have no symptoms and everything else, blood pressure, blood sugar, weight, etc are measured as normal. I am consulting with an urology surgeon, oncologist, research scientist and local cancer patients to explore my options. The oncologist described my condition as an intermediate cancer risk compared to individuals that are low risk and high risk. Thankfully, the body scan and bone scan did not detect any evidence of cancer. However, the biopsy detected a small malignant tissue in one of my prostates. My urologist has recommended aggressive surveillance to continually monitor the situation. As I stated earlier, I am exploring my options.
Make sure you read The Great Prostate Hoax by the scientist who discovered PSA. You really need to know the other side of the story.
How r u now
I too am a victim of the discernible prostate fickle fairy of fate. I was living my life feeling good when I took the PSA , and when the results came back I was told, I was not. In my youth, I was a sailor, but then it was my doctor that gave me what I never had before, a rectal exam, a biopsy, and PSA with a very high, bell-ringing score. If I were to live my life over again, I would limit my life to cigars and whiskey, fast horses and women and gin.❤
These conversations are so reassuring for me as the wife of a prostate cancer survivor
I do wish all our Doctors were like Dr. Scholz. Perfect bedside manner. Other physicians can take a leaf out of his book!
Hi. Thanks for the video. It came a bit late for me as my PSA came in at 15.1, then 6 months later had increased significantly, the concern being the speed. Had MRIs which showed an anomaly. One a year later showed it more clearly and I went for a biopsy. That was uncomfortable, but no more than that. They found cancer on one side, and I have just finished radiotherapy. My post-treatment PSA is 0.02.
Anyone putting off going for test or treatment should be aware it is no great test. The only side effect from the radiotherapy that I found difficult to cope with was lethargy. It was all-pervading. Never felt so tired over a period before. Even two weeks after treatment, I was suffering. I lost hair on my thighs. This appears, now 6 weeks later, to be permanent. No bother. However, there's a parting, about half-and-inch wide in my pubic hair. As I came out of the shower once, my wife looked at my bits and started laughing. No man wants that of course. She said it looked like a face of a man with big eyes, a large nose (honest. She said that.) and a lop-sided grin. Not sure how that last bit works.
All in all, no problem. One of the most easily treatable potentially fatal cancers. I met a chap while waiting for my turn for radiotherapy who left it too late and the cancer spread into his bones and organs. He had weeks to live. The only reason he was having radiotherapy was to ease the pain in his side. His wife came with him, not wanting to waste a moment of their time left together.
The last thing every one of us, including you, will do on this earth is hurt those who love you, and hurt the ones who love you the most the most. Put it off as long as possible. Go for a PSA test.
Oh man with that big nose...almost fell on the floor laughing!!😂😂
I'm in my 70s and I made a mistake a few years ago of thinking my rising PSA was just a sign of old age. The doctor finally convinced me to get a biopsy and it turned out that I did have cancer......which has since been treated. So guys don't ignore the warning signs.
Autopsies of men dying after the age of 80 show that they all have malignant cells in their prostates, regardless of the cause of death. The UK and Sweden believe that treating prostate cancer after the age of 65 does not prolong life, but does cause complications both of testing and treatment, so they have stopped testing after 65.
@@67daltonknox many years ago I heard that same statistic that a lot of men who have died and had an autopsy showed that they had cancer cells in their prostate even though that's not what they died of. I don't have a medical background to make an assumption of that fact but I do believe that some prostate cancers do spread and do cause death.
Hi Richie, I was wondering how high your PSA had got before you sought a biopsy. Best Regards
@@cheshirecat9081 I don't remember exactly what it was but I'll say it was like an 8 or a 9. I got tested for blood work every year and it hadslowly gone up about 1or 1.5 points every year but I thought that was due to old age and I didn't think it was going up that fast. But my doctor insisted I get it biopsied and I finally agreed.
@@Richie07a1 thanks for your reply Richie .
Had my PSA test done...came back at 34.5...doctor couldn't believe i was still alive...had 39 radiation treatments and 3 years of Lupron injections...going on 6 years of cancer free.
What were the side effects?
I felt a bit unwell in 2018 getting pains in my joints, I had my blood test done and it came back reading 125 , that was the beginning of my cancer journey, I had tablets to reduce my testosterone levels and then had six very strong doses of chemotherapy, that cleared my bones , but I know have to have hormone injections every three months , the treatment is working, so it's ongoing .
@@carlarthur4442 my psa is 45. Are you saying the cancer spread to your bones? Are you in pain?
I am 75 and had my prostate out ten years ago, I had a psa of 7 and biopsy showed cancer. Quite quick operation, one night in the hospital in Toronto in a ward of men recovering like me. Some had waited too long to correct the situation; it had spread, and they were into a long haul. Get a PSA test. no big deal if caught early..
Are you still able to get an erection after the surgery? What about urinary incontinence ?
My story. D.O.B. 1947, Retired age 65 2012 . 2017 PSA 2.1 had creeped up over previous years an increase of 1.1 in 24 months. Primary care physician scheduled tests every 24 months but in hindsight realized he had some concern because he palpated my prostate because that was a first for him. 24 months later just before age 72 I had my P.S.A.. which was 9.0. Had a second test 30 days later it was 8.4. Scheduled an appointment with a urologist and the P.A checked my prostate and said I should get a biopsy. That Internet said I still had only a 50% chance of cancer at that PSA. Had the biopsy, not a big deal, just a little uncomfortable but in hindsight found it should have been done on 2017. The doctor called to tell me is was positive. My first question was “What was the Gleason Score?” It was 9. The only good news was it was not 10. At an office visit I discussed it with the Doctor and he recorded it as Stage 1B. Went through additional work ups CATScans and such, met with a Radiologist and discussed various options. Approximately 8 weeks after the biopsy I met with the Doctor and advised I would like surgery which was scheduled about a month later. During that wait the Doctor said he would like me to meet with another surgeon about a problem discovered with my gallbladder. It was decided I would get two surgeries the same day, one to remove my prostate and the second to remove my gallbladder. After surgery I would wait 6 months to get 7 weeks, 34 Radiation treatments. Everything turned out well and now I take Ultra Sensitive PSA tests every 3 months. My PSA is now less than .01 which is considered undetectable which means I’m cancer free. After Surgery my pathology report said I had Stage 3b Cancer. If I had my biopsy in 2017 or my doctor had ordered another PSA 12 months later rather than 24 months it would have been much better in my opinion.
Valuable information indeed. It was reassuring above all. Thank you sir
I agree a rise in psa called velocity a density test is ideal a trus exam is the downside
Was diagnosed with advanced high risk prostate cancer couple months ago…I was put on hormone therapy treatment not long after…when I started the treatment my PSA level was 37 it has now dropped down to 0.35
Iam from Sri Lanka I tried so many times to get an explanation from my doctors about psa.but failed.when we ask for explanation the doctors lower their spectecels and stairs 😅at you the message they give you is don't waste my time.Therefor a very big thank you for both of you.
Sorry for your experience.
I think doctors are using a procedure that is only interested in profits, not science!
I have a prostrate 80 gms, PSA 7.8. Doctor suggested that I get an MRI. Which I did go through. Report said a benign prostrate that is non cancerous. Of course that was very satisfying.
This is a great video and advice. I am in the same range in terms of size and PSA. Had both MRI and biopsy (16 samples) and all clear for the moment thankfully.
I’m here for my father just realize to see online details . I’m really new to all this may Allah swt help all of us
My message to everyone is to take PSA tests at age 40. Because I did I can leave this message now.💪mrwtby
Many elderly men will die having prostate cancer and never know about it.
The PSA is not even done in Great Britain due to its high false positive rate which results in unneeded surgeries and treatment, plus it will not reveal the most deadly kind of prostate cancer. At age 68 I had a urologist check out my prostate and he said it was fine for a man my age and that I would no longer need to even have a PSA taken because they stop that at age 70 anyways. He said I would no longer need to see him unless I had a problem.
Now I did have frequent nightly urination for 40 years until it just became convenient to blame it on my prostate. This past summer when I started a keto diet/lifestyle I did lose 40 pounds and got off my 4 high blood pressure meds, but another thing I noticed with keto being a highly anti-inflammatory diet is that I was only needing to get up and urinate just once a night, usually 4 hours after I went to bed, and this is something that has not happened in decades.
Plus, my urine flow is stronger and the volume is greater. So I like my results as well as no longer being on any meds (just had my annual physical last week and my doctor was very, very happy with my health and lab results.).
A little bit of misinformation in your post. There is no national screening program in the UK, but PSA tests can be requested for free through your GP.
Great practitioner. Great video. Thank you for your knowledge in this field. It has helped so many men with this cancer.
This guy really knows what he is talking about. Objective, knowledgeable and well balanced information, congratulations!
My 69 y.o. husband PSA has been steadily increasing from 5, 6 and now 7 over 6 month periods. What test should he get next or an MRI or ultrasound?
@@kathymercer9259what was the findings
@@kathymercer9259 High resolution MRI is way better than the best ultrasound. I'm 70 and my last PSA was 14.9 down from 17 almost 2 years before. The MRI at the closest hospital 2 hours away is ancient and low-rez but still nothing showed and I still refused a biopsy. Finally went down to Edmonton 5 hours away and got the good one. Scored 2 out of 5 so I'm not concerned. I take a variety of supplements to deal with urinary issues and it's not perfect but everything functions fine and I can live with it. Read The great Prostate Hoax by Richard J. Ablin who came up with the PSA test back in '70. And The Whole Life Prostate Book by Dr. H. Ballentine.
Richard Ablin explains how doctors and clinics are destroying patient's lives for money ripping out perfectly good prostates. Most men over 65 have prostate cancer but the vast majority of those will die of something else before a slow moving cancer will even cause symptoms. It's the aggressive ones you need to catch.
I take no pharma meds for anything other than ADHD and only started those 6 months ago. 5 years since a local doc did a DRE and mistakenly reported a lump the urologist couldn't find and he really dug in there for much longer. I have abnormally high testosterone for my age which along with the BPH seems to be why my PSA stays fairly high.
When my PSA rose to almost 9.0 I got a biopsy. The pathology lab couldn't make a decision, so a second lab was used and they decided I had Gleason 3 3 malignancy. A surgeon recommended a radical prostatectomy, but the side-effects sounded awful so I got a second opinion, meaning an MRI. The MRI showed almost no chance of clinically significant cancer. For three years afterwards I got annual follow-up MRIs that likewise found very little cancer risk. But my PSA was up to almost 11.0. My doctor felt the high PSA might be due to my highly-enlarged prostate, so he prescribed Finasteride. My last PSA was about 6.0. So that drug seems to work to bring down my PSA. I'm not going to get any more MRIs for awhile -- my only treatment is the Finasteride.
Please be informed your PSA while taking Finasteride is multiplied by 2 which is about 12. Ask your doctor. I'm in a similar situation. Stay healthy and vigilant.
Good for you Ray's Dad. Hang in there.
I had a PSA of 13. It was BPH. Don’t let the urologist scare you into biopsy. Get an MRI.
@@deeptime5581 My radiologist said my prostate volume was 3x normal, so it made sense that my PSA was 3x normal.
Thank you for this very useful information.
Just was told my PSA is 15.58. Told to see a urologist. Thanks for your video.
UPDATE: Saw a Urologist. Had MRI done with Tesla 3 machine. It showed doctor where to do a targeted biopsy (not a random biopsy). 10 samples taken. Biopsy results revealed cancer in 2 out of 10 samples. Of those 2 samples, the cancer in each sample was 1/10 of the sample size. Dr. said its not very aggressive. The options I was given, were from radical to ignoring it completely. I chose the option to wait 6 months and repeat the targeted biopsy. Then we will know how fast it is growing (or not) and can revisit my options. If its still basically the same size I may not do anything. My problem peeing is being controlled by .4mg Tamsulosin so I am not at this time pressured to do anything but wait til the next biopsy, which is right around the corner now. Will update again.
Not good if its over 5
@@trevorgwelch7412 I guess you didn't watch the video, if you have an enlarged prostate it can be 6 to 10 and be normal
@@trevorgwelch7412 You must be a primary care doctor, hahaha
@@trevorgwelch7412 I provided an UPDATE. 👍🏼
@@PhilMelbourne I provided an Update if interested. 😊
This doctor's explanation gives easy understanding of prostate issues and also gives hope for patients. Excellent! Thank you sir.
Wow, thank you for such an informative video! The interviewer asked all the right questions and the doctor gave all the right information in a way we can understand it. Really appreciate it!
How do you know she "asked all the right questions", and the dr gave "all the right answers"?
@@tonylawrence9157 the 'Dr' in his title.
I’ve been living with metastatic prostate cancer for five years now. I wouldn’t be in this position if I’d had a primary care doctor that was looking out for me in terms of PSA testing. For all men approaching the age of 50, demand that your doctor give you a annual PSA test. If he/she won’t find one who will. That and a annual DRE. This way, with a history of data points, if your PSA rises appreciably in a given year then your doctor can determine if further investigation is needed, i.e. a biopsy. Take this very seriously. You don’t want to be in the position I am. My quality of life sucks. Just do it.
What Is DRE?
Best Wishes Jeff
@@MrJOHNMICHAELVEGA Digital Rectal Exam. The doctor inserts two fingers in your butt and checks the prostate for irregularities in shape.
@@jeffyoung1396 I know all this and have done the digital rectal exam but you don’t answer my questions ?! You are of no help ! I do 70 hours a week of research just on the prostate, already 1 month now, which makes 280 hours. Listen to Doctor Albin on UA-cam ( The PSA Hoax ) also you can check ( Proton Beam Therapy) or Prostatic Artery Embolization, or Urolift which are in and out interventions that could benefit many men but do your research ! Doctor Ken Berry talks on UA-cam about reducing your prostate size by low carb high fat diet . Thank you from my heart to yours , Michael ❤️🎶🙏
@@MrJOHNMICHAELVEGA digital rectal exam
I was having a routine blood test and asked for a PSA test to be added because my brother had been diagnosed with PC. The test result showed a PSA level of 30.4 and I was fast tracked through for rectal exam, MRI, bone scan, second comparison MRI , before being recommended for radiotherapy treatment followed by hormone injections , three years of treatment altogether. I am now two and a half years in, just two more injections to go, latest PSA was 0.029, so the treatment is obviously working. The side effects of the treatment, loss of libido, muscle loss, hot flushes, haven't been too bad, ( at 70 I wasn't using my libido anyway ) . The muscle loss has been the most noticeable and the most inconvenient. I'm hoping that once treatment is finished that I'll be able to rebuild some of it.
Well done Bob, and great that you are the best manager of your health.
👍👏🏻👏🏻👏🏻
This was the best explanation I've received, at 68. Bravo! Remember, healthcare in the US is FOR PROFIT!
So get MRI first. Needle biopsy as last resort....
In 2013 my PSA was 1.6. In 2014 I had a bladder infection and my PSA went up to 18. Over the next few months it went back down to around 6. Since then it has hovered around 4.7. I am 65 years old. My last PSA was 4.0. I just had an MRI and the urologist said I have a large prostate. Now I have to go in for a biopsy next week. Wish me luck.
How did it go?
Get An MRI With Contrast To Be Certain!!!
@@mariowestcott9889 hi Mario, did you have the MRI before the biopsy? Or did they go straight for the biopsy. As the biopsy isn’t conclusive.
@@john_carb the urologist for me want to go straight to the biopsy.
Guest i better ask about the MRI W Contrast.
My question with doctors is which procedures pay them the most.
Thanks for all the info. I got my Dr. to admit that getting a MRI 1st was a good idea. My argument was my immune system is low I've lost 25 lbs after having a lot of dental done. Teeth removed and wisdom teeth removed. No eat just drinking juiced meals. This crushes my immune system. Now I'm just getting over shingles.
The Urologist made it very clear that I could get a infection with a biopsy.
With my immune system low, why should I risk it ?
I'm sure I'll hear MRI cost more. Lol the money want matter. I'm gonna get that book. I'll report back after all is done.
Men, please get your prostate exam (PSA) and DRE....I think you should get the exams at least once a year. My dear husband died a few months ago from Prostate cancer. I can't tell you how many times we heard, "Well, if you have to get cancer, prostate is the best one to have." I so disagree. My husband suffered so much...chemical castration and other horrific medications. Please, take care of yourselves. I miss my husband every day. I wish you all the very best.
I didn't even know a MRI was available for this. My doctor recommended a biopsy immediately. Turns out I had cancer and it was treatable but would have been nice to know about the options.
This happened to me and I was pissed. Was referred to an oncologist who told me prostate biopsies are like playing darts blindfolded. Had an MRI that actually uncovered more cancer in a different quadrant the biopsy missed. With today’s MRI technology there is no need to subject yourself to a biopsy.
@@drkside53 MRI doesn't eliminate the need for biopsy, although it allows the biopsy to be more targeted. If MRI shows anything suspicious, even if they are 99% sure it's cancer, they will still do a biopsy because scans alone cannot tell the histology of the tumour (basically how aggressive it is), which is important in determining the best treatment.
@@TheGodpharma That's true
I live in Cuba but American doctors like this one offer me a significant amount of respect and confidence.
Cuba? WOW! You should get out of that hell hole as fast as you can friend
@@kenemmens6281Oh Ken you know so little. Do you know how many Cuban's try to get to America each year? They come in little boats, some even in floatation devices risking their lives to leave that Hell hole. Their standard of living is far, far below not only America but other developed countries. One example is that the average age of a Cubans furniture is 40 years! They are unable to get certain goods and services such as certain foods and things like garbage removal. When we give up our freedoms to live under Communism and hand the Government, the reins of our lives we not only lose freedom but a normal happy existence. Again, thousands dare the ocean waves to get into America. Now tell me Sparky how many Americans are trying to get into Cuba and give up their US captainship? Go tell whomever filled your head with this nonsense to live in Cuba for 6 months. They will come back with a greater appreciation for America.
@@joereidy5732 you couldn't be more informed or righter...is that term correct? Tell me about it!!! But I've been lucky enough to travel, even to the US,so l have elements to compare...All the best mate and thanks for sticking out.
The problem with some Doctors now days is that they don't take the time to explain options and procedures in detail. All because of their time limit/patient
They are also stupid...
They also seem to want to just treat the symptoms rather than check the potential causes for BPH, like hormonal imbalances. They say an increase in DHT causes BPH, yet I was never tested for DHT levels. Seems like they want to treat the symptoms, have you visit every six months, and eventually perform surgery on you. I don’t think that’s the best overall treatment protocol.
@purrungas2012
These days many young doctor have not passion for their patients .. not a listener and cultivate good medical professionals attitude .. all want to rush thru the process and see the next patients quickly and wait for their month end pay check !
I had prostate cancer 3 years ago. My PSA changed from just under 3 to 9 in six months and that triggered the referral to the urologist who did several tests to determine that yes, I had two cancerous nodules. I chose radiation as my treatment has went in every day for just over 3 months. The follow-up PSA was now at 1+, and six months later it was 0.4. I do checkups every 6 months (bladder also) and so far I am fine. But I will have exams every 6 months for the rest of my life to be sure the cancer does not return because the little bugger is always lurking about when you get older. I lost several friends to prostate cancer over the past decade and that prompted my immediacy. Glad I did it. Much better alternative to surgery if you catch it early enough.
I did PSA for my father recently and I’m worried.any suggestion
Hey Gary congratulations on the prostate cancer treatment did you have any side effects from the radiation treatment ?and if so what were they?…
@@alfonsorj70 I had no obvious effects during treatment although afterwards I have found (1) I need to pee more often than before (like every 2 hours) and (2) I no longer can keep an erection and there is no more semen. So, I am a eunuch but I am an ALIVE eunuch so I will take that tradeoff any day.
I had the TURP procedure and I have the same problems you have.
@@rjb6327 l in
Both my father and my maternal grandfather had prostate cancer, so I started having PSA tests at 40. For years they ran between 2.1 and 2.4 and the general consensus was that since i was under 4.0 I had no worry. However, in 2007, at age 60, it jumped to 3.0 and that concerned me. I found a doctor who would do a digital exam and he found a lump. A needle biopsy found 2 cancers. I had a radical prostectomy by a traditional surgeon (my only mistake. I should have had robotic surgery) and have been cancer free ever since.
I have watched urologist and oncologist have PC; so what is the link between these medical practitioners with knowledge and us the unknowing, I would say the "Western Diet" the meats are raised in very poor conditions, with feed that is not "Proper" for the animals and the chemicals dumped into them; watched how "Farmed Raised" chickens are raised, you never touch another chicken.
Quality of life?
Yes the imaging is easier before biopsy 8:47
Such a fantastic explanation. I was diagnosed with a G6 lesion from needle biopsy after my PSA rose from 3 to 5 in 2014. I've been on Surveillance since with 2 further MRI showing no change, PIRADS 3 score.
Over the last few years my PSA has doubled to 9. Just had results back from MRI - no change. But my prostate has doubled in size from 27 to 60cc.
Diagnosis from Uro. Clinically insignificant G6 lesion present, with chronic prostatitis and BPH. I'm age 56.
The MRI technology has saved me from unnecessary cancer treatment in middle-age. My uro says I may not need further intervention for maybe another decade.
Thanx for sharing. I'm 58 and just got a PSA result of 9. My primary care Phys. has referred me to a urologist and I'm freaking out a little.
@@MrWayne6363 When I was first referred it was for minor burning on urination and I had a PSA test age 48 as routine work. This opened one massive can of worms.
If you have a lesion which is G8 or above then immediate treatment is necessary, but the vast majority of men have G6 or the weaker form of G7 (3+4) which can be safely monitored. If your prostate is 50cc in size that accounts for a whole 5 of your PSA score, so some men like myself have these low risk G6 cancers but their PSA goes crazy because a guys prostate grows during his 50s.
G6 is considered to be almost benign as it rarely spreads. I would have an MRI before you even consider a biopsy, and if that MRI does not show significant cancer (they are programmed to ignore G6 and detect G7 and above) I'd ask to go on Surveillance which gives you plenty time to act if you ever need to.
Meanwhile just enjoy life. Prostate cancer is not like other cancers. It has a 96% cure rate, and many of the tumors are so low grade that it is better for your quality of life just to monitor. Of course you may have zero cancer and just BPH. Or a mild prostate infection. Good luck and hit me up when you get some news. All the best to you.
@@MrWayne6363 Hope you're doing OK and your evaluations were positive.
I like watching really smart people discussing this topic. Inspiring. Thanks!
Psa does vary any psa can be bad velocity and density matter it's
Videos like this are ABSOLUTELY VITAL. They do a community service that is imeasuarable, Thank you.
My biggest takeaway here is that my doctor is not communicating with me as he should be. A language barrier has not helped.
But this has been very helpful. Thank you.
I learned about PSA on my own. Mis information from my doctors, especially from my primary care doc. Now my specialist believes in the PSA blood test. Where as my primary care doctor will never order the PSA test. This allows me to be Hands-On with my own health care. Because some doctors just cannot be trusted. At age 70 I'm at .5 and used to be much lower when younger. At age 88 my Fathers PSA was 6.0 but still no prostate cancer.
@V1-Vr-Rotate V2-VY-VX I'm 74 with a .55 PSA there is nothing to sweat in fact the AMA suggests after 70 no further PSA readings are necessary unless there is cause, you will most likely die from something else, you have a great score.
I’m 57 and recently my PSA came out 5.0 doctor gave flomax to take for 3 months is been less than a month taking this medicine and my urine flow got better. Looking forward to bringing to normal level.
How r u now
My PSA has been slowly going up 1 to 2 points every year for last 10 years. Have had 27 biopsies, 6 CT scans, 2 MRIs. Numerous labs. All negative. Do have prostitus and enlargement. Taking Flowmax. Last PSA 12. 3 urologist keeping 'eye" on it. One urologist told me he had patient that had PSA of 3 and had cancer.
Just had the biopsy done. Cancer free. This video explains a lot.
I went to the doc because my hip hurt. I was diagnosed Stage 4 and my PSA was 1900. After chemo, radiation and hormone therapy it is now 25. I now feel great. I'm only 53 and there is no history of cancer in my family and I had no symptoms. Guys get the test. Even the finger.
Prostate cancer often progresses to the bone. Have you had an isotope scan. It tells you if there is cancer in the bone. My psa was 64. I am too 53. I live in Finland. I have also reseived radiotherapy and cytostatics. And hormone therapy. My psa is now 0.84. No metastases were found in any studies. The only sympton was that i had to urinate often
Hi , I am also suffering with hip pain , I think I also have other symptoms, did a psa test and came back ok . But I had to literally beg for one from my doctor . Now I’m worried because pain is still there ! Did pain killers make your pain go away ?
I’m 57
Excellent presentation thanks - but - surely a key indicator is not so much the ACTUAL PSA figure but HOW IT IS CHANGING WITH TIME, which would presumably rule out Cancer if the number was "high" but just sits there (same number) over the years. My suggestion is a PSA test when young to be used as a baseline check for any future rise as we age.
June 2010 I went in for my yearly physical. I was 63 years old. Blood work came back. My Doctor said you have a jump on your PSA from the year before. I then saw a urologist. I had a biopsy and I was positive for Prostate Cancer 9 out of 12 samples. August 2010 I had Robotic Surgery and my Prostate was removed. I then had PSA blood tests every 3 months. They were all about 0. The Prostate Cancer did not return and I'm 74 . I get PSA tests once a year.
Glad you are doing good 👍
Thanks Rob, my Doctor was on top of it. I have 9 grandchildren ages from 4 to 22 and I love them all.
@@wallacegeller2111 That’s awesome 👍
Yea and my PSA I am 72 is like a yo yo for the last 20 years or so, everything from well riding a bike can do that. That was after the old finger in the keister by the doctor who said you are just fine. Anyway each man is different, good luck with the cancer, had mine other end in the mouth from drinking all that sweet tasting agent orange.
Good news for you brother!
I’m 77 years old and a Vietnam veteran that was exposed to Agent Orange, a cancer causing chemical. Six years ago my PSA was 2.0, just recently it was 6.5. I do have an enlarged prostate per a sonogram about 8 months ago, and I have a history of having prostate infections. I’ve been a cyclist for 53 years and that can also raise PSA. I’m seeing a Urologist soon, so the tests that you’ve mentioned here are something I’ll mention if necessary. Thank you.
During the last years my PSA was below 4, prostate volume 70mls. This year prostate size was 100ccm, PSA 7. Went to get an MRI (400€ in Germany) -> cancer. Surgery in 2 weeks. My advice, even if you have a large prostate and a "fairly" low PSA, get an MRI. Makes no sense to have the money on your bank account when you are dead.
I have a PSA of 9 but small prostate. As a result of the blood test I was sent to have the MRI which confirmed there is cancer. Next step is a hospital day stay but not until 25 November to explore, take samples. Two weeks after that meet with my surgeon to plot a way forward. What is frustrating is the hospitals in Australia have so much attention on Covid that people like me appear to be sidelined.
I most likely won’t be treated until into 2022 which is really stressful.
From MRI to surgery directly? No biopsy? Hope your surgery went well.
@@joelsmith1919 Had my surgery on the 15th, back home on Tuesday. Surgery was done in Heidelberg with a DaVinci manipulator. I now have seven little holes in my body. All closed, I am allowed to shower. I don't thaink that doing the surgery here in germany is a solution, since you have to drink a lot of water the weeks afterwards (2-3l/d). The flight back to Australia would be a nightmare.
UCHE_EZE: I had a MRI/Ultrasonic controlled biopsy 6 weeks before the surgery.
@@karlklammer5473how r u now
I’m now going through this because of a PSA score that was elevated 6.2 and my urologist did a freePSA test combined with a PSA test. And now wants to do a scan or a biopsy. What he didn’t mention is there is another test the P2 PSA that can be used with both of the other two test to get a PHI score or prostate health index which could dismiss the need for further testing and also would cut in to their bottom line. So I asked did he do the P2PSA test and he won’t answer that question and is now ignoring me. I believe they either did the test and don’t want to disclose the results because it would mean I don’t need any further testing or I doubt that he doesn’t know about it so I would have to assume he is more interested in making money than patient health. This is why we don’t trust doctors. So if your doctor orders a PSA and you find out it is between the range of four and 10 ng/mL ask for a PHI score before any additional testing is done. So I’m going to a independent lab to have the P2 PSA test done after advice from Mayo Clinic. My last two cents is don’t let them scare you into unnecessary and painful procedures and do your homework. Chances are according to the statistics you are just fine and probably just need to find a more honest or knowledgeable doctor.
I casually mentioned a problem at the end of a doctors visit about how I had an episode where I couldnt urinate. A few Q's to rule out UTI and I had a PSA blood test. My PSA was 72. I was 56 and this was in 2016.
So, Gleason 9 and underwent Chemo and radiotherapy, then hormone treatment. PSA was down at 0.1 or undetectable for 5 years.
My PSA has started to creep up to 2.0 and restarted hormone treatment and the PSA dropped to 0.1 very quickly. I will be on hormone treatment for one year and hopefully all will be well.
The PSA test just indicates that something is amiss. The only way to tell if there is a problem is by an MRI and biopsy.
Not many cancers have such a good indication of efficacy of treatment, and routine PSA tests can indicate when problems appear.
I'm 67 and my PSA has been checked 3 times in the last year and it is between 11.5 and 12.5. I had a biopsy and no cancer was found but I'm still pretty worried about the PSA being this high.
I am 79.... My prostate is ten times normal size. Dr. Say it's trophy size. My PSA was 23 last check. Biopsy was negative. Having a little trouble peeing at times. Take stinging nettle extract helps that allot. Good luck!
Hi WillBilly. Not trying to sell you anything, but this is a good video. ua-cam.com/video/72j8NXuJ1oY/v-deo.html The video is why I take Super Beta Prostate, which helped shrink my prostate. It has zinc and beta sistosterol. You also might have your Dr. prescribe doxycycline for a couple weeks, which is an antibiotic. Sometimes you can have an infection in the prostate even though the urine shows no bacteria. That hidden infection can cause problems in the prostate too! Good luck.
Mine is 10 had biopsy and mri i have a enlarged prostate i also had urinary tract infection thank god no cancer
@@johncarlson6472 ok
@@williammorrissey874 God....not god.
I used to think a digital rectal exam had something to do with computers….found out differently. 😀Here is a suggestion for those who do get diagnosed with a 3+4 Gleason. My prostate was a normal size. My PSA went up to over 5 over a fairly long period of time; started in my early 50’s around 1 but some years later doubled to a bit over 2 and finally over 4. Had a couple of rectal biopsies and finally showed a Gleason 6. However, the urologist said my lesion (from the MRI) was likely cancer and to get a perineal version. That showed the cancer. I am 70 yo. The problem with “active surveillance” can be problematic as you can wait too long. My surgeon said 4 of 5 guys who did not opt for any treatment wound up with cancer that broke the prostate gland wall. I got lucky in that I had the best current treatment which is the nanoknife. The urologist said unless I had cancer in other areas that the various PSA’s and MRI’s showed, I should see a reduction in PSA of about 30%. My first PSA showed a reduced PSA of 80%. I realize I have to continue with surveillance of course, for the rest of my life.
Thank you for mentioning your NanoKnife treatment. It's added to my list of possible treatments when (if) my 3+3 expands. I've recently met a urologist who does HIFA and I've heard about a freezing technique that has been discussed on this channel.
@@glenrose7925 I think there is likely more risk with freezing, radiation ultrasound etc. if nanoknife was not around I’d have probably done Proton radiation.
Great and very informative. I never heard of the blood test or urine test that can shed some insight. Have to wonder why these were never mentioned by my Urologist prior to my MRI that showed nothing. Even after the MRI the Urologist was "almost" suggesting a TRUS. My PSA was only 4.1 and my volume from the MRI was 39, which in the video is even within the normal range. I think any man going to a Urologist should watch this video and take very careful notes and ask very specific questions of their Urologist if he is even remotely considering recommending a TRUS. TRUS, according to the internet, is the most over prescribed invasive surgical procedure done in America. Seems like since it is an outpatient procedure Urologist are overzealous in recommending and performing.
Trans rectal ultra sound. Not surgical, not really what I would call invasive. Not harmful, not going to cause infection. Now the needle biopsy sounds surgical and invasive and can cause infection.
Im assuming you are referring to TRUS guided biopsy?
This is the first video on which I have heard about the relationship of prostate size to PSA. I am told by DRE that I have an enlarged but smooth (no nodules) prostate. My PSA has been gradually rising under TRT as has the size of my prostate as I have reached age 75. Actual volume has not been measured by ultrasound, just by DRE. I was worried by the rise of PSA above 4.4, until I heard in this video about the “10 to 1 ratio”. So 4.0 maybe be an inflection point for a “normal” size (non BPH) prostate around 40 cc in volume. But if you have a 60 cc prostate, that inflection point is raised to 6.0 PSA, and 10.0 for a 100 cc prostate, etc. This information is very valuable to me in making a decision about potential diagnostic steps and treatment for a “high” PSA, which really isn’t high for my prostate size. It should be much more universally distributed than it is, by urologists and endocrinologists, and in particular, by primary care physicians who refer you to these specialists when there really isn’t anything out of the ordinary going on.
I have a 165cc prostate gland with a PSA of about 11. Does the 10:1 ratio for raising concern still hold, since it it much less than 10:1?
@@30secondamerican19 Well, the relationship is apparently often true, no question about that or Dr Scholz wouldn’t be saying it, and it correlates with what the VA urologists told me. BUT, I just had my 85cc prostate removed 3 days ago, to get the Gleason 4+5 left anterior transition zone apex lesion inside it removed. Don’t ignore a rising PSA because you are in denial that cancer can’t be happening to you. Get a multi parametric MRI done to find out what is causing your rising PSA. If it is just size, then great, shift your worries to possible BPH, and deal with any of those non cancerous problems. If you do have a lesion, the MRI will facilitate a focal fusion biopsy to properly grade your cancer for appropriate treatment. The last three days haven’t been fun, but my robotically assisted Cleveland Clinic surgeon was able to get negative margins, bilateral nerve sparing, and bladder neck sparing, about as good as possible at this stage of treatment. We will check for undetectable PSA in 6 weeks and go from there. Best wishes for your diagnosis, and treatment if it proves necessary. Ed
Precisely Correct. I Was Referred By My PCP When My PSA Rose From 2.8 In 2014 To 4.6 In 2020 And That Very Well Could Have Been From The Prostate Growing. Then At The Urologist Office This Doctor Did The Rectal Exam For Enlarged Prostate. His Finger Didn't Even Penetrate My Anus When He Pronounced I Had An Enlarged Prostate. Come On I Thought To Myself. Already Sceptical Having Worked For An Accident Doctor Who Treated Patients With Physical Therapy And Revealing To Me That There Wasn't Anything Wrong With Them!!! I Went To School With A Guy Who's A Plastic Surgeon Now Who Never Attended Undergraduate School Aside From The Campus. Never Went To Class. His Father Was A Plastic Surgeon Who Somehow Paid Someone At The School To Pass His Son. We Were Somewhat Friends And All He Did During The Week Was Passed Counterfeit $50.00 Dollar Bills All Day Going To Gas Stations Getting $4.00 Worth Of Gas Giving The Gas Station Attendees The Fake $50.00 Bill And Receiving $46.00 In Real Money Daily While Selling Coke All Day Every Day So Yes I'm Sceptical As Hell With Everyone Who Tells Me Damn Near Anything!!!
EXACTLY THE LARGER THE PROSTATE THE HIGHER THE P.S.A.
@@eddiegardner8232 g
Before you submit to a biopsy ask the doc if he's got ownership in the lab that's going to do the pathology read. they should disclose that
American doctors have ethical issues in illness for profit....make em sicker..keep em sick...drop dead prices gonna kill you
What is bad about needle biopsy of prostate (aside from fainting) I have had 4 of them
Hi in 2016 It was found that I had a very high psa reading of 150+ I was 76 years old at the time and a reasonable athlete in my age group. Following 6 months of chemo therapy and on going hormone prostap injections my psa came down gradually to 0.358 at last count I am now 81 and quite fit and still running And I train regularly. I think I have been very lucky. A big thanks to all the doctors etc: who research this disease.
How are you now
@@akashsuryavanshi8257 84 now and back running after 2 year break gradually improving my 5k time down from 44mins to 38mins in 7 weeks not like when I ran 23min 5k at 75 years old. Psa 2.8 and plenty of hot flushes
@@akashsuryavanshi8257 84
A vigorous prostate massage also can produce a brief elevation of the PSA level. Low concentrations of PSA have been identified in urethral glands, endometrium, normal breast tissue, breast milk, salivary gland tissue, and the urine of males and females.
The problem is every urologist wants to immediately do a MRI guided biopsy if the PSA is outside the reference range despite the patients age or other factors which may cause a high PSA. The MRI guided biopsy has its own problems with relatively high morbidity.
My friends who’s 51
psa came back last week at over 400
Starting treatment this week 🙏🙏
Best wishes to your friend. If you or him have any questions, feel free to contact our free helpline at pcri.org/helpline
I have a quite large prostate and in the last 5 years my PSA ranged between 4 -5. In this period I’ve had another parameter measured: “free PSA”. I am being told that as long as ratio between PSA and free PSA is higher than 15% you are safe. My ratios are so far above 20%, so with this criteria I feel comfortable.
If ratios should go lower than 15%, then a rectal test is recommended. A biopsy should be the last option due to collateral effects, but if the rectal test is suspicious it is the next thing to do. My experience.
My prostate was double the normal size and my PSA had steadily increased to a level reaching almost 4.
Dr recommended a biopsy to be sure.
Biopsy showed cancer so I had a prostatectomy after recommendation from my urologist.
@@Tbone.357 can you reach climax still. I want this procedure as I can't get all my pee out and have to wear willy nappies in my underpants or I get a noticeable wet patch😱
@@Tbone.357 Did you know your Free PSA levels?
Did you have a positive DRE?
Hope you are doing well!
So glad I found these folks and this channel!! Have learned so much in such a short while!
I had significant Prostate cancer at 2.5 with a prostate cc volume of 27. 4k 15% MRI positive 2 lesions RADS 4
What were your symptoms? I hope you are doing well!
Thank you, PCRI for your contribution to the Prostate Cancer. I am a cancer patient and under care. I had 3 needle biopsies with no problem. They injected two antibiotic shots on my shoulders before and a pill to prevent infection. The main concern should be "missed tumors" by needles. It is really scary, isn't it? How can we avoid such a human error?
Multi - paremetric 3d MRI scan is where it’s at.
This video has been very informative. I appreciate the discussion on non invasive tests. I’m scheduled for a needle biopsy in September, 2022, but I prefer to have non invasive tests first.
I live with prostate cancer as a “guinea pig”. PSA in 9 range. Friend had PSA of 1.5 and lots of cancer, but it had jumped from 0.75 to 1.5 over a year, so PSA Velocity is important. Plus he had significant family history of prostate cancer.
PSA should always be used from baseline and grows significantly in older men. It is a surrogate bio marker, much like CRP. As such it is inaccurate, but a good marker during treatment and combined with medical history. Novel biomarkers as an alternative are under research.
Having read the comments, I now realise how lucky I am to live in the U.K. with our free medical service and superb treatment.
Yes you are blessed my dad has just been diagnosed with prostate cancer this week and we are trying to get him to the UK for private treatment because the health care system in Africa is terrible
It’s not free, you pay taxes for it and the worst part, you don’t even know which tax or multiple taxes pay for it. That’s why your cost of living is high there.
Mine was 2 then went up to 7 . Saw a urologist. Went up to 8 … did a biopsy and no cancer
Had a “peach size” prostate and a PSA of 6. After years of diagnosis and numerous procedures the DNA of urine and Holmium laser were the two most valuable and effective. Several TURPs just delayed the resolution by Holmium laser. In my opinion. Age 75.
don't understand which procedure did you get?
@@PhilMelbourne Holmium Laser Enucleation of the Prostate. Hollows out the core of the prostate reducing its size. You could possibly go home the same day of the procedure. See Cleveland Clinic or University Hospital Cleveland websites. Analysis of DNA in urine can determine risk for Gleason 7 or higher cancer. These procedures are relatively new. Recently approved by Medicare if your that age.
My PSA was at 9 my urologist wanted to do a biopsy. Well I didn’t do the biopsy’ chickened out’ so I asked for another PSA test and it was 8 my prostate is enlarged I was exercising before I went for test I have high blood pressure and taking meds for it which I think is the reason for a high reading. How I got tested for PSA test , I couldn’t pee and had to go to hospital they put in a catheter to relieve me ‘ man that felt good “ best pee I’ve ever had , they wanted to keep it in but I said no take it out I went home and for about a month my urine was slow coming out but it was coming now I can go no problem was on Tamsulosin for two months I have since stopped taking it and everything is fine. My urologist said to have PSA test every two to three months and see if it goes down. My next test is in April “ fingers crossed”. P.S I’m 69 years old and have read that people over 70 do not need a prostate biopsy mainly because they will die of something else
I'm nearly 78 with lumbar spinal stenosis. Some years ago, my GP (since retired) referred me to the local urology
clinic with a PSA (my request) reading approx. 6 as I recall which he thought required it. A rectal exam revealed
an enlarged prostate but no cause for concern. Even so, a "12 pin" biopsy also followed - negative. Since then,
I've had MRI scans, the latest of which I was told by the urologist was OK but was accompanied by a "written test",
FOLLOWING which "on review" a spot for concern had been found on the prostate. I decided against further biopsy
invasive investigation and have preferred to have PSA checks maintained. The latest have been 10 something,
FOLLOWED by 9 something...a fluctuation of no great surprise to me, but nonetheless referring me back to the
urologist on the "over 7.5 level" employed between urology and GP. I am now faced with booking a further
appointment with the urology dept. to see what they say, with my previous hospital record to refer back to. The
connection between gland size and PSA reading was informative, which, together with the likelihood of increased
age bringing an increased PSA reading, helps me face the prospect of "here we go again", whatever the outcome.
In the meantime, I employ a healthy diet at a bodyweight of 170lbs/188cms in height, and neither smoke nor drink.
minus any family/genetic "history" of this particular disease.
I was told that long continuous driving can cause a PSA spike. I had just drove over 20 hours in two consecutive days prior to my last blood test. My urologist naturally has sent me for another test.
I had my first PSA when I was 40. It was .04. I had them pretty much annually after that. Over the years it went slowly to .07, which is where it was the last five or six times I had the test. I think one year it dropped to .06, then back to .07 the next. The last few years my doctor has decided I don't need it. He said it's an unreliable test and that many people have unnecessary surgery due to the test, when even if they had prostate cancer they are likely to die of something else before it killed them.
It was the same reasoning my one but last, male GPO followed: statistically overtreatment on just a PSA score is an higher risk than not doing anything. But a digital rectal exam (DRE) makes all the difference here, he always combined the two and so does his successor, a female GPO BTW. Most people, including my present GPO at first are not aware that threshold alarm levels for the PSA test differ by age. I found the following thresholds as published by the Dutch Association of Urologists: 40-49 years
Find another doctor, and continue your your PSA simple blood tests.. There are many news tests now to confirm prostate cancer. Doing surgery is the old way, so many new treatments. My husband has cancer at 64, just found after a by chance 6 month PSA went up 2 point to 4.2 over is yearly results of 1.7. Thank goodness its looks like it's still the prostate, diagnosed with high-risk cancer Gleason 8. One more confirmation with a PSMA pet scan and then treatment starts.
I am searching through internet about prostate cancer about psa, since i was 40 I've been checking my PSA coz my dad died with pc and i have two cousins one died n one survived. Since my psa was .03 the dr. Told med come back for check up again after 6 yrs but I still worreing I always complaing to my lokal dr. That i visit the the cr prquently and they told me just because of my disbetes, last month when I went to the dr. I told him I want to have psa again he is a new dr. And he check me with dre no lump or abnormal he said but when my psa came its 3.8 so he send me to urologist and my urilogist perform dre n ultrasound coz my second psa still 3.8 so now next will be mri this week I hope for the best....
I had a psa test and nothing too drastic score wise 3.8?
But just to be on the safe side I had a few more tests then a biopsy.
They found cancer and I had a Gleeson score of 7.
Because of my age (53) it was decided it best to be removed.
For me I feel this was the best decision as the cancer had just started to brake through the wall of the prostate(only found that out afterwards).
I had a robotic protestectomy which went extremely well, it is major surgery but nowadays it is almost routine.
There are quite a few different treatments for this cancer, and everyone is different so you might not need surgery.
If you are at all worried please get yourself checked out, and yes it can be embarrassing but don't let that stop you. The doctor's are dealing with this all the time.
A year and a half on and everything is back to normal (apart from no more children), my psa is now 0.006.
I think the more people talk about this the more it will become normalized, and the better men will feel able to deal with what is a very scary situation to be in.
Please tell me what tests you did before the biopsy. Thank you
Thanks Tony for sharing I find myself with a PSA of 5.76 so now not sure what guidance I will get as I am due to see a Urologist soon
I wish my doctor told me this stuff. PSA density and trends over time.
I'm a perfect example of someone with PSA 2.3 and having cancer, and this might explain why the test is so controversial. In July 2020, my blood test showed a PSA of 2.3, but two months later I developed a urinary tract infection (UTI) that made the PSA spike to 7.5. The spike in the PSA led to an MRI and a biopsy that confirmed a Gleason 7 score. The size of my prostate was 29cc. Without the UTI, I wouldn't have known I had cancer. I opted for brachytherapy and so far I'm doing fine, other than the typical side effects--frequent urination and weak urine flow for the next few months. My case shows that the PSA cannot be relied on.
Is psa level of 1.0 good my last test was 0.61
@@iamking29johnson7 The normal range for PSA is less than 4.0. But if you've had your prostate treated with either radiation, brachytherapy or surgery, your PSA should be less than 0.5. If not, check with your doctor.
@@DAGenao I never did I wonder why my psa so low
@@iamking29johnson7 You must be fairly young to have a PSA so low. At age 55, my PSA was also less than 2.0. You still need to check it every year because it can rise quickly. Sounds like you have nothing to worry about.
@@DAGenao thank u
What a great guy!
Informative,practical, and not scaring the life out of people , like some gps I know. Well done doc.!
Thanks for the video. Can you do a vídeo about PSA after radioterapy or surgery? Thanks.
Mine is up to 197....Cancer was detected 20 years ago when the 1st PSA test was taken it was 24...I never did a thing except keep on taking PSA tests since the biopsy came back as 7 large tumors with cancer in 2001..
@@marcgottlieb9579 you didn't have treatment at all?
@@fiorelvlogs7398 21 years at Leavenworth..
My burial plot is 10 yards from a guy named Lansky....
Glad I found this video. I am 55 and actually still race Motocross an cycle regularly. like 4 days a week on the bicycle to train. i got a PSA test last year and it was a 3.4. had an injury on a mountain bike which had me at a urologist. He was uncomfortable with the 3.4 but my primary care doctor didnt think it was a big deal. He scheduled a follow up and retested me. and it came back a 4.2. immediately wants to do a biopsy. Did not ask about my lifestyle, family history, or do a DRE. I had no idea that riding my bicycle and sex would affect my PSA reading. i likely did both within 24 hrs of both tests. i have zero symptoms of any prostate issue whatsoever and DO NOT WANT THIS BIOPSY. I am getting retested actually today and next thursday and am abstaining from all fore mentioned activity to see if it affected the PSA like I read in countless articles. Again I have zero symptoms unless I drink a gallon of coffee in the winter. No way are we poking a perfectly good prostate full of holes for nothing. Even the first test was likely skewed by my cycling and other factors. literally everything i have read says no sex or bicyling 3 days prior to testing and was not told this by any of the doctors that have seen me.
Good luck with the follow-up test. If your PSA is still high, remember that a mpMRI followed by a targeted biopsy, if necessary, is less invasive, has fewer risks, and is more likely to detect an aggressive lesion should it exist when compared to a random biopsy. If you have any questions, feel free to contact our helpline; our contact information is here: pcri.org/helpline
What PSA did you get after the retest? I'm curious; thanks.
@@sanbrimo4547 was back in the 2s after 2 weeks. The doctor cancelled the biopsy immediately.
This has been extremely useful information. It puts my mind at ease in some ways. Especially when the doctor was speaking about the 10:1 ratio of prostate size and PSA values.
Yes the ultrasound is usefull 9:00 9:00 9:02 9:02 9:03 9:03 9:04 9:05 9:05
The interviewer knows how to let the interviewer talk the topic out without interruption, excellent
Her skin complexion is lovely too
I learned as a pharmaceutical rep selling AVODART that velocity is really important and this doctor did not talk about it. Velocity is the time it takes for the prostate to grow from one test to the next. If this year and my PSA is 2 is fine for a 70 year old but if next year is a 5 that is a concern and that is velocity. That is why you should know your number and do a PSA every year.
We have a few videos on this that you can find by searching "PCRI PSA velocity" or "PCRI PSA Doubling Time". PSA velocity is only useful in select cases if a person has not already been treated for prostate cancer because the prostate makes a lot of background PSA and it can dramatically rise and fall for a variety of benign reasons. After treatment, especially surgery since all (or most) of the prostate tissue is removed, then the PSA velocity (once it has risen to 0.1 or higher) can help predict the cancer's level of aggression.
Very helpful, thank you. This is the first time I’ve heard that a psa level can be directly related to the size of the prostate. I’m mid 60s, enlarged prostate, and my psa has been stable at 9 for a few years now. 12 point needle biopsy showed zero traces of any cancer. After watching this I’m less worried about that above normal number and will just continue with my every 6 month psa and exam.
Thank you again.
I had a reading just before Xmas of 11.6. I pressed for a fresh blood test and it came back at 6.6.
I'm in almost exactly the same situation, with a biopsy showing no cancer and a PSA level constantly around 8-9. My GP said "we'll just consider that normal for you," without explaining the relationship between PSA levels and prostate size. This video has cleared up a mystery and given me some reassurance.
I'm 69 I had a PSA test 6 months ago it was 4.2 my PCP wasn't too concerned I had read an article a couple of weeks earlier about a new test call a PSE epi switch test I ask him about it he was not aware of it he looked it up and said he run that test.it came back with a level of 6.2 he referred me to a Urologist who did a biopsy it came back positive for prostate cancer. The standard PSA test is reported to be 55% effective the PSE epi switch is proported to be 94 % effective. I would highly recommend to get new test...
WHAT IF I HAD A PSA OF 40.0 AND NOW BACK TO 4.5 ? I HAD A (UTI) AT THE TIME OF PSA TEST. I'm 68 years old.
What I didn't hear was that PSA screening was deprecated by the AMA. They disrecommended it because it did more harm than good. The harm was several things, but mostly unneccesary needle biopsies. In my case, my PCP referred me to Urologist, who also found nothing from DRE. He wanted to biopsy my prostate with 12 sticks because "That's what we do." Dr. Scholz glossed over the reason that "PCPs are concerned about referring patients for unneeded treatment." This patient (me) is concerned more than my PCP or Urologist, and I declined. Unneccesary prostate biopsies are the reason PSA is bad.
My PSA was at levels between 10 and14 but went as high as 19. This was the case for many years. I’m now 67 and having had a PAE last October my PSA has fallen to 2. My prostate was 250cc now at 100cc with further shrinkage to come. Just a complete difference from before. My quality of life is so much better after years of suffering weak flow and then ending up with catheter off and on for six months or so.
What made your PSA number drop to 2 ?
@@shamrock8561 The PSA I had done. Around 4 months after it I got done I had my PSA level checked and it had fallen into the normal range.
@@andrewthomson6851 , it’s weird because I had a physical in March and he never gave me my results. I finally called him 2 months later when I never received it in the mail and he said my PSA was 6.0. He asked me if I ejaculated 48 hours before the physical. How am I going to remember that 2 months later ? I asked if he wanted me to take another blood test and he said yes.
I went on vacation for 4 days and took the blood test on the 5th day. It came back at 4.8. I also have a physical job which could make it fluctuate. I believe last year it went from 4.1 to 4.0 .Now that it went up to 4.8 he may want me to get an MRI . I will find out on June 17th
What I learned after having prostate cancer. At age 50 start tracking your own PSA levels. Keep a record of your PSA levels. If they double in a year you need to have a scan with contrast done of your prostate. Some doctors want to just do the needle biopsy. The problem with that is it will always miss a tumor located in the center of your prostate. My tumor was in the center of my prostate, so my biopsy came back as being normal. I continued to track my PSA levels and they kept rapidly increasing. I insisted on the scan with contrast. That's how the tumor was detected. Some tumors are aggressive and mine was that kind of tumor. Never agree to watchful waiting of a tumor. Have it removed ASAP. Your insurance will pay for a penile implant so you can still have intercourse after the surgery.
Mine has gone from 5.2 to 9.6 over the last 6 years. I have had three biopsy's. The first two biopsy's indicated cancer cells with a 6/6 range. All of them with slowly gaining PSA's. My last biopsy could not find a tumor, nothing, At that point the PSA was around 9.0 and digital found nothing. We have been doing 6 months follow up since the original diagnosis in the summer of 2015. After the biopsy, my next PSA showed a the PSA at 9.6 so they did an MRI. Nope, nothing showed up and the prostate was fairly close to normal size. I was tested for Prostatitis and found a positive for infection. Throughout all of this I have had no symptoms at all. My last PSA was 9.4 with another PSA due next month. I cannot seem to get even an educated guess as to why my PSA stays up and no tumor can be found. I have no intention of stopping the monitoring, but I am now 73 and I know they are going to lose interest soon because of the theory that something else will probably get me before this does, but I would like to know it this type of situation has any precedence.
I'm in the same situation. I'm 71 years old and relatively healthy with all good numbers, except PSA. In the last 8 years my PSA was 4.4 then has gone to as high as 11.4. Then back to 8.3.
I've had multiple DRE exams . 2 prostate needle biopsy. One of those was with extra needles samples taken. Also had an MRI exam. Nothing was ever detected in any test. No Cancer, Thank GOD.
What else can elevate thePSA numbers?. They want to do another needle biopsy again. Last time I had a lot of bleeding from it. Needless to say im not excited about another test.
@@daveschidlmeier6425 In 2021 my PSA was 1.43 and in one year shot up to 10.49 which triggered my GP to order up a urologist. Before my actual appointment my second PSA blood test which was only two weeks after the first, went down to 7.75. The urologist did a exam and said he felt a "small bump" on my prostate and scheduled me for a biopsy. They took 12 cores a month later and I just found out all cores were benign. He wants to keep an eye on my and have another PSA test in three months to see where I stand.
I did however find out that having sex just before a PSA test will raise your PSA and also just 5 weeks before the PSA I also had a colonoscopy which may or may not have anything to do with it. Until my PSA test I had no symptoms at all. So maybe an unknown or no symptom infection but that is just my guess.
I will know better in a few months. But a sure thing is that I was worried sick for two months wondering if I had cancer and if so how bad. For now I am relieved that the biopsy came back benign.
Have tried low carb diet? Zinc supplementation? Boron? Getting estrogen out of the body?
This doctor spoke a lot of sense as opposed to much of the nonsense which has been spoken about PSA by people who should know better. As an oncologist who has managed the clinical development of two of the leading prostate cancer drugs, Zoladex and Casodex, I would say the PSA is the best blood test we have for cancer apart from alpha foetoprotein and B HCG in germ cell tumours. As this doctor rightly says, what matters having done the test is the interpretation. I would have liked a bit more discussion of the value of repeating tests over time and looking at the upward slope if there is one. The concept of repeating the test after a few months if there is doubt seems not to have reached many GPs and dare I say some urologists.
My psa went from .69 to 7.9 in nine months. I retested two weeks after the 7.9 reading and it dropped to 2.1. I'm going to retest in a month or so and see if it's back to baseline.
A really good, clear explanation. Thanks
At 78 my doctor sent me for a blood test it came back with a psa reading of 100 a red flag for cancer i was put on hormone therapy to stop what cancer feeds on ,as I am a retired naturopath i decided to research natural products trialled through reputable sources i selected certain natural products and added them to the medication i was placed on 3 months later my Psa is now 1.5 hopefully I have beaten the bullet ,but I will keep the regime going to reduce it further the natural products can be of great help and are not costly ,the urologist told me to keep on the regime indefinitely until I get the all clear!
a psa of 100? are you sure you got that correct, or did you mean 10 lol
@@gruntalot1 yes actually over 100 the doctor asked me if I had a will as the prognosis looked pretty grim at the time ,so far no pain, readings dropping dramatically looks like my natural regime is kicking in the urologist tells me he doesn't need to seem again the oncologist is stopping his medication and will monitor my progress !
What products did you use?
Well said, Dr. Scholz. I love the analogy to help explain the PSA controversy.
Very nice information for we all menn.. esplly around 55 yrs and above..