How Much Time Do You Have to Treat #ProstateCancer? | #MarkScholzMD #AlexScholz #PCRI

4 years ago a doctor told me I had prostate cancer. He was going to do the random biopsy. I refused and fought for the MPMRI. Good thing, over the years where I had, had hernia surgeries, the mesh had come out and migrated into the prostate, uretha tube and the sigmoid colon. After a 6 hour surgery to remove and repair all this, psa levels came down, I got well. Lesson, ALWAYS ask questions, and do your own research. You are the only person living in the body you got, and you know it better than any doctor.

Thank you so much! I can't tell you how much bad information I have received from urologists over the years. I am so happy that I didn't pull the trigger on treatment with Gleason 6. You are doing a true service to humanity.

I was just diagnosed with a prostate MRI. A multi sequence, multi planar imaging of the pelvis was performed by California Imaging institute. Two lesions were found. One lesion was .5 x .3 cm and one was .5 x .4 x .4 cm. PSA density was .09 ng/ml. T2 for both was 3/5, DWI/ADC for both 3/5. IMPRESSION: 1. Benign prostatic hyperplasia 2. Two PI-RADS cat 3 nodules are identified, one within the right apical medial peripheral zone and the second within the right apical lateral peripheral zone. These are intermediate lesions with the presence of clinically significant prostate cancer equivocal. 77 yr old Appreciate any feedback and is Dr Scholz excepting new pts. Medicare insurance and tricare for life insurance PSA HISTORY Feb 2021. 6.1 May 2021 8.4 Jul. 2021. 5.6 Aug. 2021. 4.5 Nov 2021. 4.3 Feb 2023. 5.5 Mar. 2024. 7.8

I was diagnosed with Gleason 6 in 2011 when I was 61. First biopsy showed cancer in one plug out of 12 and second biopsy showed no cancer in any of the 12 plugs. I was ready to pull the trigger on seeds, but then my primary physician told me to cool my jets and explained active surveillance to me. It has now been 12 years since my diagnosis and my last PSA reading in June was 5.3. It has brought me a great feeling of relief to hear Dr. Scholz's opinion on not needing immediate treatment on Gleason 6 and the benefits of active surveillance.

I’m an internist. This guy is spot on. I’m going to save this for my patients.

This channel is invaluable! After my PSA went from 4-6-7 over two years I went in for the 3T MRI. ONLY after that showed a lesion (tumor) did I get the Biopsy. The Biopsy came back as a 3+4=7. The urologist recommended surgery in 2 weeks. (They are surgeons, so of course that's what they recommend!) I took the advice of THIS channel and got a 2nd reading on the biopsy. (That's right guys, reading a biopsy slide is subjective NOT objective). I sent it to John Hopkins: It came back as a 3+3=6. THANK the Good LORD, I didn't listen to the urologist!! Then the radiologist I met with, recommended Radiation. (Of course he did! Lol...) BUT he doesn't do Proton-Beam because that's a completely different type of radiation and he's not trained in it. So, off I went to consult w/ a Proton-Beam specialist. The point is this: We have time! SLOW-Down~~~~ The Proton-Beam staff has me scheduled for another 3T MRI AND they want to read my Biopsy slides also. They aren't rushing me into anything....I like that.

Dr. Scholz is the only Urologist I've met that I respect. Diamond in fields of rough.

Thank you, thank you, thank you. I’ve been diagnosed with prostate cancer in August after having my biopsy. My PSA level was 3.65. Every year I’ve had my pcp check my prostate when I get my physical. It did rise to 1.65 in 2020 and 2021. Last year 2022 my Dr didn’t have my PSA checked but did do the exam and felt nothing. May 2023 during my normal checkup he had my PSA checked and that’s when he noticed the numbers doubled since 2021. I then saw a urologist who checked me and felt a nodule. That led to an MRI in July which on a scale from 1-5 the matter of concern was a 5 and it looked like cancer. In August I had the biopsy and on my birthday in late August it was confirmed I have cancer. I met with the Oncologist in September and he was telling me about the Robotic Surgery and went over what it details. I have up to February 2024 to get myself either in surgery or Radiation. I’ve been researching and talking to guys who’ve had both treatments. The horror of hearing I have cancer surfaces daily but I don’t breakout in tears as much as I did when I was first told. The medical team I’m dealing with are good and are checking on me to see how I’m dealing with it all. I will tell male friends and my son get yourselves checked. Thank u again for all the information I can grab onto within this video.

Thank you, so reassuring, diagnosed April 22 Gleason 9 spread to bone and local lymphs, hormone treatment only for me, no radio no operations, psa almost zero, feel great, loads exercise, good diet, lifes good, grateful that the cancer I have is prostate and not something else, love your vlogs so educational Phil

By far, the most credible source of information on prostate cancer. I've watched numerous YouTube videos on the subject, but I can't recall any other website. Both Alex and Dr. Scholz are incredibly enthusiastic, dedicating substantial effort to providing global awareness. Cheers from Sydney, Australia!

I had surgery and radiation. I thought I had done so much research that I thought my head was going to explode. I thought I was well informed. Knowing now what I have read since along with what I have been hearing here, I would have not gotten surgery. I was told that if I did radiation and had BCR then it is unlikely that I would find a surgeon to perform surgery because of all the scar tissue. My surgery took place in 2019 and 3 months later I had an elevated PSA then Rad. I had Gleason 9. My body is not and will never be the same although I am enjoying life. I would never recommend to anyone to have surgery again. I think surgery for this disease unless absolutely necessary should be outlawed. Just my 2 cents and THANIK YOU so much for this information. It is SOOOO helpful and I wish I had seen something like this in 2019. Keep up the good work.

Another timely and compassionate discussion....thanks

I had a psa of 9.5. Tests showed a small but aggressive type of cancer. The surgeon was very pushy. So, I went for radiation and no hormone treatment. After treatment, I was 1.9, 12 months, 2.7, and 18 months, 3.5. So, I have been a bit worried at the rise in PSA. However, after watching this session, I feel so very much relaxed with the future. I am an active and busy 71 year old. Thank you.

I was diagnosed with Gleason 6 (3 cores <5%) in 2014. I began a strict plant-based diet along with a few 5-day water fasts. I continued this for 5 years and enjoyed several great health benefits. Then I had another biopsy. I had Gleason 9 throughout my entire prostate! Diet didn’t help with my prostate cancer and I should have monitored it better and sooner. I then was treated with ADT and IMRT. Now almost 3 years later I still have a little fluctuation in my psa but I seem to be doing well. I also have good libido and can have sex with the help of Cialis. I am 72 years old. Thank you for all your help with such excellent videos 🙏. Michael

I love this channel and the superb information it presents, but my one criticism is that it focuses so much on the newly diagnosed patients and not those of us who are navigating recurrent prostate cancer. I was diagnosed in November 2010 at the age of 52 with a PSA of 5.0 and a Gleason of 3+3. In retrospect, I probably rushed my decision to have surgery, but I went ahead anyway. The post-surgery pathology upgraded my Gleason to 3+4. My PSA was undetectable for 54 months after surgery, when it came back at 0.05 ng/mL in September 2015. Of course, having a detectable PSA sent me into a full panic. Once I had a detectable PSA again, we applied many of the concepts in this video, and we took a much more measured approach with managing the recurrence. It took over two years for my PSA to go from 0.05 ng/mL in September 2015 to 0.10 ng/mL in December 2017. It took another three years and seven months for my PSA to go from 0.10 ng/mL to 0.21 ng/mL in July 2021. So for nearly six years, my medical team and I were okay with regular monitoring, doing our best to avoid salvage radiation therapy. But it took only 9 months for my PSA to go from 0.21 ng/mL in July 2021 to 0.36 ng/mL in April 2022. Given the rapid acceleration in the growth of my PSA, we decided it was time to act. We agreed to do concurrent androgen deprivation therapy (ADT) and salvage radiation therapy (SRT). I had a six-month dose of Eligard two months before having 35 sessions of SRT over 7 weeks ending in August 2022. The ADT knocked my PSA down to 0.05 ng/mL in November 2022, but the dose has worn off and my PSA was 0.13 ng/mL in March 2023 and 0.11 ng/mL in May 2023. Two data points don't make a reliable trend, but we're cautiously optimistic that the SRT is taking hold. (My radiation oncologist said it could take 18 to 24 months to see the impact of SRT.) Time will tell whether waiting over six years to start SRT with a rising PSA was the wise choice. But I believe that you could make a separate video on this same topic aimed at recurrent prostate cancer patients. Thanks for all your hard work!

Thanks so much for this I've just been diagnosed with prostate cancer gleason score 3 +4=7 I feel a lot calmer now because I've time to do some research. 👍

Great Great Video!! I'm Gleason 8. No spread. I'm on ADT last 10 days. Going to do Radiation in 3-4 weeks. These videos helped me a Lot. You guys deserve a lot a credit. I was scared to death 8 weeks ago. Now I know what to do. Thank you so much!!

One of the things that Dr. Scholz knows from his experience is that prostate cancer in the aging male is ubiquitous and most of the time it will not harm us in our life and we'll die of something else. He absolutely wants us working with our doctor on the issue, keep on top of it, and make good decisions. But, if you go to him or doctors like him, he's likely to also ask you about more dangerous aspects of your health. I've been to their office, I currently don't have prostate cancer (but if I live long enough I'll highly likely to get it), and their office ended up prescribing me a coronary calcium test... So, what's the lesson there: Yes, keep an eye on your prostate but don't be myopic about it. Losing track of other aspects of your health may be more dangerous for you than prostate cancer. Keep an eye on heart health!!

Doc’s got some great ties! I went to Moffitt Cancer Center in Tampa today, Gleason 7. However they’re looking at my slides again to be sure my biopsy was interpreted and graded correctly. If it downgrades to Gleason 6 I’ll likely go to Active Observation. If not I’ll be treating with SBRT, no rush into it, and they’re the third oncologist I’ve spoken to! @Prostate Cancer Research Institute has been a tremendous resource for me!

I just went for my Biopsy today, It went well a bit painfull. Now I can talk about it with first hand knoledge, My psa 8.75 it was 3.5 in 2019. I didnt know I had growing psa untill February this year I have a small prostate. I waited to get the biopsy . DRE in February was indicative of a small nodule on the right side. I feel mostly very good, except for today. Every one have a blessed day