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.

Thanks ever so much for your videos, helping me cope with gleason score 9 metastatic aggressive prostate madness. So glad you guy's are there for us.

Waiting for a PET. I n the meantime finding PCRI and Alex is really helping me deal with this. Alex you are so economical and clear, your questions are exactly those us blokes have rattling around in our heads. Thanks so much. X

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.

This channel has been and is a great source of information I trust. In this video you spoke of a PCRI test. Can you explain what that is please, I was diagnosed with what the dr said he was 54% sure it was cancer. A fushion mri showed two - 2mm spots and one further 2mm spot on the wall of my prostate. He ordered a biopsy immediately as many other doctors had suggested earlier, just based on my psa of 10 once after I’d had a catheter for several days. A retest with the VA urologist showed a 5.5. I have not gotten the biopsy as I’d heard on your channel about the EXODx test. In the waiting time since last October since cutting out 98% of all animal products & coffee, & waiting to get in to a dr who would order it this urine test, I hardly ever have any discomfort when urinating where before it was most always painful.

Diagnosed June ‘21 - Gleason 9. Started ADT end of August, IMRT early September for 5 weeks. Brachytherapy 2 days after radiation ended. Ended ADT Aug ‘22. Took this approach /timing after consulting with Radiation Oncologist, Urologist, and Primary Care. Do your research, listen to Drs you trust but, gain a good understanding, on your own, of latest studies and therapies. Always appreciate your videos. Thanks.

I was diagnosed with non invasive bladder cancer in 2015 and had TURBT then and again in 2017 after a regular schedule cystoscopy show new tumor. I had a course of BCG in 2017. In Jan 2019 due to a high (8.3) jump in PSA that was always under 2.5 I had a random biopsy and was diagnosed with 3+3 Gleason 6. 7 positive cores with less than 5% of core malignant. In March 2019 I had a T3 Multiple Parametric MRI and a small tumor 3mmx5mm lit up on this test. A targeted biopsy was indicated but never happened and I stayed on active surveillance along with bladder cystoscopy. PSA went back down to under 2.5 every 3 months at the lab. In Dec 2022 I was diagnosed with bladder cancer CIS with very aggressive pathology and after 3 consultations, all recommended cystectomy. They all said my case involved BCG failure and did not recommend any other treatment than surgery to remove the bladder and at the same time take out the prostate. I am 76 years old living alone with no assistance and by the way I had a total R lung pneumonectomy in 1988 and never had chemo or radiation and lung cancer did not recur. The 3 doctors all said as well, I did not have to have the surgery in a week or 2 but take only a couple of months to decide and only having one lung with COPD they all said I would need a workup by many specialties to see if I can safely withstand 5-6 hours of general anesthesia. For the removal of the prostate and bladder and additional time to construct an Ileal conduit ending in a right side stoma. I am a veteran and they authorized community care to have this done and I had my choice of of hospitals and surgeons, outside as long as they would take payment from VA, which is about same as Medicare would pay. I decided quickly on the surgery, within a matter of weeks but had to find and Elite high experience urology robotic surgery. I ended up going to the smallest hospital of the 3 I visited. It was an hour from home. The 2 hospitals I did not got to were the larger cancer centers. I chose the surgeon over the modernity of the hospital facility. The surgeon I picked had more than cystectomy operations. Men from all over the world come to him for the treatment. He had been at the Cleveland Clinic for over 20 years before moving down to a smaller hospital to start a new program a few years back. I had the surgery May 12th 2023 and today I am doing fine and again living without assistance. The home health company ended their contract a month early due to my speedy recovery and ability to change urostomy pouching system on my own. So this was a long story BACK TO THE PROSTATE. My cancer was confined to the organs and there was no evidence of spread but the prostate tumor and grown significantly since 2019, but contained in the capsule and my Gleason score went from 6 to 7, a 4+3 on post surgery pathology. I had T2N0M0. My first PSA since was 0.01. Thanks to PCRI. I watched since 2019 and still watch.

Thank you for this as the wife of a husband waiting for biopsy results.

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. 👍

I can’t tell you how grateful I am to have found the PCRI. Knowledge is power and you are providing so much valuable information so that I can make good decisions. I am in the investigation process and proceeding with my biopsy. I feel you have educated me enough to discuss which procedure I should discuss with my doctor. I will definitely be watching all of your content so I can advocate for myself with as much information as possible. After I receive the results from my biopsy I will probably want reassurance from PCRI on my best treatment options if in fact they are necessary. You have really comforted my concerns and reinforced the fact I can continue to live an active normal lifestyle. Thank you for your brilliant work and I have learned a tremendous amount in a short amount of time by watching you and Alex during your weekly content on YouTube.🙏🙏❤️

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