Best information so far I have Thank you

Very interesting discussion, thank you. I am 73 years old with a 3 + 3 Gleason. My first MRI 18 months ago showed a legion that led to the biopsy. I got a second MRI 12 months later that was unchanged. I'm very reluctant to get another biopsy right away and your mentioned of the possibility of infection as a result of going through the rectum add to my reluctance. But the greater issue for me is that in my family history no one survives past 80 years old, so I don't want to subject myself to radical treatment during these last precious years of my life that I'm enjoying very much. And also enjoying what sexual function I still have. I just think it would be a lousy way to spend my remaining years to subject my body to the incredible stress of a major procedure and all of the very unpleasant side effects that can occur. My PSA has fluctuated between 5.5 and 7.5 up and down. Unless it increases greatly I am going to stay the course reluctance for further biopsy or treatment.

Thank you for such a clear and informative presentation!

Great discussion.Very encouraging for those diagnosed by routine PSA screening of Gleason 6.keep showing such updated videos.Interesting observation is urine test for rna getting standardized.Dr Sharad Lakhotia

@johndemerse9172

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I am a patient at Sunnybrook and have been on AS since 2015. So far no treatment, 3 TP biopsies and 3 MRI over that time frame. PSA gone up somewhat but doing ok.

Thank you. Very informative

Good doctor, Changing my diet stop a swift 1 year rise after changing it in 3 months.And ,brought my psa down from 4.90 to 2.80 in a total of11 months. It works on psa for some guys

@markgooch1715

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What is your new diet?

Excellent information, even for lay people.

Tks Sir /clear relevent info

Dr Klotz, after the surgery, patient affected with Enterobacter cloacae complex, is it more serious than cancer? How to cure it😢

Thank you so much I been under active surveillance for 3 years now. This presentation told me things I font know and feel better about long-term projections. I was diagnosed at 59, just turning 64. I am losing weight and exercise and have had 2 biopsy and an MRI. One question, the 60 minutes segment at Duke University talked about their trial drug that are disappearing, so type of tumors now and may be a cure for other cancers such as prostate cancer. Can anyone elaborate. Thanks Dr

Damn I stoped my statins a year ago My psa jumped 2 points.

Is it safe to have a prostate biopsy when there are fiducial markers present inside the prostate gland? Small pieces of gold were placed inside my prostate because in 2020 my case was considered high risk, so I was preparing for proton beam radiotherapy. My case was later downgraded to low risk, so I decided to pursue active surveillance. I want to know if there is any risk of complications if I have a biopsy with the gold markers present (for example if a biopsy needle contacts or dislodges one or more of them?) Do you know if there is a risk of complications? Either during or after the biopsy? Could there be long-term side effects such as ED (erectile dysfunction), incontinence, or lasting pain?