PSA numbers: Questions about new treatments

Posted by marko1 @marko1, Aug 27, 2019

This is for anyone that can answer questions on the different treatments of prostate cancer
I have spoken with radiologist oncologist about the radiation treatments about the radiation , treatment with seeds ,radical removal
And freezing the prostate cryo-Genex type thing
Why question to the clinic mayo clinic is already new treatments that aren’t so destructive to the prostate all treatments I’ve read about destroyed the prostate why can’t we just kill the cells in the tumor within the prostate before it spreads that way we can save more than just the prostate mentally

Anyone have any suggestions new trials new treatments I don’t know what to do about those numbers are low but biopsy showed Gleason score of three 6’s and a 7
Yes I’m looking to see if there’s any positive treatments coming down the pike I would love to be involved in it thank you

@marko1

Hello and you stony I have written at the site a while back when I started looking for answers about my newly developed prostate cancer diagnosis I had a MRI of my prostate done last week the results showed that I had to 1 1/2 cm lesion on both sides of my prostate gland
My first question when I joined this site was are there any new treatments any new ways of going in and not killing the prostate completely it seems to me that with all our medical technology why don’t they just go in and take out those lesions ?
they know the size of them And where they are exactly are because of the MRI.
Are there any new doctors that do that is there somebody out there that can help me with this question because I don’t want to lose my prostate next step the telling me is another biopsy or I should go to radiation I don’t want to radiation

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As far as leaving the prostate in, there is freezing Cryotherapy which I'm not familiar with. ALso there is a relatively newer one called Focal Laser Ablation where they heat treat the tumors but it is in trials so technically not totally medically accepted yet. I've had a biopsy which gave me a gleason 7 but am going to the Mayo Clinic in January to have a high resolution MRI and they will tell me what procedures they think are medically relevant for me, including whether I qualify for the trial or not. Once I know that I will be choosing between the trial or surgery. They are doing the trials all over the country, at hospitals and clinics and university facilities. THere is a list of who is doing it. There is a Sperling Institute in Florida that does the heat treatment, and they have testimonials of guys having the procedure done and going out to dinner that night. There is not a ton of info out there on it, so I'm waiting to talk with the Dr who runs the program at Mayo to find out the details……………

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@marko1

Hello and you stony I have written at the site a while back when I started looking for answers about my newly developed prostate cancer diagnosis I had a MRI of my prostate done last week the results showed that I had to 1 1/2 cm lesion on both sides of my prostate gland
My first question when I joined this site was are there any new treatments any new ways of going in and not killing the prostate completely it seems to me that with all our medical technology why don’t they just go in and take out those lesions ?
they know the size of them And where they are exactly are because of the MRI.
Are there any new doctors that do that is there somebody out there that can help me with this question because I don’t want to lose my prostate next step the telling me is another biopsy or I should go to radiation I don’t want to radiation

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Do a google search on HIFU and TULSA-PRO, both can be used as focal therapy for prostate cancer. I had the HIFU done in Nashville, TN 1 year ago and am very happy with results. No side effects at all. HIFU was FDA approved in 2015 and TULSA-PRO just recently approved in the USA.

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@poodledoc

Do a google search on HIFU and TULSA-PRO, both can be used as focal therapy for prostate cancer. I had the HIFU done in Nashville, TN 1 year ago and am very happy with results. No side effects at all. HIFU was FDA approved in 2015 and TULSA-PRO just recently approved in the USA.

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Thank you very much for the information I will look into it I have an appointment with surgeon next week about what he has to offer at Maine Medical Center best to all of you

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@jp59

I’m 60 years I have been getting PSA tests for the last 10 yrs last year psa was 3.9 this year its 15. My family doctor said I more than likely have cancer. Referred me to a urologist my first appointment with him is in two months is that too long to wait, should I find another urologist on my own ?

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I have 1.5 on my PSA. My urologist said "The best test is still a digital (finger probe) I can't imagine 15. What did your family Doctor say about your digital test,? or did he do one.Please call your family Doctor and have his office call a specialist within two weeks. My two brothers waited. They died within 2 months on everything but surgery. My heart doctor found he had cancer of the prostate and had immediate surgery. He is so happy with his decision and retired in Australia. Good luck to you.

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Hi. The consulting specialist is the best person to render advice. I have found that the picture gets a lot clearer with 2nd and 3rd opinions from reliable specialists, preferably from different disciplines eg Radiotherapy vis a vis Surgery etc.

Given the rapidly expanding arsenal against P Ca some thought may be applied to considering specialists’ opinion if they feel active surveillance is a viable option in specific cases. One never knows what new modalities of treatment, such as immunotherapy or focal treatment, might become mainstream during a reasonably safe period a patient can be put on AS. Again, it has to be a judgement call for the patient and the treating doctor.

This write-up came to my attention and can fill in some gaps on the current situation in respect of the condition 👉 https://www.nytimes.com/2020/03/02/well/live/before-prostate-surgery-consider-active-surveillance.html

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I was like you and I did not take radiation or surgery. Iresearched for quite awhile and I chose FLA – Focal Laser Ablation. see the Sperling Prostate Clinic in Florida, Dr. Dan Sperling. You may also want to look at HIFU (High Intensity Frequency Ultrasound. I also used the RSO protocol as it cured my friends wife who had terminal brain cancer.

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I went to Mayo to look into diff procedures other than radiation or Surgery. My local medical center did not want to do a MRI as they said it was not needed for surgery or radiation. So Mayo did the MRI and it was very helpful. Wish I'd had it much sooner. Talked to the specialists there about alternative procedures, Focal Laser Ablation and Cryotherapy, and a 3rd one, all leaving the prostate and just locally working on the cancer. Dr Woodrum said he could get excellent results with all 3, but it depends on how much cancer you have and where it is. I had a Gleason 7 3+4 but it turned into 4+3 at a later date. Mine was too close too the edge of the prostate so they had no margin to work with, and larger than they wanted to work on so I came back and had the surgery……….

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Take a look at me guided HIFU High Intensity Frequecy Ultrasound and FLA Focal Laser Ablation. I was diagnosed in 2014 and did the FLA. Procedure was simple non-invasive Sperling Clinic in Florida

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Amazing. Just got off the phone with a friend of a friend who had the same procedure 6 months ago at Sperling Clinic and he called to have me check them out. Thanks for the post… Perfect timing.

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