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Erectile Dysfunction from Prostate Cancer Treatment | Prostate Cancer Staging Guide administrator 4 Views • 2 years ago

PCRI’s Executive Director, Mark Scholz, MD, talks about erectile dysfunction that occurs after prostate cancer treatment. He covers the risk of side effects and practical information about how to weigh the risks and benefits of treatment.

Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org

To learn more about prostate cancer visit http://www.pcri.org

To download the free Staging Guide visit http://www.pcri.org/prostate-cancer-staging

0:26 Each treatment has a different risk of impotence. Focal treatment tends to have the least erectile side effects, radiation having an intermediate risk of side effects, and radical prostatectomy having the highest risk of impotence after treatment

1:03 The onset of erectile dysfunction varies by treatment. Radical prostatectomy causes immediate erectile dysfunction. Men typically recover over a period of time. Radiation on the other hand typically does not have an immediate effect on erectile function, but rather, erectile function after radiation will tend to worsen as time goes on. This distinction is important because the immediate erectile dysfunction after surgery can cause atrophy and scarring of the **** from a lack of use.

2:10 Erectile dysfunction can have serious psychological side effects on men. When erectile dysfunction occurs, men can lose interest in pursuing intercourse, which in turn can worsen the problem. This reality must be taken into consideration as treatment is being selected. Men still have sensation even if the erectile function is reduced. But ****ual activity after treatment is different. Additionally, after any form of prostate treatment, men will have dry ****s, which will also change the sensation of ****ual activity. Many men are not informed of this fact.

4:05 Prac****ioners often cite favorable statistics when trying to convince men to choose one treatment over another. The reality is that most of these statistics have a different definition than one might expect. Most studies that are quoted define impotence as the inability to get an erection even when taking a drug like Viagra, also they define potency as the ability to get a “serviceable erection.” So erectile function and people’s daily lives are affected more than what the quoted statistics might suggest. You may not be told in your consultation that you will have to take Viagra-like drugs and that the quality of your erections will be reduced.

5:50 Age has a notable effect on erectile function after prostate cancer treatment. Men who are younger tend to recover better. But as men get older, they are more likely to experience worse side effects. Also, men with preexisting erectile issues will likely have much worse outcomes depending on the treatment selected.

Who we are:

The Prostate Cancer Research Ins****ute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any question that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

The information on the Prostate Cancer Research Ins****ute's YouTube channel is provided with the understanding that the Ins****ute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.

#prostatecancer #prostate #markscholzmd

Newly Diagnosed Prostate Cancer: What You Need to Know | Ask a Prostate Expert, Mark Scholz, MD administrator 2 Views • 2 years ago

PCRI's CEO, Alex Scholz, and Executive Director, Mark Scholz, MD, discuss the crucial time between a prostate cancer diagnosis and the administration of treatment. Surprisingly to many, there is usually no sense of urgency during this period and men should take their time ensuring the accuracy of their diagnosis and weighing the pros and cons of different forms of treatment.

0:05 After a diagnosis, what steps should patients take to find the best treatment?

1:24 Do you recommend a targeted biopsy in the event that an MRI discovers a spot that was missed on a 12-core needle biopsy? Can you explain the difference between a targeted biopsy and a random biopsy?

3:09 Can you explain why patients can take their time deciding on treatment for prostate cancer?

4:49 Why should patients be thinking about quality of life regarding prostate cancer treatment?

Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org

To learn more about prostate cancer visit http://www.pcri.org

Who we are:

The Prostate Cancer Research Ins****ute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

The information on the Prostate Cancer Research Ins****ute's YouTube channel is provided with the understanding that the Ins****ute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.

#prostatecancer #prostate #markscholzmd

Managing Gleason 4+4=8 #prostatecancer | #markscholzmd #pcri administrator 4 Views • 2 years ago

Gleason 4+4=8 (Epstein Grade Group 4) is the lowest Gleason score that is considered "high-risk prostate cancer." Despite the ominous terminology, the cure rates for Gleason 4+4=8 are still very high and the "high-risk" refers to the cancer's potential to spread if left untreated. Here, medical oncologist Mark Scholz, MD, discusses everything a man needs to know if he has been diagnosed with Gleason 8 prostate cancer. He explains how PSMA PET scans have changed the process, optimal treatments, and the factors to consider when making treatment decisions.

0:06 What does Gleason 4+4=8 mean?

1:15 How does a patient confirm that their prostate cancer is truly a Gleason 8?

2:05 What kind of survival rate does Gleason 8 cancer have?

3:46 What are the optimal treatments for different types of Gleason 8 prostate cancer?

4:52 How has PSMA changed the staging process for Gleason 8?

9:02 Will doctors universally recommend a PSMA PET scan when it is appropriate or should patients be prepared to ask their physicians about it?

11:35 What is brachytherapy and why should prostate cancer patients be aware of it?

12:38 The two forms of brachytherapy are temporary or permanent seeds. Is one better than the other?

12:54 Is focal therapy feasible for focal therapy?

13:48 What is the role of MRI now that we have PSMA PET scans?

Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org

To learn more about prostate cancer visit http://www.pcri.org

Sign up for our newsletter here to receive the latest updates on prostate cancer and the PCRI: https://pcri.org/join

Who we are:

The Prostate Cancer Research Ins****ute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

The information on the Prostate Cancer Research Ins****ute's YouTube channel is provided with the understanding that the Ins****ute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.

#prostatecancer #markscholzmd #pcri

Does Sugar Feed Prostate Cancer? Does Fatty/Adipose Tissue Attract Cancer? | Mark Moyad, MD, MPH administrator 4 Views • 2 years ago

Mark Moyad, MD, MPH, explains that prostate cancers, unlike many other cancers, tend to feed on amino acids and fats rather than sugar. However, he goes on to explain that it is impossible to reduce what a tumor needs to grow to any one element of a person's diet and clarifies that improving one's health, in general, through diet and exercise may inhibit the risk of developing prostate cancer and the growth of prostate cancer.

0:10 There had been an understandable urge to discover one element in diet and nutrition, the cessation of which would inhibit the growth of cancer and destroy it. With most cancers, sugars have been used to find cancers in imaging studies, and so the oversimplified conclusion has been that "sugar feeds prostate cancer" and that by stopping sugar intake one can kill the cancer.

1:06 In prostate cancer researchers have found that using sugars for imaging studies is useless. They use amino acids (proteins) and fats instead. However, it is also not as simple as saying "proteins and fats feed prostate cancer" and by stopping their intake one can kill prostate cancer.

2:15 Going back to the example of sugar, when considering the growth of cancer it is more relevant to consider an individual's blood sugar levels than it is to consider the consumption of sugar. Having high blood sugar causes the body to produce hormones that feed cancer in a much more significant way than having the occasional doughnut, for example.

3:50 Researchers are beginning to believe that adipose tissue (fat tissue) plays a role in increasing the aggressiveness of prostate cancer by releasing certain hormones, cytokines, and growth factors.

5:10 This is all especially important to consider since weight gain is a common side effect of androgen deprivation therapy. Special emphasis needs to be placed on maintaining a healthy weight.

Don’t know your prostate cancer stage? Take the quiz: Visit http://www.prostatecancerstaging.org
To learn more about prostate cancer visit http://www.pcri.org

To download the free Staging Guide visit http://www.pcri.org/prostate-cancer-s...

Who we are:

The Prostate Cancer Research Ins****ute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

The information on the Prostate Cancer Research Ins****ute's YouTube channel is provided with the understanding that the Ins****ute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.

#prostatecancer #markmoyadmd #markscholzmd

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