PSA in 2024 for #ProstateCancer Treatment Monitoring & Screening | #MarkScholzMD #AlexScholz

The interviewer is terrific. Yet, she is not identified. She deserves alot of credit for the excellence of these interviews, and should be identified.

The PSA screen saved my life from aggressive prostate cancer. It did not help my father because he did it too late.

Thank you Dr Schultz and Alex for this invaluable programming and information sharing. You help lot of people with this public service.

My GP asked me to do a PSA. The result of that seemed high, and he referred me to a specialist. An MRI and a biopsy later, I discovered I was a 49 year old living with a Gleason 6 prostate cancer. I'm so grateful that my GP took action, knew that there was a history of prostate cancer in my family and encouraged me to do the test. I now can do active surveillance and get on with my life. Sadly, guys don't really sit around and talk about prostate health so I encourage all my male friends that I care for to go and get a PSA as part of their check up - it might be simply an enlarged prostate but it could also be something that helps you to get on top of a problem before it becomes too late.

These videos from Alex and Dr. Scholz are to me some of the best and informative explicative videos anywhere on the net, specially of course for people with prostate cancer issues like my self. The information I get here strongly reinforces my Urologysts logic and procedures and gives me tremendous peace of mind. Thanks so much.

I agree a MRI should be performed if you have a elevated PSA. My PSA was 5.6 so the normal biopsy was performed and they found cancer Gleason 3+4 which was nonagressive. I choose active surveillance. So they suggested an MRI to check the entire prostate because the normal biopsy that is performed only checks the bottom of the prostate because that is where the cancer is usually found. The MRI found 4 spots on the top of the prostate so a MRI biopsy was performed and the 4 spots were 4+3 Gleason. I had the prostate removed but cancer was found in the cavity with a Gleason score of 3+4. All of theses procedures were over a 2 year span. If the MRI would have been performed first after the PSA reached 5.6, the cancer could have been treated 2 years earlier. The MRI saved my life and extended my quality of life.

I had a PSA of 10.8. I moved to Ecuador as a missionary. As a result of the food and walking around in the Andes, I lost 68 lbs. My next PSA was 10.1 and then an 8.5. I am due for another PSA screen within the week. An MRI did show a 1.5 cm lieson. But I have opted not to do anything invasive. I said no to a biopsy, and surgery is out of the question. I have chosen "Active Surveillance."

When I was sixty years of age I was going through a frequent urination period, I visited my doctor and got a internal examination and was diagnosed with a enlarged prostate,an arrangement was made for a psa test that came back as 3.4 I was then sent for a biopsy which proved to be negative for cancer,From that time on I got psa test every 12 months,over the next 5 years my levels increased to 4.8. 5.5. Then I got two consecutive 6.4.The final test around 18 months Argo was 7.4 I was again sent for mri scan and a further biopsy,The result was cancer Gleason 6. I had three opinions Removal of prostate.Chemotherapy.or active monitoring i chose active monitoring.that’s PSA every three months.

She is terrific, indeed !

I had a TURP done in May for an enlarged prostate. The pathology came back with 6 of 133 samples indicating 4+4=8 Gleason score. My PSA went down after surgery, and I'm peeing like a 25 year old (I'm 67 years old). My next step is a MRI in one week. I'm very anxious. By the way, I feel Great! Thanks for your videos!

66 yrs oldI had PSA 13 , 12 of 12 cores aggressive cancer I've had 28 sessions radiation and 1 yr ADT (Eligard) so far. my PSA now is .023 , hopefully I've done all the right things.

Here is what I did with my increasing psa from 2012 to the present, absolutely nothing. In 2011 it was 4 but I decided no biopsy for me. It increased to 28 in 2022 and dropped to 26 in 2023. As of today I have no symptoms that affect my quality of life which does not mean that I may not have an incipient prostate cancer. I’m now 71 going on 72 years old and I’m happy with my decision. I may yet begin to have problems with my prostate and I’ll cross that bridge if and when that happens. According to recent data I’m only 8 years from the cratering average lifespan anyway and it doesn’t appear that prostate cancer is going to be the proximate cause of my demise. I consider myself to be a very healthy 71 year old.

Excellent overview! So glad you mentioned PSA trending. It isn't just a onetime test (unless the PSA is very elevated) Mine went from 3.7 to 7.2 in eighteen months, and then up to 11.9 six months later. I was VERY fortunate to get an MRI/ultrasound guided biopsy with resulting Gleason 8, Stage 3b. I referenced the info gleaned from PCRI in ALL my conversations with Radiation Oncology at the Dartmouth Cancer Center. Your info was ABSOLUTELY indispensable, and I frequently impressed the oncologists and technicians with the knowledge about treatments and procedures that Dr Scholz gave me in my communication toolbox! Thank You all at PCRI

PSA test 22.5 by two different labs. I asked my doctor for a MRI/PET scan and he rejected those (said w/my insurance they would not pay) and wanted to go straight to biopsy, hence, I'm going to a cancer treatment center (Moffitt) next week to see what they say. I told said doctor, you don't even know where your looking if in fact you miss something etc. Great video and I'm still going to push for the MRI etc.

Very very important video,. Thank you so much for this.

Thank you Dr. Scholz and Alex. This information and series has been so amazing in helping me navigate my journey. We are so lucky to have you both.

PSA 3, MRI found two PIRADS4 lesions. Biopsied the two lesions + 14 other samples and all negative. Five samples showed cronic inflamation. ExoDX resulted with a score of 44.

I had symptoms of prostate cancer for about 3 years and i did not know . And i was visiting urologist every month. And one day, they did psa test and it was high:7.1

Thank you so much for your education!

great info! i had elevated PSA (7) on my first lab test for it at age 50. i saw Urologist, had DRE, then MRI, then fusion biopsy with ultrasound....all negative. also had the ExoDX test, urine testing/genetically for risks for high grade cancers. it was negative as well. family hx of prostate cancer in my father at an older age 70's. he was treated, still living at 86 yo. my most recent PSA 4 range. getting continued Urology follow up and PSA levels. glad they have better testing and treatments for prostate cancer.