Dr. Marc Schwarzman - Understanding Elevated PSA Levels

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Urology Care Alliance

8 жыл бұрын

Understanding Elevated PSA Levels by Dr. Marc Schwarzman

Пікірлер: 89

@wivaquif 2 жыл бұрын

Very clear and precise but, I have a raised psa due to having chronic prostatitis , this should be explained that any inflammation could raise the psa, and not just cancer.

@chunglee6895 6 жыл бұрын

Outdated biopsy method: get MRI images, and if need for biopsy, do MRI guided biopsy

@dougfriendly7676 2 жыл бұрын

Did you have this done? Do doctors say it is as effective in diagnosing?

@torstenheling3830 2 жыл бұрын

Put this quack in jail for violating his hypocritical oath, first do no harm. He first does harm.

@gozharry7404 5 жыл бұрын

Thank you for giving numbers, units and age ranges! Very helpful.

@JeemCar 5 жыл бұрын

Why do medical professionals post so many inconsistent explanations about PSA screening?

@jerrybanks9461 Жыл бұрын

Because they're all just guessing. It's a money grab!

@syedhaque1252 Жыл бұрын

Thank you sir.

@alexanderchu8023 6 жыл бұрын

Very informative.Tq

@torstenheling3830 2 жыл бұрын

How many PSA tests did you have Dr Israel Schwarzman? Probably none

@paulg687 4 жыл бұрын

This biopsy procedure has been seriously understated IMO. First the needles aren't little sowing needles. They need to extract tissue. There's actually 12 of them, so they get 12 samples. This procedure has some serious risks. The needles have to go through the rectum and there's a potential issue with bacteria and infection. The trigger level of 4 for your PSA isn't scientifically derived. It was an arbitrary made up figure. They could just as easily has used 8 or 10 or 15 or whatever - that tells you a lot. After this procedure you are going to feel very sore for a while - of course you are, they've just extracted tissue out of you with a spring loaded gun with 12 large needles! Yes, there will be blood as you recover. As others have stated, the MRI is a better way, however I would suggest that you watch it's progress and only get any test if absolutely necessary. You should be fully aware that a small percentage of people die of prostate cancer. Most people don't get the aggressive cancer. Also, you should also be aware any activity like riding a bike could potentially stimulate the prostate and give a high reading. Always get a 2nd test!!

@paulmaxwell8851 Жыл бұрын

I agree. Remember, PSA rises with age normally. Take your time, and look at your PSA numbers over time. If there's a significant climb (some oncologists say 0.35/year, some say 0.75/year) then further investigation is needed. Only get a biopsy if it's a targeted biopsy: guided by a previous MRI. Otherwise, it's just a painful fishing expedition which misses at least 30% of cancers. And for 75% of men who undergo a biopsy, there never was a cancer in the first place. Don't be in a hurry to escalate.

@bigdaddy5948 2 жыл бұрын

In fairness. In my particular case the biopsy was uncomfortable but not that painful. No cancer. Some blood in semen,stool urine. 5 years ago I'm 68. PSA of 6 then. 8 now. No more biopsy for me.

@carlemerson8674 4 жыл бұрын

I have just had mri scan and targeted biopsy my psa was 10 but no cancer found don't be scared of a high level I know this now

@somers2020 Жыл бұрын

Good to hear. So what was the cause of your 10? I just got a 10.4. I'm 67. No symptoms and in very good health. No family history. I suppose my prostate is a little bit enlarged, but only need to get up once in the night and flow is decent most of the time. Sometimes there is some urgency, so it must be a little enlarged. I've been doing prostate massage for a couple of years. I thought that might have caused it. How long would one have to stop massaging to let the PSA clear. Some say a few days. Others have said 30-40 days. How do they confirm that one's high PSA is just due to an enlarged prostate? Waiting to see the Urologist. It takes weeks to get in to see one. Thanks!

@somers2020 10 ай бұрын

Update. My Urologist says I have a pretty big prostate 100+ grams. He says he is 90% sure that is causing my high PSA. My PSA has ben stable, although high, for 9 months now, so I think he feels that indicates no aggressive cancer or it would have spiked higher in that time. If aggressive cancer, it usually doubles in 3-6 months. He says test PSA again in 6 months and see if it is still stable.

@michaelyunis5981 5 жыл бұрын

The doctor forgot to mention inflamed or enlarged prostate can increase the PSA level whether you young or old. But the first step is PSA then DRE exams. If the gland is abnormal then you do the biobsy.?

@cwdgoff 4 жыл бұрын

a Person I love very much has a 62 PSA is 61.1 with a % PSA of 9.1 Three years ago his PSA was 2.4 Does this not seem high and within a short time? Trying to get insurance to approve his Fusion guided Biopsy. His Dr. did a DRE and said it was Hard. Not large but Hard Should I be very concerned about him?

@pauldunstan4495 3 жыл бұрын

I had a PSA of 81 and my urologist decided to do a biopsy. He assured me that it would be painless. In fact, it was the most excrutiatingly painful experience of my life. I hope I never have to go there again.

@tubaeren4008 2 жыл бұрын

what is your biopsy result

@peterb3181 2 жыл бұрын

@@tubaeren4008 This was 4 years ago. I had cancer (Gleason 5+4). I had radiation and medication and I'm doing fine now.

@tubaeren4008 2 жыл бұрын

I'm so glad you're okay .did you have any symptoms Why was the operation not recommended? had the cancer spread to the lymphatics and bones? How long did your radiation and drug treatment last? I would be very happy if you could answer these questions as well. I wish you complete recovery from cancer. Good evening

@peterb3181 2 жыл бұрын

@@tubaeren4008 I mentioned to my GP that I was having to use the bathroom more often. That was the only symptom; I had no pain. He recommended a PSA test "just to be on the safe side". My doctors decided against surgery because of the risk of injury. Instead, I was started on medication (Zytiga) immediately to 'stabilise' the tumour. One year later, I had 6 weeks of standard radiotherapy on my prostate (daily) and then 2 weeks of 'cyberknife' treatment on a tiny secondary tumour in my spine. I am still on medication four years later. It has been tough but I was determined from the start to fight.

@tubaeren4008 2 жыл бұрын

thank you. you fought and you succeeded.hope it doesn't happen again 🤲 Did you pay attention to your diet? My father's psa value was 28. Now we are waiting for the biopsy result. My father is currently consuming nettle tea, green tea, pumpkin seeds, 3 liters of water. does not consume eggs, milk and dairy products.

@Mr23748 7 жыл бұрын

If I ask a question , is it possible to receive an answer in the comments section.

@abrahamkalichman6845 2 жыл бұрын

It's very unusual; that there is not a mention, in this video of very common reasons other than cancer and prostate size and advanced age that would cause elevated PSA. I'm surprised that a licensed ufologist would not mention , prostatitis , multiple types of, or testing of the prostate after sex, or even manipulation of the prostate with a DRE. All causing elevation of PSA. Non information is a major reason why men don't see doctors, and did too early!

@abrahamkalichman6845 2 жыл бұрын

The reason why doctors of this type, don't want to educate the patient. The answer to a man with any raised PSA would normally be a guarantee for biopsy. I guess that translated to ,ka ching, ka ching. Unfortunately , men don't show up / what a surprise!!!

@shankarga7808 6 жыл бұрын

please add information about free PSA

@somers2020 Жыл бұрын

They say the Free PSA result is not applicable if your Total PSA is over 10. Bummer.

@petertoth2350 4 жыл бұрын

was this made in the 90 is

@texascommtech 8 жыл бұрын

THANK YOU for posting this video. 62 yoa, 6.3 PSA, 1st Urologist visit tomorrow.

@mattlee7253 5 жыл бұрын

How are you doing now?

@torstenheling3830 2 жыл бұрын

A Terrible test. Never get the PSA Test.

@MariamAhmed-sb8kz Жыл бұрын

How are you now

@sargontheakdee 6 жыл бұрын

my psa is 10.7 and and i am 60, every urology to me to start treatment cause i have censer (but when they do rectal exam they say it is normal)and i have no problem with pissing no blood my sex is fine. so i am doing nothing just monitoring it every 6 months but all doctors refused to give me prescription to do MRI-A for the prostate which i prefer.so psa can be cause of many things.

@valeriestudenroth3650 6 жыл бұрын

sargon assyrian it almost the same however we are shooting for a MRI Now my husband is only 50 but he has no thyroid at all he is on meds .daily I been asking if this has anything to do with the levels so high but not as high is yours???and no there other problems all normal .can any body gives us a answer on thisplz

@valeriestudenroth3650 6 жыл бұрын

sargon assyrian I wish you my thoughts and prayers ..

@lt28b43 5 жыл бұрын

@@valeriestudenroth3650 .

@torstenheling3830 2 жыл бұрын

You’re fine. Don’t worry about it.

@torstenheling3830 2 жыл бұрын

A prostate biopsy is horrendous and an inhumane torture. How shameful that this fraud has the nerve to say this! Let him have a prostate biopsy, just for the fun of it.

@shreyanshsingh9299 5 жыл бұрын

My father PSA was 18 in November, 2017 it has been decreasing every month it was 6.28 in July, 2018 with taking Geripod tablet but my father left the medicine and for 5 months now PSA increased again to 21.83 now. He is 70 years what should We do now, pls suggest....

@MariamAhmed-sb8kz Жыл бұрын

I hope your father is well now

@shreyanshsingh9299 Жыл бұрын

Thanks for asking, with the blessings of God and your wishes he is well now and hope for the best...

@MariamAhmed-sb8kz Жыл бұрын

@@shreyanshsingh9299 was he diagnosed with prostate cancer? What treatment did he follow

@shreyanshsingh9299 Жыл бұрын

Yes, some medicine, but mostly on ayurvedic treatment

@thomascoy3195 5 жыл бұрын

I had the biopsy done. I'll never go through that again

@thomascoy3195 5 жыл бұрын

I had the biopsy on June 18th, when I shoot a load, it's nothing but blood

@thomascoy3195 5 жыл бұрын

I'm 65, I had an active sex life (with the opposite sex I should add), I'm not sure what is going to happen now

@thomascoy3195 5 жыл бұрын

Personally I would say if you are sexually active, DON'T DO A BIOPSY

@cathum 3 жыл бұрын

Thomas Coy: I’m 67, did biopsy 8 yrs ago when PSA was 5; now it reads 40, scheduled for biopsy next month; should I go for it?

@torstenheling3830 2 жыл бұрын

@@cathum Hell no!

@skeeterbodeen8326 Жыл бұрын

NO BS, Biopsy is HORRIBLE... It feels like Staples in the Centerline of your urethra, and then a week of soreness where they parked a Mack Truck up there... I've had BOTH Types at 53yrs & 57yrs, the in-office and the MRI Guided... both equally suck.