Clear and informative. As good as 10 minutes alone with a top rated urologist. Thank you.

This Dr. has the best explanation, fluently straight to the point, no side tracking like some others.

The most thorough explanation of prostate issues and treatments I have heard to date. Thank You Dr I wish you were my Urologist

Absolutely the best explanation out there! I just came back from prostate biopsy. Next week , results. I can handle anything, but the way to you presented it makes sense! Thank you!

Awesome explanation. Better than my urologist who seems in a hurry to get me out of the office.

Thank you Dr for this great video! I’m 68, and my Dr has me doing PSA tests every 6 months because of erratic results.

Thank you for explaining it so well! This made a scary situation a lot easier to understand and made me feel much calmer!

A true professional, bless you brother....

I want you to be my urologist I think you're absolutely amazing!

Knowledge is power! Thank you, I feel comfort in knowing how the process to make a determination works.

A very honest Doctor. Thank you

A great, straight-forward plain-language talk! Excellent!

Thank you Doctor . Very well explained !

Excellent presentation! I have recently walked down this road and all the signposts look very familiar. Best to you all as you deal with elevated PSA! Kind regards!!!

Thank you for your explanation Dr. It so happens that as early as yesterday i went into theatre for a cystoscopy and biopsy of my prostrate. Now experiencing the post op situations.. blood, pain, etc etc. . My results expected in 2-3 days. Holding thumbs. Thank you once again.

best best explanations I ever encounter ..now I am educated.. YOU THE BEST EVER...

the best explanation i ever heard. thanks Dr.

Thanks so much Dr. Greenstein, very informative.

Great information that answers so many of my questions. Should have 1M views by now!

Thank you for the information and procedure. Very helpful.

This has been very helpful in preparing for my biopsy...

Wow! Answered all of the questions I had regarding the prostate, tests, options, etc. What a gift you have, doctor. Thank you!

Great information! Thank you Sir

Thank you! This sounds like doctors that are also scientist!

Wow! Superb explanation. 🙏🏻

Excellent video thank you!

Good Job Doc..Helps

Thanks for this very well explained video

Excellent video!! 👍🎩👍

Very good information much appreciate it

Very informative video. For me it started as a year by year elevation of PSA from mid 4 to mid 5 to mid 6 then a jump to 10 in a matter of three months. That was a sign it was time for a biopsy which was positive for cancer. Fortunately it was identified early, not super aggressive and there is a high confidence that it's confined to the prostate (bone scan to confirm). Cryoabation (sp) will be done to deal with the cancer and hopefully it will be successful.

Thank you doc!!

THANKS for sharing.

Thanks, Doc. Please explain to your listeners that the biopsy procedure you reference ( 6 needles on either side of the gland) samples only about 1% of the gland, which is normally walnut shaped. Moreover, in the absence of any foci that might be detected on Prostate specific MRI, the biopsy can easily be described as random, correct? In other words, if the needles don't sample an area or areas (foci) where scans have shown the likelihood of an increased concentration of possibly infected tissue or cells, the biopsy is essentially a blind procedure. Randomly sampling 1% of a small gland arbitrarily, given the increased risks for post procedure complications, then seems suspect, doesn't it? In the presence of early elevated PSA values and/or any of the other signs/symptoms you reference, why aren't Prostate Specific MRIs or other newly emerging, more precise imaging modalities not an automatic before moving on to biopsy? I understand that the high costs associated with those tests might be prohibitive. But doesn't it seem overwhelmingly obvious that these scans be included in the Standard of Care discussion surrounding Prostate Cancer early screening, comprehensive exam and diagnostic work-up? Thank you again for your expertise in helping to educate us 50yo+ men who have been or currently are facing this conundrum of possible over diagnosis and/or over treatment once a slight elevation or slowly increasing PSA number over time, in the absence of most of the other signs/symptoms, has become evident after physical examination.

Very informative.. thank you..makes me feel more positive 😊

Great explanation. Just wished he would have elaborated more on velocity. In 2011 my.psa bounced from 5.53 to 4.76. Then in 2013 back to 5.53. Then in 2022 it went to 8.6. I know velocity and how long it takes to double in value is an important factor.

Great video!!

Well explained!

Good explanation of PSA density. My husband has a density of 0.016, his doctor told us he has prostate cancer and needs a TRUS biopsy. His urologist says we just do PSA tests and MRI imaging.

True. My urologist used PSA Density for my case.

Thank you, Doctor. This was a thorough and honest explanation.

Thank you!

Thank you for the explanation, unfortunately my PSA score was a concern (I"m 62) so I'll be going to a urologist in the near future. Good luck to everyone, aging is a battle and you need to be prepared to fight.

Thank you very much. I’ve been referred to a urologist for a very high PSA. Your presentation removed some of my worries.

Thankyou for such a good explanation. In uk the procedure ive been told and part way through ..raised psa found when i asked them to check when taking bloods for another matter, followed by a DRE, followed by MRI and the outcome of that will be a biopsy or not. If no cancer found do they suggest medication for non cancer raised psa or just wait see and test blood again in future?

Im 65yrs old and for the last 14 months my psa is 12.4. My Urologist has sent me for MRI scan. Result came back as inflammation and enlarged prostrate. My Urologist said i have prostatitis which is the reason for high psa level. He said their is no showing of cancer on the mri scan. Im a little nervous as my Dad and Grandad both passed away with prostrate cancer. I had another psa blood test this morning and praying its come down. It will take a week for blood results.

thank you

I've been there and you're well and truly in the shit.

Excellent overview and timeline background. My PSA came in at 3.76...so I need to see a urologist. My appointment is in 3 weeks, so this helped me understand what to expect. Thanks!

What about prostrate cancer prevention, do you have some advices

I hope you have good information on what to do with BPH that's causing pain, not just frequent bathroom trips in the total absence of elevated PSA. With calcium deposits being found in the prostate. Also what would you do with polycystic kidney disease caused by a faulty IFT 140 gene? There is no evidence of cancer in any of the cysts but some are very large. What would you do with a 3 mm calcium stone in the lower pole of a kidney with no apparent symptoms?

I got a deadly infection from a biopsy that I’ve been fighting for nine months to get rid of. I’ve been on antibiotics most of that time. I’ve been in the hospital multiple times on antibiotic drip one time for three weeks three times a day. I’m desperate for help.

If the tests suggested are displayed on the screen,it would be helpful to the viewers

Excellent explanation Dr. ! my brother just had his third PSA result and it has been going up from 4 to 6.49 to 8.08.. do you have a urologist you highly recommend in the Miami, or Miami Beach area? He hasn’t had any MRI, nor biopsy yet. He is 64 years old. I am worried … can you please help? Thank you so much and many blessings. Georgina

Well done

I’ve been putting it off for years , my PSA is 17 drops to 12 then back up .

My dad is 100 years old & PSA level jump from 30 to 40. Doctor recommended immunotherapy for prostate cancer but avoided biopsy and MRI for prostate cancer confirmation. He seems sure with his experience to go this way. What you think ?

doesn't sound that bad, thanks!

Thanks

hi I need your second opinion about my situation with prostate cancer that I am dealing with for 3 years now.. it started when I had a very bad back pain on the left side to be accurate I thought it was a kidney stone after the ultrasound the ct scan and the other check and finally a blood test and biopsy they found out that my PSA was 274 and I was diagnosed with prostate cancer metasis to the bones. I was on pills for more than a year and lupron shot and still on it after a year and a half the pills start not working and my PSA was going up my pills was changed & again the other pill didn't work I did 3 times radiation of course with the pain that I had with my bones, they did a genetic test it was from my both sides, I did chemo for 5 times did a big damage on my nerves stoped and then I was on pills again for 6 months only and now ia m back on chemo again this is my fifth one and my PSA was 7 went up to 12 & 17.2 & now 20.3 please give me your opinion I would appreciated

My Urologist never recommended a PSA test but wants me to have a prostate biopsy.Time to look for a new urologist

Good to know. However, if your psa goes higher it’s necessary right away to conduct a biopsy, or conduct a MRI?🤔 Thank you.

Excellent video. Thanks. Question: if there is cancer in the prostate, will a man's PSA steadily rise? Could it still go up and then drop, go up and then down?

Most doctors, don't want you to bother them, they merely say theirs risks in living, ask for tests , and they say it'll cost you,expensive if unnecessary, but you be the best judge.

From a concerned ex wife who loves her ex, thank you so much!!!

Where are you located? I need a doctor like you. My urologist only wants an immediate 12 needle transrectal biopsy, no discussion just let’s go do it. Asked about a trasparanial biopsy, no he says, I only do one type of always do it that way, no insurance isssues just accept it.

im 58 and i just found out my psa is 1.5 which my doctor said is perfect

I am just ask you a doctor check and Find it my. prostate. swelling. Can you tell me why thank you

At 75 mine was 86 and later with cancer spread it was tested at 5000! Bad thing are hapening.

what might cause a 49 year old healthy male's PSA to go from 1 to 3 within 12 months?

very few doctors are doing DRE anymore. I hope that's not increasing patient risks.

As a mother of two boys is there anything as too diet or other things that I can do so my guys don't have prostate problems later in life?

A nice level-headed gentleman

My PSA was 9 , is that bad?

Good morning Doctor. My PSA is 7.54 What is your advice. Thanks🙏

MRI is better for targeted biopsy

What is your opinion if the PSA level is around 13 and the previous values were 10 and 11.5 over a period of 6 months difference. With an elevated BPH of 60 c.c. volume and small sudden signs of blood in the urine early in the morning, will an MRI be imperative with a prior Ultra sound view of the prostate ? is this the satisfactory check for prostate cancer in its early stages ? Thanks for the video clip, very informative indeed.

Hi Fantastic information video, answered a lot of worry for me. I have just had a prostrate examination the doctor has said that its enlarged and not smooth with a hard centre. I have now had a blood test which came back with a PSA of 518. He has referred me to a urologist. Is it possible to have a number that high I am 72years old Kind regards

The new perineal prostate targeted biopsy has fewer infections.

Nice video thanks, but the title is a misnomer - you don't actually TREAT anything. I want to see the options and relative (statistical) effectiveness of treatment for the various grades of prostate cancer if needed after your initial diagnosis (which is what this video is about) - e.g. Radical prostatectomy, Holep, Turp, and/or combined with Rapid Arc radiotherapy, androgen deprivation therapy (and associated testosterone recovery periods). That would make a gold standard video.

66 years old, first PSA > 600, month later 900, CT shows enlarged prostate schedule for 3t MRI before needle biopsy... The worst part is I'm almost symptom-free but I feel like everybody's telling me I'm a walking dead man.

What the doctor ment when he said the psa reaches 700

Does psa 1.1 to 1.5 elevated in one year a concern thank you

I’m 48 years old and my blood work came back saying my psa is 122😢 I’m so worried

Muharrem(mhrs

what he doent tell you is he cant biopsy the whole prostate so he can miss cancer also if you get an infection it could kill you

What about blood in semen and a high PSA?

Where are you located

Japan

Sounds horrible.