Ep. 21 - Everything You Need to Know About Prostate Biopsies with Dr. James Wysock

[@alhajm.suleman6223]

Kindly make a video on senior woman after menopause. How to boost estrogen level. Which supplements are safe for long term use? What to do and what not to do. Which exercise is good and which is not. How to prevent and treat prolapse etc.

[@daviddallas4607]

I just had a Transrectal MRI Infused Biopsy of my Prostate five days ago. Only a coiple days of blood in my urine. No fever from infection. Still waiting on test results. This show was a great followup to watch as it answered some question i still had. For example how long to wait for a new PSA test. My last PSA was 5.04 and the MRI did inicate two small nodules new the base of the prostate. Thanks again for a great show.

[@razorsharplifestyle101hard9]

Great news.Did you think about taking the transperineal prostate biopsy approach?

[@mytickets]

I had prostate biopsy with the tube and the snapping needle I took the antibiotics when I got up off of the table I felt faint ready to pass out I left went home and that night I was sick and vomited The next day I had chills the next day I had fever I did not know what to do or what to expect I was sick for one week I went into the office feeling like I was 35 years old I came out of the office feeling like I was 80 years old It was miserable experience I lost 10 lb I went to my regular doctor who prescribed strong antibiotics and I believe that took care of the infection I do not recommend being poked with needles through your colon and into your prostate to infect it with all of that dirty stuff I am still not 100%, but I do feel better and I am now peeing every 30 or 40 minutes but that was not the case before

[@carllashley8073]

Dr Wysock is my urologist and he is amazing!!!!

[@cat1racer]

This practice is barbaric I would be interested to know the amount of malpractice lawsuits related to injury. Also I think the point by reading the comments a lot of men are missing it’s just because they identify a cancer with the MRI guided ultrasonic or whatever still there is a very low chance that is a metastatic cancer and didn’t needed to be messed with which leads to more injury. I have been going down this path due to my new primary care doctor sneaking a PSA test in then trying to scare me to go to the urologist which I did and the DRE came back normal with a PSA of 6.2 and no velocity after eight months it actually went down slightly. Then the urologist kept sending messages that I had a very high PSA number for a man of my age and wanting to do the procedures which will ultimately lead to a biopsy even though I’m asymptomatic. This is a dishonest practice and an insult to the medical profession. Very good video that every man in this situation should see by the man who is responsible for discovering PSA , Dr Alvin I think ? He makes a very convincing argument that PSA is a terrible test and should be abandoned like it was once before the FDA became partners with the medical community because of money given back to them in the hundreds of millions of dollars. They only save one person per thousand that means 999 go to unnecessary barbaric procedures not to mention the money in the psychological impact. Don’t let these gold digging doctors scare you and avoid PSA testing especially if you’re asymptomatic. Good luck guys be responsible for your own health and don’t be afraid to push back just because a man has two letters after his name.

[@razorsharplifestyle101hard9]

Indeed,The transperineal prostate biopsy is a advanced approach to avoid sepsis. This doctors doing this for the money.Its already been proven in study in san francisco that the old approach is not better.

[@1donjuego]

I had my 2d biopsy, done the way this guy describes 2 weeks ago. They could not push me out the door faster, blood leaking from me everywhere. I was in the ER that night having to have a catheter, which itself clogged with blood. Biopsies are barbaric and now unnecessary. “Gold standard” only in that there are doctors raking in gold putting men at risk. 6 monthes after you recorded this show you had a London doctor explain that PSAR-PET scans are more reliable. It is unfathomable that Urologist in the USA are still pushing this barbarism for profit.

[@johnmchale8308]

I have a diagnosis PIRADS 4 on my MRI, I NEED A BIOPSY PERIOD TO target my lesion to see if it is indeed PC. Do I roll the dice and not get one? My 4K PSA test score and EXOdx urine test also show a higher probability.

[@razorsharplifestyle101hard9]

Wow! That's why I am going for the Transperineal approach Jim Hu MD got a youtube on that approach being better.They tested in San Francisco

[@johnmchale8308]

@@razorsharplifestyle101hard9 Dr Hu did a transperneal on me last month, no blood in urine or rectum....waited a few days but ejaculate was not pretty....took two weeks to clear up but no side effects. Sad to say I have prostate cancer...originally diagnosed GL 7 4+3 unfavorable,went to Memorial Sloan Kettering, their biopsy scored it lower GL7 3+4 favorable. Waiting for my Dechipher score....

[@johnmchale8308]

Which one did you have done? PSMA PET scan will tell you whether you have cancer, you will still need a biopsy to see what grade it is. Transrectal is barbaric....

[@razorsharplifestyle101hard9]

@@johnmchale8308indeed,i dont know why they made this video advising this approach over the tran pererineal biopsy.Maybe for the money.

[@iguanaamphibioustruck7352]

I am an engineer/ inventor. I graduated from Utah State in Aero Tech. in 1955 and Industrial Engineering at Cal Poly in 1964. I have completed training programs at Weyerhaeuser in management, Vickers in Hydraulics and TRW in steering systems. My bed wetting problem at age 12 was cured by Dr Temple, in Moab, in 1950 with a vitamin called Multi Cebrium. I figured out my back pain problem in the 70's was dairy products. Dr. Miller at Swedish hospital in Seattle suggested ViconC. I am active, I play volleyball, ski the black diamonds, kayak, backpack, hunt, fish and . do pack rafting. I have also been very sexually active until I hit 80. My latest PCP, is a PA and recommended B12. It has caused my getting up every two hours to pee.And, a "up the butt" pain. I have had two TURPS and a biopsy indicating a cancer in the fourth quadrant. which has been hanging over my head at every PSA check for almost twenty years.

[@anthonyg.4761]

My Urologist did a finger check and said my prostate was not abnormal size but because my PSA was 5.5 he recommended a Transrectal Biopsy. I want to say my PSA was 5 years ago but not sure. Kind of on the fence on this I’m 59 no Prostate Cancer in our family.

[@JB-be8co]

Doctor, My husband is 73; he doesn't want to go biopsy. His MRI reveals PIRADS-2 lesion. 1. First test: PSA total shows 16.57* ng/ml 2. Second test: psa total shows 10.700 ng/ml 3. After a gap of 3 months Shows psa 7.500 ng/ml What's your suggestion Doctor, please🙏

[@jameskelley3365]

Biopsies are risky snd damaging snd frequently do not detect prostate cancer. Why aren't MRI or PET scans used instead?

[@leonardholifield8808]

Very informative review of the Prostate exam process.

[@razorsharplifestyle101hard9]

Indeed,Jim Hu MD one on youtube titled reducing infection in prostate cancer with transpersonal prostate biopsies.I am going for that approach.I wonder do they know of doctor Jim of weill cornel medicine in New York.?And did they attend ASCO GU cancer symposium 5 months ago on San Francisco,ca.The old approach antiquated compared to the advanced transperineal prostate biopsy approach.

[@timmccaffery4826]

Love the Cubbie Blue ball cap!

[@paulwilshire401]

I prefer your interview with Dr Emberton from UK. This guy seems behind the curve

[@schmingusss]

Would refraining from any sexual activity for several months affect psa values?

[@DrGeoProstatePodcast]

I am not sure if for that long from not ejaculating it would affect either way.

[@janetw9430]

Ed may be permanent depends on what the biopsy needle goes through and damages nerves, etc.

[@szkola-inwestowania-walen]

Exactly, because men feel it will spread it.

[@razorsharplifestyle101hard9]

Indeed,The Transperineal approach have been proven to yield better results.

[@janetw9430]

30 to 60 cores turns that postate into a sponge!

[@szkola-inwestowania-walen]

Guys why you don't talk on the topic?

[@szkola-inwestowania-walen]

Enlighten us what are those incredible insights, so far so boring.

[@mikey291145]

Don't do anything that puts a hole in you cloln. PERIOD

[@guillermoperez-arce9931]

This only shows the difference in opinion . Episode 86 is so much better advice . This Doctor is very very behind in methodologies and views . Terrible

[@johnmchale8308]

EP 86 supports doing only TRANSPERNEAL. This doctor is doing both, they know transrectal is dangerous and wrought with too many risks.

[@razorsharplifestyle101hard9]

@@johnmchale8308 Indeed,They are well aware that it is a old approach.lol This doctor is misleading people about new techonolgy for prostate test.

[@razorsharplifestyle101hard9]

Very behind I bet they didn't go to the ASCO GU cancer symposium 5 months ago in San Francisco.The transperennial approach proved to be a better approach.

[@janetw9430]

Blood in semen, depends on how many cores to stay up to 6 months.

[@szkola-inwestowania-walen]

Just get on with the topic man please.

[@goldberg1174]

pet ct psma. no need to biopsy 👻

[@johnmchale8308]

@@goldberg1174 if something lights up on a pet scan, you still need a biopsy