Ep. 22 - Is SBRT (Cyberknife) a Good Treatment for Prostate Cancer?

There are many treatments for prostate cancer and one of them is radiation therapy. Within radiation therapy, there are all sorts of treatments for prostate cancer and one of them is stereotactic body radiation therapy (SBRT) also known as CyberKnife.

In this episode, Dr. Geo and this week’s guest, Dr. Johnathan Haas. Dr. Jonathan Haas, MD is a Radiation Oncology Specialist in Mineola, NY. He is affiliated with medical facilities NYU Langone Health Tisch Hospital and NYU Langone Hospital—Long Island.

If you're interested in learning more about SBRT, you call 1-833-663-2927

#prostatecancer #prostate #menshealth #mensweightloss #urology
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📜 Chapters
00:00 Intro
00:46 Welcoming Dr. Jonathan Haas
01:12 What got you into the medical field and Radiation Oncology?
05:33 Primarily prostate cancer | Brachytherapy
06:30 Cyberknife story | Stereotactic Body Radiation Therapy (SBRT)
10:21 Men's Health Seminar
11:47 Overview of radiation therapy
13:13 Radiation therapy works through oxidative stress
15:03 SBRT advantages
17:13 Side effects of SBRT
21:28 Who's the right patient for SBRT? | Miko stratification
24:48 Who's not the right candidate for SBRT?
26:51 Is SBRT a focal therapy?
27:51 Most common side effects of SBRT
31:01 Final thoughts
33:51 Can we treat just that one lymph node with SBRT?
34:39 What's considered recurrence after SBRT?
35:58 Connect @
36:41 Outro

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DISCLAIMER: This video is educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Geovanni Espinosa, N.D., will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video, including but not limited to economic loss, injury, illness, or death.

[curbozerboomer]

This is the type of informative video I have been looking for!...Thanks for this!...Two weeks ago, my oncologist had me do three sessions (only 3!) for a small but definite site of cancer, close to my prostate--which had been thoroughly radiated six years ago...After 5 years of very low PSA readings post-EBRT for a Gleason 7 rated prostate cancer situation, last year my PSA began to rise...from .05, to .31, then .99, and finally, my original oncologist told me that SBRT would now be in order, as the amazing new PET scan technology had spotted two lymph nodes close to the prostate, that faintly reacted to the scan medication. The three sessions were done three days consecutively, no complications felt by me, whatsoever! At the age of 77, I am still able, after all this, to have an occasional erection, etc. This new SBRT tech is incredibly awesome! Your video answered a couple of questions I had, concerning side effects, the duration of them, etc. No problems at all since the SBRT experience, two weeks ago. I love modern medical technology!

[tomas]

Starting my 5 sessions of sbrt at Stanford next week. Completed a bunch of tests last week where they setup the machine. All very easy so far. My prostate cancer is one small spot and this will hopefully be the only treatment i need.

[alhajm.suleman]

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.

[alanaldpal]

First 12 minutes is trivia about this guys career. Actual treatment info starts at 12 minutes (+)

[drzay]

I was diagnosed recently, (Gleason 3+4), came up during a physical. The first urologist was adamant that surgery was the only way to go, and dismissed SBRt and any forms of radiation treatment as causing more problems than solving them. A second surgeon told me the same. But a third one told me both are options... So I am seeing a radiation oncologist next. I was surprised by their refusal (2 out of 3) of even considering radiation, and it was not because of my particular case but across the board: the ONLY treatment for prostate cancer IS surgery! I wonder if this is normal. I am not in the States, but in Western Europe, with access to excellent medical care facilities. My PSA is 3.4. Next week I will have more information, and if surgery is the way to go, so be it. But I need to have an informed opinion, and not just "do this because it is the best for you". Thanks Dr. Haas for the clear overview of this form of treatment.

[kvmalley]

Good presentation gentlemen, I have an appointment next week with a local SBRT oncologist. I’m reasonably sure this is the choice for my early stage diagnosis.

[erthman]

As a patient of Dr. Jonathan Haas I must say that from the first meeting with him I felt confident that I was talking to the right person and arrived at the right place to receive the best treatment possible for my prostate cancer diagnosis.

[tonyt.]

I am wandering why the great host never mentioned ADT, which looks like a standard therapy added to SBRT. Maybe Sbrt can take care of a localized prostate cancer on its own?

[AlaskanAssassin]

I was diagnosed with 3+4 5 percent Gleason 4 in one core. Decipher score low. Treated with HDR BRACHYTHERAPY in St. Louis at Barnes. In and out in two days. No need for ADT due to low decipher
Very happy with treatment

[jazandriz]

Fascinating conversation thank you! Would love to read more about the antioxidant argument / 6 pounds point you guys mentioned if you have any links or references

[taimurkhanafridi]

Given the difference between SBRT and EBRT and how do you decide which one is better suited ?

[lindamastropietro]

Do you have a free place for prostate cancer patients and their family

[RobertLupo]

Why do so few places talk about Proton therapy. I had that done at Mayo in Rochester, 5 treatments 5 minutes each, all done. No side effects. My dr. gave me the impression that Cyber knife was kind of old technology. Intermediate 3+4 51 on the Genomic scale.

[StarExplorer]

Dr Haas, what about SpaceOAR? Do you implant a spacer to protect the rectum from radiation burns?

[wilander]

Would appreciate hearing your thoughts on MRI LINAC. Do you think this will be the future gold standard in high dose radiation delivery?

[marmotsongs]

Is this appropriate for a patient with kidney transplants? Is scatter a problem? What is the treatment modality (not activity surveillance) that poses the least risk to the tramsplant kidney/ureter?

[geraldgolen]

Dr. Haas stressed getting a second opinion. So, will the 2nd urologist require another biopsy or will they give opinion using the existing results?

[lindamastropietro]

I don’t feel my husband is getting the care he should get. I’m scared.

[bryanmanderville]

I have had prostate cancer and have been using miami cyberknife with intermediate Gleason 7 psa13.7 I just found a lymph node with cancer and am treating it the same therapy do you think it will work

[SteveMiller-ywkv]

A question for Dr Hass..is he familiar with the Peterson cancer center in Lynchburg Virginia and is it reliable place to be treated? And also..does he recommend doing the space oar before the cyber knife treatment? Thanks