Gleason 7 prostate cancer

Have you been recently diagnosed with prostate cancer ? There is a great deal to learn about prostate cancer including what type of cancer you have.

Dr. William Stiles, board certified Urological Surgeon, Osteopathic Physician, Men's Health Expert and functional medicine trained doctor educates men about various prostate conditions, including prostate cancer, benign prostatic hyperplasia (BPH), chronic prostatitis, interstitial cystitis, erectile dysfunction, hormones, and whole body optimization.

Estimated one in seven men will be diagnosed with prostate cancer in their lifetime. An estimated 220,000 men in the U.S. will be diagnosed with prostate cancer this year. Prostate cancer can be a complex issue for the patient and his family to understand. There are many treatment options for prostate cancer including surgical removal of the prostate, external beam radiation (IMRT / SBRT), proton beam therapy, cryotherapy, hormone treatment, chemotherapy, focal treatment, and even not immediately treating prostate cancer for low risk cases (Active surveillance). Early detection of prostate cancer is important. Most prostate cancers are detected when the cancer is still contained within the prostate gland, but some cancers are advanced and have moved outside of the prostate gland (metastatic). Each person with prostate cancer has their own unique conditions and situations that can affect treatment decisions going forward. Cancer staging radiographs (CT scan, bone scan, PET scan, MRI, etc) are often done by the urologist that performed the prostate biopsy to assess for spread of cancer outside of the prostate.

Regardless, of the treatment you choose for prostate cancer, optimizing overall health and wellness is an important part of any successful treatment plan.

Medical Disclaimer:
The Prostate Coach and Dr. William Stiles does not provide medical advice. The content available in our videos, on our website, or on our social media handles do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person. We intend to provide educational information only. The determination of the need for medical services and the types of healthcare to be provided to a patient are decisions that should be made only by a physician or other licensed health care provider. Always seek the advice of a physician or other qualified healthcare provider with any questions you have regarding a medical condition.

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[Lilly-iyob]

You explained it perfectly....I have watched many videos and never this clear.
Thank you

[dennisfillmore]

Spend as much time as possible researching prostate cancer and the staging plus treatment. It's too bad we also need to consider the insurance we have as the treatment can be pretty expensive. I was fortunate to have a good Urologist and Radiation Oncologist treat me for a bilateral 3+4 Gleasen 7. I asked a lot of questions and did a lot of homework so I had a good idea what to expect. Don't make a quick decision on treatment for a 3+4 as options are quickly changing. I don't regret my decision to go with radiation as after 6 months post treatment, I'm back to a normal life.

Thanks to the prostate coach for the good explanation. Doctor means teacher and h is a good teacher.

[vishnuramasawmy]

I have gleason 7 4+3 and 2 metastases 1 in T10 & the other in my pelvis. After 1 year oc ADT and a petscan The tumour was found on the prostate only. I received Vmat 28 fractions in pelvis &prostate and 5 fractions. any further treatment? or advice. Am 73 years old.

[MJ-hgmk]

I was 3-4 Gleason 7. No known metastases. Got surgery 2.5 years ago...so far so good, PSAs are undetectable...however, if u care about the sexual & urinary side effects, get radiation 1st, if u r a candidate for it. Your chances of having LESS or milder side effects are better w/ radiation...u have to ask the right questions & listen closely b/c most docs won't come right out and tell you...I regret, I was panicky & just wanted it cut out asap. Big mistake imo.

[Antonio-jg]

I have 3+4 and I refused radiation/surgery. My doctor said I'm going to die, well after 15 years, I'm still alive. Now in my late 70' who cares..."

[drtham]

Excellent video. Great job. What about Gleason 8 (4+4) ?

[MM-sfrl]

If the 3+4=7 cancer is on one side of the prostate, what ablation therapy would you recommend?

[randyhardee]

I have 3x4-7. Diagnosed in Have been doing finbenzadol.. numbers were down to 2.1 PSA.. supposed to have high fu surgery in February.. no metastasizing...

[ಪ್ರತಿಮಾಮೋಹ]

Thank you doctor .. For this simple and easily understandable content

[williamnutter]

At Gleason 6 Stage 1, I'm on active surveillance, but I really feel they have not given me enough information to stay on the course.

[scorpian]

I have 4+3 which has spread to my lymph nodes and right pelvis, I have started hormone treatment and will find out on Friday 23/12/22 what other treatment I will be receiving

[docherty]

In a Gleason 3+4 what impact does the less than 1% pattern 4 result have on treatment choices?

[lindamastropietro]

My partner has a Gleason score of 3+4=7. He is going to have radiation. I think he should get a second opinion and look into the different test that could be done. I read about a test called PSMA which shows more than just a pet scan and also shows if the cancer has spread. I’m very upset. He is not well versed in medicine like I am and doesn’t want me to speak to the doctor. I don’t know why, but I feel as though I should get the whole picture.

[joecastillo]

Aren't you more agressive on Gleason 3+4? I was diagnosed 2 yrs ago, and just under active surveilance. MRI showed that it did not progressed.

[timothyarnold]

If a person is a Gleason 6 and the biopsy show 10/12 and your doctor told you that you need surgery or radiation treatments is that a good idea from the doctor and this person 49

[badlad]

I have 3+4 and am awaiting on the urgent list at Imperial College Hospital London for HIFU or Cryotherapy.

[goyo]

This video points to the importance of getting your PATHOLOGY done at a center of excellence and/or getting 2nd opinions from a center of excellence. Your treatment decision is going to based on PATHOLOGY so it needs to be accurate. That means if you have 3+4 disease, you want to know how much cancer is "3" and how much is "4." If you have very little 4, there are some professionals out there who would support active surveillance for that - under certain circumstances. Remember this: your doctor has no idea what kind of cancer you have because he/she probably never sees it; only your PATHOLOGIST knows and he/she needs to be GOOD! Your doctor rolls out recommendations based on the PATHOLOGIST'S findings.

[justdoesntaddup]

There’s one hard rule for PCa
# damage the prostate the erection suffers.

[RobertPowellRN]

THE MORE THEY DO GUIDEDED MRI THE MORE 3-4 THEY 'FIND ---- AND IF YOU LOOK AT THE STATS FROM JOHN HOPKINS THE VAST MAJORITY DID NOT NEED TX --- F THEM ITS ALL A BUSINESS MORE THEY CAN MAKE FOR THEIR GROUP WITH EVEN A LITTLE REASON TO DO IT THEY WILL