Gleason 6, Gynecomastia, Shockwave Therapy for ED | Answering YouTube Comments #14 | Mark Scholz, MD

Medical oncologist Mark Scholz, MD answers patients' questions on whether Gleason 6 portends the development of aggressive prostate cancer, whether patients with pre-diabetes should avoid hormone therapy, if letrozole (Femara) is effective at preventing gynecomastia (breast growth) if it has already started to occur, and if shockwave therapy is an effective treatment for erectile dysfunction after surgery or radiation.

0:03 Should someone on active surveillance for Gleason 6 prostate cancer anticipate eventually needing treatment? That is, does the presence of Gleason 6 mean that aggressive prostate cancer is likely to develop or even inevitable?

1:41 If a patient has pre-diabetes, should he consider surgery instead of radiation to avoid the adjuvant ADT which increases the risk of diabetes?

2:47 Is Letrozole effective at preventing further gynecomastia if it has already begun to occur?

4:22 How effective is shockwave therapy for treating ED after surgery or radiation?

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[clemchirpich]

Thank you for your videos. I was at Gleason Score 6 for one year and now after MRI and another biopsy I am at 4+3. Your videos and website have prepared me to make a more informed decision moving forward. thanks again.

[Fiveohkickz]

Is Cyberknife treatment only for certain levels of prostate cancer?