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On September 27, 2023, Mount Sinai hosted a pivotal event created to navigate patients and their families through the difficulties of prostate cancer. The session served as a center of clarity and enlightenment. Led by our physicians, participants had the opportunity to engage in meaningful dialogues, connect with peers on similar journeys, and gain insights into the diverse treatment options. Our experts unpacked the subtleties of early detection and various treatments, explaining their relevance for prostate cancers. Emphasizing our dedication to proactive health initiatives, attendees benefited from our Prostate Cancer Screening Mobile Unit, which offered complimentary PSA tests. Encouraged to participate actively, audience asked questions to the healthcare providers. This gathering was an immersive experience of urologic conditions, equipping participants with profound knowledge and perspective. For more information about our prostate cancer program, please visit: https://www.mountsinai.org/care/urology To book an appointment, please call: 212-241-9955 _________________________________________________________________________________________ Timestamps: 00:00 Introduction 01:44 Dr. Ash Tewari's presentation 25:25 Introducing the panelists 26:58 Recent diagnose - Gleason 6 32:15 Protocol for Active Surveillance 34:08 What is the importance of an ExactVu Scan? 37:18 Micro ultrasound 38:05 Active Surveillance - follow up protocol 41:15 Start of Q&A Session 44:22 How long should I stay on Active Surveillance? 49:43 What percentage of Active Surveillance patients ultimately require active treatment? 51:12 Before recommending active treatment 54:37 What would be a treatment option between, say, a Decipher score of 20 versus a 90? 58:46 Focal therapy for a Gleason score of 7 1:04:11 Percentage of people who develop incontinence 1:05:06 What percentage of men over the age of 50 are having their PSA checked annually? 1:10:15 What percentage of men over 80 years old will encounter prostate cancer? 1:10:56 Recurrence rate between radiation versus surgery 1:12:31 If your PSA is low, what is the likelihood over a lifetime period of recurrence of cancer coming back after surgery? 1:15:05 Is hormone therapy working for patients? 1:16:36 ExoDX prostate test 1:20:05 What is the life expectancy? 1:20:34 What is freezing in focal therapy? 1:22:39 Introducing the second panel 1:23:35 Who better qualifies to be on Active Surveillance? 1:25:15 Should the result of the PET scan change the intervention? 1:27:53 What is micrometastasis? 1:28:57 What would cause an elevated PSA if there is no cancer? 1:30:50 What exosome score in an initial biopsy is considered comparative? 1:31:57 Would a second MRI make a difference? 1:32:50 How do you expect the Decipher testing to guide you to therapy? 1:35:16 Nerve-sparing technique 1:38:38 What are the side effects of hormone therapy? 1:39:24 What is the protocol for rehabilitation afterwards? 1:40:47 Injection or gel? 1:41:28 Penile prosthesis 1:42:23 Describing wave therapy 1:43:48 Erectile function after nerve-sparing surgery 1:45:12 Recuperation of incontinence after surgery 1:46:48 PSA test after rectal procedure 1:47:51 Prostate cancer screening for African Americans 1:50:01 Sharing a personal experience 1:52:58 The importance of getting tested 1:55:03 Event closure