EP246: Movember November to keep the prostate in check | PUTTING DR G ON THE SPOT - video Dailymotion

The Star

Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, answers a question related to prostate cancer posed by a reader who has been undergoing various checks to see if he indeed has the cancer.  Read more at https://shorturl.at/WtxLv  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00Last year we talked about various disease stages of prostate cancer and

00:05how we treat it and this year we're going to talk about how do you make the

00:09diagnosis and what does that lead to if you have the diagnosis of prostate

00:13cancer.

00:19Let's start with the diagnosis itself. Prostate cancer is a curious disease

00:24that actually does not necessarily manifest itself with any symptoms

00:30unless it's presented late. If someone presented with metastatic stage 4

00:35prostate cancer they might experience bone pain, difficulty passing urine, blood

00:40in the urine and even problems with anemia. However when men have early stage

00:46of prostate cancer the one thing that we want you to do is do a medical checkup

00:51and do a cancer marker. The cancer marker is called PSA. It's actually a prostate

00:59specific antigen. That itself just tells you something is wrong with the prostate

01:04but not necessarily cancer. So don't worry if your PSA goes up. So PSA going

01:10up it just increases your risk of making the diagnosis of cancer. So in order to

01:17that we have various forms to delineate or to determine whether you've got

01:22cancer. In the modern technology and also modern medicine there are effectively two

01:29ways to do that. One is to do a biopsy. A biopsy of prostate entails a needle

01:36going into the transrectal ultrasound probe and extract some samples. The

01:42biopsy itself may be a bit risky because biopsy can cause bleeding and

01:48can cause sepsis or difficulty in passing urine. So other form of

01:53detections of potential prostate cancer is an MRI scan. The MRI scan will show

02:00the configuration of prostate to see whether there's any risk of cancer. So we

02:05label it as 1 and 2 being low risk of cancer, 3 intermediate risk of

02:12cancer or 4 and 5 having high risk of cancer. If 4 and 5 appears on your

02:19prostatic MRI scan then we will do a targeted biopsy in order to enhance the

02:26yield and also reduce the complications. So for men who don't have symptoms and

02:32subsequently had a blood test that is abnormal then MRI or a direct

02:40biopsy will determine it. So for following week we want to determine if

02:45you unfortunately have the diagnosis of prostate cancer, what are the way to

02:51stage and grade the cancer. If you are interested stay tuned for next week's

02:56Putting Dr. G on the Spot.

EP246: Movember November to keep the prostate in check | PUTTING DR G ON THE SPOT

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