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Many Men Chose The Wrong Prostate Cancer Treatment: Here’s Why

The Prostate Clinic

156,684 views

Understanding the basics of prostate cancer management is crucial for men diagnosed with the disease. Prostate cancer treatment options vary and can be overwhelming, leading many men to choose the wrong treatment. Prostate cancer signs and symptoms can be subtle, and a proper diagnosis often involves a PSA test and other examinations. When it comes to prostate cancer treatment, men have several options, including radiation therapy, prostate cancer surgery, focal therapy, and active surveillance. The choice of treatment depends on the stage of prostate cancer and the individual's overall health. Pelvic floor exercises for men can also play a role in maintaining prostate health and managing symptoms. It's essential to discuss prostate cancer treatment options with a healthcare provider to determine the best course of action. Prostate cancer symptoms can be managed, and with the right treatment, men can improve their quality of life. In this video, we'll explore why many men choose the wrong prostate cancer treatment and what they can do to make informed decisions about their care. By understanding the different treatment options, including prostate cancer surgery vs radiation, men can take control of their prostate health and make the best choices for their individual needs.

hope this helps and good luck with your journey!

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Dr Chabert is a board certified urologist specialising in diseases of the prostate, including BPH and prostate cancer.

Dr Chabert consults form the following offices:
Suite 501, Level 5
Pindara Specialist Suites
29 Carrara St
Benowa QLD 4217

Phone: 07 5597 6293
Fax: 07 5539 6879
Email: contact@prostates.com.au

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20 Comments

@PhilTunney-y8f 5 months ago (edited)

Thank you for your fantastic advice. I’m 59 and had a PSA of 6.5 after medication, Tamsulosin and Finasteride. My BHP finally caused total bladder retention after 2 years of active surveillance. I was eventually diagnosed with a Gleason score of 3+3=6 and had a nerve sparing robotically assisted laparoscopic prostatectomy in February 2026. First 2 weeks were uncomfortable but I’m now fully recovered and have full bladder control and erectile function.

@GrewvinShelbyGT500 5 months ago (edited)

I wish I'd viewed this prior to my surgery 3 months ago. I was a gleason 5, then 4 at a later test. Otherwise great health. 63, thin with low blood pressure, erections to lift a bridge. The surgeon pushed for surgery. Now I'm stuck with incontinence, no sex (which is straining the marriage) and an early retirement. He's right, ask the questions. Don't blindly trust the surgeon. It's YOUR life. I was petrified when I heard prostate cancer and didn't take the ownership recommended by this Aussie Urologist. I'm in the U.S. Take control, don't let fear stop you from taking command of things. And if you have prostate cancer, I feel for you and wish you all the best in your recovery. We're brothers on this.

@Macbrowndog 3 weeks ago

I'm am 71 and was diagnosed with prostate cancer 9 months ago (Gleason 3+4, broken down as 95% grade 3 and 5% grade 4). My PSA has been hovering between 7 and 9, and I’ve been on active surveillance since.
My latest PSA came back at 8.6, so my urologist decided to bring my next biopsy forward by 3 months. He wants to re-check the percentage of grade 4. He noted that if the grade 4 proportion hits 10% or higher, it’ll be time to move from active surveillance to active treatment (either surgery or radiation). If it stays as is (fingers crossed!), I’ll remain on active surveillance for now. Biopsy is set for 2 weeks from now.

@David-k5o6g 5 months ago

Thank you so much for this really useful video. I am a retired counselling psychologist, literally on the wve of my first biopsy. I spent over 100 hundred hours since being informed I need the biopsy and ended up in a daze of technological confusion. I have clear concerns, preferences and priorities based on my life circumstances. Your presentation summaries all that I need do to map my perspective onto that of my specialist in 4 to 6 weeks when I get told my results. The clarity of understanding your expert advice provides is like a weight being lifted. There are enough issues and challenges for any human being as they deal with major junctions in their lives. Clear, evidence based advice in understandable language is a kind of gold standard of professional-patient communication. And tgat is what I see here. So once again thank you and keep up the great work. I will certainly recommend the site to anyone in search of a sound approach to decision-making. I intend to vist your site and follow up any further material you upload. I was a CNS in homelessness and Nurse Tutor before I trained as a psychologist. I would gladly use this video as an example of the level of communication medical professionals can aim for if I was still teaching. Of course I am still learning!

@robdelisle8293 1 month ago

I just turned 70. I was diagnosed 6 years ago and chose to leave it alone. No treatment. I still enjoy the same quality of life that I enjoyed when I was diagnosed. I have a friend that was diagnosed two years ago and decided to undergo prostate removal
and now regrets that decision because of the side effects. Every man is different. I keep a check on my situation but as of now, I'm good.

@michaeledwards4169 5 months ago

At 60, I had a PSA of 438. When the MD did the DRA I felt the cancer. I had a biopsy. 12 cores all had cancer. Gleason 9. The lowest amount of each core was 40%. The highest was 80%. Mets to 4 lymph nodes, the spine, lungs, and was resting on my rectum. I got radiation, Formagon, and ADT. I am almost 66 and enjoying life as much as possible

@MJ-dq8ik 5 months ago

I'm 65 - in the U.S. - I'm Stage 1 3+4=7 and the PSMA showed that it has not spread. I'm fortunate for now and doing active surveillance - in 6 months we'll do another biopsy and take it from there. UCLA has had strong success with focal therapy at this point. We'll see. Best of luck to everyone.

@billking8843 5 months ago

Another fantastic video. So much junk medical (mis)information on youtube but this is an oasis of quality information in an enormous desert.

@LindaMcKay-r5g 2 months ago

Great information thanks.
My husband if 68 has recently been duagnosed with prostate cancer . PSA levels 8.4 after asking for check at his annual check up. Rectal exam showed firm left side prostate. MRI was unequivocable so biopsies were instigated . 12 biopsies showed 6 +ve for slow growing contained adenocarcinoma.Gleason score 6.
He has type 2 diabetes,high bp & mild angina,
Based on the fact that he is relatively healthy at this stage & aware of all side effects he has opted for prostatectom
y.He is of the opinion that later on he may not be fit enough for surgery & radiotherapy would make surgery more difficult in future.
Hope this helps.

@raylynch8551 1 day ago

Thanks for your important advice

@zVincentz 5 months ago (edited)

Thanks for sharing this informative video, doc.

There are other options - Cryotherapy, HIFU (High Intensity Focused Ultrasound). Even radiation treatment has many forms - EBRT, SBRT, Brachytherapy (HDR, LDR), or a combination of EBRT and HDR. And prostatectomy can be robotic or open surgery. Open surgery offers the final opportunity of testing whether cancer has spread outside the prostate onto the base and if it does, the open surgery will be halted and radiation & hormone therapy will be recommended instead (since you will need salvage radiation anyway after surgery).

I was a prostate cancer patient myself and have done my homework before making my treatment decision. My Urologist, a trained surgeon in profession, pushed for surgery without even mentioning other options?!

As this doc suggests, be sure to ask questions and explore your treatment options, risks, side effects, and your tolerance. It is YOUR life.

@deanhector-yz5vm 5 months ago

I have spoken to you before about my journey of my prostate cancer i am ment to have surgery and every time i have had things happen with my health and been in hospital thanks so much for the video as now they don't think i am ready for surgery i am going back tomorrow to see what they think they will do i look forward to your videos could not done this without you

@T.Z.M4N 5 months ago

After 9 years from a prostatectomy,now 11 years,they wanted to do radiation and lupron because of a slight rise in PSA.I took a PSMA and showed nothing.Still under a 1 now.I told them " If it ain't broke don't fix it." If cancer shows I will have to make that decision on my next PSMA as to what to do about it or nothing at all.

@ĎoďoIvanecký 4 months ago

Thank you for opening my eyes and calming me down!

@davidharnett5640 2 months ago

I am beginning to believe my case has been totally mishandled.
I was discovered with a psa 37 Gleason 9. Tumour was on side of prostate.
I was rushed into chemo and radiation. Cancer spread through lymph nodes and into bones.
Oncologist gave me a year to live last visit - he can stick that. Wish I had seen this two years ago, maybe surgery may have solved the problem in one go. Ask the questions men!

@Getreal-bGp 5 months ago

Proton therapy would ALWAYS be my first choice. It is evidence based, the best treatment. Non invasive to boot.

@chrisdalton9849 5 months ago (edited)

An excellent podcast, my friend! Keep up the good work.

When you compromise your health, you compromise your freedom.
In this regard, diet is the most important consideration, and it should be TOTALLY unadulterated.

Here are the TOP-quality essentials in my kitchen:
- Juicer (cold press machine)
- Steamer (for cooking fish - no red meat, no poultry)
- Nut grinder
- Seed grinder
- Blender (for blending garlic into drinks, and for making smoothies, to go on, nut paste, or seed paste)
- Thermos flask for overnight-cooked steel-cut oats.
- Citrus juicer (for lemons, limes, and grapefruit)

If you can prevent inflammation in your body (yes, this includes the prostate), you are guaranteed a higher quality of retirement.
(From a veteran of life)

@kurtgrossoehme2691 5 months ago

I had PSA of 5.47 in September 2025. I had several additional tests which confirmed Gleason 4+4 cancer. I had RARP surgery March 2026. I did my research, consulted with both surgeons and radiation specialists and decided on surgery. My final pathology was downgraded to Gleason 3+4 and all lymph nodes and related tissues were negative for cancer as well as my margins. Ill just deal with the side effects and see where it goes but I made the right informed choice for me. I didnt rush.

@rams3085 3 months ago

I just turned 54 and have/had prostate cancer. Healthy and no family history. I worked w UCSF and just had ire/nanoknife surgery. Time will tell but it a pretty easy and full recovery in 2x weeks. All functioning well. I had to do IRE versus freezing or heating because the tumor was too close to the urethra. IRE was just approved by the fda in 2024 here in the states and I will have a heavy co pay or pay out of pocket but this is a game changing treatment if it’s appropriate to your case. Also, it’s completely repeatable if needed. Thought I would share.

@mikerodent3164 5 months ago

Important message, thanks. Shame about the video quality: you're sort of dropping frames every 20 seconds or so, which gives a sort of jump cut effect, disconcerting.