See the list of questions and timing below in the description. 47 answers to your questions live: surgeon-oncourologist, MD Oleksandr Stakhovsky, National Cancer Institute (Kyiv, Ukraine) and Marina Rudichenko NGO "Athena. Women against cancer" November 23, 2021. The most relevant and understandable information about the diagnosis and treatment of prostate cancer (prostate gland) for patients and their loved ones. 00:39 About Movember, mustache and prostate cancer, what is the connection? 02:28 What risk factors can provoke this disease and what symptoms may indicate that a man may be suspected of having prostate cancer? 03:56 Does it happen that there are no symptoms of prostate cancer at all? 04:36 What preventive examinations, how often and from what age should a man undergo in order to exclude or detect prostate cancer (PCa)? 4:44 Men over 50 need a preventive examination by a urologist. When should you go earlier? 05:26 Should all men do a PSA test to detect prostate cancer? The dark side of the PSA test. 06:02 Let's clarify at what age and what it depends on, when you should contact a urologist for a preventive examination? 06:40 What is clinically significant prostate cancer - the opinion of an oncologist 09:25 When is an MRI indicated and when does an MRI make no sense. 09:58 Why is it important to have a qualified specialist who can describe an MRI of the prostate? 11:08 Can an MRI of the prostate save you from an unnecessary prostate biopsy? 12:43 Is there a connection between activity, regularity in intimate life and the likelihood of developing prostate cancer? 13:37 How is a prostate biopsy performed and which biopsy is more informative - through the transrectal approach or through the perineal one? In what cases should which one be performed? 16:00 How many punctures and how many samples should be taken? How does it heal after a biopsy? Antibiotics? 17:40 What is a fusion biopsy? Is it different from a regular biopsy? And who may be indicated for a fusion biopsy? 19:57 What does a patient need to know about the Gleason scale? What is aggressiveness from 6 to 10? 21:10 In addition to a biopsy, what other tests are needed to determine the stage of the disease and begin treatment? 22:19 Who is indicated for PET-CT with PSMA? 23:24 How do treatment methods differ in different prostate cancer risk groups? And in what cases can active surveillance be used? 25:24 Active surveillance - what is it? 26:40 What are the types of surgical treatment for prostate cancer? Is the prostate gland always completely removed or is partial removal possible? 28:20 Robot-assisted technology – what’s wrong with “robots” in Ukraine 29:08 Laparoscopy – is it the most technologically advanced and minimally invasive surgical method? 29:30 What is the key to the success of the operation – open, laparoscopic or robot-assisted 30:53 The problem of laparoscopy in Ukraine. Why is it difficult to train a good laparoscopist surgeon 33:00 What are the complications after prostate cancer surgery (prostatectomy)? 33:05 As a urologist, tell us about the loss of sexual function. What are the real chances of maintaining sexual function after prostate surgery? 34:16 Urinary incontinence as a possible complication after surgery? What is important to know and what is the percentage of true urinary incontinence? 35:42 Formation of a fistula between the rectum and urethra as a possible complication? 38:37 Is it necessary to operate on locally advanced prostate cancer? 39:47 When is it possible to preserve erectile function? And what is nerve-sparing surgery? 41:50 How often should a patient see a doctor during active monitoring of prostate cancer? Is once a year enough? 42:22 Is it possible to perform prostate cancer surgeries in non-specialized clinics if the patient does not want to be treated, for example, at a "cancer institute"? 44:28 What are the advantages of cancer centers today? What is an integrated approach to treatment? 45:37 Radiation therapy or surgery for prostate cancer - who should choose the treatment? 48:52 Androgen deprivation therapy - what does a patient need to know? Hormone therapy and drug castration? 50:40 Is it true that you can get "hormones" for free in cancer centers for prostate cancer? 51:43 What is a biochemical relapse? 53:03 Who prescribes postoperative treatment? 54:01 Briefly about systemic treatment of metastatic prostate cancer 56:45 How long does the average patient with stage 4 prostate cancer with metastases live on basic hormonal therapy? 57:38 Should hormonal therapy be taken all the time or are there breaks? 59:10 Are bisphosphonates prescribed for bone metastases in prostate cancer? 59:48 If the tumor stops responding to therapy, how does the treatment of castration-resistant prostate cancer proceed? 1:00:21 Does hormone-dependent prostate cancer always become castration-resistant? 1:01:29 How is the treatment of BRCA-associated prostate cancer different? 1:02:3