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Unlocking Prostate Cancer Secrets with Dr. Stephen Scionti

Prostate Cancer Diagnosis and Modern Focal Therapy Options with Dr. Stephen Scionti

Season eight of Villages Vitality: Senior Life Unscripted opens with host Mike Roth interviewing Dr. Stephen Scionti, a board-certified urologist and founder of the Scionti Prostate Center, about modern prostate cancer diagnosis and treatment. Scionti explains diagnosis begins with a PSA blood test, followed by prostate MRI to assess enlargement and identify suspicious lesions, using MRI as a roadmap for biopsy. He recommends MRI-fusion targeted biopsy—preferably transperineal rather than transrectal—to improve accuracy and reduce infection risk. Treatment depends on risk: low-risk cancers may be monitored with active surveillance, while intermediate cancers may be treated with focal therapy to preserve urinary and erectile function. He outlines focal options including cryotherapy, HIFU, and MRI-guided TULSA, discusses candidacy (often Gleason 7, prostate-confined disease, sometimes with BPH), coverage differences between traditional Medicare and Medicare Advantage, and improved drug options for metastatic disease.

• 0:00 - Introduction
• 1:18 - Diagnosing Prostate Cancer
• 2:29 - The PSA Test
• 6:45 - Targeted vs. Random Biopsy
• 7:19 - Treatment Options
• 9:34 - Alzheimer's Medical Tip
• 10:54 - Focal Therapies for Prostate Cancer
• 12:53 - The TULSA Procedure
• 15:21 - Insurance & Medicare Coverage
• 18:13 - Advanced Prostate Cancer
• 19:39 - Best Candidates for TULSA
• 23:52 - The Male Lumpectomy Analogy

Villages Vitality Listeners, I've got some good news for you. In season 8 most new episodes will released as both audio & video versions. Videos on Apple Podcasts, Busssprout.com and YouTube. If you're listening via our Buzzsprout feed, you can ask questions via the Fan Mail button or leave me comments as a text or in our new feature, you can send it as a voicemail. If you'd like a response, make sure you leave your name, email address and cell phone number.

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Open Forum in The Villages, Florida is Produced & Directed by Mike Roth
A new episode will be released most Fridays at 9 AM
Direct all questions and comments to [email protected]

If you know a Villager who should appear on the show, please contact us at:  [email protected]