Medical Treatments for Prostate Cancer

There are many different medical treatments for prostate cancer that involve the clinical care of a healthcare professional. These treatments include expectant therapy, surgery, radiation therapy, hormone therapy, and chemotherapy. Expectant therapy is to carefully observe and monitor the prostate cancer. Because prostate cancer cells often spread very slowly, many older men who have the disease may not need more extensive treatment. However, expectant therapy usually includes routine physician examinations, including digital rectal exams and PSA tests. The different types of surgery for prostate cancer are radical prostatectomy - an open-surgery procedure in which the entire prostate gland and surrounding tissue are removed. Transurethral resection of the prostate (TURP) - surgery to remove part of the prostate gland that surrounds the urethra. Cryosurgery - this procedure involves killing the cancer cells by freezing them with a small metal tool placed in the tumor. Side effects of prostate cancer surgery include incontinence and impotence. Incontinence is the inability to control urine and may result in dribbling of urine, especially immediately after surgery. Normal control usually returns within weeks or months after surgery. Impotence is the inability to achieve an erection. For a month, or so, after surgery, most men are not able to get an erection. Eventually, approximately 40 to 60 percent of men will be able to get an erection sufficient for sexual intercourse, but without ejaculation of semen, since removal of the prostate gland prevents that process.

Radiation therapy uses high energy rays to kill or shrink cancer cells, and to decrease their ability to divide. Radiation is often used to treat prostate cancer that is still confined to the prostate gland, or has spread only to nearby tissue. If the disease is advanced, radiation may be used to reduce the size of the tumor and to provide relief from symptoms. Possible side effects of radiation for prostate cancer may include diarrhea, with or without blood in the stool, and colitis, problems associated with urination, a degree of impotence (inability to get an erection), which may occur within two years of radiation therapy.

The goal of hormone therapy is to lower the level of male hormones in the body, particularly testosterone. Hormone therapy does not cure the cancer, and is often used to treat persons whose cancer has spread or recurred after treatment. Produced mainly in the testicles, testosterone causes prostate cancer cells to grow. Thus, reduced testosterone levels can make the prostate cancer shrink and become less active. Most studies show that hormone therapy works better if it is started early. Chemotherapy is the use of powerful, anti-cancer medications to kill cancer cells.. Hospitalization may be needed to monitor treatment and chemotherapy's side effects. Common side effects of chemotherapy include: nausea and vomiting, hair loss, anemia, reduced ability of blood to clot, mouth sores, increased likelihood of developing infections, fatigue. Most side effects disappear once treatment is stopped.

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Us TOO International Prostate Cancer Education & Support Network
If your prostate cancer has spread to the nearby lymph nodes or to distant parts of the body, Advancing disease may be accompanied by painful symptoms,

Treatment of locally advanced cancer, from the Prostate Cancer
The final category of locally advanced prostate cancer is when the patient is found to have prostate cancer cells in his pelvic lymph nodes.

IngentaConnect Laparoscopic lymph node sampling in locally
Objective To assess the role of laparoscopic lymph node sampling in patients with locally advanced prostate cancer before radical radiotherapy,

Preoperative Staging of Pelvic Lymph Nodes in Prostate Cancer by
Key Words: PET ⢠11C-choline ⢠prostate cancer ⢠lymph node staging 18F-Choline PET/CT for Initial Staging of Advanced Prostate Cancer.

Laparoscopic lymph node sampling in locally advanced prostate cancer
®rm that patients with locally advanced prostate cancer. treated with lymph node sampling before radical. radiotherapy have a better outcome than those not

NEJM -- Noninvasive Detection of Clinically Occult Lymph-Node
Use of MRI to Detect Lymph-Node Metastases in Prostate Cancer. NEJM 349: 1185-1186 Full Text; Spurgeon, D. (2003). Advanced scanning techniques help

Glossary of Prostate Cancer Related Terms, L - Prostate Cancer
lymphadenectomy: also known as a pelvic lymph node dissection, of selected lymph nodes, a common site of metastatic disease with prostate cancer;

Prostate Cancer and Prostatic Diseases - Case study: management of
Case study: management of lymph node-positive disease detected at radical . prostatectomy for locally advanced, lymph node-negative prostate cancer.

Do prostate cancer patients at risk of pelvic lymph-node
Do prostate cancer patients at risk of pelvic lymph-node metastasis benefit . (1997) Improved survival in patients with locally advanced prostate cancer

Advanced Prostate Cancer: Understanding Prostate Cancer Metastasis
Advanced prostate cancer with bone metastasis or lymph node metastasis is more likely to cause Prostate Cancer Symptoms than is an early stage of the

The Journal of Urology : ANDROGEN RECEPTOR EXPRESSION IN PROSTATE
Our results indicate that it may be clinically useful to determine lymph node androgen receptor expression in men with advanced prostate cancer when


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