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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Young Age Not a Deterrent for Prostate Brachytherapy, Study Shows
Five years after treatment with radiation seed implants and no surgery, young men with prostate cancer had biochemical outcomes equivalent to older men

CNN.com - New York mayor 'doing great' after prostate implants
With the seed implantation, doctors guided by ultrasound imaging use long, hollow needles to insert the seeds into the prostate. The American Cancer Society

TheraSeed^ Treatment Common Questions
If the seed implants don't work, what treatment options are available? shortly after the procedure, but his doctor may recommend avoiding sex or using a

Prostate Brachytherapy - Johns Hopkins
Which patients are best suited for prostate seed implantation? . from sexual activity for two weeks after the procedure, and wear a condom during sex for

Miller-Dwan Medical Center
One important determination after the volume study is deciding whether seed implantation can be technically performed by evaluating the size of the prostate

Radiotherapy Clinics of Georgia : Questions & Answers
The chance of keeping sex function after ProstRcision varies with two main Also, when a seed implant is performed several weeks after accelerator

FAQs : Frequently asked questions
How long will it take to return to my normal daily activities after prostate brachytherapy? Can the seeds come loose after implantation?

UT Medical Center - Prostate Service
TOP Prostate Brachytherapy (Prostate Seed Implant) Program do experience irritating voiding symptoms for a few days or months after implantation.

Prostate Cancer Brachytherapy Side Effects
Immediately after the seed implants, a patient may feel an immediate sense of urgency. Having been treated with multiple needles, the prostate gland is

Seattle Prostate Institute - For Patients
However, it is permissible to resume sex shortly after the implant. Remember that the seeds do not make any bodily fluid radioactive (either urine or semen)

Prostate cancer guide - MayoClinic.com
Radioactive seed implants are injected directly into the prostate and are being used in most cases, help maintain an active sex life after treatment.

Prostate cancer: Treatment - MayoClinic.com
Some men experience impotence due to radioactive seed implants. Hormone therapy When you have prostate cancer, male sex hormones (androgens) can stimulate

QUALITY OF LIFE AFFECTING TREATMENT DECISIONS FOR PROSTATE CANCER
Quality-of-Life after Radiation Seed Implant - Interstitial Brachytherapy and can have a fulfilling sex life even after prostate cancer treatment.

Prostate Cancer Radioactive Seed Implants - WebMD
Radioactive seed implants are a form of radiation therapy for prostate Even after a prostate is removed, prostate cancer cells can remain in the body.

Prostate Brachytherapy provided by Oncura
Prostate: Brachytherapy. Seed implantation with iodine-125 seeds the physician may suggest using a condom during sex for a few days after the procedure.


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