Medical Treatments for Prostate CancerThere 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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Nature Clinical Practice Urology | Penile rehabilitation after In the absence of such confirmation, the debate regarding the efficacy of oral rehabilitation after radical prostatectomy continues. Pelvic floor re-education reduced incontinence at 1 year after Effect of pelvic-floor re-education on duration and degree of incontinence after radical prostatectomy: a randomised controlled trial. Urology : Benign positive margins after radical prostatectomy Positive cancer margins occur in 11% to 46% of patients after radical prostatectomy. It is generally agreed that the presence of positive margins is a poor Lower Urinary Tract Symptoms after Radical Perineal Prostatectomy Lower Urinary Tract Symptoms after Radical Perineal Prostatectomy. Akio Matsubara1,, Tatsuaki Yoneda2, Hiroaki Yasumoto1, Jun Teishima1, Hiroaki Shiina2, After Your Robotic Prostatectomy,da vinci robotic prostatectomy After your robotic prostatectomy surgery, the staff at UW Hospital and Clinics would like you to monitor your health and habits. Sexual Dysfunction and Urinary Incontinence After Prostatectomy Most outcome data on various strategies for localized prostate cancer treatment are drawn from highly selected populations. Prostate - Urinary Incontinence after Robotic Prostatectomy Urinary Incontinence after Robotic Prostatectomy. by Marc Greenstein Friday, November 16, 2007. I would like to continue reviewing robotic surgery and its Prostatectomy Catheter drainage also is used after open prostatectomy. The complications and side effects that may occur during and after prostatectomy include: Sex After Prostate Surgery - Robotic Prostatectomy - da Vinc In some cases, no erectile function will return after radical prostatectomy. In such cases, you may want to explore the option of a penile implant in order NEJM -- Quality of Life after Radical Prostatectomy or Watchful 21 percent) were more common after radical prostatectomy, whereas urinary obstruction (e.g., 28 percent vs. 44 percent for weak urinary stream) was less Faculty of 1000 Medicine | Penile rehabilitation after radical Penile rehabilitation after radical prostatectomy: where do we stand and where are we going? Wang R J Sex Med 2007 Jul 4(4 Pt 2):1085-97 abstract on News - New Procedure Helps Men Minimize Incontinence After "Our technique uses tissues that would normally remain behind after prostatectomy -- tissues that we can flip around and support to our advantage," Tewari Total Incontinence After Prostatectomy - HealingWell.com Forum Total Incontinence After Prostatectomy, Forum Quick Jump. Select A Location, ****** Top of the Forum ******, ==== General Information ====, Announcements Radical prostatectomy Up to 80% of men experience erection problems after a prostatectomy. 4 The nerves that control a man's ability to have an erection lie next to the prostate Impotence more common after prostatectomy than previously thought Impotence occurs far more frequently after radical prostatectomy than previous studies have shown, according to the first nationally representative study to PDE-5 inhibitors after prostatectomy A systematic review Montorsi et al examines the literature on recovery of erectile function after radical prostatectomy, including the prophylactic use of JAMA -- Abstract: Urinary and Sexual Function After Radical 30-Day Mortality and Major Complications after Radical Prostatectomy: Influence of Age . Sexual Dysfunction and Urinary Incontinence After Prostatectomy Sexual Potency Before and After Radical Prostatectomy A triad of factors can favorably influence the maintenance of sexual potency after radical prostatectomy: the surgical avoidance of cavernous neurovascular Radiation Therapy After Radical Prostatectomy: Strike Early Van Den Ouden D, Bentvelsen F, Boeve E, Schroder F. Positive margins after radical prostatectomy: correlation with local recurrence and distant progression. |
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