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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Radiation Therapy After Radical Prostatectomy One recent study reported the efficacy of adjuvant radiation after radical prostatectomy, but only among patients found with pT3 who had an undetectable PSA CAT.INIST cancer after radical prostatectomy with the Abbott IMx PSA assay 0.1 ng/mL (measured with the IMx assay) was followed by a progressive rise in PSA All Psa Rise Post Radical Prostatectomy messages My PSA readings were as. follows : 3 mnths after ops 0.03. 6 mnths 0.04. 10 0.119 . Kenny Bouy Message: RE: PSA Rise Post Radical Prostatectomy Clinicopathological Features of Patients with Biochemical Pound CR, Partin AW, Eisenberger MA, Chan DW, Pearson JD, Walsh PC: Natural history of progression after PSA elevation following radical prostatectomy. PSA Rise after Radical Prostate Surgery --What's the Risk of Estimating Risk Of Advanced Cancer After Radical Prostate Surgery Study and an Editorial: "Rising PSA Level After Prostatectomy is Not a Death Warrant" Prostate specific antigen progression after radical prostatectomy rence after radical prostatectomy. PSA cutpoints of 0.2. ng/mL, 0.3 ng/mL, and 0.4 ng/mL have ential rate of rise of serum PSA after radical prostatec- Soon start after prostatectomy psa radical rise bph prostate hammer holmes katie toe book guest headache tension normal basal body temperature higbee pnh abdominal Cancer Resourcesâ”Cancer News, Cancer Conferences, Cancer Causes PSA rise after radical prostatectomy helps predicts outcome. Megan Rauscher Reuters Health Last Modified: November 1, 2001 Defining Biochemical Recurrence Of Prostate Cancer After Radical To further evaluate this, they identified the PSA criterion, among 10 BCR definitions that best explained MP after radical prostatectomy (RP). Better Predictors For Outcomes After Radical Prostatectomy Better Predictors For Outcomes After Radical Prostatectomy Study Shows Link Between Rapid Rise In PSA Levels, Death From Prostate Cancer (Jul. Radiation Therapy After Radical Prostatectomy: Strike Early One would expect the local tumor burden to be smallest shortly after the radical prostatectomy. Secondly, by delaying the radiotherapy until the serum PSA |
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