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.

after radical prostatectomy
IngentaConnect Orgasm after radical prostatectomy
Patients and methods The orgasms experienced after undergoing radical prostatectomy were evaluated in 20 men (median age 65 years, range 56-76) using a

NEJM -- Variations in Morbidity after Radical Prostatectomy
Special Article from The New England Journal of Medicine -- Variations in Morbidity after Radical Prostatectomy.

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

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tion after radical prostatectomy: A national survey (REPAIR) by the French Urological . Managing Erectile Dysfunction after Radical Prostatectomy

International Journal of Impotence Research - Abstract of article
Preservation of penile length after radical prostatectomy: early intervention with a vacuum erection device. B L Dalkin1 and B A Christopher1

Prostate specific antigen progression after radical prostatectomy
experiencing disease recurrence after undergoing radical prostatectomy. recurrence after radical prostatectomy was 18.9% per month for AAM and 16.3%

Urinary and sexual function after radical prostatectomy for
Urinary and sexual function after radical prostatectomy for clinically localized prostate cancer: the Prostate Cancer Outcomes Study.

Quality of life after radical prostatectomy or watchful waiting.
21 percent) were more common after radical prostatectomy, whereas urinary obstruction (e.g., 28 percent vs. 44 percent for weak urinary stream) was less

Erectile Function after Non-Nerve-Sparing Radical Prostatectomy
Objective: To evaluate the potency in patients after radical perineal prostatectomy with wide excision of both neurovascular bundles.

JAMA -- Abstract: Urinary and Sexual Function After Radical
30-Day Mortality and Major Complications after Radical Prostatectomy: Influence of Age and Achieving Optimal Outcomes After Radical Prostatectomy

Radical prostatectomy
After radical prostatectomy you will probably have. An intravenous infusion (drip); A catheter with bladder irrigation. The section on the TUR operation

Radiotherapy After Radical Prostatectomy Cuts Biochemical
In patients with T3 disease, the risks of biochemical and locoregional failure were both reduced.

Radiation therapy effective for recurrent cancer after radical
'Salvage radiation therapy after radical prostatectomy is a treatment that is used too infrequently and too late in the course of the disease.

ACS :: Most Men Experience Impotence After Radical Prostatectomy
Most Men Experience Impotence After Radical Prostatectomy. Study Finds Most Men Experience Impotence After Radical Prostatectomy

Prostate Cancer Treatment - Radical Prostatectomy
Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer

Rising PSA after surgery, from Medscape
This scenario is a classic case of biochemical failure after radical prostatectomy. The pathology following surgery is consistent with a T2BN0 tumor,

Better Predictors For Outcomes After Radical Prostatectomy
In the largest study of its kind to date, Mayo Clinic researchers report that prostate specific antigen (PSA) kinetics, both velocity and doubling time,

Radical prostatectomy
A radical prostatectomy is an operation to remove the prostate gland and some of Up to 80% of men experience erection problems after a prostatectomy.


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