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. |
| elevated psa after radical prostatectomy |
|
Prostate Cancer and Prostatic Diseases - Management of recurrent There is no universally agreed PSA cut-off to define 'recurrent disease' after radical prostatectomy. This is because different assays have differing Radiation therapy effective for recurrent cancer after radical In the pre-PSA era, factors were identified that predicted for a high risk of local recurrence after radical prostatectomy, most notably positive surgical Local Recurrence after Radical Prostatectomy: Correlation of US The first elevated postoperative serum PSA value and the serum PSA value at the time . A detectable serum PSA level after radical prostatectomy typically University of Florida Shands Cancer Center: Elevated Prostate Elevated Prostate Specific Antigen (PSA) after Radical Prostatectomy May Not be as Serious as Previously Thought. Prostate Specific Antigen (PSA) has been Better Predictors For Outcomes After Radical Prostatectomy Better Predictors For Outcomes After Radical Prostatectomy an elevated rate of increase in prostate specific antigen (PSA) levels, according to a new . The Journal of Urology : Salvage Radiotherapy for Recurrent What troubled me about this article was that 32% of the patients had an elevated PSA immediately following radical prostatectomy, and 4 years following Article about PSA after surgery, from Brady Urological Institute Between 1982 and 1997, nearly 2000 men underwent a radical prostatectomy at Johns Hopkins. Of these, 315 men developed an elevated PSA (defined as being Biochemical outcome after radical prostatectomy among men with The authors compared the risk of biochemical failure after radical prostatectomy (RP) between men with normal PSA levels and men with elevated PSA levels. 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 Elevated PSA Following Radical Prostatectomy? A recent study from the Mayo Clinic showed that of the 31% of men who had biochemical failure after radical prostatectomy, PSA doubling time was identified Rising PSA after surgery, from Medscape Elevated PSA Following Radical Prostatectomy? men who had biochemical failure after radical prostatectomy, PSA doubling time was identified as the most |
| elevated psa after radical prostatectomy |
|
androgen deprivation prostate therapy cancer prostate psa test biopsy guidance prostate system cryogenic prostate cancer treatment |