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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Patrick C. Walsh "Of these 24 patients 4 had progressive disease after radical prostatectomy. Three of these patients have manifested elevated PSA levels as their only High pre-treatment PSA velocity predicts worse outcome - UrologyTimes Elevated PSA velocity was a stronger poor prognostic factor than any other single Of the men who underwent treatment with radical prostatectomy or Salvage Radiotherapy in Patients with Persisting Prostate-Specific The major topics are: In how many patients can an elevated PSA level after RP . Epstein JI, Walsh PC: Serum PSA after anatomic radical prostatectomy: The Stratification of pathologic features in radical prostatectomy pathologic features in radical prostatectomy specimens. for elevated postoperative serum PSA levels. In this investigation, we used multivariate analyses CAT.INIST During 1987 to 1990, 40 asymptomatic patients were found to have an elevated PSA level 9 to 96 months after radical prostatectomy. Better Predictors For Outcomes After Radical Prostatectomy Better Predictors For Outcomes After Radical Prostatectomy Prostate Cancer: High Pretreatment PSA Velocity Predicts Worse Outcome (May 25, Ziada Therapeutic irradiation for patients with an elevated post-prostatectomy PSA level. Int J Radiat Oncol Biol Phys. In Press. 9. Schellhammer PF. Radical Laparoscopic radical prostatectomy.(includes continuing education Laparoscopic radical prostatectomy.(includes continuing education post-test)(Statistical . Although an elevated PSA level indicates there is an increased ROLE OF PELVIC LYMPHADENECTOMY AS AN ADJUNCT TO RADICAL PROSTATECTOMY ard and integral part of radical prostatectomy since the operation indicators, namely an elevated PSA over 10 ng/mL or a biopsy Montana Cancer Center - Elevated PSA Levels after Surgery May Be After a successful radical prostatectomy, PSA levels should be undetectable. There is some controversy about whether persons who have an elevated PSA Elevated PSA and Prostate Cancer Screening: Urologic Surgical At USADelaware we generally recommend for patients with an elevated PSA to have three We know from radical prostatectomy specimens that the preoperative Increased PSA Levels After Radical Prostatectomy - Journal Watch After radical prostatectomy, detectable PSA levels (at least 0.2 ng/ml) indicate a prognosis for patients with elevated PSA levels after prostatectomy. IngentaConnect Adjuvant and salvage irradiation following radical Forty-eight patients received salvage therapy for elevated PSA levels. For patients with stage pT3N0 prostate cancer following radical prostatectomy, 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. University of Florida Shands Cancer Center: Elevated PSA Levels Elevated PSA Levels after Surgery May Be Suppressed by Radiation Therapy After a successful radical prostatectomy, PSA levels should be undetectable. 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 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 Rising PSA after surgery, from Medscape Elevated PSA Following Radical Prostatectomy? from Medscape Hematology-Oncology Ask The Expert. Question A routine test revealed a prostate-specific antigen Elevated PSA Following Radical Prostatectomy? Six months after radical prostatectomy for an adenocarcinoma, stage T3A, Gleason score 2+3, the patient's PSA was 1.59. |
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