PROSTATE CANCER TREATMENT & PROSTATE CANCER SURGERY REVIEW
There are several prostate cancer treatment methods
available, prostate cancer surgery being just one
example. The main treatments are "watchful waiting" or "active
monitoring", radiation therapy, hormone therapy, cryotherapy,
and surgery. Treatment may involve a combination of these
methods. New methods of treating prostate cancer are constantly
being researched.
Prostate Cancer Surgery
One of the most common prostate cancer treatments,
prostate cancer surgery is often used in the early
stages of this disease when this is spotted.
Radical prostatectomy involves removal of all or part of the
prostate gland. Radical retropubic prostatectomy involves
removal of the whole prostate gland and neighbouring lymph
nodes via an incision between the anus and scrotum. If the
cancer has spread to nearby lymph nodes, then it has probably
spread to other areas of the body, thus requiring alternative
prostate cancer treatments than prostate cancer
surgery.
Transurethral resection of the prostate involves the removal
of cancerous prostate cells using an instrument inserted
through the urethra. Electricity is passed through a tiny wire
loop at the end to cut the cancerous cells from the prostate
gland. This is a particularly useful procedure for improving
the flow of urine.
Nerve-sparing surgery is a new technique aimed at protecting
the nerves controlling penile erection from damage during
prostate cancer surgery. With large tumors or tumors close to
nerves, this type of surgery may not be possible.
Recent reports suggest that radical prostatectomy combined
with hormone therapy is probably the most effective prostate
cancer treatment regime for the more advanced stages of
prostate cancer.
Watchful Waiting or Active
Monitoring
For prostate cancers discovered at an early stage or is
growing slowly, 'watchful waiting' may be offered. This is when
the condition of the the prostate cancer is closely observed,
with treatment starting when necessary.
Watchful waiting can also be suggested for more elderly men
or men with other medical conditions where the risks and side
effects of hormonal therapy, radiation therapy or surgery
cancel out the benefits of prostate cancer treatment.
Radiation Prostate Cancer
Treatment
Radiation therapy involves the use of high energy x-rays to
destroy cancer cells. Radiation therapy, or radiotherapy, is a
localized treatment, affecting cancer cells in a highly
specific area. Radiation therapy can be used instead of surgery
in the early stages of prostate cancer or post-operatively to
clean up any remaining cancer cells after surgery.
Two methods commonly used are the linear accelerator where
radiation is directed at the body, and the implanting of tiny
radioactive seeds into or near the tumor. Radioactive seeds are
normally used to treat small tumors, but some cases of prostate
cancer can require the use of both types of radiation
therapy.
External radiotherapy using the linear accelerator usually
requires one to attend hospital or clinic 5 days per week for a
number of weeks. Radioactive seed implant therapy may require a
short hospital stay.
Hormone Prostate Cancer
Treatment
Cancer cells can grow in response to male hormones or
androgens produced in the body. Therefore, hormone therapy
seeks to suppress the production of androgens or block their
action in some way.
There are numerous methods of hormone therapy. For example,
systemic therapy is used for cancers that have spread, and
affects cancer cells throughout the body. Systemic therapy is
often used to prevent recurrance of the cancer after radiation
prostate cancer treatment or prostate cancer surgery.
Orchiectomy is where the testicles, the main source of
androgens, are surgically removed. Drugs such as goserelin,
buserelin and leuprolide are used to prevent the testicles from
producing the main androgen hormone, testosterone.
Other drugs, anti-androgens, like bicalutamide and flutamide
block the action of male hormones. The adrenal glands can be
inhibited from producing androgens by the drugs
aminoglutethimide and ketoconazole.
Usually, a combination of prostate cancer treatments are
used depending on each individual case. These are sometimes
referred to as CHT or combined hormonal therapy, CAB or
combined androgen blockade, MAD or maximal androgen
deprivation, and TAB or total androgen blockade.
However, in advanced stages, prostate cancers are able to
grow independently from the action of male hormones, and
hormone therapy becomes ineffective as a treatment for prostate
cancer.
Cryotherapy Prostate Cancer
Treatment
Cryotherapy can be effective as a prostate cancer treatment.
Cryotherapy involves inserting metal tubes or rods into the
prostate gland tumor and running liquid nitrogen through
them.
At between 321 and 345 degrees Farenheit, liquid nitrogen
freezes the surrounding prostate cancer cells, rupturing and
destroying them with the formation of ice crystals.
To avoid damage to the urethra, a warming solution is fed
through a catheter positioned next to it. There have been good
results with cryotherapy in the short term, but it doesn't
appear to be as effective as radiation therapy or surgery in
the long term. Unfortunately, there is a 90 percent chance that
cryotherapy will cause impotence.
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