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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Johns Hopkins - Brady Urological Institute-Mario Eisenberger, M.D. 1986-88, Special Member (by invitation) GU Committee SWOG. 1987-88, Prostate Evaluation/Response Criteria Committee. Organ Systems Coordinating Center (NCI THE UNIVERSITY OF CHICAGO 2003: NCI GU/Prostate SPORE Application Review Panel 2005: NCI Special Emphasis Panel, Loan Repayment Program reviewer. Editorial Activities: Phase II Feasibility Study of High-Dose Radiotherapy for Prostate The study included patients with clinical stage T1-3N0M0 prostate cancer. Acute grade 1/2 GU and GI toxicities were observed in 20/4 and 17/0 patients, GUPEA: Inguinal Hernia after Urologic Surgery in Males with Inguinal Hernia in Stage M0 Prostate Cancer: A Comparison of Incidence in Factors With Special Reference to Preoperative Inguinal Hernia Morbidity and Stereotactic hypofrationated prostate radiotherapy: feasibility Conclusions: Stereotactic hypofractionated radiation therapy for low risk prostate cancer is feasible and associated with minimal GI and GU toxicity. Radiotherapy and Oncology : Anatomy-based inverse planning dose Inverse-planned HDR brachytherapy is a viable option to deliver higher dose to the prostate as a boost without increasing GU or rectal complication. GU Oncology - penile ca - Blogs - Revolution Health Health and a Board Certified Medical Oncologist with special interest in GU Oncology. Prostate cancer is more prevalent than penile cancer. Q-RRO (PCS) 1995 to Present Published Publications Back to the Top. GU/prostate M., Owen, J., and Wilson, J.F.: Can National Survey Data Be Used to Benchmark Quality Indicators for Prostate Cancer? Energy Citations Database (ECD) - - Document #20425609 Center of prostate dose was escalated from 68 Gy to 79 Gy in{approx} 2Gy Grade 2 GI and GU morbidity is reported based on the recent late effects scale Primary Care Clinical Practice Guidelines 10 GU - Breast JAMA Contempo 1999 - Feb 10 - Urology - Viagra, BPH, Prostate CA, circumcision Am Fam Physicians 1999 Aug - Special Medical Reports - AAP Issues Books for Pathologists - GU pathology Amin: Gleason Grading of Prostate Cancer: A Contemporary Approach . grading, and staging; discussions of the value of special studies using cytologic and Sites of productive infection of HIV in the male GU tract. Seminal cells and prostate were hybridized to a collection of 35S site of productive infection in the male GU tract has not yet been identified. Primary Care Clinical Practice Guidelines 10 GU - Breast Am Fam Physicians 1999 Aug - Special Medical Reports - AAP Issues Guidelines for Fundamentals of Prostate Cancer Detection and Treatment by Tom Feeney, GU Conference Home Cancers of the genitourinary (GU) tract, namely prostate, If you have any special dietary or accommodation needs, please notify the course coordinator, Top Radiation Therapists - Health (washingtonian.com) Anu Gupta, Fairfax; PW, GU. Special interest in breast cancer. Derick A. Hanlan, VHC. Special interest in intensity-modulated radiation therapy for prostate Search: gu: Evanston Northwestern Healthcare: Evanston http://www.enh.org/clinicalservices/cancer/cancerspecialties/gu/prostate/?id=3412 . Other special topics by arrangement (eg, Lymph Node, GI, GU). Top Urologists - Health (washingtonian.com) James B. Regan, GU, Chevy Chase, Ballston; SIB. Special interest in male sexual dysfunction, neuro-urology, prostate disease. |
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