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.

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Associations of Obesity with Lower Urinary Tract Symptoms and
1 Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Controls were men without symptoms or noncancer prostate surgery.

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Buy this book with Surviving Prostate Cancer Without Surgery by Bradley . 2006 Johns Hopkins White Papers: Prostate Disorders (Johns Hopkins White Papers

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This has happened in 11 percent of patients having open prostate surgery at Harryâ™s Spring Runoff to fight Prostate Cancer · Johns Hopkins Prostate

Prostate Cancer Surgery
From the Johns Hopkins Prostate Bulletin, 2004. Surgery to completely remove the prostate for treatment of prostate cancer (radical prostatectomy),

Doctors Who Perform Minimally Invasive Surgery for Prostate Cancer
July 1993 - June 1995 The Johns Hopkins Hospital, Baltimore, MD, Department of General Surgery July 1995 - December 1998 The Johns Hopkins Hospital,

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Link: Johns Hopkins Prostate Cancer Treatment Special Report Released. The specialists at Johns Hopkins's world-renowned James Buchanan Brady Urological

Delayed Prostate Cancer Surgery Poses No Increased Risk For Some
Carter says Hopkins has been enrolling patients in a monitoring program since 1995 Radiation After Prostate Cancer Surgery Increases Survival (Oct. 20,

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A pioneer in prostate cancer surgery Walsh of Hopkins developed technique to spare nerves. By Jonathan Bor sun reporter Originally published April 27, 2007

HOPKINS RESEARCHERS IDENTIFY RISK FACTORS FOR PREDICTION OF LETHAL
Researchers at Johns Hopkins and The Brady Urological Institute have who is at high risk of death after prostate cancer recurrence following surgery.

GUIDELINES IDENTIFY MEN WHO CAN AVOID PROSTATE SURGERY
In the Hopkins study, the prostates of 157 men who underwent surgery for prostate cancer were analyzed to determine how often small, insignificant cancers

Healthful Life: E-newsletter
The Johns Hopkins study says just pick a good surgeon who does nerve-sparing prostate surgery and all will be well. But even at Johns Hopkins,

Hopkins Prostate Vaccine Activates Whole Immune System
To create the vaccine, the researchers used cancer cells removed from the patient's own prostate tumor during surgery and grew them in the laboratory.

PSA Rise after Radical Prostate Surgery --What's the Risk of
About a third of men who have radical prostate cancer surgery find that the cancer recurs. Johns Hopkins surgeons have come up with a new formula for

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Surgery offers an excellent chance for cure from cancer of the prostate. data from thousands of patients treated at Johns Hopkins for prostate cancer,

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Johns Hopkins Department of Urology - Prostate Cancer Update. Prostate Surgery in Men with Positive Lymph Nodes. Conventional wisdom: Once cancer has

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Information on Prostate Cancer & Prostate Surgery. The folks at Johns Hopkins could not have been more caring and helpful as I sought all my treatment

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My prostate surgery was performed at Johns Hopkins and I was home two days after the procedure. I was walking 40 minutes a day soon after.


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