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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Nerve-Sparing Radical Retropubic Prostatectomy in Patients Nerve-Sparing Radical Retropubic Prostatectomy in Patients Previously Submitted to Holmium Laser Enucleation of the Prostate for Bladder Outlet Obstruction Erectile Function after Non-Nerve-Sparing Radical Prostatectomy Noldus J, Michl U, Graefen M, Haese A, Hammerer P, Huland H: Patient-reported sexual function after nerve-sparing radical retropubic prostatectomy. NewsRx Search Results on Nerve Sparing Radical Retropubic Nerve sparing open radical retropubic prostatectomy preserves urinary A technique for open nerve-sparing radical retropubic prostatectomy was described. Weill Immersion Program 2005: Robotic Assisted Nerve-sparing Robotic Assisted Nerve-sparing Radical Retropubic Prostatectomy. Last week I observed this surgery performed by Dr. Tewari. It is a robotic assisted removal UroToday - European Urology - Nerve-Sparing Open Radical Technical aspects of nerve-sparing open radical retropubic prostatectomy (RRP) are described. Patient selection criteria and functional results are Erectile dysfunction secondary to nerve-sparing radical retropubic Fraiman MC, Lepor H, McCullough AR: Changes in penile. morphometrics in men with erectile dysfunction after nerve-. sparing radical retropubic prostatectomy Science Links Japan | Erectile dysfunction following nerve-sparing Title;Erectile dysfunction following nerve-sparing radical retropubic prostatectomy and its treatment with sildenafil. Author;SHIMIZU TAKASHI(Sapporo Nerve-sparing radical retropubic prostatectomy for localized Br Urol 1994; 73:75-82. Catalona WJ, Basler JW. Return of erection and urinary conti-. nence following nerve-sparing radical retropubic prostatectomy. Prostate Cancer and Prostatic Diseases - Nerve-sparing radical Technical advances in radical retropubic prostatectomy techniques for avoiding complications. Part II: vesico-urethral anastomosis and nerve-sparing An updated simplified approach to nerve-sparing radical retropubic initially described the nerve-sparing radical retropubic. prostatectomy (RRP). Currently, radical prostatectomy. with Statinsky scissors, the incision is European Urology : Patient-reported Sexual Function After Nerve At our institution, 366 of 1213 patients underwent either unilateral or bilateral nerve-sparing radical retropubic prostatectomy within 7.25 years. IngentaConnect Erectile dysfunction following nerve-sparing We retrospectively evaluated the erectile function after nerve-sparing radical retropubic prostatectomy (RRP) and the efficacy of sildenafil for erectile IngentaConnect Nerve sparing laparoscopic radical retropubic Nerve sparing laparoscopic radical retropubic prostatectomy. Authors: Abbou C.; Hoznek A.; Salomon L.; Quintela R.; Saint F.; Olsson E.; Chopin D. Patient-reported sexual function after nerve-sparing radical sexual function after nerve-sparing radical retropubic prostatectomy. Indication for nerve-sparing procedure was based on the results of a Radical retropubic prostatectomy - Wikipedia, the free encyclopedia Radical retropubic prostatectomy is a surgical procedure in which the prostate gland is Nerve-sparing surgery - Select individuals will be eligible for eMedicine - Prostate Cancer: Radical Retropubic Prostatectomy During the past decade, modifications in the technique of radical retropubic prostatectomy and the introduction of the anatomic nerve-sparing method Radical Prostatectomy | Prostate Cancer Information | UPMC Cancer Radical retropubic prostatectomy is the most common technique for removing the This modified operation is called a nerve-sparing radical prostatectomy. USRF - Radical Retropubic Prostatectomy by Patrick C. Walsh, M.D. A complete description of the nerve sparing radical retropubic prostatectomy with still images is available at the Johns Hopkins Brady Urological Institute Johns Hopkins - Brady Urological Institute- Innovative Surgical Radical retropubic prostatectomy. In: Walsh PC, Retik AB, Stamey TA, Vaughan ED, eds. Campbefls Textbook of Urology. Philadelphia: W.B. Saunders; 1992; |
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