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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Modified Bulbar Urethral Sling Procedure for the Treatment of Male cedure in eight patients with postprostatectomy incontinence. secondary to intrinsic sphincter deficiency because of urethral Male incontinence: Pathophysiology and management Singla Ajay K 1 Although the incidence of postprostatectomy incontinence has decreased with better understanding of the neurovascular bundles and modification of the FHA Article Summary - Systematic review of the treatment of post (Aug-2006); Urethral compression for the treatment of postprostatectomy urinary incontinence: is history repeating itself? (Feb-2007) Incontinence after Surgery for Benign Prostatic Hypertrophy: The Harrison SCW, Abrams P: Postprostatectomy incontinence; in Mundy AR, Stephenson TP, Wein AJ (eds): Urodynamics: Principles, Practice and Application. Sphincteric incontinence: The primary cause of post-prostatectomy Leach GE, Yun SK (1992b): Postprostatectomy incontinence: Part II. The results of treatment based on. urodynamic evaluation. Neurourol Urodynam 11:99. Post-prostatectomy incontinence: Part II. The results of treatment incontinence. Br J Urol 51552-555. Foote J, Yun. SK,. Leach. GE. (1991): Postprostatectomy incontinence: Pathophysiology, evaluation, and. management. Postprostatectomy Urinary Incontinence: the Case Against the Male In this Viewpoint, the use of the bulbous urethral sling and artificial urinary sphincter for men suffering from postprostatectomy urinary incontinence are Quantifying the natural history of post-radical prostatectomy Postprostatectomy incontinence. Pathophysiology, evaluation, and management. Urol Clin North Am. 1991;18:229â“41. PubMed; Litwin MS, Lubeck DP, Henning JM, UroToday - Surgery Insight: Surgical Management of Surgery Insight: Surgical Management of Postprostatectomy Incontinence--The Artificial Urinary Sphincter and Male Sling - Abstract IngentaConnect Treatment of postprostatectomy incontinence -3 Treatment of postprostatectomy incontinence -3 years experience using a new minimal invasive technique. Authors: Schlarp O.M.; Hubner W.A. IngentaConnect Collagen injection therapy for postprostatectomy Collagen injection therapy for postprostatectomy incontinence. Authors: Cespedes R.D.1; Leng W.W.; McGuire E.J.. Source: Urology, Volume 54, Number 4, Clinical utility of urodynamics for postprostatectomy incontinence surgical techniques for postprostatectomy incontinence. such as male perineal and transobturator Postprostatectomy incontinence (PPI) has numerous Treatment of postprostatectomy incontinence: Is the bulbourethral patients with postprostatectomy incontinence attaining. continence with this method 4,5. postprostatectomy incontinence bulbourethral sling have Artificial urinary sphincter for post-prostatectomy incontinence Urinary incontinence after prostatectomy can be psycho-. logically and socially disabling. . 11 Alfthan O. Treatment of post prostatectomy incontinence. The Journal of Urology : THE MALE SLING FOR POST-PROSTATECTOMY 7 R.D. Cespedes, W.W. Leng and E.J. McGuire, Collagen injection therapy for postprostatectomy incontinence, Urology 54 (1999), p. 597. The Journal of Urology : Voiding Patterns In Patients With Post 5 F. Haab, R. Yamaguchi and G.E. Leach, Postprostatectomy incontinence, Urol Clin North Am 23 (1996), p. 447. SummaryPlus | Full Text + Links | PDF (893 K) Nature Clinical Practice Urology | Can preoperative behavioral Preoperative behavioral training with biofeedback assistance can decrease the duration and severity of postprostatectomy incontinence. Nature Clinical Practice Urology | Surgery Insight: surgical Surgery Insight: surgical management of postprostatectomy incontinenceâ”the artificial urinary sphincter and male sling. Craig V Comiter About the author Stone They demonstrated either scaring, thinning, complete atrophy or minimal contractions in the rabdosphincter of 8 postprostatectomy incontinent patients |
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