Prostate cancer is an abnormal, uncontrolled growth of cells that results in the formation of a tumor in the prostate gland. Prostate, the walnut sized gland, is a part of the reproductive system which lies deep in the pelvis. It is located in front of the rectum and underneath the urinary bladder and surrounds the urethra, (the urine tube running from the bladder, through the prostate and the penis). It contains gland cells that produce some of the seminal fluid, which protects and nourishes sperm cells in semen and supports the ejaculatory ducts, or sperm tubes. The prostate continues to grow till a man reaches adulthood and is maintained after it reaches normal size as long as male hormones are produced.
The growth of prostate cells and the way the prostate gland works is dependent on the male sex hormone, testosterone, which is produced in the testicles.
Prostate cancer develops most frequently in men over fifty. This cancer can occur only in men, as the prostate is exclusively of the male reproductive tract. It is the most common type of cancer in men in the United States, where it is responsible for more male deaths than any other cancer, except lung cancer. However, many men who develop prostate cancer never have symptoms, undergo no therapy, and eventually die of other causes. Many factors, including genetics and diet, have been implicated in the development of prostate cancer.
NHL (Non-Hodgkin’s Lymphoma) is yet another common form of cancer. This refers to a the growth of a large group of cancers that affect the immunity system. The symptoms of non-Hodgkin’s lymphoma are those of fever and weight loss, a sure sign that the immunity system has been affected. This is a cancer that can affect any age group, and its treatment is completely dependent on the stage of detection of the cancer.
Prostate cancer usually grows slowly and initially remains confined to the prostate gland, where it may not cause serious harm. While some types of prostate cancer grow slowly and may need minimal or no treatment, other types are aggressive and can spread quickly. If prostate cancer is detected early — when it's still confined to the prostate gland — you have a better chance of successful treatment.
Prostate cancer is found mainly in older men. As men age, the prostate may get bigger and block the urethra or bladder. This may cause difficulty in urination or can interfere with sexual function. The condition is called benign prostatic hyperplasia (BPH), and although it is not cancer, surgery may be needed to correct it. The symptoms of benign prostatic hyperplasia or of other problems in the prostate may be similar to symptoms of prostate cancer.
Radical prostatectomy is a surgery to remove the whole prostate gland and the nearby lymph nodes.
Prostate Cancer Treatments
It has been said that "most men die with prostate cancer, not of it". Autopsy studies have shown that a high proportion of men who have died in other ways, have prostate cancer when the prostate is examined under a microscope. Thus screening may tend to detect cancers that would not have killed the patient or even been detected prior to death from other causes.An important way to take an active role in making decisions about supporting your prostate cancer treatment is to be as informed as possible. Learn all you want to know about prevention, treatment and living with prostate cancer. Although early-stage prostate cancer typically isn't painful, once it's spread to bones it can be.
Deciding the best prostate cancer treatment is a challenge. Prostatectomy is the removal of the prostate by surgical incisions in abdomen or perineum, or small incisions and laparoscope use. Radical prostatectomy is the removal of the entire prostate gland and possibly the seminal vesicles and surrounding nerves and veins. Although technically well done, radiation therapy may not be the answer or at least the whole answer to prostate cancer treatment and survival.
All prostate cancer treatments affect sexual potency. Complications from prostate cancer are related to both the disease and its treatment. Many men may feel depressed after a diagnosis of prostate cancer or after trying to cope with the side effects of treatment.
Prostate Cancer Treatment
Treatment options include radiation therapy (either through an external beam or radioactive seed implants), surgery, hormone therapy and watchful waiting. Selecting the right treatment for prostate cancer depends on many factors, including your husband's overall health, his age, the aggressiveness of his prostate cancer, and how he feels about the potential side effects. One of the biggest fears of many men who have prostate cancer is that treatment may leave them incontinent or unable to maintain an erection firm enough for sex (erectile dysfunction).
Male Urinary Incontinence
Male incontinence is relatively unusual, and is always associated with some sort of bladder or prostate disease. Yes, more than 330,000 men are diagnosed with prostate cancer each year, and many will require prostate surgery, the leading cause of incontinence in men. Stress incontinence may develop when a man's prostate gland is removed and there has been dysfunction of or damage to the nerves or the sphincter, resulting in inadequate support for the lower bladder (bladder neck). When a radical prostatectomy is performed to remove a cancerous prostate, the possibility of incontinence is greater.
Muscle-strengthening Exercises
The ability to fill and store urine properly requires a functional sphincter (the circular muscles around the opening of the bladder) and a stable, expandable bladder wall muscle (detrusor). Stress incontinence is a bladder storage problem in which the strength of the muscles (urethral sphincter) that help control urination is reduced. Exercises to strengthen the muscles which support your bladder neck (with or without the help of devices like electrical stimulation, biofeedback, or exercise cones) may be prescribed if your symptoms point to stress urinary incontinence. Muscle-strengthening exercises (called Kegel exercises or pelvic floor exercises) can be very helpful in treating bowel incontinence. These are performed by contracting the large muscles that make up the pelvic floor. When the pelvic muscles are contracted they send a message to the bladder muscle to relax.
Biofeedback And Electrical Stimulation
Biofeedback and electrical stimulation may be helpful for those who have trouble doing pelvic muscle training exercises. Biofeedback uses electrodes placed on the pelvic floor muscles, giving you feedback about when they are contracted and when they are not. Biofeedback and electrical stimulation will no longer be necessary once you have identified the pelvic floor muscles and mastered the exercises on your own.
Medications
Medications that may be prescribed include drugs that relax the bladder, increase bladder muscle tone, or strengthen the sphincter. Other medications such as diuretics, muscle relaxants, and blood pressure medication can also affect bladder function. Other medications, including flurbiprofen, capsaicin and botulinum toxin, are sometimes prescribed to relax the bladder muscles or to tighten the urethral sphincter. One of these drugs, duloxetine, differs from present medications in targeting the central nervous system's control of the urge to urinate rather than the smooth muscle of the bladder itself.