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The Best Prostate Cancer Treatment for Each Type of Patient

Tuesday, October 13, 2009 7:21:00 AM Posted by Cancer Centers

Whether a therapeutic technique is the best prostate cancer treatment for a patient depends on various factors. In selecting the treatment, a patient and his doctor should take into consideration the patient's age and expected life span, the stage and grade of the cancer, possible side effects and other health problems that the patient might have.

One of the best prostate cancer treatment techniques, particularly for older men and those who suffer from other serious illnesses, is the expectant management or watchful waiting method. Watchful waiting involves the close monitoring of the cancer through prostate specific antigen testing. It does not involve active treatments like surgery and radiation therapy and is recommended mostly to those who have no symptoms. It is also used when the cancer is contained within one area of the prostate gland and is expected to grow very slowly.

Another option available to prostate cancer patients is surgery. This can be radical retropubic prostatectomy, radical perineal prostatectomy, laparoscopic radical prostatectomy (LRP) or transurethral resection of the prostate (TURP). In retropubic prostatectomy, the surgeon makes an incision in the lower abdomen to remove the prostate gland. Lymph nodes around the prostate might also be removed depending on whether the cancer has spread to these parts.

In perineal prostatectomy, the incision is made in the perineum or the skin between anus and scrotum. LRP, on the other hand, involves the use of several smaller incisions and specialized instruments. This highly complex procedure is known for its high precision and control. In the hands of experienced surgeons, it becomes an advantageous option compared with retropubic and perineal prostatectomy. TURP, meanwhile, makes use of an instrument called a resectoscope which is passed through the end of the penis into the urethra at the level of the prostate. The electricity that passes through the instrument cuts or vaporizes the issue in the prostate. TURP is done to relieve symptoms and is also used for benign prostatic hyperplasia.

Radiation therapy is the method in which high-energy rays or particles are used to kill cancer cells. This, like surgical procedures, is another example of a highly developed method of dealing with cancer. Radiation therapy is classified into two main types, the external beam radiation therapy (ERBT) and brachytherapy.

In treating localized prostate cancer, a procedure called crysosurgery is sometimes used. It involves the freezing of the tissues using very cold gases. Aside from cryosurgery, hormone therapy and chemotherapy are also options that prostate cancer patients can explore. Hormone therapy does not cure cancer but is primarily used to lower levels of male hormones in a patient's body. Chemotherapy, meanwhile, is a procedure more commonly used in cases when the cancer has spread beyond the prostate gland.

Choosing the best prostate cancer treatment depends on a lot of factors.

Other Prostate Cancer Treatments
Prostate exams are a simple and straightforward procedure and can be conducted in a doctors office without any need for medical equipment or urine or blood testing. Since every year an average of two hundred fifty thousand men are diagnosed with prostate cancer, it is very important that all men receive regular prostate exams. The necessity of receiving prostate exams also increases as one ages.

This first form of prostate cancer treatment is called Active Surveillance. It is the medical term for watching a patients cancer, but not taking action until the condition worsens or expands. Active Surveillance is used when a patient may not be able to undergo treatment because of complications from other conditions, or is otherwise unable to receive cancer treatment.

The most direct route form of prostate cancer treatment is to remove the entire prostate, a procedure known as a prostatectomy. An incision is made behind the pubic bone and a portion of the prostate or the entire gland itself is removed. The urethra is then connected directly to the bladder, but a catheter is often necessary in order to allow the patients body time to adapt to the new setup of its urinary system.

An MRI or CAT scan is used to plot the exact location of the tumor or affected cells, and intense bursts of x-rays are used to destroy these cells. Intensity modulated radiation therapy, or IMRT, is a form of radiation that can be used to full effect on the majority of the cancer cells, but can be toned back to lessen the danger to cells in proximity to the bladder or rectum.

Brachytherapy is another form of radiation therapy, albeit one that involves actually inserting objects into the body. Radioactive pellets or seeds are injected into the prostate, and the radiation that they emit kills the cancer-infected cells. After a period of time, the radioactivity of these seeds fades, and the leftover pellets are completely harmless.

Another prostate cancer treatment is called hormone therapy, and involves restricting the amount of testosterone that the body produces or that is directed to help the prostate gland grow. The most extreme version of this procedure is called orchiectomy, and involves actually removing the testicles. Since they produce ninety-percent of the bodys testosterone, this method is very effective, but considering that the testicles must be removed, most men opt for another procedure.

As with other forms of cancer, chemotherapy is also an option. However, up until fairly recently, chemotherapy was considered only as an option for men who have stopped responding to other prostate cancer treatments. New studies are being conducted using chemotherapy drugs. These drugs have been approved by the Food and Drug Administration. This new form of chemotherapy is used specifically to fight prostate cancer.

Being diagnosed with prostate cancer is by no means a small matter, but with modern prostate cancer treatments, there are many different options, and ones chances for survival are extremely high.


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