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Treatment for prostate cancer
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Treatment of Prostate Cancer

The treatment option selected is based on the age of the individual, size of the tumor and extent of the prostate cancer.

The various methods of treatment include:

  • Surgery (radical prostatectomy),
  • Radiotherapy,
  • Watchful waiting and
  • Chemotherapy.

The salient features of these treatment options are given below. The affected individuals are required to be monitored for the progress of the condition at regular intervals for the rest of their life.


Surgery (Radical Prostatectomy)

  • It is advised in elderly patients who are below 70 years of age with the tumor restricted to the prostate gland.
  • It involves complete removal of the prostate gland.
  • It requires a hospital stay of 2–3 days and full activity can be resumed after a month of the surgery.
  • It offers a long-term cure rate.
  • Side-effects are rare and can include incontinence and impotence.

Radiotherapy
  • It is advised in patients above 70 years of age with the tumor restricted to the prostate gland.
  • If the tumor is exposed to radiation at controlled doses daily for 4–6 weeks or pellets that emit radiation at a controlled rate at surgically implanted near the prostate gland.
  • It does not require hospital stay; no risks related to surgery and anesthesia; no risk of incontinence.
  • Cure rate similar to that of surgery
  • Disadvantages include higher risk of recurrence; risk of impotence

Watchful Waiting
  • This is advised in elderly patients with concomitant significant medical conditions that negates the possibility of surgery or radiotherapy; and if the tumor size is small.
  • It involves administration of medications to control the production of testosterone.
  • The side–effects, risks of surgery and radiotherapy are eliminated.
  • The major disadvantage is curative treatment cannot be carried out if the cancer progresses.

Chemotherapy
  • This has been studied extensively
  • This is advised in cases that do not respond to watchful waiting protocol.
  • It involves of administration of drugs such as estramustine that restrict the abnormal growth of cells
  • This is associated with various side-effects such as hair loss, nausea, mouth sores and stomach upsets.1,2 

Next page: Causes of prostate cancer

Written by: Healthplus24 team
Date last updated: April 20, 2012

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References     
  1. Naitoh J, Zeiner RL, Dekernion JB. Diagnosis and treatment of prostate cancer. Am Fam Physician. 1998; 57(7).
  2. Horwich A. Prostate cancer management. Ann Oncol. 2004; 15(Suppl 4): iv307–iv312.
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