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March, 2023

Prostate Cancer - Who Needs Treatment?

Prostate cancer refers to a form of cancer that develops within the male reproductive system's prostate gland. This cancer is the second most common cancer in men worldwide and is usually diagnosed in men who are over 60 years of age. However, the decision to undergo treatment for prostate cancer can be complex and depends on various factors, hence it is crucial to consult with the best doctors for prostate cancer treatment. In this article, we will explore who needs treatment for prostate cancer.

Prostate cancer is generally slow-growing, and many men may live with the disease for years without experiencing any symptoms or complications. However, in some cases, prostate cancer can grow and spread to other parts of the body, leading to more severe symptoms and life-threatening complications.

Symptoms of Prostate Cancer

In some cases, prostate cancer may not cause any symptoms, but some common signs and symptoms include:
  • Difficulty urinating: One of the most common symptoms of prostate cancer is difficulty urinating or a weak urine stream. This can be caused by the cancer pressing on the urethra, the tube that carries urine from the bladder out of the body.
  • Frequent urination: Men with prostate cancer may need to urinate more often, especially at night. This symptom can be caused by the cancer irritating the bladder or by the prostate gland becoming enlarged.
  • Blood in the urine or semen: Prostate cancer may cause blood to appear in the urine or semen. This symptom can be alarming, but it is not always a sign of cancer.
  • Pain or discomfort during ejaculation: Men with prostate cancer may experience pain or discomfort during ejaculation. This symptom can be caused by the cancer affecting the nerves or muscles that control ejaculation.
  • Pain in the back, hips, or pelvis: Prostate cancer can spread to other parts of the body, including the bones. This can cause pain or discomfort in the back, hips, or pelvis.

It is important to note that these symptoms can also be caused by other conditions, such as an enlarged prostate or a urinary tract infection. However, if you experience any of these symptoms, it is essential to see a doctor for evaluation and diagnosis. Early detection and treatment of prostate cancer can improve the chances of successful treatment and recovery.

Treatment for Prostate Cancer

The treatment for prostate cancer depends on various factors such as the stage and aggressiveness of the cancer, the patient's age and overall health, and personal preferences. Some of the treatment options available for prostate cancer include:

Active Surveillance: This approach involves monitoring the cancer closely with regular PSA blood tests, digital rectal exams, and sometimes imaging tests like MRI or biopsy. If the cancer starts to grow, the treatment plan may be changed accordingly.

Surgery: Surgery involves removing the entire prostate gland and sometimes nearby lymph nodes. The two main types of surgery are robotic-assisted laparoscopic prostatectomy and open prostatectomy. Laparoscopic surgery is less invasive than open surgery and has a faster recovery time.

Radiation Therapy: High-energy radiation is utilized in radiation therapy to destroy cancerous cells, and it involves two forms: external beam radiation therapy and brachytherapy. External beam radiation therapy involves delivering radiation from outside the body, while brachytherapy involves placing small radioactive seeds inside the prostate gland.

Hormone Therapy: Prostate cancer cells need male hormones (androgens) to grow. Hormone therapy involves blocking the production or action of androgens.

Chemotherapy: Chemotherapy uses drugs to kill cancer cells. Chemotherapy is usually used for advanced prostate cancer that has spread to other parts of the body.

Immunotherapy: Immunotherapy uses drugs that stimulate the immune system to fight cancer cells. 

Targeted Therapy: Targeted therapy involves using drugs that specifically target the cancer cells.

Focal Therapy: Focal therapy is a newer treatment option that targets only the cancerous area of the prostate gland. Focal therapy includes several options like cryotherapy, high-intensity focused ultrasound, and laser ablation.

The treatment plan for prostate cancer may involve a combination of these treatments, depending on the stage and severity of the cancer. The treatment plan will be determined by a team of specialists, including a urologist, radiation oncologist, and medical oncologist. It is important to discuss the potential benefits and side effects of each treatment option with your doctor before deciding on a treatment plan.

In conclusion, the decision to undergo treatment for prostate cancer depends on several factors, including the stage of the cancer, the age and overall health of the patient, the potential side effects of treatment, and the patient's personal preferences. You can visit Sakra World Hospital which provides prostate cancer treatment in Bangalore. It is essential to discuss the options with our specialists and make an informed decision based on individual circumstances.



Dr Gokulakrishnan P J

Senior Consultant - Urology & Andrology

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