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KNOW YOUR TREATMENT OPTIONS

Too many men diagnosed with prostate cancer think that their only option is surgery to “cut it out” or radiation to “burn it out.” And many are so frightened by the word “cancer” that they believe that they must stampede into immediate action. Today’s medical advances have led to a wide range of treatments -- including no treatment at all – that enable prostate cancer patients and their physicians to take the time to carefully analyze all the factors and then select the optimum treatment from among today’s options. Options that individually or in combination have proven to provide better outcomes for men with prostate cancer than ever before include:

  Active Surveillance:
Active observation and regular monitoring of a patient until, and if, actual treatment proves to be needed; also called watchful waiting.

  Life Style Changes/Complementary Medicine:
Vitamins, minerals, herbs, meditation, yoga, diets, exercise, etc., are becoming popular supplemental active surveillance approaches for prostate cancer patients.

  Radical Prostatectomy:
Radical prostatectomy is a surgical procedure, which involves the removal of the entire prostate gland. There are two types of radical prostatectomy; ‘retropubic’ and ‘perineal’. Once widely considered to be the “only” treatment despite serious side effects, radical prostatectomy techniques have been greatly improved both through skills and the use of robotics.

  Laparoscopic Radical Prostatectomy:
This is the surgical removal of the prostate gland and associated tissues. It may be done as a traditional open surgical procedure or through tiny incisions (laparoscopic). Nerve-sparing surgery techniques have been developed that can reduce side effects for some patients.

  3-D Conformal External Beam Radiation and IMRT (Intensity-Modulated Radiation Therapy:
The classical technique of external-beam radiation therapy has been replaced in many cases by these two types of 3-dimensional radiation therapy that use computer-generated images to pinpoint the size and shape of the tumor. Thin beams of radiation of different intensities are aimed at the tumor from many angles. This type of radiation therapy reduces the damage to healthy tissue adjacent to the tumor.

  Brachytherapy (seed implantation):
A procedure in which radioactive material sealed in needles, seeds, wires, or catheters is placed directly into or near a tumor. Also called internal radiation, implant radiation, or interstitial radiation therapy. High Dose Rate (HDR) brachytherapy is a temporary implantation technique that positions a radioactive iridium wire into the tumor for a few seconds and then removes it.

  Cryotherapy (cold therapy):
This minimally invasive procedure uses extremely cold temperatures for controlled freezing of the prostate gland to destroy the cancerous cells. In some cases, a nerve-sparing technique may be used.

  Focal Cryotherapy:
A more localized treatment uses extremely cold temperatures directed at the cancerous foci within the gland and limits side effects by avoiding the edges of the gland.

  Neutron/Proton Beam Radiation:
This type of radiation therapy uses a much stronger beam than conventional radiation therapy; together, the two forms of radiation are used in patients with bulky tumors or more aggressive forms of prostate cancer.

  Gene Therapy:
This treatment involves the injection of a harmless virus particle, which has been modified by adding prostate-specific antigen (PSA) enhancer-promoter elements directly into the prostate gland. It reproduces in cells that produce PSA, eventually killing the cancer cells.

  Radio-frequency (RF):
RF therapy uses low-level radio frequency (RF) energy to destroy excess prostatic tissue, without damaging the urethra or surrounding healthy tissue.

  High intensity frequency ultrasound (HIFU):
HIFU is a noninvasive treatment that uses precision-focused ultrasound waves to heat and destroy (ablate) targeted prostatic tissue without affecting healthy surrounding tissue: RF and HIFU systems are new methods that are used overseas and are currently under investigation for treating prostate cancer in the U.S.

  Hormonal Blockade Therapy:
Prostate cancer cells need certain hormones (called androgens) to grow. Also called Androgen Deprivation Therapy (ADT), hormone blockade therapy for prostate cancer decreases the level of testosterone and other androgens in a man’s body. This drop in hormone level slows or stops the growth of prostate cancer cells, even if the cells have spread to other parts of the body.

  Chemotherapy:
Various chemotherapeutic agents are used to kill the tumor cells or impair their ability to multiply. For men with prostate cancer, chemotherapy is mainly used when cancer has spread beyond the prostate gland, and when hormone blockade therapy has stopped controlling the cancer.

 

 

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