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When you're diagnosed with prostate cancer, there are several different treatment options you and your urologist will have to consider. Check out this video to learn about the most common prostate cancer treatments.
Transcript: In deciding on a prostate cancer treatment your doctor will look at the STAGE of your cancer and evaluate...
In deciding on a prostate cancer treatment your doctor will look at the STAGE of your cancer and evaluate how aggressive the cancer may be. That is determined by examining tissue and then giving it what's called "The Gleason Score." your doctor will also look at your overall health, your age, and your personal preferences. Prostate cancer is generally slow-growing, so if you're diagnosed with a stage 1 or stage 2 prostate cancer, your doctor MAY want to take a "WAIT AND SEE" approach initially. Your doctor should closely monitor your cancer with blood tests, rectal exams, biopsies and maybe other scans to see if it's growing beyond the prostate. Depending on your age, you might not need treatment for several years, if at all. When treatment IS recommended, radiation therapy using seeds or external beam radiation is a very common choice. Sometimes a short-course of hormonal therapy can be used along with radiation. It blocks the production of testosterone, which is the HORMONE that fuels prostate cancer cells. Surgery is a potential option for men of good health. The prostate, pelvic lymph nodes, and/or seminal vesicles are generally removed through an abdominal incision or minimally invasive surgery using robotic techniques. If more therapy is needed, long-term hormonal therapy may be used. And there also have been great improvements in chemotherapy for advanced prostate cancer. You and your doctor should discuss the possible side effects and consequences of each treatment and how they might affect your life-for example, surgery can interfere with sexual function; although newer techniques are much less damaging than they used to be. Cryosurgery, high-intensity focused ultrasound, hyperthermia and photodynamic therapy are examples of newer treatments that are currently in clinical trials. Ask your urologist about their availability and if they will benefit you or your loved one.More »
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What are the most common symptoms of prostate cancer? Watch this video to learn what your symptoms may mean and if you need to see a doctor for a prostate exam.
Transcript: In its early stages, prostate cancer exhibits few, if ANY, symptoms. Sometimes, prostate cancer symptoms...
In its early stages, prostate cancer exhibits few, if ANY, symptoms. Sometimes, prostate cancer symptoms will develop once the cancer has SPREAD to other parts of the body, but even at that advanced stage, prostate cancer symptoms DIFFER in severity on a case-to-case basis. Locally advanced prostate cancer or an enlarged prostate that is not cancerous can affect a man's ability to urinate normally. He may experience: BURNING or painful urination, difficulty in initiating the stream, a frequent or URGENT need to urinate, particularly at night, trouble with emptying his bladder, a WEAK stream of urine, blood in his urine. A man with prostate cancer may also have HINDERED sexual function. Examples include: difficulty achieving ERECTION, pain when ejaculating, and he may see blood in his semen. If prostate cancer has spread to the BONES, a man may feel frequent pain and stiffness in his hips, lower back and upper thighs. But it's important to remember that the vast majority of prostate cancer cases do not metastasize or spread to other parts of the body. These symptoms also commonly occur in other conditions and infections, so DON'T jump to conclusions if these symptoms seem familiar. If you're younger than 50, prostate cancer is LESS likely to be the cause of your urological and sexual problems, but that doesn't mean you can ignore them-I encourage you to see your doctor for diagnosis and treatment.More »
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Men of a certain age should get a prostate exam, but which kind is safe and effective? Check out this video to get details on DREs and PSA tests.
Transcript: Prostate cancer screening is often useful, but experts DISagree on whether testing is reliable and safe...
Prostate cancer screening is often useful, but experts DISagree on whether testing is reliable and safe enough to be a benefit for most men. There are 2 ways to check for prostate cancer-a digital rectal exam, or DRE, and the controversial prostate-specific antigen test, or PSA test. The DRE should be done annually. It involves a doctor or nurse inserting their gloved finger into the rectum to check the prostate for abnormalities. There is no debate that this is a valuable exam. The PSA test checks blood levels of an antigen that can be elevated in prostate cancer. The PSA test detects cancer better than the DRE, but research HAS NOT definitively shown that knowing your PSA level decreases the risk of death from prostate cancer. And only about 25 percent of men who have a prostate biopsy due to an elevated PSA level actually have prostate cancer. Furthermore, the biopsy itself can have some negative health consequences. And among the men who DO turn out to have cancer, many are at an age when the slow growing cancer will not be what kills them. Nonetheless, many receive treatments such as radiation or even radical surgery that may do more harm than the slow-growing cancer. That's why the U.S. Preventive Task Force and the Centers for Disease Control and Prevention recommend AGAINST PSA screenings for men without symptoms, saying the potential harm outweighs the benefits. In contrast, the Prostate Cancer Foundation, the American Society of Clinical Oncology and the American Urological Association DO think that PSA tests are valuable for healthy men. The bottom line? According to the American Cancer Society, men should DISCUSS prostate cancer testing with their healthcare provider if they're 50 years old with average risk, or 40 to 45 years old with HIGHER risk. That includes a family history of prostate cancer or being African American. Need to know more about prostate cancer? Watch more videos in this series!More »
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