Enlarged Prostate and Prostate
Cancer Treatment Options
Enlarged prostate, although common, is less severe than malignant tumor of
the prostate. When a man is diagnosed with prostate cancer, his first reaction is to get informed and undergo an
effective treatment as quickly as possible to increase the chance of healing or survival. The victim may read
countless books, articles and do lot of researches on prostate cancer so he can be better prepared for the tough
times that lay ahead. For peace of mind, he may also request a second opinion from an oncologist (a doctor
specializing in cancer treatment) about the prostate cancer treatment options and the care he will receive.
treatment of prostate cancer is selected according to age as well as overall health of the patient, the size of
the tumor, its aggressiveness as well as its extent. Treatment may include one therapy or a combination of
therapies. The specialist may give you the choice between radiation and prostate removal. In some cases,
chemotherapy, hormone therapy and other target therapies are also included. Unfortunately, the best option is a
complete ablation of the prostate (radical prostatectomy).
on a choice of treatment for cancer is difficult the fact there is not a unique treatment for any cancer. There
is no absolute good or bad choice; a good choice must be based on your circumstance. The key is to know your
medical condition and do your own research before choosing. But it is important to choose wisely. The decision
has a consequence for the rest of life, either good or bad. Decide after careful consideration in order not to
regret. You should know that even if surgery can provide a lasting solution, it is often associated with
lifetime adverse effects.
can be treated and cured easily depending on its severity. Similarly, prostate cancers detected and treated in
early stages are often cured, although often at the cost of some degree of incontinence or impotence. However,
in some cases, the cancer may recur or spread to other organs, reducing considerably the healing chance.
Therefore, throughout the treatment and afterward, frequent medical exams and PSA blood tests are regularly
performed to determine a possible recurrence of the cancer.
In general, if
you are diagnosed with prostate cancer, here are the treatment options that will be offered:
(Prostatectomy) - removal of
the prostate allows to eradicate the tumor in a single surgical intervention. Often followed by prostate radiation therapy,
this treatment gives the highest survival rate, up to 97%. In general, men who chose surgery live longer; the
survival rate at 15 years is about 80%.
(Brachytherapy) – during this
procedure, cancer cells are destroyed by external beam radiotherapy or brachytherapy (surgical implantation of
radioactive sources). Internal radiation therapy is a good choice for older men or men who are not good
candidates for surgery. This option provides a survival rate at 15 years about 65%.
Hormone Therapy - this surgical procedure helps prevent production of
certain hormones that promote tumor growth – testosterone for instance. This therapy can help shrink the tumor
by targeting the testosterone that is known to promote growth of the tumor in the prostate
Cryotherapy – this procedure aims at freezing the tumor using liquid
nitrogen to destroy cancer cells. This treatment is used instead of surgery. It is sometimes better for men who
are not able to undergo surgical intervention - older men who suffer from other medical complications for
Chemotherapy – this is a strong prostate cancer treatment consisting
of using drugs that can target and destroy cells that reproduce quickly, such as cancer cells. The chemotherapy
agents circulate in the bloodstream and reach cancer cells lodged in distant organs of the primary tumor, and
which have not been removed by surgery or targeted radiotherapy.
When Treatment Is Not Necessary?
At early stage,
some prostate cancers have a slow evolution and do not require immediate treatment. It is then possible to
monitor the progress of the disease and your level of physical comfort through regular testing. For older men
who have other health problems, this kind of watchful waiting may be less disruptive than the cancer treatment which is always associated with side effects including clinical
depression. With "watchful waiting", the survival rate at 15 years is 50 to