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 Prostate Cancer Treatment

The prostate is a gland of the male reproductive tract which can be subject to many diseases mainly BPH (or benign prostatic hyperplasia), prostatitis, or prostate cancer. The most serious disease is prostate cancer. Although life-threatening, different treatments are now used to treat prostate malignancy. If your cancer is diagnosed early, treatment is not systematic, and sometimes it is possible to simply monitor the tumor without immediate treatment. For frail or elderly patients with a non advanced prostate cancer, active surveillance (Watchful Waiting) can be the only option recommended by the physician.  Prostatitis may be treated with antibiotics; benign prostatic hyperplasia (BPH)  is often remained on surveillance or treated with medications. Surgery is rarely used to treat BPH   

Most the times, common diseases of the prostate gland are treated with active surveillance, High Intensity Focused Ultrasound (HIFU), external beam radiation, internal radiation therapy (also known as brachytherapy), cryotherapy, hormone therapy, and surgical therapy (radical prostatectomy and transurethral resection of prostate). 

 

Watchful Waiting(WAW) : also called active surveillance, watchful waiting  without medical or surgical treatment is often the best option for elderly patients with prostate cancer at low risk, not aggressive and do not cause symptoms. In general, active surveillance is recommended to monitor the patient regularly (every 3 months) to monitor the progression of the disease and determine a possible treatment if necessary.  

High Intensity Focused Ultrasound (FUS or HIFU )  – this highly precise  procedure consists of destroying the tissue of the prostate by therapeutically burning the diseased cells with focused ultrasound. This is an image-guided intervention during which a probe is inserted into the rectum of the patient under spinal or general anesthesia. HIFU allows to both visualizing the prostate and generating high intensity focused ultrasound inside it. High-intensity focused ultrasound  treatment session lasts approximately 2 hours, and can be performed in an outpatient or during a short hospital stay.