Posts Tagged ‘Prostate Gland’

What are the major side effects after the treatment for prostate cancer ?

March 29th, 2010

Following treatment for prostate cancer, some men may experience :
From the day you were diagnosed with cancer, you’ve probably looked forward to getting back to your “normal” life. However, the disease may have dominated your life for so long that it might take some time to get back into your regular routine after your treatment is done. It’s important to give yourself and your loved ones time to adjust.

Incontinence

The inability to control urination affects about 10 percent of men who have been treated for prostate cancer.
- Stress incontinence
- Overflow incontinence
- Urge incontinence
Normal bladder function often returns within weeks after surgery or after radiation treatments have stopped.

Impotence

Impotence, also known as erectile dysfunction, is the inability to have an erection. Impotence can result from surgery, radiation therapy, or hormone therapies. In the months following surgery, some potency may return.
- Drugs such as sildenafil (Viagra) can help a man achieve an erection.
- Vacuum devices also assist in achieving an erection.
- Penile implants can be inserted surgically to help create an erection.

Physical Discomfort

Physical discomfort after treatment for prostate cancer may include:
- Fatigue caused by radiation therapy, chemotherapy, or hormone therapies.
- Nausea and vomiting caused by radiation therapy or chemotherapy.
- Hair loss from chemotherapy.

What are different treatment options for prostate cancer ?

March 28th, 2010

The treatment options for prostate cancer depend in part on your age, your overall health and whether the tumor has spread. Usually, tumors that have grown beyond the edge of the prostate can’t be cured with either radiation or surgery. They can be treated with hormones that slow the cancer’s growth.
Even physicians suggest that every man should have PSA test for prostate screening. If the DRE or PSA shows the abnormality, biopsy is done to the patient. In case of severity of the diseases, tests like CT scans or MRIs are done.

Watchful waiting

Watchful waiting is closely monitoring a patient’s condition without giving any treatment until symptoms appear or change. This is usually used in older men with other medical problems and early- stage disease.

Prostatectomy

It is the most common treatment option for localised prostate cancer. It involves surgical removal of prostate gland and some other near by tissues and reattaching the urethra and bladder. It will prevent further spread of the cancer. If the prostate cancer is in the early stages, prostatectomy can treat the cancer completely. This procedure also produce side effects like impotency, Urinary incontinence, narrowing of the urethra and difficulty in urination.

Radiation therapy

It is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells or keep them from growing. There are two types of radiation therapy. External radiation therapy uses a machine outside the body to send radiation toward the cancer. Internal radiation therapy uses a radioactive substance sealed in needles, seeds, wires, or catheters that are placed directly into or near the cancer. Impotence and urinary problems may occur in men treated with radiation therapy.

Hormone Therapy

It is a cancer treatment that removes hormones or blocks their action and stops cancer cells from growing. The purpose of hormone therapy is to lower the level of male hormones, called androgens, which are produced mostly in the testicles. Androgens, such as testosterone, help the prostate tumor grow. Shots or pills can be given over a period of several months, or the testicles can be surgically removed. Some of the more serious side effects include loss of sex drive, weakened bones, erectile dysfunction, fatigue and osteoporosis.

Chemotherapy

It is a combination of drugs which is effective to kill or slow the growth of rapidly multiplying cells. Chemotherapy is usually prescribed to men with advanced prostate cancer. Side effects include hair loss, nausea, vomiting, diarrhea, lowered blood counts, reduced ability of the blood to clot, and an increased risk of infection.

Cryotherapy

an ultrasound probe is inserted into the rectum to produce a picture that the physician will watch on a monitor. The physician will insert probes into the prostate through small incisions between the rectum and scrotum. These probes deliver liquid nitrogen to the prostate, which freezes the tissue and kills cancer cells.

TURP

A procedure called transurethral resection of the prostate (TURP) removes just a portion of the prostate, with an instrument that is inserted through the urethra. The cancer is removed from the prostate by electricity that passes through the end of this special instrument.

Biologic therapy

Biologic therapy is a treatment that uses the patient’s immune system to fight cancer.

Prostate-Specific Antigen (PSA) Test

March 27th, 2010

Prostate-specific antigen (PSA) is a protein produced by cells of the prostate gland. The PSA test measures the level of PSA in the blood. The doctor takes a blood sample, and the amount of PSA is measured in a laboratory.
Doctors often use the PSA test as prostate cancer screening tests; together, these tests can help doctors detect prostate cancer in men who have no symptoms of the disease.

Doctors’ recommendations for screening vary. Some encourage yearly screening for men over age 50, and some advise men who are at a higher risk for prostate cancer to begin screening at age 40 or 45. Others caution against routine screening. Although specific recommendations regarding PSA screening vary, there is general agreement that men should be informed about the potential risks and benefits of PSA screening before being tested.

Thus, there is no specific normal or abnormal PSA level. In addition, various factors, such as inflammation (e.g., prostatitis), can cause a man’s PSA level to fluctuate. It is also common for PSA values to vary somewhat from laboratory to laboratory. Consequently, one abnormal PSA test result does not necessarily indicate the need for a prostate biopsy.
A man should discuss an elevated PSA test result with his doctor. There can be different reasons for an elevated PSA level, including prostate cancer, benign prostate enlargement, inflammation, infection, age, and race. If no symptoms to suggest cancer are present, the doctor may recommend repeating DRE and PSA tests regularly to watch for any changes. If a man’s PSA level has been increasing or if a suspicious lump is detected during a DRE, the doctor may recommend other tests like urine test, imaging tests, CT Scan, MRI, ultrasound to determine if there is cancer or another problem in the prostate. If cancer is suspected, a biopsy is needed to determine whether cancer is present in the prostate.

Limitations of the PSA test

- Detecting tumors does not always mean saving lives : When used in screening, the PSA test can detect small tumors.
- False-positive tests : False-positive test results (also called false positives) occur when the PSA level is elevated but no cancer is actually present.
- False-negative tests : False-negative test results occur when the PSA level is in the normal range even though prostate cancer is actually present.

Need To Know

An elevated PSA does not automatically mean a man has prostate cancer. Conditions other than cancer, including an infection or a benign enlargement of the prostate, can result in higher-than-normal PSA levels.The PSA test is not foolproof.

Nice To Know

Recent studies have shown that a variation of the PSA test, called the percent-free PSA test, may be better at detecting prostate cancer.

The percent-free PSA looks at how much PSA circulates alone (free) in the blood and how much is clinging to other proteins. A low percentage of free PSA, even if the total PSA is not especially high, may mean that prostate cancer is more likely.
The percent-free PSA test is not available at all testing facilities.

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