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Treatment for Prostate Cancer in the UK

With around 37,000 men in the UK diagnosed with prostate cancer each year, it is the most commonly occurring male cancer. For some, the cancer may be slow-growing and particularly for the elderly, not life-threatening. Nonetheless for others, it may only be picked up at a stage when curative treatment is not possible. Around 10,000 men die from the disease each year.

For those diagnosed with early stage prostate cancer, there are more treatment options than any other type of cancer. Indeed, many find the range of choice bewildering and difficult. Unlike, for example, breast cancer, where treatment is to a large extent mapped out according to clinical need, with prostate cancer, there is a much greater degree of personal choice.

About one third of patients opt for surgical treatment for prostate cancer, called a prostatectomy. This involves removing the prostate and may be carried out as open, laparoscopic (keyhole) or robot-assisted surgery. Men who choose this option normally do so because they want the cancerous prostate to be removed and surgery provides a high degree of assurance. Levels of PSA (prostate specific antigen) are measured after surgery and if at three months, PSA levels are 0.01ng, the operation is considered to have been curative. If there are any signs of residual cancer cells, having surgery leaves open the option of then having radiotherapy, although the same is not true vice versa.

Traditionally, the main disadvantage to a prostatectomy is the widely occurring complications of erectile dysfunction and incontinence. Nerve bundles which control erections and continence lie very close to the prostate and the standard prostatectomy involves using wide margins and causes irreparable damage to these nerves. Ten to twenty years ago, almost all men undergoing a prostatectomy would have been left with long term impotence.

Specialist prostate surgeons have developed a procedure called the nerve-sparing prostatectomy. It requires a high level of skill to ensure all cancer cells are safely cleared while also carefully dissecting the nerve bundles and minimising damage. If this is an option which you are interested in, you should ask your surgeon how many procedures he or she has carried out and request the results of these procedures, so you can understand exactly what to expect.

Another large group of patients opt for different forms of radiotherapy. There are three different approaches – external beam radiation delivered by a machine called a linear accelerator (LINAC), conformal radiotherapy, sometimes referred to as Intensity Modulated Radiotherapy IMRT and brachytherapy, when radioactive seeds are inserted directly into the prostate.

Radiotherapy is generally used for localised prostate cancer, the term used when the cancer cells are confined to the prostate. It may also be used for what is called locally advanced prostate cancer, when cancer cells have started to breach the boundary of the prostate but have not yet spread into the lymph nodes. Radiotherapy is also used in palliative care for men whose prostate cancer has spread to the bones (metastatic cancer). Sadly for this group, curative treatment is no longer possible but radiotherapy can help improve survival time and pain control. There are side-effects with radiotherapy, ranging from short term symptoms during treatment of irritation and longer term problems such as incontinence and erectile dysfunction. The new technology has much reduced the overall risk of long term complications however.

There are two other types of treatments which are both offered in established NHS services but are not yet as established as the other approaches in terms of their overall effectiveness and long term results. HIFU uses a beam of high intensity sound waves (a form of ultrasound) to destroy the cancer cells in the prostate. Cryotherapy applies the same principle of destroying cancer cells with the opposite extreme, using cold and freezing cancer cells, rather than heating them up. The advantages to both types of treatment for prostate cancer are fairly minimal side-effects but there is still debate over their overall effectiveness and there is a lack of large scale long term results.

Finally, many men opt for what is referred to as ‘watchful waiting’ or ‘active monitoring’. This may be appropriate if the cancer is confined within the prostate and judged to be slow-growing. Your urologist will carry out tests called staging and grading in order to make this judgement. If you choose this option, you will need to have your PSA test repeated at regular interviews to keep a close eye on how the cancer is behaving over time. This may be combined with a new test called the PCA3 and MRI prostate mapping. There may be the need to have a prostate biopsy. For many men, active surveillance can be a very good option, particularly if they are elderly and it is likely that a slow-growing prostate cancer will not develop during their lifetime sufficiently to spread and cause any significant problems for overall well being. 

About the Author

Vincent Rogers is a freelance writer who writes for many UK businesses. He recommends Birmingham Prostate Clinic for a Nerve Sparing Prostatectomy and other prostate cancer treatments.

Prostate Cancer Removal & Sexual Function (Dramatic Health)

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Handbook of Prostate Cancer Cell Research: Growth, Signalling and Survival $199.52 Used – Prostate cancer is a disease in which cancer develops in the prostate, a gland in the male reproductive system. It occurs when cells of the prostate mutate and begin to multiply out of control. These cells may spread (metastasize) from the prostate to other parts of the body, especially the bones and lymph nodes. Prostate cancer may cause pain, difficulty in urinating, problems during sexual intercourse, erectile dysfunction and other symptoms. However those symptoms are present only in a

Handbook of Prostate Cancer Cell Research: Growth, Signalling and Survival $323.05 New – Prostate cancer is a disease in which cancer develops in the prostate, a gland in the male reproductive system. It occurs when cells of the prostate mutate and begin to multiply out of control. These cells may spread (metastasize) from the prostate to other parts of the body, especially the bones and lymph nodes. Prostate cancer may cause pain, difficulty in urinating, problems during sexual intercourse, erectile dysfunction and other symptoms. However those symptoms are present only in an

Handbook of Prostate Cancer Cell Research: Growth, Signalling and Survival $199.52 New – Prostate cancer is a disease in which cancer develops in the prostate, a gland in the male reproductive system. It occurs when cells of the prostate mutate and begin to multiply out of control. These cells may spread (metastasize) from the prostate to other parts of the body, especially the bones and lymph nodes. Prostate cancer may cause pain, difficulty in urinating, problems during sexual intercourse, erectile dysfunction and other symptoms. However those symptoms are present only in an

Intimacy with Impotence: The Couple’s Guide to Better Sex After Prostate Disease $5.44 Used – “[This book is] outstanding, well-written, and should be read by all men and women.”-James Lewis, Jr., Ph.D., Executive Director, Education Center for Prostate Cancer Patients. Erectile dysfunction is a frequent consequence of prostate cancer and other prostate disease treatments. Though unwelcome and embarrassing, it doesn’t have to end a couple’s sex life. Both informative and practical, Intimacy with Impotence gives couples cause for hope. It discusses impotence in lay terms, provides

Intimacy with Impotence: The Couple’s Guide to Better Sex After Prostate Disease $7.93 Used – “[This book is] outstanding, well-written, and should be read by all men and women.”-James Lewis, Jr., Ph.D., Executive Director, Education Center for Prostate Cancer Patients. Erectile dysfunction is a frequent consequence of prostate cancer and other prostate disease treatments. Though unwelcome and embarrassing, it doesn’t have to end a couple’s sex life. Both informative and practical, Intimacy with Impotence gives couples cause for hope. It discusses impotence in lay terms, provides

Men’s Health $0 17+~~Michael Quach~~Michael Quach~~http://itunes.apple.com/app/mens-health/id331906063?uo=5~~2009 Michael Quach~~1.1~~3897502~~1304013~~~~https://sites.google.com/site/michaelquachapps/

Men’s Health, an Issue of Primary Care: Clinics in Office Practice $7.86 Used – At a time when gender is so thoroughly examined in medicine, this issue is a must-have for all primary care and family physicians. Authors analyze how a variety of biological and social influences impact men’s health. Various diseases and disorders – cardiac, endocrine, cancer, prostate health, erectile dysfunction, etc. – are examined in order to identify ways to address health disparities and improve health outcomes. The interaction of being male with other significant, well-recognized

Men’s Health, an Issue of Primary Care: Clinics in Office Practice $123.25 New – At a time when gender is so thoroughly examined in medicine, this issue is a must-have for all primary care and family physicians. Authors analyze how a variety of biological and social influences impact men’s health. Various diseases and disorders – cardiac, endocrine, cancer, prostate health, erectile dysfunction, etc. – are examined in order to identify ways to address health disparities and improve health outcomes. The interaction of being male with other significant, well-recognized h

Men’s Health, an Issue of Primary Care: Clinics in Office Practice $5.52 Used – At a time when gender is so thoroughly examined in medicine, this issue is a must-have for all primary care and family physicians. Authors analyze how a variety of biological and social influences impact men’s health. Various diseases and disorders – cardiac, endocrine, cancer, prostate health, erectile dysfunction, etc. – are examined in order to identify ways to address health disparities and improve health outcomes. The interaction of being male with other significant, well-recognized

Men’s Health, an Issue of Primary Care: Clinics in Office Practice $187.95 New – At a time when gender is so thoroughly examined in medicine, this issue is a must-have for all primary care and family physicians. Authors analyze how a variety of biological and social influences impact men’s health. Various diseases and disorders – cardiac, endocrine, cancer, prostate health, erectile dysfunction, etc. – are examined in order to identify ways to address health disparities and improve health outcomes. The interaction of being male with other significant, well-recognized h

New Diagnostic Tests $42 New – Twelve articles discuss studies that are useful in assessing common urological disorders. Topics include the Whitaker Test perfusion-pressure studies; synchronous multichannel videourodynamic studies; tumor markers and testicular cancer; testicular torsion; transrectal ultrasonography and biopsy of the prostate; metabolic stone evaluation; erectile dysfunction; trauma of upper and lower urinary tracts; undescended testes; and the infertile male. The series is new. Annotation c. by Book New

New Diagnostic Tests $31.09 New – Twelve articles discuss studies that are useful in assessing common urological disorders. Topics include the Whitaker Test perfusion-pressure studies; synchronous multichannel videourodynamic studies; tumor markers and testicular cancer; testicular torsion; transrectal ultrasonography and biopsy of the prostate; metabolic stone evaluation; erectile dysfunction; trauma of upper and lower urinary tracts; undescended testes; and the infertile male. The series is new. Annotation c. by Book New

P: Managing the Urinary Issues of Prostate Cancer Surgery $12.4 New – Having to undergo a radical prostatectomy – the removal of the prostate gland to treat prostate cancer – is daunting just to think about. Even with the most qualified surgeon and the greatest medical care, there can be a great deal of information missing in one particular area of treatment: the “Drip Free” portion of the prostatectomy mantra above. The surgery addresses the cancer; we’ve all seen the countless ads for Erectile Dysfunction drugs on any given night watching television; yet t

P: Managing the Urinary Issues of Prostate Cancer Surgery $12.4 Used – Having to undergo a radical prostatectomy – the removal of the prostate gland to treat prostate cancer – is daunting just to think about. Even with the most qualified surgeon and the greatest medical care, there can be a great deal of information missing in one particular area of treatment: the “Drip Free” portion of the prostatectomy mantra above. The surgery addresses the cancer; we’ve all seen the countless ads for Erectile Dysfunction drugs on any given night watching television; yet

P: Managing the Urinary Issues of Prostate Cancer Surgery $12.13 Used – Having to undergo a radical prostatectomy – the removal of the prostate gland to treat prostate cancer – is daunting just to think about. Even with the most qualified surgeon and the greatest medical care, there can be a great deal of information missing in one particular area of treatment: the “Drip Free” portion of the prostatectomy mantra above. The surgery addresses the cancer; we’ve all seen the countless ads for Erectile Dysfunction drugs on any given night watching television; yet

P: Managing the Urinary Issues of Prostate Cancer Surgery $12.13 New – Having to undergo a radical prostatectomy – the removal of the prostate gland to treat prostate cancer – is daunting just to think about. Even with the most qualified surgeon and the greatest medical care, there can be a great deal of information missing in one particular area of treatment: the “Drip Free” portion of the prostatectomy mantra above. The surgery addresses the cancer; we’ve all seen the countless ads for Erectile Dysfunction drugs on any given night watching television; yet t