Overview
After a prostate cancer diagnosis, several treatment options are available based on factors including:
- Cancer stage and grade
- PSA levels
- Your age and overall health
- Personal preferences
Active Surveillance
- Recommended for low-risk, slow-growing cancers
- Regular monitoring through:
- PSA tests every 3-6 months
- Digital rectal exams (DRE)
- Periodic biopsies
- MRI scans as needed
Surgery
Radical Prostatectomy
- Complete removal of prostate gland
- Options include:
- Open surgery
- Laparoscopic surgery
- Robotic-assisted surgery
Radiation Therapy
External Beam Radiation (EBRT)
- Precisely targeted radiation
- Usually given over 5-9 weeks
- Modern techniques include IMRT and IGRT
Brachytherapy
- Radioactive seeds implanted in prostate
- Low-dose or high-dose options
Hormone Therapy
- Reduces testosterone levels
- Often combined with other treatments
- Methods include:
- LHRH agonists/antagonists
- Anti-androgens
- Orchiectomy
Other Treatment Options
- Cryotherapy
- High-Intensity Focused Ultrasound (HIFU)
- Chemotherapy for advanced cases
Side Effects Management
- Sexual function changes
- Urinary symptoms
- Bowel changes
- Fatigue management
Follow-up Care
- Regular PSA monitoring
- Lifestyle modifications
- Support groups and resources