Prostate Cancer Treatment: The Cyberknife Advantage
According to Accuray the maker of CyberKnife, theres a reason this technology works so well for prostate cancer.
- There have been 20,000-plus patients treated over more than 15 years.
- Its been studied a lot. There are close to 100 peer-reviewed articles about CyberKnife treatment for prostate cancer.
- Its pinpoint accuracy destroys the tumor without destroying healthy surrounding tissue. That means there is less risk of side effects including impotence and incontinence.
- CyberKnife moves with the patient to make sure the prostate is the only thing targeted.
- There are excellent five- and 12-year disease free survival rates in low-risk patients.
- This is an outpatient non-invasive procedure. It does not require anesthesia.
- Treatment is completed in five sessions instead of 30-45 with traditional radiation.
- Its quicker and safer and causes less disruption to a patients life.
Charles, a CyberKnife patient said he was scared to death when he was diagnosed with prostate cancer, according to Accuray.
I had never had radiation, so I didnt know what to expect, Charles said. The treatment was amazing. Its like an X-ray, you feel nothing.
Charles reported no side effects after his CyberKnife treatment. I had no impotency, no urination problems, no burns, no problems whatsoever, he said.
Surgically Removing The Prostate Gland
A radical prostatectomy is the surgical removal of your prostate gland. This treatment is an option for curing prostate cancer that has not spread beyond the prostate or has not spread very far.
Like any operation, this surgery carries some risks, such as urinary incontinence and erectile dysfunction.
In extremely rare cases, problems arising after surgery can be fatal.
Its possible that prostate cancer can come back again after treatment. Your doctor should be able to explain the risk of your cancer coming back after treatment, based on things like your PSA level and the stage of your cancer.
Studies have shown that radiotherapy after prostate removal surgery may increase the chances of a cure, although research is still being carried out into when it should be used after surgery.
You may want to ask your doctors about storing a sperm sample before the operation so it can be used later for in vitro fertilisation .
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Discussing Prostate Cancer Cure Rates With Your Doctor
Different medical professionals have different definitions for when your prostate cancer is cured. If you seek multiple opinions, it is very likely that you will hear a variety of different levels or terms for discussing a cure or cancer remission. It is important to understand how your medical team defines this specific language so that you have a complete knowledge of your condition.
Additionally, doctors dont all agree on the specific PSA level needed to show cure. While we believe you need a zero PSA to show that a condition is cured, many doctors refuse to accept this and say that the PSA level can go to any level after treatment and that you are still cured. This is why it is incredibly important when talking to doctors that you avoid using the terms cure or cure rate. Instead, it is important to ask about your chance of reaching a PSA level of 0 at 15 years following your treatment.
If you or a loved one has a prostate cancer diagnosis, learn more about the treatment options and their success rates in our free guide.
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Finding A Spaceoar Hydrogel Doctor Near You Is Simple
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Radiation Still Viable Option
After taking into account other factors that raise the risk of dying the results showed that the difference in survival rates among men given seed implants and surgery could have been due to chance. But external beam radiotherapy proved inferior to either of them, Ciezki says.
Eric Klein, MD, head of urologic oncology at The Cleveland Clinic,says that all things being equal, surgery or seed implants are the treatments of choice for most men.That said, radiation therapy should not be abandoned, doctors say.
Some men may not be fit enough for surgery or even the minor surgery associated with seed implant therapy, says Deborah Kuban, MD, a radiation oncologist at the University of Texas M.D. Anderson Cancer Center in Houston.
âFor them, radiation is still the best option,â she tells WebMD.
Radiation is also the treatment of choice if the disease has started to spread to the edges of the prostate or the lymph nodes, she adds. âTo be able to offer a cancer patient a treatment that has a 94% cure rate is wonderful,â she tells WebMD.
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Side Effects Of Prostate Cancer Radiotherapy
Radiotherapy to the prostate can cause some side effects, such as loose or watery poo and passing urine more often.
Side effects tend to start a week or 2 after the radiotherapy begins. They gradually get worse during the treatment and for a couple of weeks after the treatment ends. But they usually begin to improve after around 2 weeks or so after treatment finishes
Everyone is different and the side effects vary from person to person. You may not have all of the effects mentioned.
What Is The Difference Between Salvage Cryoablation Of The Prostate And Other Treatment Options For Prostate Cancer
Salvage prostate cryoablation, when used on the whole gland, destroys all of the prostate tissue. Other treatments do the following:
- Radiation therapykills the individual cells. The more aggressive the cancer, the harder the cells are to kill with radiation.
- Radical prostatectomy, or surgery to remove the entire prostate and some of the surrounding tissue, is sometimes done after failed radiation therapy. It has a risk of significant complications, such as incontinence and erectile dysfunction.
- Hormonal therapy, to reduce the level of male hormones, is another option and may be recommended to reduce tumor size and slow the cancer growth. It will not cure the cancer and has significant side effects.
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Are There Any Long
Long-term risks are slight, but do exist. Its rare but possible that a patient will suffer worsening urinary and rectal function, and there is always a risk of radiation causing cancer.
Because there are some risks, albeit small ones, we do not treat a patient unless we believe that we can have a real impact on his survival, says Dr. Yu. For a patient with a very slow-growing cancer, we typically monitor instead of advising immediate treatment.
Results Of Prostate Cryoablation
The PSA will rise sharply during the immediate post freeze period, and should not be checked. This elevation is thought to be due to the release of intracellular PSA at the time of cell destruction. The PSA will usually get to its lowest point at 3-6 months. Ideally, the nadir will be < 0.4. In one 7-year study, the biochemical disease free survival rate for low grade, intermediate, and high grade prostate cancers, was 61%, 68% and 61%. When the PSA nadir point was placed at < 1.0 the rates were 87%, 79%, and 71%.
To determine if you are a candidate for cryoablation, or to discuss anything at all about prostate cancer, call and arrange a consultation with Dr. Engel. Dr. Engel takes pride in realizing that one size does not fit all. We are able to offer all of the latest treatments for prostate cancer, and will attempt to help you decide what is best for you based on your age, stage and grade of prostate cancer, as well as your other medical problems.
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> > > This Simple Morning Test Will Fix Your Prostate
Another type of prostate issue is chronic prostatitis, or chronic pelvic pain syndrome. This condition causes pain in the lower back and groin area, and may cause urinary retention. Symptoms include leaking and discomfort. In severe cases, a catheter may be required to relieve the symptoms. If the problem is unresponsive to other treatments, your doctor may suggest a surgical procedure. If these do not work, your symptoms could progress and become chronic.
An acute bacterial infection can cause a burning sensation. Inflammation of the prostate can affect the bladder and result in discomfort and other symptoms. This is the most common urinary tract problem in men under 50, and the third most common in men over 65. The symptoms of acute bacterial prostatitis are similar to those of CPPS. Patients may experience a fever or chills as a result of the infection.
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Help To Continue The Work
The Prostate Cancer Free Foundation, reviews the results of hundreds of thousands of men treated for prostate cancer. Tracking them for years. This information is available to you, and others like you, to help find the best prostate cancer treatment. This work takes time, effort, resources all of it done by volunteers. Please help us continue. Please Donate!
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Bowel And Bladder Problems
Radiation therapy for prostate cancer can irritate the bowel, the bladder, or both.
A person can develop:
- Radiation proctitis. The symptoms include diarrhea and blood in the stool.
- radiation cystitis. The symptoms include a need to urinate more often, a burning sensation when urinating, and blood in the urine.
Bladder problems may improve after treatment, but they may not go away completely.
Baus Radical Prostatectomy Audit
The British Association of Urological Surgeons now publishes the results of radical prostatectomy for surgery performed in the UK. Details of the operations performed by each surgeon and centre are given, with information about the technique used, transfusion rates, postoperative complications and length of stay for individual surgeons and units. The responsibility of entering the data, however, lies with the individual surgeons and is not always complete.
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The Best Method For Measuring Prostate Cancer Treatment Success
Measuring the Prostate Specific Antigen level is the most important, and most common test to measure success of treatment of prostate cancer.
Why?First, regardless of the treatment you receive, it is the test you will have each time you have a medical visit, and it is the test you and your doctor will use to determine if your cancer is controlled or not.
Second, if PSA levels become elevated after treatment, it will mean you need further tests and very likely further treatment. The tests and subsequent procedures following an elevated PSA level after treatment can significantly worsen the quality of your life. Before deciding on an initial treatment, you need to understand how well that treatment does at controlling the cancer. What is the chance that you will need further treatment? PSA progression rates provide a level playing field to compare the different treatments.
Initially, PSA is used as a cancer screening tool. But after treatment, PSA is used to monitor for the recurrence of cancer.
Comparison With Other Studies
Reports on the long term quality of life outcomes in men with prostate cancer receiving various treatments have only just begun to emerge. To date, few studies have reported 10 year quality of life outcomes in this group and only one study has reported 15 year comparative outcomes between only two treatment groups.825313233 The Cancer of the Prostate Strategic Urologic Research Endeavor ,31 Scandinavian Prostate Cancer Group Study Number 4 25, QALIPRO,32 and Ralph et al33 studies reported at least 10 year quality of life follow-up in men with prostate cancer for several treatment modalities.
Another possible explanation for the normalisation of sexual dysfunction is termed the response shift, whereby an individuals internal standards undergo a shift concurrently with changes in their health status.37 Hanly et al explored psychosexual adjustment to prostate cancer diagnosis and treatment and found that men strive to accept treatment induced limitations in their life and integrate their new normal self after treatment with their changing sexual functioning.38 This notion is further supported by the PCOS preference survey, which examined the quality of life trade-offs men were willing to make for a longer life: men reported that erectile dysfunction and loss of libido were the most acceptable side effects of treatment in this context.35
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What Are The Side Effects Of External Beam Radiation Therapy
As with most prostate cancer treatments, external beam radiation therapy can also cause side effects. The severity can depend on the type of radiation, dose size, length of treatment and area of treatments. These frequently include:
- Skin irritation
- Erectile dysfunction
- Secondary malignancy
If you are considering prostate cancer treatment with a form of EBRT, talk with your radiation oncologist to discuss options, potential side effects, and how those side effects will be managed.
Recently, the FDA approved the use of Space OAR, a hydrogel product for men choosing radiation therapy that can reduce the radiation received by the rectum during treatment. This can help decrease the chances of developing rectal complications such as the inability to control your bowels. The hydrogel is injected between the prostate and rectum where the gel solidifies and creates a space before radiation begins. To learn more about this product, visit the manufacturers site here.
Risk Factors And Prevention
Risk factors such as age, ethnicity, and family history have been known to influence the chances of a person developing prostate cancer. However, it should be noted that risk factors dont have a direct impact on the development of cancer.
Men over the age of 50 are more likely to develop prostate cancer. In fact, 80% of people who are diagnosed with prostate cancer are over the age of 65.
According to the CDC, African American men are more likely to be at risk for prostate cancer and are more likely to develop aggressive tumors. On the other hand, Caucasian men are just under the average rate of prostate cancer diagnoses. Likewise, Hispanic men also have a lower risk. People of Asian and Pacific Islander descent have the lowest risk of developing prostate cancer.
A family history of prostate cancer can also have an impact on your chances of developing cancer. Only 5% of prostate cancer cases are inherited, but up to 20% of cases are familial, meaning common lifestyle factors and shared genes may have had an influence on the development of cancer.
While risk factors dont have a direct impact on the development of prostate cancer, they can motivate you to monitor your lifestyle more closely. To lower your risk of developing prostate cancer, its recommended to eat a low-fat diet and exercise regularly. However, its best to monitor your health by receiving routine checkups and prostate screenings from your doctor.
What Are The Different Types Of Internal Radiation Therapy
Brachytherapy and radiopharmaceuticals are both considered internal radiation therapies because they both work after being inserted inside the body, rather than being directed from outside. However, the similarities mostly end there. Brachytherapy works by implanting radioactive material into the prostate and is used for localized prostate cancer. Radiopharmaceuticals are injected into the bloodstream and are used for advanced, metastatic prostate cancer. Read on to find the details of each.
Prostate Cancer Treatment In Campbell California
Remember, you have a choice when it comes to where you receive your prostate cancer treatment and radiation therapy. With our cancer center conveniently located in the Silicon Valley area, you wont need to go to a hospital facility for treatment where parking can be difficult.
Dr. Nurani is also available to give second opinions about treatment recommendations for prostate cancer and other types of cancer that require radiation therapy.
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How To Compare Radiation Vs Surgery For Prostate Cancer
When trying to decide between radiation and surgery for localized prostate cancer, many men still ask whether one approach is better or safer than the other.
Research from the ProtecT trial shows us that radiation and surgery are good options, with the caveat that the specifics of your personal health condition could make one more advisable than the other. If thats not the case, rest assured that youre not at risk of making a terrible decision: Radiation and surgery are both solid options.
How to evaluate radiation vs. surgery comes down to understanding the disease and the research on treatment outcomes, getting a thorough understanding of your specific situation and then deciding which pathway you feel is right for you.