What are the best medical treatments for early stages of prostate cancer?
Low grade prostate cancer
Low-grade prostate cancer is a very common occurence and does not need radical treatment. Men with low grade prostate cancer are placed into an active surveillance program whereby the PSA is monitored on a regular basis and from time to time a multi-parametric MRI scan performed.
High-grade localised prostate cancer
Depending on patient factors, men with high-grade localised prostate cancer will be treated with either radical prostatectomy surgery/prostate cancer surgery or radiation therapy. When the prostate cancer is diagnosed at an early stage and when it is confined to the prostate, there is a significant chance of cure.
What are the best medical treatments for late stages of prostate cancer?
When the prostate cancer has metastasised or left the prostate gland, cure is not possible however effective treatments are available.
The main treatment is to remove testosterone from the body as testosterone fuels prostate cancer. Testosterone is removed by either removing the testes or alternatively by administrating a drug by injection every three months.
Significant advances have been made in the treatment of late stage prostate cancer, these advances include new drugs such as Abiraterone and Enzalutamide. There are also new chemotherapy protocols available.
What is the latest treatment for prostate cancer?
Modern new diagnostic techniques for prostate cancer treatment include multi-parametric MRI scanning which increases the accuracy of diagnostic testing and allows the diagnosis of prostate cancer at an earlier stage. Importantly MRI scanning has significantly reduced the incidence of unnecessary prostate biopsies.
PSMA PET scanning is also proving very useful at staging prostate cancer, this helps determine the extent of the disease such that appropriate therapy can be individualised for each patient.
Robotic surgery techniques and radiation therapy are other modern techniques which are constantly being improved and refined.
How many stages of prostate cancer are there?
It is best to think of the early stages of prostate cancer as being localised to the prostate gland and thereby curable.
Late stage prostate cancer involves the cancer having spread to the bones or lymph nodes. This type of cancer is not curable, however with modern methods it can certainly be controlled, often for many years.
What are the five early warning signs of prostate cancer?
- Men with a family history of prostate cancer, especially with a brother or father having had prostate cancer, have a three times increased risk of getting prostate cancer themselves. They should therefore undergo annual screening with a digital rectal examination and PSA blood test from the age of 40 years.
- Obese men and men who do not exercise are at increased risk of contracting prostate cancer.
- It is possible that men with a high daily alcohol consumption are more likely to contract prostate cancer.
- Men with a rising prostate specific antigen blood test are at risk of having prostate cancer and need to be referred to a specialist urologist.
Doctor Katelaris is an experienced prostate cancer surgeon and offers various treatment methods in the Urology Outpatient Clinic in Hornsby, if you would like to make an enquiry, contact Katelaris Urology today.