What are Some Treatment Options for Prostate Cancer Patients?

A discussion of treatment options for prostate cancer patients.

Treatment Options for Prostate CancerThere are a variety of treatment options for prostate cancer patients. Making the right choice involves a conversation with a physician, who weigh the outcomes of treatment options for prostate cancer. Dr. David Albala offers some information to help guide patients to the right treatment options for prostate cancer for them. Whether it’s surgical intervention, radiation therapy or other treatments, the overall goal of all treatment options for prostate cancer is to cure a patient of their cancer.

Traditionally, surgical intervention or radiation therapy has been used as the most common treatment options for prostate cancer patients. But, as learned over time, not all prostate cancers are the same.

David Albala M.D.:  What are the treatment options that are available to the patients that are diagnosed with prostate cancer?

Over the years, we have seen an explosion take place in a variety of treatment modalities for prostate cancer.  Traditionally, surgical intervention or radiation therapy has been used primarily as the most common modalities to treat the patients that have had prostate cancer, but as we have learned natural history of prostate cancer, not all prostate cancers are the same.

For example, there are patients did develop prostate cancer that may never have any long term sequelae from it and these patients are now good candidates for what we call active surveillance.  In other words, we can follow the cancer, not intervene surgically or with radiation to preserve the quality of life that patients have right now.  In patients that have had a modality such as radiation that have failed the treatment, we can either surgically go in and remove the prostate, for patients that have had surgical intervention, we can go in and radiate those patients postoperatively.

We can also freeze the prostate or cryoablation is a modality in which we can bring the temperature of the prostate down to -200 degrees or so, freeze the prostate and kill the tumor cells.  So, there is a variety of treatment modalities that are available to patients.  The problem is making the right choice and the way one makes the right choice is to sit down with their physician or physicians, talk about the options, talk about the benefits, talk about the weaknesses, the strengths of the various treatments, what the long term risks are of complications and then one is able to make a final choice and then be treated and hopefully be treated in a successful way such that there are no long term complications or sequelae that develop.  The goal of prostate cancer surgery is to cure the patient of their cancer, whether it is surgical intervention, radiation therapy or whatever, the goal is to preserve the quality of life and cure the cancer.

 

Dr. David Albala
Dr. David M. Albala is Chief of Urology at Crouse Hospital in Syracuse, New York and Medical Director for Associated Medical Professionals. He is considered a national and international authority in laparoscopic and robotic urological surgery and has been an active teacher in this area for over 20 years.


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