Prostate Cancer Treatments
Advanced Urology is a state of the art institute that offers the most current treatment options. Whichever treatment you chose, you may trust our providers and staff in delivering the best care. We will provide your care from the time before diagnosis with prostate cancer, as well as throughout the entire course of your treatment.
The stage, along with PSA, Gleason score, Prolaris testing, imaging, age, and general health are all considered in determining treatment options. Advanced Urology offers innovative approaches to cancer care. Our providers will plan a treatment outline and help guide you in the decision about treatment, as this is a complex process.
The treatments for prostate cancer can be divided into those that are intended to cure your cancer (definitive therapies) and those that are palliative, intended to slow down the growth of the prostate cancer and treat its symptoms.
Definitive Prostate Cancer Treatment Options
- Robotic assisted Laparoscopic Radical Prostatectomy/ RALRP (Removal of the Prostate)
- Intensity-Modulated Radiation Therapy (IMRT) with the use of Implantable Fiducial Markers, Rectal balloon or SpaceOAR
- Hormone therapy/Androgen-deprivation therapy (ADT), including Lupron (leuprolide), Eligard (leuprolide acetate) Trelstar (triptorelin), Zoladex (goserelin) and Firmagon (degarelix)
Palliative Prostate Cancer Treatment Options
- Hormone therapy/Androgen-deprivation therapy (ADT), including Lupron (leuprolide), Firmagon (degarelix), Eligard (leuprolide acetate), Trelstar (triptorelin), Zoladex (goserelin), and Casodex (bicalutamide)
- Provenge (sipuleucel-T immunotherapy)
- Secondary Oral Medication: Xtandi (enzalutamide) and/or Zytiga (abiraterone)
- Xofigo (Radium Ra-223) systemic radionuclide therapy
Watchful waiting and active surveillance are treatments used for older men who do not have signs or symptoms of prostate cancer or who have other medical conditions that contraindicate other treatment options.
Prostate Cancer Patient: Watchful Waiting
Closely monitoring a patient’s condition without giving any treatment until signs or symptoms appear or change. Treatment is given to relieve symptoms and improve quality of life.
Prostate Cancer Patient: Active Surveillance
Closely following a patient’s condition without giving any treatment unless there are changes in test results. Tests and exam are used to find early signs that the condition is getting worse. These tests include digital rectal exam, PSA, transrectal ultrasound, and biopsy. When the cancer begins to grow, treatment is given to cure the cancer.
Robotic Assisted Laparoscopic Radical Prostatectomy/RALRP (Removal of the Prostate)
Patient’s in good health, whose tumor is in the prostate gland only may be treated with surgery to remove the prostate, called radical prostatectomy. The intent is to cure, so the entire prostate gland is removed, along with some of the tissue surrounding it and removal of nearby lymph nodes. Traditional open surgery is performed through a large abdominal incision that extends from the umbilicus down to the pubic bone.
The newer surgical option, incorporating a state of the art surgical system, called da Vinci® prostatectomy, extends the physicians capabilities to perform radical prostatectomy using only five small incisions in the abdomen. The system allows technology to translate the physicians hand movements into precise movements using micro instruments through the tiny incisions.
Intensity-Modulated Radiation Therapy (IMRT) (Radiation Therapy)
Radiation therapy uses a stream of high-energy particles or waves, such as xrays, gamma rays, electrons, or protons to destroy or damage cancer cells.
Radiation therapy is one of the most common treatments for cancer and is used in more than half of all cancer cases. It is often part of the main treatment for some types of cancer, such as cancers of the head and neck, bladder, lung and Hodgkin’s disease. Many other cancers are also treated with radiation therapy. Thousands of people become free of cancer after receiving radiation treatments alone or in combination with surgery, chemotherapy, or immunotherapy (biologic therapy).
Hormone/Androgen-deprivation therapy (ADT)
(ADT) may be used in conjunction with radiation therapy if your cancer is more aggressive, with higher PSA, higher Gleason score, or if Prolaris results lean towards a more aggressive cancer. Male hormones, specifically testosterone, fuel the growth of prostate cancer. By reducing the amount and activity of testosterone, the growth of prostate cancer is slowed.
Questions About Prostate Cancer or Treatments?
If you have recently been diagnosed with prostate cancer and have questions about treatments at Advanced Urology Associates, please call 815.409.4930 or request an appointment today.