Prostate cancer is the most common cancer in American men, with an estimated 234,460 newly diagnosed cases in 2006. Many men are first seen by a urologist for an elevated PSA, abnormal examination, or strong family history of prostate cancer, but the only means of diagnosing prostate cancer is with a prostate biopsy. When biopsy is required, we use the most up-to-date equipment available in conjunction with ultrasound-guided nerve blocks to minimize discomfort. At The Urology Clinic, we recognize the life-changing effect this diagnosis can have on a patient and take special care to counsel and treat each patient with an individualized plan.
The evaluation begins with a detailed history and physical examination and may include the following:
The first step in treating prostate cancer involves accurate clinical staging to determine the aggressiveness of the tumor and whether or not it appears to be contained within the prostate. Prostate cancers can occur in a wide spectrum of severity, and while some men may be able to “live with their cancer,” many will require treatment. As part of the decision-making process, we will discuss the Gleason score and clinical stage of your cancer and what these mean for prognosis and treatment selection. The course of treatment is individualized to each patient and is influenced by stage of the disease, age, other medical problems, erectile and urinary function. Options for treatment include the following:
- Watchful waiting
- Pelvic lymph node dissection
- Nerve sparing radical retropubic prostatectomy
- Nerve sparing radical perineal prostatectomy
- Robotic assisted radical prostatectomy
- Prostate brachytherapy
- High density radiation therapy (HDRT)
- External beam radiotherapy
- Prostate cryotherapy
- Hormonal ablation therapy
Prostate cancer is the most common cancer in American men and may significantly affect a patient’s health and quality of life. The Urology Clinic offers a variety of treatment options and works to create individualized care plans that will give patients the best experience possible in the treatment of their disease.
Please see our page on Patient Resources for related discussion on this topic.