Prostate cancer surgery

Jump to navigation Jump to search


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Syed Musadiq Ali M.B.B.S.[2]

Prostate cancer Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Prostate Cancer from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Staging

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Biopsy

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Alternative Therapy

Case Studies

Case #1

Prostate cancer surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Prostate cancer surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Prostate cancer surgery

CDC on Prostate cancer surgery

Prostate cancer surgery in the news

Blogs on Prostate cancer surgery

Directions to Hospitals Treating Prostate cancer

Risk calculators and risk factors for Prostate cancer surgery

Overview

Surgical removal of the prostate, or prostatectomy, is a common treatment either for early stage prostate cancer, or for cancer which has failed to respond to radiation therapy. Radical prostatectomy has traditionally been used alone when the cancer is small. In the situation of positive margins or locally advanced disease found on pathology, adjuvant radiation therapy may offer improved survival.

Surgery

Prostatectomy

  • Surgical removal of the prostate, or prostatectomy, is a common treatment either for early stage prostate cancer, or for cancer which has failed to respond to radiation therapy.[1]
  • Radical prostatectomy is effective for tumors which have not spread beyond the prostate.[2]
  • Radical prostatectomy has traditionally been used alone when the cancer is small. In the event of positive margins or locally advanced disease found on pathology, adjuvant radiation therapy may offer improved survival.
  • Surgery may also be offered when a cancer is not responding to radiation therapy.
  • Laparoscopic radical prostatectomy (LRP), is a new way to approach the prostate surgically with intent to cure. Contrasted with the open surgical form of prostate cancer surgery, laparoscopic radical prostatectomy does not require a large incision. Relying on modern technology, such as miniaturization, fiber optics, and the like, laparoscopic radical prostatectomy is a minimally invasive prostate cancer treatment.

Side effects of prostatectomy

Orchiectomy

Side effects of orchiectomy

Cryosurgery

  • Under ultrasound guidance, metal rods are inserted through the skin of the perineum into the prostate. Highly purified Argon gas is used to cool the rods, freezing the surrounding tissue at −186 °C (−302 °F). As the water within the prostate cells freeze, the cells die. The urethra is protected from freezing by a catheter filled with warm liquid.

Side effects of cryosurgery

References

  1. Treatment of prostate cancer.2015 Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/prostate/treatment/?region=ab
  2. Bill-Axelson A, Holmberg L, Ruutu M; et al. (2005). "Radical prostatectomy versus watchful waiting in early prostate cancer". N. Engl. J. Med. 352 (19): 1977–84. doi:10.1056/NEJMoa043739. PMID 15888698.
  3. Treatment of prostate cancer.2015 Canadian Cancer Society. http://www.cancer.ca/en/cancer-information/cancer-type/prostate/treatment/?region=ab
  4. Gerber, GS (1996). "Results of radical prostatectomy in men with clinically localized prostate cancer". JAMA. 276 (8): 615–9. doi:10.1001/jama.276.8.615. PMID 8773633. Unknown parameter |month= ignored (help); Unknown parameter |coauthors= ignored (help)
  5. "Immediate versus deferred treatment for advanced prostatic cancer: initial results of the Medical Research Council Trial. The Medical Research Council Prostate Cancer Working Party Investigators Group". Br J Urol. 79 (2): 235–46. February 1997. doi:10.1046/j.1464-410x.1997.d01-6840.x. PMID 9052476.
  6. Prostate Cancer.National Cancer Institute 2015. http://www.cancer.gov/types/prostate/hp/prostate-treatment-pdq
  7. Bahn, DK (2002). "Targeted cryoablation of the prostate: 7-year outcomes in the primary treatment of prostate cancer". Urology. 60 (2 Suppl 1): 3–11. doi:10.1016/S0090-4295(02)01678-3. PMID 12206842. Unknown parameter |month= ignored (help); Unknown parameter |coauthors= ignored (help)

Template:WH Template:WS