Our urology team at Urology Associates offers extensive expertise in managing prostate cancer. We will work closely with you to obtain the best possible outcome. Our group provides effective treatment for prostate cancer including surgery, radiation therapy, and chemotherapy.
The prostate is a male sexual organ located just beneath the bladder. The most important function of the prostate is producing fluid for semen. The seminal fluid nurtures the sperm made in the testicles and helps transport it out of the body with ejaculation. The prostate also helps control urination, as it sits just below to the bladder. The urethra, or tube that transports urine from the bladder out through the penis, passes directly through the prostate. A normal prostate is oval shaped and about the size of a walnut.
Prostate cancer is very common. It is the second most common cancer in men with over 172,000 cases reported annually in the United States. Roughly 1 in 7 men will be diagnosed with prostate cancer in their life time. The overwhelming majority (60%+) of men diagnosed with prostate cancer are over 65 years old. The average age at diagnosis is around 66. It is very rare for men under 40 to be diagnosed with prostate cancer.
Most prostate cancer is extremely slow growing and confined to the prostate, allowing for effective treatment or active surveillance. However, some types of prostate cancer are more aggressive and can spread to other areas of the body. Adenocarcinoma is the most common type of prostate cancer, accounting for over 95% of all prostate cancers. Adenocarcinoma arises from the cells responsible for producing prostate fluid. Other, much more rare types of prostate cancer include: sarcomas, small cell carcinoma, neuroendocrine tumors, and transitional cell carcinoma.
It is important not to confuse benign prostatic hyperplasia (BPH) with prostate cancer. BPH is not prostate cancer but rather the growth of normal cells in the prostate. Pathologic changes to the cells occurs with prostate cancer which can cause them to grow more aggressively and travel outside of the prostate.
There are certain risk factors that increase a man’s chances for acquiring prostate cancer. Some risk factors are controllable (lifestyle) and may be modified to reduce one’s chances for developing prostate cancer. The most common risk factors include:
There may be no symptoms associated with prostate cancer, especially in the early stages. By the time men have symptoms, the cancer may have invaded the bladder or spread to other parts of the body, such as the bones. Therefore, screening is an important part of preventing harmful effects of prostate cancer.
Some potential symptoms men with prostate cancer may have include:
As described above, prostate cancer usually presents with little or no symptoms, making screening very important. Clinical history and risk factors are considered when determining the level of screening and testing performed on patients. Some of the tests we use to diagnose prostate cancer include:
Our urology team provides exceptional care and will work with you to achieve the best possible outcome. Depending on factors including age, co-morbid conditions, type of prostate cancer, etc., the following treatment options may be offered to you:
A transrectal ultrasound guided biopsy of the prostate involves a urologist using ultrasound imaging to detect any abnormalities in the prostate.
The MRI fusion prostate biopsy combines MRI and ultrasound imaging to give the urologist the most accurate analysis of the abnormal areas of your prostate.
An orchiectomy is a procedure in which the urologist removes one or both of the testicles in order to stop the production of testosterone in hopes of eliminating prostate cancer.
Our physicians are experienced in treating the complete range of urologic conditions and diseases, from kidney stones and sexual dysfunction to prostate cancer, incontinence and infertility.
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