Prostate cancer

Prostate cancer is the most common in men. The risk of this kind of cancer rises from the age of 50, or 40 if there is a family history of the disease.

Its potential symptoms in the early stages are frequent urination, as well as a burning sensation when urinating. At advanced stages there may be blood in the urine, infections, swollen legs or a loss of strength in the legs.

When dealing with a disease like prostate cancer, we must take special care to inform and accompany the patient throughout the period of study, diagnosis and treatment. To do this, we have highly experienced professionals, as well as cutting-edge technology.

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Treatments for this kind of cancer

Radical prostatectomy surgery

This consists of completely removing the prostate gland. The most frequent surgical complications are urinary incontinence and sexual dysfunction. In the majority of cases these occur immediately after surgery, but improve after a time. The older the patient, the greater the risk that these issues will appear.

Active surveillance

This is a valid option in certain cases such as patients who have a limited life expectancy due to their age or associated diseases, in the case of small tumours with a low degree and slow rise in PSA levels. In the event of choosing this option, the follow-up and periodic monitoring of the PSA levels is obligatory.

Hormone treatment, androgen suspension

The prostate is an organ dependent in its growth on the level of male hormones, known as androgens (the most important androgen is testosterone). Androgen suppression or deprivation consists of applying treatments which succeed in reducing the levels of testosterone in the organism to as low as possible. Using this system, we have seen that the size both of the normal prostate and of the tumoral prostate is reduced.

Locally advanced treatment

Here we refer to locally advanced treatment when the tumour has spread beyond the prostate gland to invade the neighbouring organs, or if it affects the regional lymph nodes. The recommended treatment options include external radiotherapy with or without brachytherapy, surgery and hormone therapy.

Treating metastatic cancer

Androgen suppression is the treatment strategy usually recommended when the cancer has spread beyond the prostate gland. There are several available options for reducing or removing androgen levels: monotherapy with LHRH analogues, orchiectomy (the removal of both testicles), chemotherapy with Docetaxel or treatment with Abiraterone.

Treating metastatic cancer resistant to castration

Second-line hormone treatment, the new hormone drugs (Abiraterone acetate and Enzalutamide), chemotherapy (Docetaxel), bone targeting agents (Radium 223) and support treatments (Bisphosphonates).

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