Treatment of Prostate Cancer
Treatment of prostate cancer depends upon the stage of the disease and patient's age and overall health. Elderly patients with minor symptoms, early stage of cancer, or coexisting illnesses may be treated conservatively.
Watchful waiting is a reasonable course of action for patients who are elderly, in poor health, or in early cancer stage. Untreated prostate cancer may take years to become problematic. During this time, the physician monitors the patient's condition for any marked or sudden progression of the disease, which may signal the need for more aggressive treatment.
- Radical Prostatectomy
- Bilateral Orchidectomy
Preparing for Prostate Cancer Treatment
Radical prostatectomy is the surgical removal of the prostate gland and surrounding tissues including seminal vesicles and pelvic lymph nodes. Surgeons use one of two surgical techniques, retropubic prostatectomy or perineal prostatectomy.
General anesthesia is used in both procedures. In retropubic prostatectomy, an incision is made in the lower abdomen. This gives the surgeon access to prostate gland, seminal vesicles, and pelvic lymph nodes.
In perineal prostatectomy, the incision is made in the perineum (space between scrotum and rectum). With perineal prostatectomy, a second procedure is required to remove the pelvic lymph nodes, lymphadenectomy.