Department of Urology and Urooncology

Prostate Cancer Surgery

Professor MD Peter Hammerer

Chief Physician

Prostate Cancer Surgery

Prostate cancer is disease that effect one of the most important glands of man’s body. Prostate is located under the bladder and urethra, a canal for passing urine and semen, goes directly through it. Prostate provides reproductive function producing liquid that together with sperm and some other liquids makes up semen.

Prostate Cancer Symptoms

Most forms of prostate cancer develop slowly and without any symptom till advanced stage. The main risk factor is ago. According to some sources prostate cancer effect as much as 80% of men but most of them died in older age never knowing they had prostate cancer. When prostate cancers starts revealing it, you may experience the following symptoms:

  • Burning and sore when urinating
  • Difficulties with urinating
  • Blood in urine
  • Blood in semen
  • Incontinence
  • Problem with erection
  • Pain when ejaculating
  • Swelling of leg and pelvic area
  • Pain in bones

Many of those symptoms can relate to other diseases, so if you have some you better to see a doctor for through examination.

Prostate Cancer Diagnostics

There are some specific tests for prostate cancer that help to reveal it early:

  • PSA (prostate-specific antigen) blood test
  • Digital rectal exam
  • Transrectal ultrasound
  • Prostate biopsy

Classifications of Prostate Cancer

There are a number of classifications of prostate cancer but the main idea is to define severity of disease. Not all of prostate cancers lead to death and some of them do not require surgery. For some types watchful waiting is enough. Studying of human genome showed that men who have faulty BRCA2 gene tend more likely to develop aggressive fast spreading form of prostate cancer. Presently, Gleason Score is considered the best system to determine aggressiveness of prostate cancer based on patient’s tests result. Gleason score higher than 8 is straight indication for immediate measures.

Treatment of Prostate Cancer

Prostate cancer can be treated in many ways both invasive and non-invasive. Your doctor will decide what kind of therapy is proper for you depending on your examination results.

Among non-invasive treatments for prostate cancer you could name:

  • Proton therapy
  • LDR (low dose radiation) brachytherapy
  • HDR (high dose radiation) temporary brachytherapy
  • Kyber Knife® radiosurgery
  • High-intensity focused ultrasound (HIFU)
  • Cryosurgical Ablation
  • Hormone Therapy

Presently, radiation therapy is mostly used for advanced prostate cancer. Radiologic approach to cancer therapy has been developing for many years and nowadays it significantly differs from the methods used 20-30 years ago. Now radiologists use precisely focused radiation but not expose to X-ray large areas that allow not to damage neighboring healthy tissues. But despite innovative radiologic techniques, surgical treatment of prostate cancer is still in demand.

Surgery for Prostate Cancer

Radical prostatectomy is total prostate removal. It can be done with different method. If a surgeon performs open surgery, there are two types of approaches:

  • Radical retropubic prostatectomy. An incision for approach is done in lower abdomen.
  • Radical perineal prostatectomy. A cut is done between the scrotum and anus.

Another alternative is minimally invasive surgery:

  • Laparoscopic radical prostatectomy. An operation is performed through a few small cuts.
  • Robotic-assisted laparoscopic radical prostatectomy. Surgery is also performed via small incisions but by robot not by hand of surgeon. Surgeon operates through computer interface.

Prostate Cancer Prognosis

Although prostate cancer is the most common among male population of the earth, its survival rates quite optimistic. According to cancer.org survival rates for prostate cancer are:

  • 5-years rate – 100%
  • 10-years rate – 98%
  • 15-years rate – 95%

When we talk about 5-years survival rate that means that after 5 year a man diagnosed with prostate cancer is still alive. The same is right for 10 years and 15 years accordingly. As you see from above figures, prostate cancer survivors can win a competition for the most long living cancer patient comparing to the other cancers.

We Improve Your Life Quality

As prostate cancer is the less life treating among the cancers, many prostate cancer clinics consider their main goal is improving quality of patient’s life. That means not only to live without pain and discomfort but also to preserve erectile function as much as possible. Though more than 50% of cases of prostate cancer are in age group after 70, it starts occurring in men from 45 and it is important for them to keep their sexual and reproductive function.

According to some researches erectile dysfunction which is one of possible complications prostate cancer therapy is less present in patients who undergone to radiation therapy rather those who had surgery. The team of Cancer Center Braunschweig continuously improves quality of our service and considers using innovative methods. We try to give you the best of our experience and the latest technologies.

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