Prostate Cancer is the most common cancer in men and the second most common cause of cancer death in men. Possibly no other conditions causes more fear and expenditure of health care dollars in the field of urology. Thankfully medical personal have the PSA blood test to help screen and diagnose men for prostate cancer – even though it is a very imperfect tool.
Prostate cancer is most commonly an issue for men in the 50’s, 60’s and 70’s. Diagnoses are usually accomplished by a Prostate Biopsy as discussed in another section. Fortunately most biopsies are negative, but if cancer is found it is graded by the Gleason grading system. Patients are seen in follow up for a detailed counseling session where we go over the biopsy results and create a profile of the patient’s specific situation and issues that might impact his treatment options and decisions. No two men are the same and each brings a specific set of issues to the table that need to be addressed.
Treatment options are many and will be driven by the issues discussed above. Some of the most common treatments are surgery to remove the prostate, radiation therapy to try to kill any cancer in the gland or sometimes hormonal therapy to slow down the progress of the disease. Chemotherapy is starting to be used early in the course of treatment as well. Increasingly men are seeing combinations of these treatments used to address the problem. I am an expert at diagnosing and managing prostate cancer with many years of experience