Each year, prostate cancer suffers from about 5,000 Austrians. Photo: Colourbox
Prostate Cancer: Control, Not Surgery
The cancer of the prostate can have unpleasant side effects, such as incontinence and impotence – low-risk cancer is now often expected and controlled, not surgery.
November 14, 2018 – 00:04
Patients diagnosed with prostate cancer are on average 61 years of age. Every year about 5,000 men in Austria are facing this conclusion. The prostate gland is often the most often cumbersome procedure for the patient. "But not all patients have an immediate surgery, and if the extensive investigation reveals that the cancer is at low risk, we often decide to treat them immediately with the patient, but to observe the tumor," says Univ.-Prof. Steffen Krause, Director of Urology and Andrology at Kepler University Hospital in Linz.
This active form of monitoring is useful for patients without discomfort who have a small, prostate-restricted tumor and are at low risk of disease progression.
Affected persons are in constant contact with their doctor and carry out regular examinations. If the disease worsens, it can be treated immediately. As far as we know so far, men who are affected are not defective due to deferral of therapy, the German Cancer Research Center writes.
Advantage of active cancer control: "Surgical treatment of prostate cancer can have side effects, such as incontinence and impotence," says Stefan Krause, organizer of the Austrian Urology and Andrology Study Conference, which took place last weekend in Linz.
Here it was also talked about the future of prostate cancer treatment. "A relatively new approach is focal therapy aimed at treating only the tumor itself – and protecting the surrounding tissue, thus reducing the risk of side effects," says Krause.
From 45 to the security
But not only surgery, even hormonal therapy, which is often prescribed for prostate cancer, causes many men. "As the sex hormone for artificially lowering testosterone may have a lot of side effects, from the heat moments, weight gain to breast enlargement," explains Primus Krause. On the other hand, hormonal therapy in patients with advanced prostate cancer is a great way to increase survival. "I just had a 98-year-old patient with many metastases, and he can still live in good health through hormone therapy."
Every person older than 45 years should go to prostate cancer screening regularly. If a man from a close family (father, brother or uncle) is already suffering from prostate cancer, you should think about caution earlier, that is, before the age of 40, because there is a risk of developing prostate cancer in this case, it is increased several times.
The actual cause of prostate cancer is unclear, despite many studies. However, there are some risk factors that contribute to prostate cancer development. These are male hormone testosterone, high age, environmental factors, heredity and high fat fat.
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