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Prostate cancer: control not surgery |

Prostate Cancer: Control not surgery

About 5,000 Austrians suffer from prostate cancer every year. Photo: Colourbox

Prostate Cancer: Control not surgery

Prostate cancer treatment can have unpleasant side effects such as incontinence and impotence – low-risk cancers are now often awaited and controlled rather than surgery.

By Barbara Rohrhofer,

November 14, 2018 – 00:04

Patients diagnosed with prostate cancer averaged 61 years old. Every year around 5,000 men in Austria are faced with this finding. Often, then, the prostate gland must be removed – the most complicated procedure for the patient. "But not all sufferers need immediate surgery, and if cancer is found to be at low risk during extensive examination, we often decide together with patients not to treat them immediately but to monitor tumors," said Univ.-Prof. Steffen Krause, Director of the Department of Urology and Andrology at Kepler Linz University Hospital.

This form of active monitoring is useful for patients without discomfort who have small tumors, a limited prostate and who have a low risk of disease progression.

Affected people keep in contact with their doctors and carry out continuous checks. If the disease worsens, it can be treated immediately. As far as is known so far, affected men have no loss due to delayed therapy, writes the German Cancer Research Center.

The advantages of active cancer surveillance: "Surgical treatment of prostate cancer can have side effects such as incontinence and impotence," said Steffen Krause, organizer of the training conference of the Austrian Society of Urology and Andrology, which took place last weekend in Linz.

Here is also discussed about the future of prostate cancer treatment. "A relatively new approach is focal therapy, which aims to only treat the tumor itself – and to protect the surrounding tissue, thereby reducing the risk of side effects," Krause said.

From 45 to provisions

But not only surgery, even hormone therapy, which is often prescribed in prostate cancer, makes many men create. "Because decreasing artificial testosterone sex hormones can have many side effects – ranging from hot flashes, weight gain to enlargement of the mammary glands," explained Primus Krause. On the other hand, hormone therapy in patients with advanced prostate cancer is a great opportunity to improve survival. "I just had a 98-year-old patient with a lot of metastasis before, and he can still live a good life thanks to hormone therapy."

Every man over the age of 45 must regularly screen prostate cancer. If a man from a close family (father, brother or uncle) has prostate cancer, you should think of precautions before, namely before the age of 40, because in this case there is a risk of prostate cancer. , increasing many times.

The true cause of prostate cancer is not clear despite a lot of research. However, several known risk factors that encourage the development of prostate cancer. These include male testosterone sex hormones, high age, environmental factors, heredity and the number of high-fat diets.

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