The Treatment of Prostate Cancer
The prostate cancer treatment is accordingly approached as soon as the diagnostic reports the stage of cancer. The treatments generally include different types of surgery and radiation therapy, sometimes the focal therapy and systematic therapy works too.
Let’s get into the treatment details
Radical (open) prostatectomy is one of the most preferred treatments when it comes to prostate cancers on stage 3-4. It includes the complete removal of the prostate and seminal vesicles.
The prostatectomia robotica is the recently trending preference due to the accuracy of maintaining a clean surgery and has a shorter recovery time. The robot that goes into the patient’s abdomen is directed by the doctor and works to remove the prostate as in radical (open) prostatectomy.
The radiation therapy includes external beam radiation therapy and then the brachytherapy is internal radiation. It is the most common type of radiation treatment that the patients prefer. In external, the machine is located outside of the body and focuses a beam of X-ray on the affected region whereas in internal, therapy where the radioactive resources are inserted directly into the prostate of the patient.
The focal therapy includes freezing of the affected cells that reduces it from further increasing, this can work on stage 1 of cancer to control the start of abnormal tumor growth in the prostate.
This is basically about drugs intact and medication to melt or just reduce the tumor growing cancerous. The types of this therapy include immunotherapy, testosterone suppression therapy, radiopharmaceuticals, and bone-modifying drugs.
The side effects of treatments
Almost all the treatments for cancer have side effects, some last throughout life and some gradually fade away with building up of the immunity.
- The surgery of Radical (open) prostatectomy can lead to disturbances in sexual functioning and urination problems.
- The radiation therapy as we know kills the healthy cells and weakens the system overall.
- Focal therapy has a chance of re-growth.
- Systematic therapy would not work in the worsening conditions.
The only one left is robotic prostatectomy that has lesser side-effects and better effects of treatment with a shorter recovery period. The surgery is less painful and is now one of the most reliable treatments as we can practically see.
The Robotic Prostatectomy Procedure in Details
There are a few steps that the experts follow on your body, this few steps determine if the surgery is successful or not and how effective it is.
- Releasing bladder
- Endo-pelvic fascia
- Anterior and posterior bladder neck
- Seminal vesicle and rectum
- Transection of prostatic pedicles
- Urethral transection
- Stitching in Rocco and Van Velthoven anastomosis method
- Post-operative care
The process needs the expertise of the robot controlling section of the surgery sector. The process involves a robot going into the abdomen of the patient and working on the removal of the seminal vesicles and the prostate as a whole. The process is less painful and more accurate clinically.
The little risk factor
The risk factor is almost the same as in the radical prostatectomy. The urinal obstruction and erectile dysfunction are quite common in the case of 90% of the surgeries. However, the risks of such conditions can be recovered with the help of follow up surgeries that they generally prefer to go through. The situations of the risk can be very depressing for the patients and hence the post-operative care is the most essential step for closure.
The cancer treatments are very risky and have a high chance of return. But in this case, at least the side-effects would not be as problematic as in other cases. The cases of the recovery rates have been pointing out that the robotic prostatectomy is the best treatment for stage3-4 prostate cancer.