Prostate cancer

Prostate cancer is the most common cancer affecting men and rarely occurs in men under the age of 50.

It is a silent disorder that in the early stages gives almost no symptoms . Therefore, it is important that men become aware of importance of the early diagnosis of the disease.

A key weapon against prostate cancer is the annual screening check , which should start shortly before the age of 45, unless there is a first-degree relative who has the disease so it is advisable to start around 40.

It is a fact that more and more men realize the value of prevention and come to our institute every year for check up. Changes in these parameters are the most useful tool for early detection of subclinical cancers of the prostate, which is priceless. Why? Because, in the presence of disease at this stage of development , healing in feasible.

Preventive screening

A routine screening test includes complete urological study and an additional urine test, creatinine measurement to assess kidney function and specific prostate antigen (PSA) and fPSA measurement.

If the findings are considered suspected, it is advisable to have a prostate biopsy. Prostate biopsy is an invasive diagnostic test in which small samples of the prostate gland are taken with the help of an ultrasound and through the rectum. It is a well tolerated examination that does not require hospitalisation, is performed under local anesthesia and the patient returns immediately to his or her daily activity.

Treatment

The treatment options for advanced prostate cancer are relatively limited (hormone therapy and then chemotherapy, rarely relieving surgery), while in the early stages of the disease the options are more. The selection of the most appropriate treatment is always made after careful evaluation of the stage of the disease, the general health of the patient and taking into account his wishes.
The most common forms of treatment for prostate cancer are:

Active monitoring / surveillance

Active monitoring consists of regular check-ups every 3-6 months, as prostate cancer is a slowly progressive condition. This option is evaluated on the basis of the specific findings of the biopsy and is aimed at patients with specific characteristics who understand the choice of this method.

Surgery

Robotic radical prostatectomy is today the best method of surgical treatment of the prostate as it guarantees excellent oncologic outcome and at the same time higher rates of nerve retention and erection. It is also a minimally invasive surgical technique that results in the patient staying in the hospital for 24-48 hours while significantly reducing pain and post-operative complications. During radical prostatectomy, the entire prostate should be removed, along with the spermatic cysts and in some cases it is necessary to remove the lymph nodes (lymphadenectomy).

For this serious surgery to be performed, the patient must be in good general condition.

Prostate radiotherapy

Radiation therapy aims to kill cancer cells and is categorised in external radiation and brachytherapy. Many times these two types of radiation are used in combination.
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