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However, because radiation therapy causes tissue changes, prostatectomy after radiation has higher risks of complications. To avoid the adverse side effects of a radical prostatectomy, doctors may recommend deferred treatment which can involve observation and palliative treatment or active monitoring with some local treatments as needed.
Benign prostatic hyperplasia (BPH), also called prostate enlargement, is a noncancerous increase in size of the prostate gland. [1] Symptoms may include frequent urination, trouble starting to urinate, weak stream, inability to urinate, or loss of bladder control. [1] Complications can include urinary tract infections, bladder stones, and ...
Invasive therapies. There are two invasive surgical procedures done for BPH: Transurethral resection of the prostate (TURP): In general prior to emergence of laser technologies, TURP had been considered the gold standard of prostate interventions for people who require a procedure. This involves removing (part of) the prostate by inserting a ...
The Scandinavian Prostate Cancer Group Study 4 (SPCG-4) cited previously, compared radical prostatectomy to watchful waiting among men (mean age 65 years) with localized prostate cancer diagnosed in the era prior to PSA screening. [9] After 15 years of follow-up, men that underwent surgical treatment had significantly lower rates of distant ...
Prostate-specific antigen (PSA, also known as kallikrein III, seminin, semenogelase, γ-seminoprotein and P-30 antigen) is a 34- kD glycoprotein produced almost exclusively by the prostate gland. It is a serine protease (EC 3.4.21.77) enzyme, the gene of which is located on the 19th chromosome (19q13) in humans. [28]
After prostatectomy or radiotherapy, those who have a short time between treatment and a subsequent rise in PSA levels, or quickly rising PSA levels are more likely to die from their cancers. [54] Castration-resistant metastatic prostate cancer is incurable, [ 82 ] and kills a majority of those whose disease reaches this stage.
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