Understanding Your Prostate Cancer Journey: A Comprehensive Patient Guide

Essential Information for Newly Diagnosed Patients and Their Families

Oncology

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Last updated: Mar 24, 2025

What is Prostate Cancer?

Prostate cancer develops in the prostate gland, a walnut-sized organ in men that produces seminal fluid. It's one of the most common cancers in men, particularly those over 50.

Diagnosis and Staging

Common Diagnostic Tests

  • PSA (Prostate-Specific Antigen) blood test
  • Digital rectal examination (DRE)
  • Prostate biopsy
  • Imaging studies (MRI, CT scan, bone scan)

Understanding Your Gleason Score

Your Gleason score helps determine how aggressive your cancer is:

  • Scores 6 or less: Low-grade cancer
  • Scores 7: Intermediate-grade cancer
  • Scores 8-10: High-grade cancer

Treatment Options

Active Surveillance

For low-risk, slow-growing cancers:

  • Regular PSA tests
  • Periodic biopsies
  • Careful monitoring

Surgery (Radical Prostatectomy)

  • Traditional open surgery
  • Laparoscopic surgery
  • Robotic-assisted surgery

Radiation Therapy

  • External beam radiation therapy (EBRT)
  • Brachytherapy (internal radiation)
  • Combined approaches

Hormone Therapy

  • ADT (Androgen Deprivation Therapy)
  • Benefits and side effects

Managing Side Effects

Common Side Effects

  • Urinary incontinence
  • Erectile dysfunction
  • Fatigue
  • Hot flashes (with hormone therapy)

Coping Strategies

  • Pelvic floor exercises
  • Lifestyle modifications
  • Support groups
  • Regular communication with healthcare team

Follow-up Care

  • Regular PSA monitoring
  • Scheduled follow-up visits
  • Long-term health maintenance

Support Resources

  • Patient support groups
  • Online communities
  • Counseling services
  • Financial assistance programs

When to Contact Your Healthcare Team

Urgent Signs

  • Severe pain
  • Difficulty urinating
  • Fever
  • Unusual bleeding

Additional Information

  • Diet and nutrition guidelines
  • Exercise recommendations
  • Stress management techniques

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