Pros and Cons of Cryosurgery for Prostate Cancer?
It was featured on the TFC program the Correspondent episode with Karen Davila entitled "gamot sa salot" which pertain to cancer diseases. Right now the Chinese are the one have the edge in cryosurgery at Fuda, China. So what is cryosurgery all about?
Cryosurgery is a technique for freezing and killing abnormal cells. It is used to treat some kinds of cancer and some precancerous or noncancerous conditions, and can be used both inside the body and on the skin .Cryosurgery is an alternative to surgery for liver cancer that has not spread, for cancer that has spread to the liver from another site, for prostate cancer confined to the prostate gland, for a precancerous condition of the cervix, and for cancerous and noncancerous tumors of the bone
Cryosurgery may have fewer side effects than other types of treatments, and is less expensive and requires shorter recovery times
The technique is still under study, and its long-term effectiveness is not known.
This research is being applied in China for the past 10 years, yet still unknown in the Philippines. Why? That is why everybody is going to China for the treatment of cancer. European and even Filipinos who have money. Because the treatment is quite expensive. A package deal consist of $20,000. with complete treatment and a medicine injection that guarantee that the cancer cell will not resurface once again. Which most victims claim much better than what the Philippines doctors usually recommend the chemo and the radiaction treatment which kills even the good cell.
I am really surprise about this episode because I thought Filipino doctors are good in terms of medical research and studies. But after this, I think otherwise. We are being outpace by Chinese doctors maybe not only in cryosurgery but a lot of things concerning medical research either cancerous cells or viruses. What is wrong with our medical field? We run out of money? The Philippine government is not funding the Philippine medical research? Maybe 3-7 years from now even the Koreans or Malaysian doctors have the edge in medical studies too. NAIWAN NA TALAGA TAYO SA PANSITAN. With all the cheating in nursing profession and other fields, who would believe Filipinos are good now a days. Nakakapanghinaan ng luob watching the development of other countries na hindi tayo kasama. What is happening to our country?
CHINA IS SURPASSING EVERYONE!!!!! NO COUNTRY ON THE PLANET IS IMMUNE FROM IT....CHINA IS THE NEW DOMINANT NATION!!!!
As all the medical professionals are telling me,"don't worry, Prostate cancer is a slow growing cancer...", my PSA has jumped from 3.9 to 15 in 17 months and jumped again in 7 weeks following last week's psa test result.
From searching online, I have found that I have an aggressive type of prostate cancer and must be treated ASAP, What are the options out there for me? I don't like to have prostatectomy to remove my prostate with long time healing period and more side effects, I know there are brachy therapy, cryosurgery or even HIFU etc treatments, I don't know which one has better long term result and least side-effects, If need someone who has personal experiences to guide me. Any inputs would be very much appreciated. have a great Thanksgiving holiday!
Hi Mr. Tao Tao,
Honestly this is a tough question to answer due to the fact that every person is different this includes age, wants/needs etc. In the end you must be properly evaluated by a physician. As a physician we can only advise on the different available treatments and the pros/cons of each. In the end this is something you should definitely have a long sit down chat with a urologist (not so much family physician, internal medicine etc). There are also aspects to keep in mind regarding treatment such as if the tumor is still within the prostate capsule or not, if there is metastasis etc. So I will give a quick rundown of Surgery, Brachytherapy and Hormone treatment. However before moving on please keep in mind the following about PSA. This protein is produced specifically by prostate cells (its actual function is to liquefies semen among other things). It can elevate due to any number of conditions including prostate infection, prostate being touched, ejaculation and finally in prostate cancer. The absolute number of PSA is not so valuable as a diagnostic marker. However a sudden rise is a good prognostic indicator. By the way PSA is measured free, and bound (attached to protein in the blood). It is the combination of the two that gives a better idea of what is happening. Also ONLY a biopsy can clearly diagnose cancer and not the level of PSA, as previously said that number is a better prognostic indicator of death as well as efficacy of treatment.
Surgery:
Normally used in younger patients (by young I mean not 75 or 80 years old in which the probability of dying from something other then prostate cancer is likely) which is still localized to the prostate (in other words the tumor has not grown beyond the boundaries of the prostate). In this case localized removal or destruction of the tumor is usually curative IF AND ONLY IF all of the tumor is removed. The most common side effects of importance are incontinence and impotence. If you're under 50 years old when you have this surgery, you're likely to regain sexual function however previous sexual function before surgery is also important. Keep in mind that the accidental cutting of the nerves in surgery causes loss of erection and not loss of sensation or ejaculation, medications are widely available to help with erection. The advantage of HIFU is the speedy recovery and according to some studies lower incidence of complications mentioned above.
Radiation:
Can be external (beam) or internal (brachy) in which small radioactive "seeds" are planted within the prostate. Studies have shown that 15-30% have side effects like urinary burning, urinary bleeding, frequent urination, rectal bleeding, rectal discomfort or diarrhea during or shortly after the treatment. Impotence is a common side effect which often gets worse over time. Curative outcomes are the same after 10 years for both radiation and surgery. One of the main problems with this method is that the prostate is not removed and studied by a pathologist. The same is true for the lymphnodes thus for many urologist it is falling out of favour.
Incontinence is extremely rare after radiation therapy. Surgery, however, may give you a better chance of cure over the long term.
Hormone therapy is used to slow down the growth of the prostate and is used in patients in which surgery is simply not an option. This is simply a last ditch attempt to gain more years of life. Some of the more serious side effects include loss of sex drive, weakened bones, erectile dysfunction, fatigue and osteoporosis.
I hope this helps you out,
Dan MD
www.michiganurology.com The Urologists of the Michigan Institute of Urology offer cryosurgery as a treatment option for prostate cancer. Targeted ...
Prostate cancer is frequently curable, particularly if the illness it caught within the earlier stages. These days, approximately 90% of all prostate cancer diagnoses are created within the earlier stages and out of those, nearly 100% of the patients have a relative survival rate of over five years.
There are many various treatment choices obtainable for prostate cancer patients. When a patient is diagnosed with prostate cancer, it’s greatest that they obtain suitable treatment for the illness.
Treatment Choices
The stage the cancer guides medical experts in determining what road to travel for the treatment choices. Treatment choices consist of:
o Surgery
o Radical Prostatectomy
o Regular Non-Nerve Sparing Surgery
o Regular Nerve Sparing Surgery
o Radiation
o External radiation therapy (XRT)
o Brachytherapy
o Cryosurgery
o Hormone therapy
o Watchful waiting
Surgery: The surgery choice entails removing the prostate in 1 form or the other. Radical prostatectomy removes the whole prostate gland. The side effects can consist of issues like impotence, decrease within the potency of the semen, and other people.
Within the other two forms of surgery mentioned above, the surgeon cuts out the cancerous region of the prostate. Within the nerve sparing surgery, the surgeon cuts as close to the region as feasible, and spares the nerves. Within the non-nerve sparing surgery, the surgeon permits much more room and makes a wider cut, taking the nerves with the section that’s becoming removed. This is carried out to assist make sure that no cancerous cells are left behind.
Radiation: Brachytherapy is really a type of internal radiation where radiation could be applied to a much more concise, pinpointed region. Seeds (capsules) could be inserted that include radioactive material and target the cancerous region. Brachytherapy is generally a one-time treatment until the outcomes could be observed. Brachytherapy is carried out as an outpatient process.
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There's more than one way to beat cancer
There's more than one way to beat cancerAccording to the National Cancer Institute1, cryosurgery can be used for cancers of the prostate, liver, kidney and breast, as well as various skin conditions (both precancerous growths and early-stage cancers). Fuda Cancer Hospital also features
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Triangle Urology in McMurray to Offer Specialized Care MD; Jeffrey Cohen, MD; Marc Gignac, MD and Ralph Miller, MD from the Triangle Urological Group treat patients at Canonsburg Hospital with laser lithotripsy for kidney stones, and brachytherapy and cryosurgery for prostate cancer.and more » |