Prostate Cancer
Prostate cancer is one of the most common forms of cancer
For emergencies call 041 404 0400
For emergencies call 041 404 0400
The prostate is a male reproductive organ located just below the bladder and assist with the nourishment and transportation of sperm.
Prostate cancer is one of the most common forms of cancer in men and has a very good prognosis if it is detected and treated at an early stage.
May be asymptomatic or it can present with non-specific urinary symptoms as described in BPH.
A Urologist may perform the following:
Screening is offered to asymptomatic men and should start at the age of 50. If you have any of the above-mentioned risk factors, it is recommended to start earlier, at 40.
General annual physical or medical “check-ups” are a necessity for older men.
Prostate cancer screening includes at least a directed urological and medical history, a physical examination (which most likely includes a digital rectal examination) and an evaluation of your PSA (Prostate Specific Antigen) blood test. Depending on our findings, we will recommend a follow-up plan regarding future screening and if there are any alarming findings during your initial consultation you may need further investigations.
We use the latest international guidelines and best practice recommendations to diagnose, stage and treat all patients with Prostate cancer on an individual basis. We provide the following treatment options for prostate cancer:
A systematic and targeted biopsy of lesions in your prostate will be performed via a trans-rectal or trans-perineal approach using a needle to take several cores for review by a pathologist.
1 day, usually offered as a day theatre procedure
Normally within a week
No initial intervention is offered, but you are offered a strict follow up protocol to identify and treat the disease when absolutely indicated. This includes repeat consultations, blood tests, MRI and/or a prostate biopsy
The prostate is removed via a few small incisions in the abdominal wall and robotic arms controlled by the surgeon.
3 days on average, depending how soon your pain is controlled and you can mobilise
Normally within a month, although light duty may resume after the catheter is removed. The catheter is removed after 7 to 14 days
The prostate is removed via a lower abdominal wall incision. Normally a nerve sparing procedure is performed to limit the complications associated with this procedure.
We implant radioactive seeds into the prostate gland to kill cancer cells. This form of treatment limits the effects of radiation on nearby tissues.
1 day on average. Can be done as a day theatre case
Normally within a week
We will refer you to our colleagues at radiation oncology who offer this treatment.
Treatment is offered on an outpatient basis as daily sessions lasting 4 to 6 weeks
Usually 6 weeks
Offered to more aggressive forms of prostate cancer and may include a combination of surgery, brachytherapy, external beam radiotherapy, hormone therapy and chemotherapy.
We team up with our Oncologist colleagues to offer hormone therapy, novel agents, chemotherapy, radiation, and surgery, as well as new treatment modalities like Lutetium 177 to stop the spread of the disease and maintain your quality of life.
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