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What is the Best Prostate Cancer Treatment ?

When you first find out you have prostate incontinence is very, very rare, and the
cancer, that voice inside your head chance of becoming impotent can be
screams. Loudly. And the fear begins. reduced by having something called "nerve
But fear gradually gives way to furious sparing surgery," where the surgeon is
thinking; thinking about what happens careful not to snip any "erection"
next and where to go. Usually this is in nerves. Still, with surgery you would
the form of treatment options, a myriad have to face long hospital stays and long
of them, and the many, many recovery times, which brings us to one of
characteristics of each that must be the other common treatments: radiation.
weighed carefully. Watchful waiting? Scary-sounding as it is, radiation is
Surgery? Radiation? Hormones? much less invasive than most forms of
Cryosurgery? Perhaps even proton beam? therapy. Hospital time is less, and
And so on. Along with the careful advice recovery time is quicker. Not to say it's
of your doctor, you may begin to narrow perfect. Radiation side effects can be
it down, or you may begin to feel severe, and include such nasties as
overwhelmed. What exactly ARE some of diarrhea and bleeding from the rectum. In
these treatments and which one is the addition, there is some controversy as to
best? whether radiation can zap cancer as
As you've probably already guessed, the effectively as surgery.
"best" is different for everyone. In fact, the effectiveness of many
Watchful waiting is "best" for you if treatments are often compared to surgery.
you're cancer is slower and less Does this mean surgery is the gold
aggressive and you are old. That's right, standard, and hence the "best" treatment?
I called you "old." Seriously, though, if It's just too complicated to answer.
your doctor thinks you are no spring Certainly, a study performed by the Johns
chicken, he may recommend that any Hopkins Medical Center in 1998 came to
treatment would be harder on you than the the conclusion that only surgery can
cancer itself, and that you both should successfully remove all cancer, and that
take a wait and see approach. If not, he surgery patients may have short term
may decide that you are ready for decrease in their quality of life in
surgery. exchange for long-term freedom from
This is the most drastic treatment cancer. Other treatments have been
choice, and is seen by some as the "best" improved since then, however, and this
of the "best." What's so great about it answer is less certain. For some
is that the surgeon manually removes the individuals, surgery is simply too
entire prostate gland, including the drastic and the cancer too slow to demand
cancer. It's gone. Completely. And he can it. For others, previous health problems
poke around in there to see if there's or your own personal reasons may make
more. The problem is that there can be radiation a more reasonable choice.
side effects that can seriously mess up Only your doctor and you can make a
your comfort level. Effects like the decision like this together. Treatment
inability to hold in your pee for prostate cancer is one of the most
(incontinence), and the inability to have personal decisions you can make, and the
an erection (impotence). Tempering these "best" is different for everybody.
problems are two small facts:




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