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Prostate Cancer: Everything You Need to Know

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Dr. Sven Petry, director of urology at Quirónsalud Torrevieja, explains what factors to consider when it comes to prostate cancer.

What is the prostate and what is its function?

The prostate is one of the male’s internal genitalia, located between the bladder and pelvic floor, and surrounds the beginning of the urethra. Its function is the production of semen and ejaculation.

What are the main issues affecting the prostate?

The prostate tends to grow with age, which can put pressure on the urethra and cause urinary problems.

The three most common issues are:

1. Inflammation (prostatitis)

2. BPH (BPH, or benign prostatic hyperplasia)

3. Prostate cancer

BPH is not associated with cancer and does not increase the risk of prostate cancer. However, symptoms of BPH and prostate cancer may be similar.

What are the symptoms of prostate disease?

Benign Prostatic Hyperplasia (BPH): The prostate can press on the bladder and urethra. This can impede the flow of urine and even make it difficult to start it. sometimes. Rezum is an innovative, effective, safe, minimally invasive technique that is performed with water vapor to treat BPH.

Prostatitis is acute inflammation of the prostate caused by bacterial infection. Its symptoms are high fever and pain during urination or ejaculation. Because of the swelling of the prostate, it can also present with the same symptoms as benign prostatic hyperplasia. Prostate cancer tends to grow more slowly than most cancers. Cellular changes can begin years before the tumor is large enough to cause symptoms similar to his BPH. The more advanced the cancer, the more cancer cells can spread (metastasize) and cause bone pain.

Diagnostic tests for prostate cancer detection

Digital rectal examination

・PSA (prostate specific antigen) test

・Semen/urine test

・Urological Ultrasound, Flowmetry

· Multiparameter magnetic resonance imaging

How is prostate pathology approached using laser technology?

The most common surgery for BPH is transurethral resection of the prostate (TURP). An instrument is passed through the urethra and excess prostate tissue is removed internally to widen the urethra. However, TURP has side effects such as bleeding, so there are advantages to using laser surgery (laser energy destroys prostate tissue through vaporization) with less blood loss. Fewer days of hospitalization.

What is laparoscopic surgery?

Laparoscopic surgery is a minimally invasive surgical technique that replaces traditional open surgery that uses a small camera called a laparoscope to see inside the abdomen.

Instead of making a large incision, a short, thin tube (trocar) is inserted into the abdomen and only small incisions (less than 1 cm) are used.

Through these trocars are inserted instruments that the surgeon uses to manipulate, cut, and suture tissue.

prostate care tips

Although it cannot influence the main risk factors (age, genetic predisposition, etc.), a healthy lifestyle: a balanced diet, regular exercise, smoking cessation, and moderate drinking contribute to the overall risk of cancer. help reduce risk.

How is prostate cancer detected?

Prostate cancer does not have subjective symptoms in the early stages, so it is recommended to undergo regular check-ups from the age of 45 to detect prostate cancer early.

Prostate-specific antigen (PSA) is a protein produced by prostate cells. However, prostate cancer cells can release approximately 10 times the amount of PSA compared to normal prostate cells. This knowledge is used for early detection of prostate cancer. PSA levels are determined by taking a blood sample.

Causes of prostate cancer:

· Year. Men over the age of 50 have an increased risk of prostate cancer.

• Race. African American men have the highest risk of prostate cancer.

• Family history. A man whose father or brother has prostate cancer has a two or three times higher risk of prostate cancer.

・Diet. The risk of prostate cancer may be higher in men who eat a high-fat diet.

What treatments are available for this type of cancer?

With active surveillance, treatment can be deferred until the tumor is actively progressing.

Definitive treatment can be surgery (radical prostatectomy) and radiation therapy or internal or external radiation therapy.

What is the survival rate for prostate cancer?

As long as prostate cancer is diagnosed at an early stage and has not yet spread, it is very likely to be cured.

For more information on Quirónsalud Torrevieja’s urology services click here

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