Prostate cancer prostate cancer pca cause and treatment ksw

Prostate cancer / prostate carcinomaProstate cancer is the most common cancer in men. It mainly affects men over the age of 50. Year of life. Treatment depends on the stage of the tumor and the patient's age. Prostate carcinoma is the most common cancer in men. Occurs mainly in older men. Almost all patients have reached the age of 50 at the time of diagnosis. The majority of patients are over the age of 70, and around half of them are 70 or older.

The risk of developing the disease increases if one or more male relatives (father, brother) already have the disease.

Complaints and symptoms

The prostate cancer hardly causes any symptoms for a long time. If symptoms occur, it is usually an advanced stage.

If the tumor narrows the urethra, problems with urination occur, for example a weak urine stream, frequent urge to urinate or pain when urinating.

However, in the majority of cases these complaints occur in benign prostate enlargement or other diseases of the urinary tract.

Based on the PSA value, the microscopic appearance of the tie samples, the local extension on MRI and the patient's age, the definitive therapy can be determined.


The prostate carcinoma usually grows very slowly. The earlier it is detected, the greater the chances of cure. Therefore the Early detection of prostate cancer centrally and forms the basis for the success of a therapy.

Men over the age of 50. A biopsy is performed before the age of regular preventive medical checkups recommended. On the one hand, this includes the determination of the PSA value by a simple blood test. Secondly, the prostate is palpated with a finger to detect any enlargement. From this, the risk for the presence of prostate cancer can be concluded.

If there is a suspicion of prostate cancer, we will first perform a Magnetic resonance imaging (MRI) of the prostate is performed to identify any abnormal zones that may be present.

The definitive diagnosis of prostate cancer can only be made after the targeted removal of tie samples (biopsy). The Prostate biopsy is performed with the help of image fusion (MRI-TRUS-fused prostate biopsy). For this purpose, previously acquired MRI images are electronically fused with the live ultrasound images. This allows suspicious areas to be targeted precisely. Then, under a short anesthesia or spinal anesthesia, the required tie is taken through the perineal skin.

In a prostate biopsy, various tie samples are taken from the prostate in a minor procedure.


The treatment of prostate cancer is always individualized. The type of definitive therapy can be determined on the basis of the PSA value, the microscopic appearance, the local extension and the presence of metastases. The patient's state of health plays an important role here.

The treatment methods of localized prostate carcinoma are:

– Surgical removal of the prostate (prostatectomy) – Radiation of the prostate (radiotherapy) – Active surveillance – Watchful waiting

Surgical removal of the prostate (prostatectomy)

In the case of localized prostate cancer, radical removal of the prostate (prostatectomy) has become the established treatment option. During this procedure, the prostate gland including seminal vesicles. The lymph nodes of the small pelvis are completely removed. The remaining bladder opening is then sutured to the urethra and supported with a bladder catheter.

1. Prostatectomy involves complete removal of the prostate gland, including seminal vesicles and pelvic lymph nodes. 2. The remaining opening in the bladder is then sutured to the urethra and supported with a bladder catheter.

The prostatectomy is performed at our clinic using the Da Vinci surgical robot. Radiation therapy of the prostate (radiotherapy) can complement or even replace surgery.

Active Surveillance

Patients who have been diagnosed with a small, low-risk tumor are actively monitored with regular PSA determinations and occasional MRI progress checks to keep them under such close control. In this way, surgical intervention can be delayed. Only if the growth of the tumor progresses or the patient wishes it, the tumor will be removed.

Watchful Waiting

In older men, the treatment consists in wait-and-see observation. For them, the tumor grows very slowly. Does not therefore affect survival. Only when the tumor causes symptoms is it treated.

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