What is a Prostate Tumor?
It is the development of cancer in the prostate organ, which is found only in men. It is the most common type of cancer in men. It is usually seen over the age of 50.
What are the Symptoms of Prostate Tumor?
It is difficult to distinguish the symptoms of prostate cancer from the symptoms of benign prostate enlargement. Since they present with the same symptoms, the differential diagnosis is made by the urologist. But every man should be examined by a urologist after the age of 50, or after the age of 40 if there is a family history of prostate cancer, and should continue to be examined every 6-12 months for life.
What are the Causes of Prostate Tumor?
The biggest reason is natural aging. Because it is not seen in young people. The male hormone we call androgen is the main factor. Prostate cancer does not develop in corner types. Fatty diet, smoking and exposure to carcinogenic substances are also among the accused factors.
What are the Risk Factors of Prostate Tumor?
Familial predisposition. , exposure to radiation, aging, eating habits and hormones are the accused causes of cancer. Prostate cancer was detected in the autopsies of almost all of those who died at the age of 100.
What are the Testing Methods of Prostate Tumor?
Anal digital examination for diagnosis, Total and Free PSA, ultrasonography, pelvic MRI and most importantly prostate biopsy are required. If metastasis is suspected, bone scintigraphy and whole body Pet-CT are performed.
How is a prostate biopsy performed?
Usually, biopsy is based on the patient's age, anal examination findings and PSA value. decision is made. It is not necessary to empty the bowel with an enema. It must be on an empty stomach. Aspirin should be stopped 5 days before. If other blood thinning treatments are being taken, they should be discontinued under the supervision of a doctor. Antibiotics must be taken before the procedure. The procedure should be performed under ultrasound guidance, under sedation, without any pain. 12 pieces of biopsy are taken. It is a 15 minute process. After the procedure, you can rest for half an hour and go home. Fever and bleeding from the anus and/or urinary tract may occur due to the procedure. If you experience high fever, chills, or serious anal bleeding, consult a doctor. should be informed and the nearest health institution should be consulted. Diabetic, obese patients, and patients with compromised defense systems are at risk.
What are the Treatment Methods of Prostate Tumor?
Radical Prostatectomy (Prostate Removal) cancer surgery ): It is an operation to remove the prostate along with the male glands and seminal ducts and reconnect the bladder to the urinary tract. It is the most effective treatment method. The surgery takes 2 hours. Stay in the hospital for 2 days. The catheter is removed after 2-3 weeks.
Picture 4: Removed together with the prostate capsule. Semen storage bags and semen transmission channels were also removed. The cancer is inside the tissue.
Canal TUR surgery: It is performed if the enlarged prostate due to cancer is blocking the path and a treatment other than radical prostatectomy is planned for the patient. The aim is to open the way. It does not cure cancer.
Radiotherapy: It is done externally or internally. External radiotherapy takes about 2 months. While the disease may have a chance of being completely cured, questions about whether there is still an active disease may sometimes remain unanswered. The internal method called brachytherapy is not used frequently. Its side effects are less than those performed externally.
Will I Have Urinary Incontinence After Surgery for Prostate Tumor?
The main cause of urinary incontinence after surgery is the surgeon who performs the surgery. Men have two urinary retention valves. The one on the bladder side is removed as part of the surgery. The main valve is where the prostate ends. Damage to this valve by the surgeon may cause urinary incontinence. Additionally, the patient's advanced age and high bladder pressures may also be risk factors for urinary incontinence.
Is There a Treatment for Urinary Incontinence After Surgery?
Very few of them experience urinary incontinence when coughing, sneezing, standing up, or lifting weights, which continues for the first 2-3 months. In this way, all patients with urinary incontinence recover spontaneously within 3 months. In patients with complete urinary incontinence, we wait at least 6 months. If severe urinary incontinence still persists, artificial sphincter surgery can be performed. ;
Will My Sexual Functions Be Impaired After Surgery? Is there a cure if it breaks?
The main purpose of performing radical prostate surgery for prostate cancer is to get rid of the cancer. Of course, while doing this, the indispensable goals of the patient should be to be able to hold urine completely, to continue their sexual functions at least partially, and to create a urinary tract without stricture.
What Happens If Prostate Cancer Is Not Treated?
Prostate cancers develop slowly and insidiously. If it is caught early, that is, if the cancer is within the prostate and has not spread to distant organs, it can be treated. But if the disease has metastasized, unfortunately there is no effective treatment for the disease. Only hormonal treatment is given to these patients.
What Should Be Done Before the Doctor's Appointment?
With the examination and radiological imaging methods, if any, must come together. Surgery expectations should be clearly stated. Patient-doctor trust must be ensured
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