Prostate Treatment Notes

Prostate Treatment Overview

  • Ablation: Refers to treatments for prostate cancer that involve the removal or destruction of prostate tissue using various methods. These methods include:

    • Surgery
    • Hormones
    • Drugs
    • Heat
    • Chemicals
    • Electrocautery (uses high-frequency electrical current to destroy tissue)
  • Prostatectomy: The surgical removal of part or all of the prostate gland. The term breaks down into:

    • Prostat: Refers to the prostate.
    • Ectomy: Means surgical removal.
    • Purposes:
    • Treat prostate cancer
    • Reduce an enlarged prostate gland
    • Complication: May lead to erectile difficulties.
  • Types of Prostatectomy:

    • Radical Prostatectomy: Complete removal of the prostate gland, typically for extremely enlarged organs or suspected cancer.
    • Transurethral Prostatectomy (TURP): Removal of excess tissue from an enlarged prostate gland using a resectoscope, a specialized endoscopic instrument.
  • Retrograde Ejaculation: A condition where semen flows backward into the bladder during orgasm instead of exiting through the penis. This is a common long-term complication of TURP.

Other Treatment Options for Prostate Cancer

  • Radiation Therapy: A method used to control prostate cancer through targeted radiation.
  • Hormone Therapy: Treatment aimed at reducing hormone levels to manage cancer progression.
  • Watchful Waiting: Prescribed for older patients as prostate cancer often progresses slowly.

Urinary Incontinence Treatments

  • Kegel Exercises: Named after Dr. Arnold Kegel, these are pelvic muscle exercises aimed at strengthening the pelvic floor muscles, used to:

    • Treat urinary stress incontinence in both men and women.
    • Help men with prostate pain and swelling.
    • Assist women in recovery after childbirth.
  • Bladder Retraining: A behavioral therapy approach that aims to restore voluntary bladder control by:

    • Urinating on a schedule with progressively longer intervals.
    • Breaking the cycle of frequency and urgency associated with urge incontinence.