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Radiation Therapy For Prostate Cancer Video

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Radiation therapy for prostate cancer: What to expect

Another type of prostate issue is chronic prostatitis, or chronic pelvic pain syndrome. This condition causes pain in the lower back and groin area, and may cause urinary retention. Symptoms include leaking and discomfort. In severe cases, a catheter may be required to relieve the symptoms. If the problem is unresponsive to other treatments, your doctor may suggest a surgical procedure. If these do not work, your symptoms could progress and become chronic.

An acute bacterial infection can cause a burning sensation. Inflammation of the prostate can affect the bladder and result in discomfort and other symptoms. This is the most common urinary tract problem in men under 50, and the third most common in men over 65. The symptoms of acute bacterial prostatitis are similar to those of CPPS. Patients may experience a fever or chills as a result of the infection.

Prostate Cancer Patient Advice

Ed Weber, M.D. provides advice for patients recently diagnosed with Prostate Cancer. Expert information about your diagnosis, the possible treatments and what steps you need to take next.

Transcript: Prostate Cancer Patient Advice

Youve been diagnosed with prostate cancer. If your diagnosis came as a result of a schedule of appropriate PSA testing, its very likely the disease has been found early. This comes as a surprise to most men and they are quite anxious at this point. Being told you have prostate cancer is a frighting message carrying a heavy baggage The normal urge is to plunge into a crash course to learn how to manage this unwelcome intrusion into your life, a crash course that you are unlikely to know how to handle objectively.

So what to do?

Stop, take a deep breath, step back a bit, and think carefully. It is extremely unusual that there is any need to rush to a decision. Most cancers have been sitting quietly in your prostate and growing for 10 to 15 years, with the most aggressive ones developing over 10 or so years. So you havent just gotten prostate cancer. You just have been diagnosed with a cancer that you have been living with for a long time.

So what should you do?

Its important to be informed, but you dont need to do this alone. Thats what the specialists are there for. This is the time for deliberation, since once treated you cannot reverse the course.

Prostate Cancer Free Foundationwww.prostatecancerfree.org

Whats A Prostate Cancer Diet

The truth is, theres no specific diet that will help you prevent or treat prostate cancer, according to sources such as the University of California at San Francisco . That said, good nutrition may be associated with a lower risk of developing cancer, along with reduced risk of the disease progressing after a diagnosis.

However, the research is still out on whether your diet can really impact prostate cancer risk and prognosis. Steven Canfield, MD, the chief of urology for McGovern Medical School at The University of Texas Health Science Center at Houston , and the Memorial Hermann-Texas Medical Center, says that while there have been a lot of studies looking at specific diets for prostate cancer, they havent been very revealing. Unfortunately, he says, none of them have really panned out to show any significant prevention.

But he adds an exception: It does seem to be that whats good for your heart is good for your prostate.

The UCSF cancer center developed diet guidelines for prostate cancer that recommend plentiful intake of a wide variety of vegetables and whole grains, healthy , and healthy fats .

If these diet recommendations sound a lot like the Mediterranean Diet, your instincts are right: Theres evidence that this food plan helps lower risk of death from prostate cancer.

Skip grilling. Cooking meat at high temperatures like grilling produces a carcinogen called PhIP. If you do prepare meats on the grill, turn the meat often to minimize the char buildup .

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Swelling Bruising Or Tenderness Of The Scrotum

Symptoms generally resolve on their own within three to five days. Oral anti-inflammatory medications such as ibuprofen are usually sufficient for pain relief, if necessary. You should avoid hot tubs and Jacuzzis for at least two to three days after the procedure. Postpone bike riding until the tenderness is gone.

Frequent Urination Burning With Urination And Difficulty Urinating

Heavily promoted therapy for prostate cancer looks risky

These are the most common complaints. Occasionally the urinary stream will weaken. Generally these symptoms are managed with medications to help the bladder function better or eliminate burning. Rarely, your doctor may order a urine test. Symptoms will resolve after the end of treatment. Contact your doctor if you see blood in your urine or if you are unable to urinate.

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External Beam Radiation Therapy

In EBRT, beams of radiation are focused on the prostate gland from a machine outside the body. This type of radiation can be used to try to cure earlier stage cancers, or to help relieve symptoms such as bone pain if the cancer has spread to a specific area of bone.

You will usually go for treatment 5 days a week in an outpatient center for at least several weeks, depending on why the radiation is being given. Each treatment is much like getting an x-ray. The radiation is stronger than that used for an x-ray, but the procedure typically is painless. Each treatment lasts only a few minutes, although the setup time getting you into place for treatment takes longer.

Newer EBRT techniques focus the radiation more precisely on the tumor. This lets doctors give higher doses of radiation to the tumor while reducing the radiation exposure to nearby healthy tissues.

How To Adjust To The Dietary Needs Of The Person With Prostate Cancer

While these general recommendations ensure a healthy diet, you can play with which foods you choose and how you prepare them so that your meals are appealing and flavorful while also meeting your dietary needs.

Curb weight loss. If youre losing your appetite and losing weight, think again about what youre cooking and how youre preparing food. Experiment with seasoning foods differently so they taste better, or adding sauces and herbs to mask certain flavors. And cook with higher-calorie ingredients that dont require eating large portions to meet caloric needs.

Manage fiber intake for diarrhea relief. Loose stools, bleeding from the rectum, and loss of control over bowel movements happen to some men after getting external beam radiation treatments for prostate cancer. Several foods can help if this happens to you. Choose fiber-rich foods such as whole grains, fruits, and vegetables. The Prostate Cancer Foundation says its a bit of a balancing act when it comes to fiber, but recommends avoiding foods that might irritate your stomach while trying to keep up your consumption of fiber-rich foods to avoid getting constipated.

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Power Analysis And Randomisation

A 5-point change in the European Organisation for Research and Treatment of Cancer quality-of-life questionnaire scales is considered clinically significant . Given a mean difference of five in bowel symptoms between groups, and using a standard deviation of 9.4 from previous research , the effect size was calculated to 0.53. To reach a power of 80%, with our estimated effect size and a 0.05 significance level, 57 patients in each group were required. Expecting an attrition rate of approximately 30% due to the extensive follow-up period, we decided to include 90 patients in each group. Patients were stratified by radiation technique and site, and randomly assigned to a nutrition intervention group or a standard care group . Randomisation was performed by two persons unrelated to the trial, using the Efrons biased coin design .

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Prostate Cancer: Radiation Therapy

Radiation Therapy for Prostate Cancer – Short Video

Radiation therapy, also called X-ray therapy, uses high levels of radiation to kill prostate cancer cells or keep them from growing and dividing while minimizing damage to healthy cells.

Radiation can be given from a machine outside the body and directed at the prostate . Or a surgeon can place radioactive materials into the tumor . These radioactive materials can be temporary or permanent.

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Are There Side Effects Of The Combination Approach

There is a slightly higher chance that patients who receive the combined therapy will have rectal irritation or urinary side effects. This is common with prostate cancer radiation therapy because the radiation can damage cells in the tissues surrounding the prostate. But at MSK, we routinely use sophisticated computer-based planning techniques that help us reduce the dose given to normal tissues such as the rectum, bladder, and urethra, lessening the chances of side effects and complications. We have also found that, when treating with the combined approach, using the high-dose-rate brachytherapy compared to low-dose-rate brachytherapy may have less in the way of side effects.

In addition, at MSK, we routinely use a rectal spacer gel, which we inject between the prostate and the rectum while the patient is under mild anesthesia, to create a buffer between these two tissues. By creating this space, we can further reduce the dose of radiation the rectum is exposed to. This leads to fewer side effects for the patient. The rectal spacer gel is biodegradable and dissolves on its own within the body after a few months.

What Should Patients Know About Msks Approach To Treating Prostate Cancer

At MSK, we manage prostate cancer in a very comprehensive way, tailored to each patients disease. There is no one specific therapy that is best for everyone.

Our initial assessment includes a carefully evaluated biopsy and a very detailed MRI to show the location of the disease, the integrity or soundness of the capsule surrounding the prostate, and the amount of disease. We will often obtain next-generation imaging and do genomic testing. Then, based on that information and with input from the urologist, the radiation oncologist, and the medical oncologist we can provide a comprehensive recommendation.

The radiotherapy we do here at MSK is state-of-the-art and unparalleled. We are one of the few centers in the world to do MRI-based treatment planning and one of the few centers in the US to offer MRI-guided treatment. When we give brachytherapy, we use computer software that provides us with real-time information about the quality and accuracy of the seed implant during the procedure. It requires a great deal of collaboration with our medical physics team to try to get the most accurate positioning of the prostate during the actual three or four minutes of the treatment.

We make adjustments while the patient is still under anesthesia, so that when the procedure is completed, we have been able to achieve ideal placement of the radiation seeds. This translates into improved outcomes.

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What Are The Different Types Of Internal Radiation Therapy

Brachytherapy and radiopharmaceuticals are both considered internal radiation therapies because they both work after being inserted inside the body, rather than being directed from outside. However, the similarities mostly end there. Brachytherapy works by implanting radioactive material into the prostate and is used for localized prostate cancer. Radiopharmaceuticals are injected into the bloodstream and are used for advanced, metastatic prostate cancer. Read on to find the details of each.

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Some Cancer Patients Try Special Diets To Improve Their Prognosis

Targeting âNon

Cancer patients may try special diets to make their treatment work better, preventside effects from treatment, or to treat the cancer itself. However, for most of these special diets, there is no evidence that shows they work.

Vegetarian or vegan diet

It is not known if following a vegetarian or vegan diet can help side effects from cancer treatment or the patients prognosis. If the patient already follows a vegetarian or vegan diet, there is no evidence that shows they should switch to a different diet.

Macrobiotic diet

A macrobiotic diet is a high-carbohydrate, low-fat, plant-based diet. No studies have shown that this diet will help cancer patients.

Ketogenic diet

A ketogenic diet limits carbohydrates and increases fat intake. The purpose of the diet is to decrease the amount of glucose the tumorcells can use to grow and reproduce. It is a hard diet to follow because exact amounts of fats, carbohydrates and proteins are needed. However, the diet is safe.

Several clinical trials are recruiting glioblastoma patients to study whether a ketogenic diet affects glioblastoma tumor activity. Patients with glioblastoma who want to start a ketogenic diet should talk to their doctor and work with a registered dietitian. However, it is not yet known how the diet will affect the tumor or its symptoms.

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The Grade Group And Psa Level Are Used To Stage Prostate Cancer

The stage of the cancer is based on the results of the staging and diagnostic tests, including the prostate-specific antigen test and the Grade Group. The tissue samples removed during the biopsy are used to find out the Gleason score. The Gleason score ranges from 2 to 10 and describes how different the cancer cells look from normal cells under a microscope and how likely it is that the tumor will spread. The lower the number, the more cancer cells look like normal cells and are likely to grow and spread slowly.

The Grade Group depends on the Gleason score. See the General Information section for more information about the Gleason score.

  • Grade Group 1 is a Gleason score of 6 or less.
  • Grade Group 2 or 3 is a Gleason score of 7.
  • Grade Group 4 is a Gleason score 8.
  • Grade Group 5 is a Gleason score of 9 or 10.

The PSA test measures the level of PSA in the blood. PSA is a substance made by the prostate that may be found in an increased amount in the blood of men who have prostate cancer.

Proteins To Heal Cells

Protein is the building material of your body, and is necessary for healing and rejuvenating your body. It is particularly important to get sufficient amounts of protein-rich foods during all the stages of your cancer treatment and recovery. A review published in CA, a journal for clinicians, recommends that patients in recovery get at least 10 percent of their daily calories from proteins. The best sources of protein include low-fat meat, poultry, fish, eggs, low-fat milk and dairy products, legumes and nuts.

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Daniel E Spratt Md On Prostate Cancer: Relugolix Vs Leuprolide

Daniel E. Spratt, MD, of the University of Michigan Rogel Cancer Center, discusses phase III results of the HERO trial, which suggested benefits of the oral medication relugolix: a substantially faster time to castration with longer duration, fewer cardiac events, and a faster return to normal testosterone levels compared with leuroplide .

Are There Side Effects Of The Combination Approach To Prostate Cancer Radiation Therapy

Overview: Radiation Therapy & Prostate Cancer | Michael Steinberg, MD | 2021 PCRI Con

When it comes to early stages of disease, patients very frequently do well with either brachytherapy or external beam radiation. Success rates of around 90% or higher can be achieved with either approach. When the disease is somewhat more advanced based on the PSA level, Gleason score, extent of visible disease on magnetic resonance imaging we have learned over the years that higher doses of radiation are critical to achieving better results. Some evidence, including a large trial, suggests that for patients with intermediate- or high-risk prostate cancer, a combined approach using brachytherapy along with external beam radiation may be best compared to standard dose external beam radiation therapy alone.

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Side Effects Of External Radiotherapy

Radiotherapy to the prostate can cause some side effects, such as loose or watery poo and passing wee more often.

Side effects tend to start a week or 2 after the radiotherapy begins. They gradually get worse during the treatment and for a couple of weeks after the treatment ends. But they usually begin to improve after around 2 weeks or so.

These side effects vary from person to person. You may not have all of the effects mentioned.

Side effects can include:

You might feel tired during your treatment. It tends to get worse as the treatment goes on. You might also feel weak and lack energy. Rest when you need to.

Tiredness can carry on for some weeks after the treatment has ended but it usually improves gradually.

Various things can help you to reduce tiredness and cope with it, such as exercise. Some research has shown that taking gentle exercise can give you more energy. Its important to balance exercise with resting.

Your skin in the treatment area might get sore, or redden or darken. Following these tips can help with this:

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Will My Diet Affect My Treatment

Yes. Good nutrition is an important part of recovering from the side effects of radiation therapy.

When you eat well, you have the energy to do the activities you want to do, and your body is able to heal and fight infection. Most importantly, good nutrition can give you a sense of well-being.

Since eating when you don’t feel well can be hard, let your treatment team know if youâre having trouble. You could also consider working with a dietitian. They can help make sure that youâre getting enough nutrition during your radiation therapy.

These tips might help while youâre going through treatment:

Try new foods. Things that you havenât liked in the past may taste better to you during treatment.

Power up with plant-based foods. They can be healthy and tasty substitutes for meat. So for instance, swap out a burger or chicken for beans and peas at a few meals each week.

Eat a rainbow of fruit and vegetables. Get your fill of these healthy powerhouses every day. Good options include spinach, raspberries, yellow peppers, carrots, and cauliflower.

Limit or avoid unhealthy choices. That includes red or processed meats, sugary foods and drinks, and processed foods.

Aim to stay at a healthy weight during treatment. You can ask your doctor what your ideal range on the scale should be. Itâs normal to have small weight changes while you go through treatment.

Try to stay physically active. If youâre not active now, you can ask your doctor how to move more and exercise safely.

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