Causes Of Prostate Cancer
While the precise causes of prostate cancer are still unknown, doctors and scientists have identified several risk factors. It has been highlighted earlier on that prostate cancer is caused by the mutation of DNA in the prostate cell. DNA is the basic component of the cells that make up genes.
Genes are responsible for the function of the cells. They also control how the cells divide, grow, and die. This is the cell life cycle.
There are two types of genes:
- Oncogenes They are responsible for cell growth and division. They also keep the cells alive.
- Tumor suppressor genes They control cell growth, repair in faults found in the DNA, and see to it that cells die when they are supposed to.
Are Video Visits With A Prostate Cancer Doctor Online Covered By My Insurance
Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Prostate Cancer doctors who accept your insurance for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.
Considering Complementary And Alternative Methods
You may hear about alternative or complementary methods that your doctor hasnt mentioned to treat your cancer or relieve symptoms. These methods can include vitamins, herbs, and special diets, or other methods such as acupuncture or massage, to name a few.
Complementary methods refer to treatments that are used along with your regular medical care. Alternative treatments are used instead of a doctors medical treatment. Although some of these methods might be helpful in relieving symptoms or helping you feel better, many have not been proven to work. Some might even be harmful.
Be sure to talk to your cancer care team about any method you are thinking about using. They can help you learn what is known about the method, which can help you make an informed decision.
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How Can I Find A Top
You can use Zocdoc to find Prostate Cancer doctors who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.
Types Of Doctors That Treat Prostate Cancer
At Moffitt, each prostate cancer doctor specializes in a certain aspect of prostate cancer diagnosis or treatment. These specialists include:
- Urologists, who perform surgical procedures such as robotic surgery, traditional open surgery and laparoscopic radical prostatectomy to physically remove cancerous tissue
- Radiation oncologists, who develop the treatment plan for radiation therapy, which may include intensity modulated radiation therapy , image guided radiation therapy , stereotactic ablative radiotherapy or brachytherapy
- Interventional radiologists, who specialize in minimally invasive procedures, such as radiofrequency ablation and image-guided therapies, as well as administration of radiopharmaceutical therapies
- Medical oncologists, who determine the combination of drugs and dosage most appropriate for a patient receiving chemotherapy and/or hormonal therapy
- Uropathologists, who perform biopsies and run lab tests to detect the presence of cancer and the nature of the cancerous tissue
- Uroradiologists, who use ultrasound, bone scans, CT scans, MRIs and other medical imaging to determine the location of the cancer and whether or not it has spread
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Why Choose Md Anderson For Your Prostate Cancer Treatment
Choosing the right hospital may be the most important decision you make as a prostate cancer patient. At MD Anderson youll get care and support from one of the nations top-ranked cancer centers.
Here, you can benefit from the expertise at our Multidisciplinary Prostate Clinic. Most newly diagnosed patients with intermediate to high-risk prostate cancer have a choice between surgery or radiation therapy. During your first clinic visit you will have a joint appointment with a radiation oncologist and surgeon who both specialize in prostate cancer. The three of you will review your case and discuss your treatment options. Your doctors may even discuss clinical trials with you, which could offer better outcomes than standard treatments.
If you have a more complex cancer, such as a disease that has recurred or spread, we offer the most advanced therapies. Thanks to our robust research and clinical trial programs, these may include new surgical options or new cancer drugs, such as targeted therapy or immunotherapy.
Finally, all patients can benefit from the services MD Anderson offers as a comprehensive cancer center. These include social work counseling, nutrition and exercise guidance, psychiatric support and care for health problems that may be impacted by your cancer, such as diabetes and arthritis.
One Of The Nation’s Leading Prostate Cancer Specialists Named To Top Urology Post
Dr. Mitchell C. Benson Named Chairman of Urology at Columbia University College of Physicians and Surgeons and Urologist-in-Chief at NewYork-Presbyterian Hospital/Columbia
One of the nation’s leading prostate cancer specialists, Dr. Mitchell C. Benson has been appointed Chairman of the Department of Urology at Columbia University College of Physicians and Surgeons and Urologist-in-Chief at NewYork-Presbyterian Hospital/Columbia.
Dr. Benson is the George F. Cahill Professor of Urology at P& S, a professorship established in 1957 to honor the former chairman of the Department of Urology. He is also attending physician and Director of Urologic Oncology at NewYork-Presbyterian/Columbia.
“Dr. Benson is renowned for his numerous accomplishments in the development of new surgical techniques to reduce the side effects of prostate and bladder-cancer surgery, and he was instrumental in the application of the Prostate-Specific Antigen test,” says Dr. Herbert Pardes, President and CEO of NewYork-Presbyterian Hospital. “He is also a superb clinician, dedicated to treating each patient individually and with compassion. I am delighted to welcome Dr. Benson to his new position as Chairman and Chief.”
The National Cancer Institute has long supported his research. Over the past two decades, he has authored some 200 scientific articles and has presented more than 200 papers at national meetings.
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Radical Prostatectomy Survival Rates
Men who undergo radical prostatectomy have a high survival rate and low rates of cancer recurrence, cancer spread and death, according to a study of 10,332 men who had surgery between 1987 and 2004. The research showed that between 5 and 20 years after having the surgery, only 3% of the patients died of prostate cancer, 5% saw their cancer spread to other organs, and 6% had a localised recurrence.
Another large Scandinavian study compared men who chose active surveillance with those treated by radical prostatectomy. The results suggest that in the long term, younger men with higher-risk tumours who have a radical prostatectomy, have a definite survival advantage.
Results from another study at Johns Hopkins Hospital in Baltimore confirmed that 82% of men undergoing radical prostatectomy were free of recurrence at 15 years. The data from the research also indicated that in those men whose PSA level starts to rise again after surgery, the recurrent prostate cancer spreads in only around one-third of the men. In addition, unless a man had an aggressive grade of prostate cancer, the spreading of the disease would not become life-threatening for several years and would be amenable to treatment.
What Does The Research Show
Surgeon Experience Affects Outcomes Following Prostatectomy
Results from some clinical studies have indicated that surgeons who are experienced in specific surgical procedures may provide their patients with better outcomes than surgeons who are less experienced in the procedure. Researchers from Memorial Sloan-Kettering Cancer Center conducted a clinical trial to evaluate outcomes of prostatectomies and surgeon experience with the procedure.
This study included 7,849 men with early prostate cancer who underwent a prostatectomy between 1987 and 2003 at one of the following four cancer centers: Cleveland Clinic, Wayne State University, Baylor College of Medicine, or Memorial Sloan-Kettering Cancer Center. None of the patients had received chemotherapy, hormone therapy, or radiation therapy prior to surgery. This study included 74 surgeons.
Patients had better outcomes if their prostatectomy was performed by a surgeon experienced in the procedure:
- At 5 years, progression-free survival was 88% for patients whose surgeons had performed 250 or more prostatectomies.
- At 5 years, progression-free survival was 79% for patients whose surgeons had done only 10 prostatectomies.
- The rate of patients experiencing a rise in prostate-specific antigen levels following surgery increased significantly among patients whose surgeons had performed fewer prostatectomies.
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A Multidisciplinary Model For Prostate Cancer
To receive the best care possible for prostate cancer, you should seek care from a multidisciplinary medical team. This means that a group of health care professionals from different specialties work together to decide how best to prolong the length and quality of your life. To know if your medical providers are truly working as a team to help you stay as healthy as possible, ask if they hold regularly scheduled meetings that include all team members to discuss your status. You may want to attend such a meeting or ask for a briefing on it.
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Great doctor. I had trouble staying calm while he was fixing me under local as I was nervous as heck. He did an excellent job. Very professional and highly skilled.
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Dr. Michael Kogon is one of the leading urologists in Richmond Hill. He completed his medical degree at the University of Toronto. Dr. Michael Kogon finished his postgraduate training at the same university. He is chief of the division of urology at Mackenzie Health Hospital in Richmond Hill. He provides comprehensive urological care to his patients. He has experience in the management of Kidney ailments. Dr. Michael Kogon is currently accepting new patients. The hospital has a full-service emergency department, core services and specialized services to provide you with the care you need.
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Top Prostate Cancer Surgeon
Dr. Razdan is considered by many as one of the Most Experienced Robotic Prostate Cancer Surgeons in the Worldwith over 8,500 procedures performed to date. He is considered a Pioneering Researcher and Surgeon on Prostate Cancer and has some of the best Robotic Surgery Outcomes in the world. Patients travel from all around the world to Miami to have Prostate Cancer Surgery with Dr. Razdan. From CEOs of large corporations, celebrities, government officials and even other surgeons entrust Dr. Razdan and his unique set of skills and incredible outcomes. He was the First Surgeon in the World to USE HUMAN AMNIOTIC MEMBRANE for EARLY RETURN of ERECTILE FUNCTION after robotic prostate surgery. He founded and pioneered the technique of MAXIMAL URETHRAL LENGTH PRESERVATION for EARLY RETURN OF URINARY CONTINENCE after robotic prostate surgery which was also published Patients travel to Dr. Razdan for his leading outcomes in terms of Cancer Control, Urinary Continence and Erectile FunctionMost patients have full urinary control often within days of surgery and almost 98% are continent by 6 monthsMajority of patients have erections sufficient for sexual activity by 6 months
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Local Doctor Talks Prostate Cancer Following Bob Casey Diagnosis
WASHINGTON, D.C. – United States Senator Bob Casey says his prostate cancer diagnosis came last month.
Senator Casey and I went to the same high school together. He was three years older than me, but most men should start screening for prostate cancer at age 50, unless there is a family history, and then we usually recommend start screening five or ten years earlier, said Dr. Patrick Colarusso with Tower Health.
The doctor hopes the news reminds others to get checked themselves and encourages loved ones to do the same.
“Prostate cancer is the most common cancer in the the United States, with roughly 250,000 new cases identify each year, said Dr. Colarusso. One of the most common, but also treatable if caught early.”
“Treatment, thankfully, has cured patients, because 95% of the time the cancer is focused primarily in the prostate gland, said Colarusso.
According to the statement by the U.S. senator and son of the late governor, Casey is planning to undergo surgery in the coming months.
“So the primary modalities for cure are either surgery or radiation therapy, and for most men, they have a choice of radiation therapy or surgery, said Dr. Colarusso.
A more recent tool that doctors are using to stay ahead of the cancer involves looking at your family tree.
“There are genetic pre-dispositions these days. We’re doing a lot of genetic testing, identifying family members, and if they do have a gene, we keep a closer eye and start screening earlier, said Colarusso.
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Help Getting Through Cancer Treatment
People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.
Whether you are thinking about treatment, getting treatment, or not being treated at all, you can still get supportive care to help with pain or other symptoms. Communicating with your cancer care team is important so you understand your diagnosis, what treatment is recommended, and ways to maintain or improve your quality of life.
Different types of programs and support services may be helpful, and can be an important part of your care. These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help.
The American Cancer Society also has programs and services including rides to treatment, lodging, and more to help you get through treatment. Call our National Cancer Information Center at 1-800-227-2345 and speak with one of our trained specialists.
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Find The Best Surgeon You Can Get It Done Right
Radical prostatectomy is a very difficult operation. It takes not only skill, but the kind of expertise you get only after being involved in a lot of procedures, first from the sidelines as a doctor in training, and then learning how to do it meticulously with the guidance of an expert surgeon.
The very best prostate surgeons specialize in the prostate. Thats often all they do, and they do a lot of these procedures every year.
You dont want to be part of the learning curve.
Another point: Because there are so many bad surgeons out there, you cant trust everything you read on the internet or from hospitals propaganda.
Our goal is to weed out the bad surgeons, so they stop doing procedures they arent skilled enough to do.
As for you, well, this is your one shot at this. Do your due diligence. How can you find the right surgeon? We have developed this checklist with the help of three experts. Please. Take the following things into consideration before you go under the knife:
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Facts About Prostate Supplements
Prostate health supplements are formulated to address various problems associated with prostate health and sexual function.
They are usually made of natural ingredients mostly herbs that have been used for this purpose for centuries. There are hundreds of these products on the market which is why its essential to understand to get informed before making the final purchase.
You should consider taking prostate supplements if you:
- Have weak or slow urinary stream
- Experience feeling of incomplete bladder emptying
- Find it difficult to start urination
- Experience urgency to urinate
Some Side Effects Of Radical Prostatectomy Reduced If Surgeon Performs Many Procedures
The risk of some side effects caused by a radical prostatectomy appear to be reduced if a patient is treated at a high-volume hospital and by a surgeon who performs a high volume of procedures annually
Recently, investigators from the Health Outcomes Research Group, Memorial Sloan-Kettering Cancer Center and the Applied Research Branch of the National Cancer Institute evaluated data from the Surveillance, Epidemiology, and End Results -Medicare database to evaluate the incidence of postoperative complications and death in relation to the volume of patients treated at a hospital or the volume of procedures performed by a surgeon. Four separate categories were evaluated: postoperative complications, including life-threatening events during the 30 days after surgery involving cardiac, respiratory, vascular, renal or bleeding events, shock or the need for reoperation late urinary complications including bladder obstructions, fistulas, strictures, pelvic abscess or early incontinence that occurred 31 to 365 days after surgery postoperative death and long-term incontinence lasting over one year following surgery.
This data appears to indicate that patients undergoing a radical prostatectomy may have a reduced risk for developing some side effects if treated in a high-volume hospital and by a surgeon who performs a large number of prostatectomies annually.
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Treatment Options For Prostate Cancer
We dont stop after embarking on a treatment plan. For many men with low-risk disease, active surveillance or observation is the most appropriate option. At the Smilow Comprehensive Prostate Cancer Center, we have carefully and safely followed men for more than a decade without any intervention, while ensuring the disease was not progressing.
Men who are candidates for a treatment called focal ablation recover quickly and typically do not develop urinary incontinence or sexual dysfunction. A requirement of this treatment is careful follow up to ensure that the cancer has truly been destroyed and new cancers do not develop in the untreated prostate.
If you choose to have your prostate removed in a procedure known as radical prostatectomy, we follow you closely through recovery and connect you with programs that improve your chances of maintaining sexual potency and avoiding incontinence.
Our team of world-renowned urologic surgeons, radiation oncologists, medical oncologists, radiologists, and naturopathic doctors collaborate to provide comprehensive prostate cancer care. We are intimately familiar with the most up-to-date medical findings, and in many cases we are leading those discoveries right here at NYU Langone.
The Smilow Comprehensive Prostate Cancer Center was established in 2010 with the generous support of Joel E. Smilow, a trustee of New York University and NYU Langone.