Large Study Reveals Long
WASHINGTON A large, national study examining a radiation treatment for prostate cancerpopular because it delivers a high dose of therapy in a very short time framesupports its routine use.
The study, conducted at cancer centers around the United States including at Georgetown Lombardi Comprehensive Cancer Center, looks at long term follow up data for stereotactic body radiotherapy used to treat more than 2,100 men with prostate cancer that had a low or intermediate risk of recurring.
The results were published Feb. 8 in the journal JAMA Network Open.
At MedStar Georgetown University Hospital, the therapy is delivered by a system called CyberKnife, which delivers high doses of radiation precisely aimed to minimize the involvement of healthy surrounding tissue.
Radiation oncologist Sean P. Collins, MD, PhD, says curative treatment is a shared goal along with maintaining a persons quality of life. Side effects, including impotence, can occur with all treatments for prostate cancer and can happen years after treatment.
While it is necessary to observe these men for decades, our interim seven-year data show that survival and side effects are comparable to other forms of radiotherapy, says Collins, director of the CyberKnife Prostate Program at MedStar Georgetown University Hospital and an associate professor of radiation medicine at Georgetown University.
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Soreness In The Groin
When prostate cancer spreads, its common for cancer cells to go to your lymph nodes and then move to more areas of your body. The lymph nodes are a network of glands that help your body filter fluids and fight infections.
There are several lymph nodes in your groin. These are the ones closest to your prostate, so its common for the cancer to spread to them first. Cancer cells prevent your lymph nodes from draining fluid and working properly. When this happens, your lymph nodes swell. As a result, you might experience pain or soreness in the area.
Worried About Having A Dre
Its natural to feel worried or embarrassed about having tests, but some men find the idea of having a DRE upsetting. For example, if youve been sexually abused as a child or an adult, you might feel very upset about having this test. Theres no right or wrong way to feel about this, and it is your choice whether or not you have tests for prostate cancer.
It might be helpful to talk to a counsellor about your experience, thoughts and fears. Or you could contact a charity for people whove been sexually abused, such as the National Association for People Abused in Childhood or SurvivorsUK. If you do decide to have a DRE, explain your situation to your doctor as they can talk through the test with you and help to reassure you.
When I had the DRE I thought, For a few seconds of discomfort, I can live with it. Yeah its uncomfortable, but it could save your life. A personal experience
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Screening For Prostate Cancer
There are no tests available with sufficient accuracy to screen populations of men for early signs of prostate cancer. However, early detection and treatment can significantly improve prostate cancer survival.
The test most commonly used to aid early detection of prostate cancer is the prostate specific antigen blood test. This is not a diagnostic test as it can only indicate changes in the prostate. If you are concerned about prostate cancer you should talk to your doctor and make an informed choice about whether to have one of the tests designed to find early signs of prostate cancer, in view of the potential risks and benefits.
There are no proven measures to prevent prostate cancer.
Recurrent Prostate Cancer Symptoms
Prostate cancer that returns after treatment is considered recurrent. When it returns to the area around the prostate, the disease is classified as a local recurrence. If the cancer is found in another part of the body, the recurrent cancer is considered metastatic. If the cancer metastasizes outside the prostate, it most likely develops in bones first. Metastatic prostate cancer most often spreads to the liver, bones and lungs.
After initial treatment for prostate cancer, PSA levels are expected to drop dramatically. The first sign of recurrent prostate cancer may be a rise in the PSA level. Other symptoms of recurrent cancer may depend on whether and where the cancer has spread. Symptoms include:
- Blood in the urine
- Difficulty breathing
Patients should discuss any symptoms with their doctor and ask about scheduling regular PSA tests after treatment.
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How Common Is Prostate Cancer
About one in nine men will receive a prostate cancer diagnosis during his lifetime. Prostate cancer is second only to skin cancer as the most common cancer affecting males. Close to 200,000 American men receive a diagnosis of prostate cancer every year. There are many successful treatments and some men dont need treatment at all. Still, approximately 33,000 men die from the disease every year.
Prostate Specific Antigen Testing
Prostate Specific Antigen is a protein made by the cells in your prostate. Your PSA levels can be measured using a blood test and give an indication of your prostate health.
A PSA test isnt a test for cancer. Higher levels of PSA might indicate prostate cancer, but a high reading could also be caused by other conditions. It is also possible to have low level readings and have prostate cancer. This means that a PSA test isnt enough to definitively diagnose or rule out prostate cancer. Your PSA levels can vary, so your doctor might run this test a few times to compare your results and help determine your risk of prostate cancer.
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Genetic Testing For Prostate Cancer
You may hear a lot about genetics or genomics. Both terms are related to genes and cell DNA, but they are different. These tests are being used to learn more about the DNA of cancer cells, and link DNA mutations with treatments. In the future, genetic testing may be the first step doctors take when diagnosing prostate cancer.
You Can Live With Prostate Cancer
Some people may live with this prostate cancer for many years, or it may go away and come back. Since most people get their diagnosis while their cancer is in a lower stage, many live long lives with prostate cancer.
Susalla finds it helpful to tell others that, in most cases, living with prostate cancer is just like living with any other medical condition. If you take care of your health, go to your appointments, and have treatment, youâre likely to have a good quality of life for many years.
Posey says that dealing with a long-term condition can sometimes be like an âemotional rollercoaster.â At some points, you may worry about your cancer coming back, but at other moments, you may be celebrating good test results.
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What Can I Do To Combat Fatigue
The best way to combat fatigue is to treat the underlying medical cause. Unfortunately, the exact cause is often unknown, or there may be multiple causes.
Assessment. Evaluate your level of energy. Think of your personal energy stores as a “bank.” Deposits and withdrawals have to be made over the course of the day or the week to balance the amount of energy you store and the amount you need each day. Keep a diary for one week to identify the time of day when you are either most fatigued or have the most energy. Note what you think may be contributing factors. Be alert to your personal warning signs of fatigue. These may include tired eyes, tired legs, whole-body tiredness, stiff shoulders, decreased energy or a lack of energy, inability to concentrate, weakness or malaise, boredom or lack of motivation, sleepiness, increased irritability, nervousness, anxiety, or impatience.
Energy conservation. You can conserve your energy in several ways. Here are some suggestions:
- Plan ahead and organize your work. Change storage of items to reduce trips or reaching. Delegate tasks when needed.
Other ways to combat fatigue include:
How You Might Feel
When prostate cancer is advanced, it can no longer be cured. But treatment can control it for some time and help to relieve symptoms.
Finding out that your cancer cant be cured is distressing and can be a shock. Its common to feel uncertain and anxious. It’s normal not to be able to think about anything else.
Lots of information and support are available to you, your family and your friends. It can help to find out more about your cancer and the treatments you might have. Many people find that knowing more about their situation can make it easier to cope.
Talk to your doctor or nurse to understand:
- what your diagnosis means
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When Should I Call My Doctor
Although cancer-related fatigue is a common, and often an expected side effect of cancer and its treatments, you should feel free to mention your concerns to your health care providers. Fatigue may be a clue to an underlying medical problem. Other times, there may be treatments to help control some of the causes of fatigue.
Finally, there may be suggestions that are more specific to your situation that would help in combating your fatigue. Be sure to let your doctor or nurse know if you have:
- Increased shortness of breath with minimal exertion
- Uncontrolled pain
When To See A Physician
Many back pain progressively improves with house treatment and self-care, typically within a couple of weeks. Contact your physician if your back pain:
Persists past a few weeks Lower Back Pain Associated With Prostate Cancer
Is extreme and also doesnt boost with rest
Spreads down one or both legs, specifically if the discomfort extends listed below the knee
Causes weakness, numbness or tingling in one or both legs
Is accompanied by inexplicable weight loss
In uncommon cases, back pain can indicate a significant clinical problem. Look for immediate care if your back pain:
Causes brand-new bowel or bladder troubles
Is accompanied by a fever
Adheres to a fall, strike to your back or various other injury Request a Visit at Mayo Clinic
Low Back Pain Brought On By Spinal Degeneration And Injury.
Repeated heavy lifting or a sudden awkward movement can strain back muscular tissues as well as spine tendons. If you remain in inadequate physical problem, continuous strain on your back can trigger painful muscle spasms.
Disks function as pillows in between the bones in your spinal column. The soft product inside a disk can protrude or burst and press on a nerve. Nevertheless, you can have a bulging or burst disk without back pain. Disk illness is frequently found incidentally when you have spine X-rays for a few other reason.
Your spinal columns vertebrae can create unpleasant fractures if your bones come to be permeable and also brittle.
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Can Prostate Cancer Be Prevented Or Avoided
Some risk factors, such as family history and hormone levels, cant be prevented. However, your weight, physical activity, and diet may lower your risk for prostate cancer. Work toward a healthy lifestyle by eating the recommended daily amount of fruits and vegetables, exercising, and maintaining a healthy weight .
What Are Prostate Cancer Treatment Side Effects
Some prostate cancer treatments can affect the bladder, erectile nerves and sphincter muscle, which controls urination. Potential problems include:
- Incontinence: Some men experience urinary incontinence. You may leak urine when you cough or laugh, or you may feel an urgent need to use the bathroom even when your bladder isnt full. This problem can improve over the first six to 12 months without treatment.
- Erectile dysfunction : Surgery, radiation and other treatments can damage the erectile nerves and affect your ability to get or maintain an erection. Some men regain erectile function within a year or two . In the meantime, medications like sildenafil or tadalafil can help by increasing blood flow to the penis.
- Infertility: Treatments can affect your ability to produce or ejaculate sperm, resulting in male infertility. If you think you might want children in the future, you can preserve sperm in a sperm bank before you start treatments. After treatments, you may undergo sperm extraction. This procedure involves removing sperm directly from testicular tissue and implanting it into a womans uterus.
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Tests Used To Check The Prostate
This first step lets your doctor hear and understand the “story” of your prostate concerns. You’ll be asked whether you have symptoms, how long you’ve had them, and how much they affect your lifestyle. Your personal medical history also includes any risk factors, pain, fever, or trouble passing urine. You may be asked to give a urine sample for testing.
The Popular Dance Move Twerking Doesnt Involve Your Glutes
Bret Contreras, PhD, well-known Glute Guy on Instagram, took twerking to science and discovered that none of your glutes are involved at all. Its all the pelvis. Your glutes are just there for the ride and glory.
Twerking originsTwerking is distinctly a black American cultural staple and has been since the 1980s. It went mainstream in 2013, thanks to pop singer Miley Cyrus, and became a fitness craze. Yep, you can take classes for twerking, but try to learn at a black-owned studio.
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How Does The Doctor Know I Have Prostate Cancer
Prostate cancer tends to grow slowly over many years. Most men with early prostate cancer dont have changes that they notice. Signs of prostate cancer most often show up later, as the cancer grows.
Some signs of prostate cancer are trouble peeing, blood in the pee , trouble getting an erection, and pain in the back, hips, ribs, or other bones.
If signs are pointing to prostate cancer, tests will be done. Most men will not need all of them, but here are some of the tests you may need:
PSA blood test: PSA is a protein thats made by the prostate gland and can be found in the blood. Prostate cancer can make PSA levels go up. Blood tests will be done to see what your PSA level is and how it changes over time.
Transrectal ultrasound : For this test, a small wand is put into your rectum. It gives off sound waves and picks up the echoes as they bounce off the prostate gland. The echoes are made into a picture on a computer screen.
MRI: This test uses radio waves and strong magnets to make detailed pictures of the body. MRI scans can be used to look at the prostate and can show if the cancer has spread outside the prostate to nearby organs.
Prostate biopsy: For a prostate biopsy, the doctor uses a long, hollow needle to take out small pieces of the prostate where the cancer might be. This is often done while using TRUS or MRI to look at the prostate. The prostate pieces are then checked for cancer cells. Ask the doctor what kind of biopsy you need and how its done.
How Do You Achieve A Prostate Orgasm
As with any new sexual activity, learning how to have a prostate orgasm takes preparation and practice. Here are some expert-approved tips, techniques, and other important things to know.
Learn where your prostate is.
If youre new to anal play, the first step is finding your prostate. The walnut-sized gland is located underneath the bladder and in front of the rectum, and you can stimulate it by putting fingers or toys about three inches into your butt.
Try it on your own first.
Kenneth Play, sex educator and creator of the Sex Hacker Pro Series, suggests experimenting with yourself before trying with your partner. I recommend masturbation rather than partner play to start this exploration because you have a direct feedback loop, he says. Without having to instruct someone else or worry about being comfortable, things are much simpler and more effective.
Know that there are two ways to achieve a prostate orgasm: through internal and external stimulation.
Now, we know you might be scratching your head in confusion, wondering how there can be an external prostate orgasm when the prostate is located inside your anus. But heres a quick bio lesson: an external prostate orgasm is when you stimulate your prostate externally, by applying pressure between your anus and your testicles, Saynt explains . No insertion required.
Internal orgasms, on the other hand, involve massaging your prostate .
Massage your perineum.
If youre going up the butt, clean out beforehand.
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Who Is A Candidate For Treatment
Cyberknife is typically used for patients with:
- Early-stage disease.
- A prostate volume of less than 80-100 cm.
- A lesion or tumor that is untreatable by surgery or other radiation modalities.
Some people with enlarged prostates may be given hormone therapy to try to shrink the prostate to be able to get Cyberknife treatment. Patients who are considered high risk for spread to the lymph nodes or have cancer in the lymph nodes are not good candidates for Cyberknife.
What Causes An Enlarged Prostate
We still dont really know all the things that cause the prostate to grow. But we do know about two risk factors that can increase your risk of having an enlarged prostate.
Your risk of having an enlarged prostate increases as you get older. Many men aged 50 or over have an enlarged prostate, but they dont all get symptoms. And some men have symptoms that dont bother them.
The balance of hormones in your body changes as you get older. This may cause your prostate to grow.
Some studies show that obese men and men who have diabetes may be more likely to develop an enlarged prostate. Regular exercise may help to reduce your risk of urinary symptoms. But we still need more studies into the causes of enlarged prostate to know for certain if, and how, we can prevent it.
There is also some research that suggests you may be more at risk of developing an enlarged prostate if your father or brother has one. Again, further studies are needed to confirm this.
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