Treatment FAQ

what can a patient do after prostate cancer treatment

by Saul Leannon Published 2 years ago Updated 1 year ago
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Can I lower the risk of prostate cancer progressing or coming back?

  • Get regular physical activity. Some research has suggested that men who exercise regularly after treatment might be less...
  • Quit smoking. Some research has suggested that men who smoke are more likely to have their prostate cancer recur and are...
  • Nutrition and dietary supplements. Some studies have...

Full Answer

What is the best treatment for early stages of prostate cancer?

If the cancer is contained in your prostate, surgery or a second attempt at radiation is suggested. If you've had a radical prostatectomy, radiation therapy is a good option. If you had radiation, radical prostatectomy might be the best approach. Cryosurgery might also be an option.

Do I have to start treatment right away for prostate cancer?

For men diagnosed with low-risk prostate cancer, treatment may not be necessary right away. Some men may never need treatment. Instead, doctors sometimes recommend active surveillance. In active surveillance, regular follow-up blood tests, rectal exams and possibly biopsies may be performed to monitor progression of your cancer.

Is radiation therapy better than surgery for prostate cancer?

Surgery better than radiation, hormone treatments for some prostate cancer, study shows. Surgery for localized prostate cancer offers a significantly higher survival rate than either external-beam radiation or hormonal therapies, according to a new study led by researchers at UCSF.

How to prepare for after prostate cancer surgery?

  • You'll need to resume your activity level gradually. You should be back to your normal routine in about four to six weeks.
  • You'll need to see your doctor a few times to make sure everything is OK. ...
  • You'll probably be able to resume sexual activity after recuperating from surgery. ...

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What happens after prostate cancer treatment?

The most common side effects of prostate cancer surgery are urinary incontinence (the inability to control your bladder) and erectile dysfunction, or ED (the inability to achieve a full erection).

How long does it take to recover from prostate cancer treatment?

It takes a few weeks for you to recover after your operation. You will need to spend a few days in the hospital and then give yourself time to recover once you are home. Most people can go back to normal activities between 6 to 8 weeks after surgery.

When are you considered cancer free after prostate cancer?

Many men diagnosed and treated at the local or regional stages will be disease-free after five years.

What activities can I do after prostate surgery?

You can start daily activities (such as walking and climbing stairs) immediately when you get home. However, you should wait three to four weeks before beginning any heavy exercise, such as jogging, weight lifting, and bicycle riding.

How do you know when prostate cancer is cured?

We now have the ability to tell patients with a reasonable degree of certainty that if their PSA has remained at the right level for four or five years, it means that they are probably cured," he concludes.

Can you get an erection without a prostate?

About 75% of men who undergo nerve-sparing prostatectomy or more precise forms of radiation therapy have reported successfully achieving erections after using these drugs.

Can prostate cancer be cured completely?

There is no cure for metastatic prostate cancer, but it is often treatable for quite some time. Many people outlive their prostate cancer, even those who have advanced disease. Often, the prostate cancer grows slowly, and there are now effective treatment options that extend life even further.

Does prostate cancer always return?

Fortunately the five year survival rate for men with localized prostate cancer is nearly 100 percent. However, up to 40 percent of men will experience a recurrence, so it is important to understand your risk for recurrence.

How do you prevent prostate cancer from coming back?

If you have recovered from prostate cancer, experts say you should follow a cancer-prevention diet that's high in nutrients and includes:Less saturated fat. ... Less processed meat. ... Less sugar. ... Fruit and vegetables. ... Whole grains.

What is the best exercise after prostate surgery?

Improve Bladder Control. Regain your continence sooner after a robotic prostatectomy. Kegel exercise strengthens the group of muscles called the pelvic floor muscles (also known as PC muscles which stand for pubococcygeus.) These muscles contract and relax around the bladder and the bladder opening at your command.

How can I help my husband after prostatectomy?

A partner should encourage the man to follow his doctor's recommendation of penile therapy, using an oral drug called a PDE5 inhibitor that, following sexual stimulation, increases blood flow to the penis and causes an erection. Also encourage him to keep an open mind about other treatments, such as penile injections.

How do you care for someone after prostate surgery?

ActivityPlease refrain from driving for 1 week after your surgery. ... Avoid climbing stairs as a form of exercise.Avoid sitting still in one position for too long (more than 45 minutes)Avoid bathtubs, swimming pools, hot tubs or otherwise submerging yourself in water for as long as the catheter is in place.More items...

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How long does it take for PSA to drop after prostate surgery?

PSA level after surgery (radical prostatectomy) Your PSA level should drop so low that it’s not possible to detect it (less than 0.1 ng/ml) at six to eight weeks after surgery. This is because the prostate, which produces PSA, has been removed.

What is a follow up appointment for prostate cancer?

This is often called follow-up. The aim of your follow-up appointments is to: check how your cancer has responded to treatment. help you deal with any side effects of treatment.

How long does it take for a prostate to drop?

PSA level after radiotherapy or brachytherapy. After radiotherapy or brachytherapy, your PSA should drop to its lowest level (nadir) after 18 months to two years.

How long before a check up can you get a PSA test?

The PSA test is a blood test that measures the amount of a protein called prostate specific antigen (PSA) in your blood. You will usually have one done a week or two before your appointment, so that the results are available at your check-up. You will be told when to make an appointment for the test. It might be done at your GP surgery or at hospital, depending on the services in your area.

What happens if your PSA rises?

If your PSA rises, you will be given an appointment at the hospital to talk about what this might mean. Men often prefer this type of follow-up, as it means you can avoid going to hospital appointments when you're feeling well and don't have any concerns.

How do you know if your cancer has come back?

PSA levels after treatment. A continuous rise in your PSA level can be the first sign that your cancer has come back. This should be picked up by your regular PSA tests. The exact change in PSA level that suggests your cancer has come back will depend on which treatment you had.

What doctor does radiotherapy?

an oncologist (a doctor who specialises in cancer treatments other than surgery, such as radiotherapy) a radiographer (a health professional who specialises in helping to plan and give radiotherapy). If you have your appointments at your GP surgery, you will see your GP or a practice nurse.

What is the best treatment for ED after prostate surgery?

The first treatment for ED after prostate cancer surgery is oral medications such as sildenafil ( Viagra), that improve blood flow to the penis. If medication is not enough a penile pump may be suggested.

How long does it take for men to get better after prostate surgery?

The majority of men show vast improvement by approximately six months after surgery. Many men may continue to wear a very thin pad, for security.". An initial treatment for urinary incontinence is Kegel exercises to strengthen pelvic floor muscles, which are vital for bladder control. If you're going to have prostate cancer surgery, ...

What is the most common surgery for prostate cancer?

A common surgery for prostate cancer is a radical prostatectomy. This is when the surgeon removes the entire prostate gland, seminal vesicles, and often, pelvic lymph nodes. The most common side effects of prostate cancer surgery are urinary incontinence (the inability to control your bladder) and erectile dysfunction, ...

Why does my urine leak after surgery?

This occurs because the sphincter that controls the flow of urine may not work properly in the short-term after surgery.

What is pelvic floor physical therapy?

Pelvic floor physical therapy may also be helpful in training muscles to prevent incontinence. Surgery is a last option if other treatments have failed. Your urologist can implant a device called an artificial urinary sphincter. This compresses the urethra to keep it closed except when you need to urinate.

Why do men have trouble erections after prostate surgery?

Many men have trouble with erections after prostate cancer surgery. This is because nerves can be damaged during surgery. All men who are treated for prostate cancer will experience ED for at least a short time after surgery. The chance of ED after treatment depends on a number of factors. These include your age, overall health, whether you had ED ...

How long does testosterone treatment last?

The severity and length of side effects depend on how long treatment lasts. "If a man has only six months of treatment, their level of testosterone rises again, and they'll go back to feeling like themselves," Calvaresi said.

How to get rid of prostate cancer?

Getting regular physical exercise and staying active is a great way to boost your overall health. Additionally, research shows that men who exercise after prostate cancer treatment may be less likely to die than men who don’t. A 2008 study also shows that men who are overweight or obese may have a poorer outcome than men who are at ...

How long does it take for prostate cancer to show up?

Some of these side effects may be immediate and temporary. Others may take several weeks or months to show up and never fully disappear.

What test can be done to detect prostate cancer?

Two tests to detect recurrent prostate cancer include a digital rectal exam (DRE) and a PSA blood test. During a DRE, your doctor will insert a finger into your rectum.

How many men get prostate cancer every year?

Every year, about 180,890 new cases of prostate cancer are diagnosed. Approximately 1 out of 7 men will be diagnosed with prostate cancer. Although this can be a serious disease, many men who have prostate cancer successfully navigate treatment and continue with their lives. Here’s what you need to know about life after you’ve completed your ...

Can prostate cancer be found during follow up?

In many cases, recurrent prostate cancer is found during follow-up visits. Men who’ve had prostate cancer may be more likely to develop other types of cancer. If your doctor finds that your cancer has returned, the two of you should address these questions:

Can prostate cancer cause fatigue?

The effects of some prostate cancer treatments, such as radiation and chemotherapy, may cause you to experience fatigue and tiredness. These symptoms may begin during treatment and continue after you’ve entered remission.

Can you keep an erection after prostate cancer?

Trouble getting and keeping an erection is common following prostate cancer treatment. This may be an issue for several months or even years following cancer treatment. Some men may be able to resolve this with treatment for ED.

What to do if PSA is rising?

If the PSA is rising quickly enough to warrant treatment , but localized treatments (such as surgery, radiation therapy, or cryotherapy) aren’t likely to be helpful, hormone therapy is often the next option. If one type of hormone therapy isn’t helpful, another can be tried (see castrate-resistant prostate cancer, below).

What is the best treatment for cancer?

For cancers that are no longer responding to initial hormone therapy and are causing symptoms, several options might be available. Chemotherapy with the drug docetaxel (Taxotere) is often the first choice because it has been shown to help men live longer, as well as to reduce pain.

What is CRPC prostate cancer?

Castrate-resistant prostate cancer (CRPC) is cancer that is still growing despite the fact that hormone therapy (an orchiectomy or an LHRH agonist or antagonist) is keeping the testosterone level in the body as low as what would be expected if the testicles were removed (called castrate level s). The cancer might still respond to other forms ...

What is castrate resistant prostate cancer?

Castrate-resistant and hormone-refractory prostate cancer 1 Castrate-resistant prostate cancer (CRPC) is cancer that is still growing despite the fact that hormone therapy (an orchiectomy or an LHRH agonist or antagonist) is keeping the testosterone level in the body as low as what would be expected if the testicles were removed (called castrate level s). The cancer might still respond to other forms of hormone therapy, though. 2 Hormone-refractory prostate cancer (HRPC) is cancer that is no longer helped by any form of hormone therapy.

What hormones can help with cancer?

These include abiraterone (Zytiga), enzalutamide (Xtandi), apalutamide (Erleada), darolutamide (Nubeqa), ketoconazole, estrogens (female hormones), and corticosteroids. The prostate cancer vaccine sipuleucel-T (Provenge) ...

How to treat bone pain?

Other medicines and methods can also help keep pain and other symptoms under control. External radiation therapy can help treat bone pain if it’s only in a few spots. Radiopharmaceutical drugs can often reduce pain if it’s more widespread, and may also slow the growth of the cancer.

What tests are needed to treat cancer?

Follow-up treatment will depend on where the cancer is thought to be and what treatment (s) you've already had. Imaging tests such as CT, MRI, or bone scans may be done to get a better idea about where the cancer is.

How long does it take for PSA to fall after prostate surgery?

After surgery or radiation for localized prostate cancer, your PSA will likely fall. After surgery, your PSA should be undetectable (<0.1 ng/dl) after about 30 days and should remain at this level.

What is a blip in PSA?

If the PSA starts to rise, sometimes this is called a PSA “blip” or “bump” that is not truly cancer progression but rather a phenomenon that one can see with radiation.

Does prostate cancer show up on bone scans?

The dye-like material highlights areas where bone tissue is changing rapidly—a hallmark effect of prostate cancer bone metastases. Bone scans can detect even small amounts of increased bone metabolism, but not all changes are caused by prostate cancer bone metastases.

Do you need to read and digest prostate cancer?

You don't need to read and digest everything right now. Most men with the disease have time to figure things out. Many prostate tumors grow slowly, so you might not need to make decisions right away. Get help from your doctor to figure out what you need to know now and what can wait.

Can prostate cancer cause erections?

As prostate cancer treatments fight your disease, they can also cause other problems, like losing control of your bladder or trouble getting erections. Not all men will have these side effects, but you should talk about them with your doctor before you decide if and how you’ll treat your disease.

What is the second cancer after prostate cancer?

Second Cancers After Prostate Cancer. Prostate cancer survivors can be affected by a number of health problems, but often a major concern is facing cancer again. Cancer that comes back after treatment is called a recurrence. But some cancer survivors may develop a new, unrelated cancer later. This is called a second cancer.

What cancers are associated with radiation therapy?

Thyroid cancer. Thymus cancer. Melanoma of the skin. Men who are treated with radiation therapy also have a higher risk of: Rectal cancer. Acute myeloid leukemia (AML) This risk is probably related to the dose of radiation. Newer methods of giving radiation therapy may have different effects on the risks of a second cancer.

Can prostate cancer be prevented by smoking?

For example, prostate cancer survivors should do their best to stay away from all tobacco products and tobacco smoke. Smoking can increase the risk of bladder cancer, as well as increase the risk of many other cancers. To help maintain good health, prostate cancer survivors should also:

Can you get another prostate cancer?

Unfortunately, being treated for prostate cancer doesn’t mean you can’t get another cancer. Men who have had prostate cancer can still get the same types of cancers that other men get. In fact, they might be at higher risk for certain types of cancer. Men who have had prostate cancer can get any type of second cancer, ...

How long does it take for a PSA to drop after a prostatectomy?

Your PSA should fall to a very low or even undetectable level within a couple of months after radical prostatectomy. Because some PSA can remain in the blood for several weeks after surgery, even if all of the prostate cells were removed, doctors often advise waiting at least 6 to 8 weeks after surgery before checking the PSA level.

How long does it take for prostate to drop after radiation?

PSA levels after radiation tend to drop slowly, and might not reach their lowest level until 2 years or more after treatment.

What happens if your PSA is higher than 2 ng/mL?

Some medical groups have proposed that if the PSA rises more than 2 ng/mL above the lowest level reached, further treatment should be considered, but some doctors might advise tests to look for cancer in the body even if the PSA has not yet risen this much.

What does a PSA level show?

When treatments such as hormone therapy, chemotherapy, or immunotherapy are used for more advanced prostate cancer, the PSA level can help show how well the treatment is working or when it might be time to try a different treatment.

What happens to PSA after radiation?

The PSA rises slightly for a short time within the first couple of years after treatment, but then goes back down. Doctors aren’t sure why this happens, but it doesn’t seem to affect a man’s prognosis.

Why is PSA monitored?

If you choose observation or active surveillance, your PSA level will be monitored closely (most likely along with other tests) to help decide if the cancer is growing and if treatment should be considered. Your doctor will watch your PSA level and how quickly it is rising.

Why is PSA important?

The PSA level is an important tool to monitor the cancer, but not every rise in PSA means that the cancer is growing and requires treatment right away. To help limit unnecessary anxiety, be sure you understand what change in your PSA level might concern your doctor.

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