Treatment FAQ

what happens after treatment for prostate cancer

by Susie Friesen DVM Published 2 years ago Updated 2 years ago
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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).

Full Answer

What is the life expectancy after prostate cancer?

In general, your long-term outlook and life expectancy will depend on factors like:

  • age
  • overall health, including other conditions you have
  • the extent of the metastases
  • grade of the tumor
  • Gleason score
  • prostate specific antigen (PSA) levels
  • the types and response to treatments you receive

What are the chances of you having prostate cancer?

There are several pieces of information that help determine your cancer risk:

  • The prostate-specific antigen (PSA) level
  • How big the tumor feels during a digital rectal exam
  • The number of core samples from the prostate biopsy that have cancer cells
  • The Gleason grade group — this describes what the cancer cells look like under a microscope

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What are the odds of dying from prostate cancer?

Some genetic changes associated with prostate cancer include:

  • BRCA gene mutations:;Both BRCA1 gene mutations and; BRCA2 gene mutations carry an increased risk of prostate cancer. ...
  • Lynch syndrome ;: This syndrome is caused by mutations in DNA mismatch repair genes and is associated more strongly with colorectal cancer.
  • RNASEL mutations: These mutations affect a tumor suppressor gene.

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What happens in final stages of prostate cancer?

What Are the Final Stages of Prostate Cancer?

  • Stage I The cancer is only in the prostate.
  • Stage II The cancer is more advanced but is still contained within the prostate.
  • Stage III The cancer has spread beyond the outer layer of the prostate and may have spread to the seminal vesicles.

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Does prostate cancer go away after treatment?

For most men with prostate cancer, treatment can remove or destroy the cancer. Completing treatment can be both stressful and exciting. You may be relieved to finish treatment, but find it hard not to worry about cancer growing or coming back. This is very common if you've had cancer.

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

(Many men do not need any more treatment.) One month after surgery : Doctors recommend no strenuous activity or heavy lifting for at least one month after surgery. Most people take off work for three to four weeks. If you work from home, you could return to work sooner.

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.

What happens to men after prostate cancer?

Nearly all men will experience some erectile dysfunction for the first few months after prostate cancer treatment. However, within one year after treatment, nearly all men with intact nerves will see a substantial improvement.

Can you get an erection after prostate removal?

Most men who have normal sexual function and receive treatment for early prostate cancer regain erectile function and can have satisfying sex lives after robotic prostatectomy. However, it is a gradual process and may take up to a year.

What is the next step after radiation for prostate cancer?

Cancer that is thought to still be in or around the prostate After radiation therapy: If your first treatment was radiation, treatment options might include cryotherapy or radical prostatectomy, but when these treatments are done after radiation, they carry a higher risk for side effects such as incontinence.

Can you live a normal life after prostate cancer?

You can live a long time with prostate cancer. If you catch and treat it early, you might even be able to cure it. Staying as healthy as possible plays an important role.

What is the most successful prostate cancer treatment?

Radiation therapy is a good choice for many men with early-stage prostate cancer. It is also the best treatment for older men or those who have other health problems. There are different types of radiation therapy: External beam radiation.

Can prostate cancer be permanently cured?

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.

What is life like without a prostate?

The two prominent quality-of-life issues associated with living without a prostate are the loss of urinary control and the loss of erectile function.

Does Viagra work after prostate removal?

Viagra is an effective treatment for impotency in men who have their prostate removed. For men whose nerves have been spared, the drug improves the ability to have an erection by nearly 60%, but the effectiveness drops to 20% in those with no nerves spared.

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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.

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 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.

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.

Can prostate cancer come back?

If this happens, your cancer may come back – this is known as recurrent prostate cancer.

What happens if prostate cancer comes back?

If your prostate cancer comes back at some point, your treatment options will depend on where the cancer is, what types of treatment you’ve already had, and your health. See Treating Prostate Cancer that Doesn't Go Away or Comes Back After Treatment. For more general information on recurrence, see Understanding Recurrence.

What to do if you have prostate cancer?

If you have (or have had) prostate cancer, you probably want to know if there are things you can do that might lower your risk of the cancer growing or coming back, such as exercising, eating a certain type of diet, or taking nutritional supplements. While there are some things you can do that might be helpful, ...

How to prevent prostate cancer?

Getting regular physical activity. Some research has suggested that men who exercise regularly after treatment might be less likely to die from their prostate cancer than those who don’t. It’s not clear exactly how much activity might be needed, but more seems to be better.

Why is it important to tell your doctor about prostate cancer?

It’s important for all prostate cancer survivors, to tell their health care team about any new symptoms or problems, because they could be caused by the cancer coming back or by a new disease or second cancer.

Can men with prostate cancer get other cancers?

Men who’ve had prostate cancer can still get other cancers. In fact, prostate cancer survivors are at higher risk for getting some other types of cancer. See Second Cancers After Prostate Cancer to learn more.

Does smoking cause prostate cancer?

Some research has suggested that men who smoke are more likely to have their prostate cancer recur and are more likely to die from it than men who don’t smoke. More research is needed to see if quitting smoking can help lower these risks, although quitting is already known to have a number of other health benefits.

Can losing weight help prostate cancer?

But it’s not yet clear if losing weight can lower this risk. More research is needed to help clarify this.

During Treatment For Advanced Prostate Cancer

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 Is Intermittent Adt

Researchers have investigated whether a technique called intermittent androgen deprivation can delay the development of hormone resistance. With intermittent androgen deprivation, hormone therapy is given in cycles with breaks between drug administrations, rather than continuously.

What Are The Side Effects Of External Beam Radiation Therapy

As with most prostate cancer treatments, external beam radiation therapy can also cause side effects. The severity can depend on the type of radiation, dose size, length of treatment and area of treatments. These frequently include:

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.

Tips To Get The Most From Your Follow

It’s easy to forget what you want to say once youre at your appointment.

What The Results Showed

After five years, there were no significant differences in survival associated with any of the selected treatments. Just one man in the favorable risk category died from prostate cancer during the study, and there were eight deaths from the disease in the unfavorable risk group.

Q: What Are The Different Types Of Radiation Therapy For Prostate Cancer

There are several forms of radiation therapy, but they can be broken down into two main categories:

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.

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.

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.

Can you grow a tumor in a few weeks?

It’s not going to grow very much over the next few weeks; in fact, it may not grow at all. If you and your doctor decide you need surgery or radiation to kill the cancer, you then need to find the best place – it may be nearby, or in another city in your state, or even further away – for you to have this done.

Does prostate cancer grow slowly?

If you have cancer in your prostate, it didn’t just spring up like a mushroom. It has been there for years, maybe even a decade, growing very slowly, taking a long time just to get big enough to be discovered.

Is prostate cancer a second opinion?

Prostate cancer can be tricky to interpret, and it’s a good idea to get a second opinion from somebody who specializes in looking at it – not breast cancer, not ovarian cancer, not colon cancer, just prostate cancer. The third thing: Take your time.

Can you get a second opinion on prostate cancer?

Prostate cancer can be tricky to interpret, and it’s a good idea to get a second opinion ...

Do you need a biopsy for a PSA?

You’ve had the PSA test – or more likely, several of them – plus the digital rectal exam, and one or both of these suggested that you needed a biopsy. The biopsy was not fun, but you did it, and then you waited for a pathologist to look at the tiny, needle-sized cores of tissue removed from your prostate. Maybe you managed to forget about it ...

Can you get prostate cancer at a regular screening?

If your cancer was diagnosed through regular screening, that’s an extra reason to be upbeat: Just a couple of decades ago, before the PSA test and regular screening became widespread, most men didn’t know they had prostate cancer until it was often too late. Either it had gotten advanced enough to cause symptoms like back pain or urinary problems, or it was big enough for a doctor to feel it during a rectal exam. Many men used to be diagnosed when cancer was no longer confined to the prostate, and was more difficult to treat.

How does prostate cancer affect your body?

Your prostate cancer and its treatment won’t just affect your body. They’ll also have a serious impact on your emotions. Stress and anxiety can trigger your body to make adrenaline, which gets in the way of having sex. The more you worry, the worse the struggle.

How long does prostate cancer last?

These issues may last several weeks or much longer. It depends on the type of treatment you have and how you feel. Up to half of men who have nerve-sparing prostate surgery or radiation therapy see improvement in having sex within a year after their treatment.

What to expect when you have a prostate?

What to Expect. Your prostate is next to key nerves, blood vessels, and muscles that help you have an erection. Surgery and radiation to treat your cancer can damage these areas, making it more difficult to get an erection or have an orgasm.

Does hormone therapy help with sex drive?

Hormone therapy lowers the amount of testosterone in your body, which won't help your sex drive and performance. The most common complaint after certain treatments -- for about 8 out of 10 men -- is erectile dysfunction (ED). This means you can't get or keep an erection that's hard enough for penetration. But even if you have ED after your ...

Can you take alprostadil with prostate cancer?

These can help ED if you've had prostate cancer, but only when your nerves aren't damaged by surgery or radiation. You can put a small pellet of alprostadil ( Caverject, Edex, Muse) into the opening at the tip of your penis. This medicine also gets more blood flowing to your penis without it being stimulated.

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.

How long does it take for the prostate to shrink after radiation?

The prostate gland will end up having a lot of scar tissue. It will shrink in size to about half its original weight within a couple years after finishing radiation. The urethra (urine passage) passes through the canter of the prostate gland like the hole of a doughnut.

Can you have erections after radiation?

You can still usually have erections because the nerves and blood vessels that go to the penis are not as damaged as the prostate gland.

Is the prostate radiated?

The entire prostate gland is radiated when we treat the cancer. The prostate normally produces some of the fluid in the ejaculation . Radiation therapy has the side effect of damaging the glands in the prostate, so a lot less fluid is produced. The ejaculation may be dry or nearly dry.

What is prostate radiation?

Proton therapy is a type of radiation treatment. Radiation therapy is used to treat many types of cancer, including prostate cancer. It can be used as the primary therapy, but is often combined with other treatments. In conventional radiation, high-energy X-rays are used to target and destroy cancer cells in the prostate.

When to use a prostate syringe?

It’s usually used when cancer has spread outside the prostate or when prostate cancer returns after you’ve had other treatments. It’s also an option if you’re at high risk of recurrence or to shrink the tumor prior to radiation.

Why are there fewer side effects from proton therapy than radiation therapy?

That’s because there’s less damage to healthy tissue around the tumor. Side effects may include fatigue and skin redness or soreness at the treatment site.

Why do we need periodic PSA testing?

Periodic PSA testing can help gauge effectiveness of hormone therapy. The pattern of PSA levels can also help monitor for recurrence. The process of recovery is different for everyone. Much depends on the stage at diagnosis and the extent of treatment. Your age and general health also play a role.

How long does proton treatment last?

If there is, there are a few things to think about in advance. Treatment usually means going in five days a week for four to eight weeks, so you’ll want to clear your calendar.

Can you have proton therapy with radiation?

Anyone who can have radiation therapy can have proton therapy. It can be used as primary treatment for early-stage prostate cancer or as part of a total treatment plan for prostate cancer.

How to recover from a syphilis?

The process of recovery is different for everyone. Much depends on the stage at diagnosis and the extent of treatment. Your age and general health also play a role. Your doctor will take all these factors into consideration to give you an idea of what to expect, including: 1 the schedule for follow-up exams and tests 2 how to deal with short- and long-term side effects 3 diet and other lifestyle recommendations 4 signs and symptoms of recurrence

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