Prostate cancer can progress without symptoms in its very early stages, which is why regular screenings (such as PSA tests) and early diagnosis are crucial. When symptoms do occur, they can manifest themselves in a variety of ways, especially in more advanced stages of the disease.
Depending on the tumor stage, age, and overall health of the patient, several treatment options are available:
Active Surveillance
Suitable for slow-growing tumors without symptoms
Regular monitoring: PSA levels, digital rectal exam, imaging, and possibly biopsy
Radiation Therapy
External (via linear accelerator) or internal (brachytherapy)
Goal: Destruction of cancer cells while preserving the prostate
Hormone Therapy
Lowering testosterone levels to inhibit tumor growth
Usually used in more advanced cases
Radical Prostatectomy (surgical removal of the prostate)
Often recommended for localized cancer with a good life expectancy
Goal: Complete removal of the tumor
In radical prostatectomy, the entire prostate is removed. The procedure can be done through an open surgery (abdominal incision) or minimally invasive (laparoscopic or robot-assisted, such as with the DaVinci® system).
Surgical duration: approximately 3 hours.
Hospital stay: 5 days.
Urinary catheter: usually for 5–7 days.
Advantages
High chance of cure with early detection
Targeted removal of tumor tissue
Possible side effects
Temporary or permanent incontinence
Erectile dysfunction
How can I detect prostate cancer?
Early stages usually cause no symptoms. Warning signs in later stages may include more frequent urination, nighttime urination, or pain during urination.
How reliable is the PSA test?
The PSA test is an important indicator, but not an absolute proof of cancer. It is always assessed alongside other findings.
Is prostate cancer curable?
Yes – especially in the early stages, the chances of a cure are over 90%.
Do I have to undergo surgery?
Not necessarily. The decision depends on the tumor stage, age, and the patient's preferences. Often, radiation therapy or active surveillance may also be options.
How long will I be unable to work after the surgery?
Typically 4–6 weeks, depending on the physical demands of the job.
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