Different surgeries for treatment of prostate cancer are based on their suitability for different conditions of the cancer. The main factors taken into consideration before deciding a suitable one among the different types of surgery for prostate cancer are size and spread of the cancer, the grade or Gleason score of the cancer cells when observed under a microscope, your general health and the patient’s cancer symptoms.
Some treatment options for prostate cancer through surgery include:
- Removal of prostate gland – Also known as radical prostatectomy or total prostatectomy, this surgery involves removing the prostate after making a cut in the abdomen. It can also be carried out as a keyhole surgery. This surgery is very useful in treating prostate cancer if it has not spread beyond the prostate gland.
- TUIP (transurethral incision of prostate) – It involves widening of the urethra after making a few small incisions in the prostate.
- PVP (photoselective vaporisation of the prostate) – It is a method in which controlled laser beam is used to remove the excess of tissues inside the prostate.
- TUMT (transurethral microwave thermotherapy) – The excess of prostate tissues that can become cancerous are destroyed by the use of a catheter through which microwaves are send.
- TUNA (transurethral needle ablation) – Radio waves are used in this method to destroy the excess prostate tissues.
- TUVP (transurethral electrovaporisation of prostate) – Electrical current is used in this surgery to vaporise prostate tissues.
- Removal of testicles – Both the testicles of the patient is removed in this surgery so that testosterone is not produced in them. Testosterone is a hormone that can aid in cancer growth. So, if a cancer is advancing and it is located close to the testicles, removing the testicles would help to prevent it from growing. It can prevent the local spread of the cancer around the prostate gland. This surgery can control the growth and spread of prostate for several months and even years in some cases.
It can be difficult to decide a prostate procedure simply because of the multiple types of it available. What the doctors need to do is to weigh the risks in comparison to the risks keeping in mind the various relevant factors. Besides, they also need to make a decision based on the aim of the treatment. For example, some less invasive surgeries allow a patient to recover quickly but they are less effective in treating the cancer.
The very invasive procedures of prostate cancer treatment always carry the risk of long term complications. Nonetheless, these become essential when it has been confirmed that the cancer cannot be treated with the less invasive methods.
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