Miskawaan Integrative Cancer Care

Prostate Cancer Treatment

Prostate cancer treatment

If you recently received your prostate cancer diagnosis, your cancer specialists will discuss suitable treatment options with you. There are several treatments for prostate cancer. 

However, it’s crucial to consider the benefits of each compared to the risk factors and side effects. 

You may be tempted to make a quick decision about treatment. But it’s essential to give yourself time to digest the information you got from your doctor. Then, feel free to ask any questions you may have on cancer treatment.

Besides lung cancer, prostate cancer is the second leading cause of death in American men.  The American Cancer Society reveals that approximately one man in 41 will die from the disease

Today, you’ll learn about different prostate cancer treatment options.

Understanding Prostate Cancer

The prostate, a walnut-sized gland, is the primary target for prostate cancer. It lies intersected between the bladder, the penis and the rectum.

The prostate normally enlarges in men as they age. However, when the cells in it multiply abnormally, the result is an enlarged prostate. This type of condition pressurizes the urethra and may affect the nature of urine flow through the bladder.

Prostate cancer

Types of Treatment for Prostate Cancer

There are different prostate cancer treatment methods available. After being diagnosed, your prostate cancer experts will consider various factors while recommending you a treatment plan, including:

  • The stage of prostate cancer
  • How quickly is the tumour likely to spread
  • Your age and health status
  • Your personal preferences

Some localized prostate cancer treatments include:

Radiation Therapy

This method uses high-energy beams like those of X-rays to attack cancer cells. Radiation therapy is optional if prostate cancer is still in the early stages and hasn’t spread to the other parts of the body. However, you can have it after surgery to alleviate any remaining cells.

Radiation therapy is also helpful if the disease has spread to the bone. 

There are two types of radiation therapy:

  • External Beam Radiation: Often, a machine outside your body leads rays at the tumour.
  • Internal (Brachytherapy): A medical specialist performs surgery to place tiny radioactive seeds close to cancer. Sometimes, a combination of both radiation treatments works perfectly.

Active Surveillance (Watchful Waiting)

Active surveillance means waiting to check whether the tumour will spread before treatment. Many prostate cancers grow slowly, and your oncologist prefers not to kill cancer cells unless they’re symptoms.

Nonetheless, the prostate cancer experts will monitor the disease closely by performing a digital rectal exam (DRE), prostate-specific antigen (PSA) and prostate biopsy. Treatment is only done when it shows symptoms.


The specialist can operate on men with prostate cancer if their tumour is still confined to the prostate gland itself, or at least to the immediate vicinity of the prostate. Experts also use the term “localized prostate carcinoma” for this.

There are three surgery methods used to treat advanced prostate cancer:

Radical Prostatectomy

A radical prostatectomy targets men with localized cancer. But in the case of cancer that has spread, this operation might not be appropriate. In this procedure, a surgeon removes the entire prostate gland. 

Seminal vesicles that secrete components of semen may also be removed.

Radical prostatectomy can further be classified as:

  • The retropubic prostatectomy: The surgeon removes the prostate and the nearby lymph nodes through an incision in the abdomen wall.
  • Perineal prostatectomy: The surgeon removes the prostate through an area between the testicles and the anus.
  • Laparoscopic prostatectomy: The surgeon operates not under direct vision and openly but minimally invasively by inserting an endoscope (optic) with special instruments into the abdominal cavity while viewing a monitor. The fundamental goal of minimally invasive surgery is to reduce trauma during access and surgery. The surgeon inserts trocars as working channels through the abdominal wall via five small skin incisions. He guides the optics, grasping, cutting and other instruments over them and removes the prostate under visualization via the monitor.
  • Robotic prostatectomy: A doctor uses a computer to control a four-armed automated machine to perform a laparoscopic procedure. 

Pelvic Lymphadenectomy

This procedure takes place before a radical prostatectomy to determine whether an advanced surgery is required. First, the surgeon removes lymph nodes from your pelvis, which he sends for biopsy to screen for cancerous cells. 

If the results turn out positive, it might indicate that the cancer is spreading from the prostate to other tissues.


Chemotherapy uses aggressive drugs to destroy the tumour. It’s often used together with hormone therapy, radiation or surgery. 

This treatment is systematic and affects the whole body. It effectively kills cancer cells, though with side effects that can impact your quality of life. 

Chemotherapy lowers the number of cancer cells in your body and reduces the chances of metastasis, current symptoms and tumour size.

Cryotherapy or Cryosurgery

This is another treatment for early-stage prostate cancer. The oncologist kills cancer cells by freezing them. He does this by inserting tiny needles into your prostate to deliver cold gases that damage the cancer cells.

High-Intensity Focused Ultrasound

High-intensity focused ultrasound uses non-ionizing ultrasonic waves to ablate tissue. It also boosts blood and lymph flow to destroy prostate cancer tumours through thermal and mechanical mechanisms. 

However, it’s not clear how effective it is as it hasn’t been compared with other prostate cancer treatments.

Hormone Therapy

Hormone or androgen deprivation therapy is used to treat advanced prostate cancers if they have spread too far to be cured by surgery or radiation.

Cancer cells depend on male sex hormones to grow. Hormone therapy, therefore, deprives tumours of male hormones (testosterone). 

It further blocks the production and use of androgens.

This mechanism often makes prostate cancers shrink or grow more slowly for a time. But hormone therapy alone does not cure prostate cancer.


Immunotherapy boosts your body’s immune system. The immune system comprises white blood cells, organs and tissues of the lymph system. Immunotherapy helps your body destroy prostate cancer cells and fight other diseases.

Proton Beam Radiation

Also referred to as proton beam therapy, this treatment involves radiation that’s used to destroy tumours. Instead of X-ray, it uses protons that direct high-energy beams that target cancer cells, usually more precisely than X-ray radiation.

During treatment, the radiation oncologist focuses the proton beam on the size and shape of the tumour. The beam destroys tumour cells but spares the surrounding healthy tissues.

Bisphosphonate Therapy

Since 1970, bisphosphonate has been used for cancer that spreads to the bones. The drugs used are taken orally or administered intravenously in a hospital.

Other treatments include the Miskawaan cancer programs. For example, Miskawaan offers the Metavectum Tumour Therapy Test, which runs biopsy specimens from solid tumours to circulating tumour cells (CTCs) isolated from the patient’s blood. 

Identifying 80 gene expressions of the transcriptome of the tumour cells generates an accurate analysis of the gene mutation, protein levels and tumour metabolism. 

Are there side effects?

Yes. Prostate cancer treatments have side effects, which include:

  • Bowel issues
  • Low libido
  • Erectile dysfunction
  • Impotence
  • Urine incontinence or frequent urination

After Prostate Cancer Treatment

If prostate cancer is detected early, it becomes easier to fight cancer. This increases the chances of survival for prostate cancer patients. The general prognosis of prostate cancer is among the best of other types of cancers.

About 80 to 85% of various prostate cancers are caught in the local or regional stages. They represent stages I, II and III. Most men diagnosed and treated in these stages will be cancer-free in the coming five years.

Note that recurrence and survival rates are based on averages and don’t reflect the patient’s outcome individually. However, because prostate cancers are curable if detected with screening, the long-term prognosis of this disease is impressive.


Around 20–30% of men will suffer a relapse after five years of successful treatment. However, it depends on the aggressiveness of cancer.

Coping and adjusting to life after treatment may take some time. While some men may not feel the emotional impact of treatment, others work through their physical side effects immediately.

How is Prostate Cancer Treated At the Miskawaan Integrated Cancer Care?

At Miskawaan Integrative Cancer Care, we deliver unique cancer treatments to every patient that maximize the outcomes of conventional oncology while minimizing the side effects.

Our diagnostic solutions include:

  • Metavectum Tumour Therapy Test
  • Metavectum Predictive Diagnostic
  • Edim Technology (RV cancer test, Pan Tum Detect Testing)

Early detection of prostate cancer helps us employ precise treatments supporting the body through lifestyle, microbiome and nutrition.

Our health care professionals are here for you, ready to take you through individualized treatment options. Contact us today

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