Fatigue in Prostate Cancer
The Patient Office published a paper in European Urology "Fatigue in Prostate Cancer: A Roundtable Discussion and Thematic Literature Review." Understanding the specific health needs of individual patients and their desired health outcomes is essential to identifying personalised strategies for minimising fatigue. Abstract Context: Cancer and its treatments cause fatigue in up to 90% of
Radiation-induced cystitis
What is radiation therapy? Radiation therapy, also known as radiotherapy, is a type of cancer treatment. It involves high doses of radiation (radioactive energy) which destroys cancer cells and shrinks tumours. Radiotherapy can be given from outside the body (also called ‘external beam’) or inside the body via a radiation implant (also called ‘brachytherapy’). Radiotherapy
Radiotherapy for Localised Penile Cancer
Home Treating Early Penile Cancer Radiotherapy and Chemotherapy for Advanced Penile Cancer Surgery Clinical Trials Radiation therapy is the use of high-energy x-rays to kill cancer cells. It can be directed at cancer from outside of the body (external beam radiotherapy) or from within the body (brachytherapy). Both types of radiotherapy can be used to
Bipolar enucleation of the prostate (BipolEP)
Benign prostate enlargement Benign prostate enlargement, or BPE, is a non-cancerous condition in which the prostate gland, located below the bladder in men, becomes enlarged. The condition can block the flow of urine. A surgical treatment option for BPE is bipolar enucleation, often shortened to BipolEP. BipolEP removes the central part of the prostate and
About the Testicles and Testicular Cancer
Home Risk Factors and Diagnosis Treatments Living with Recurrence The Testicles The testicles (or testes) are the male sex glands which produce sperm and testosterone, the male sex hormone. They are located outside of the body in the scrotum because sperm develop best at a temperature several degrees cooler than normal body temperature. The testicles
Sex and Penile Cancer
Home Urinary Problems Psychological Impact Urinary Catheters Lymphoedema All treatment for penile cancer will alter the appearance of the penis and may affect sexual function. It is very important that both you and your partner are aware of these issues, and work through them together. Men may feel less masculine and worry that they will
Lymphoedema
Home Urinary Problems Psychological Impact Sexual Impact Urinary Catheters The Lymphatic System and Lymph Nodes The lymphatic system transports a fluid called lymph. Lymph fluid will contain various cells and substances that the body no longer needs. Lymph passes through small oval structures called lymph nodes. These filter out unwanted substances. Cancer can travel in
Urinary Catheter
Home Urinary Problems Psychological Impact Sexual Impact Lymphoedema Some surgery for penile cancer will require a urinary catheter (urinary drainage tube) to be inserted into your bladder. This may need to stay in for several days. A urinary catheter is a plastic tube that drains urine from the bladder. It is connected to a leg
Living with Penile Cancer
Home Psychological Impact Sexual Impact Urinary Catheters Lymphoedema Urinary Problems Surgery or radiotherapy to the penis will cause swelling and inflammation, and this may affect the urethra or “water pipe” causing the urinary stream to spray. It may settle as the penis heals but can sometimes be permanent. Men who have had a total or
Being diagnosed with penile cancer
Home About Penile Cancer Know your risk Treatments Living With Penile cancer is commonly diagnosed by taking samples of a suspected cancerous area (biopsy) or removing a small area of skin (wide local excision), from the penis. It may also be diagnosed following circumcision (surgical removal of the foreskin). A scientist examines the samples under
Surgery for Penile Cancer
Home Treating Early Penile Cancer Radiotherapy for Localised Penile Cancer Radiotherapy and Chemotherapy for Advanced Penile Cancer Clinical Trials Surgery The aim of all surgery is to preserve as much of the penis as possible while removing all of the cancer. Surgery will change the appearance of your penis and you should discuss how the
Radiotherapy and Chemotherapy for Advanced Penile Cancer
Home Treating Early Penile Cancer Radiotherapy for Localised Penile Cancer Surgery Clinical Trials Radiotherapy and chemotherapy can be used to treat penile cancer which has spread to other areas of the body such as lymph nodes or other organs. This is called metastatic disease. External beam radiotherapy External beam radiotherapy (radiotherapy from outside the body)
Treating Early Penile Cancer
Home Radiotherapy for Localised Penile Cancer Radiotherapy and Chemotherapy for Advanced Penile Cancer Surgery Clinical Trials Topical Treatments (creams) Chemotherapy -5-fluorouracil (Effudex™) This is a type of chemotherapy cream which is applied to the penis for around 4 – 6 weeks. Chemotherapy works by destroying cancer cells but may also affect some healthy cells on
About the Penis and Penile Cancer
Home Know your risk Diagnosis Treatments Living with Penile Cancer About the Penis The penis is the male sex organ and can be divided into three parts: the root or base of the penis, the body of the penis and the end of the penis (glans penis) which may also be covered by a layer
Recurrence of Testicular Cancer
Testicular Cancer Living With Fertility Testosterone Replacement Therapy Like all cancers that are cured there is always a risk that testicular cancer may return. Most testicular cancer tends to reoccur within 2-years after initial treatment. Approximately 3% of patients with testicular cancer will develop a cancer in their other testicle. It is therefore very important
Testosterone Replacement Therapy
Testicular Cancer Living With Fertility Recurrence Testosterone is the male sex hormone. It is responsible for male sexual characteristics such as: deep voice muscle tone bone strength hair pattern (and balding) sex drive achieving and maintaining erections general sense of male well-being Testosterone target organs. How will my testosterone level be affected by an orchidectomy?
Fertility
Testicular Cancer Living With Testosterone Replacement Therapy Recurrence How will treatment for testicular cancer affect fertility? Orchidectomy Having one testicle removed will not affect sexual performance and will not normally affect fertility. You may be advised to perform sperm banking prior to an orchidectomy if it is likely that further treatment with chemotherapy may be
Urinary Catheters
Testicular Cancer Living With Fertility Testosterone Replacement Therapy Recurrence Some surgery for testicular cancer will require a urinary catheter (urinary drainage tube) to be inserted into the bladder. This may need to stay in for several days. A urinary catheter is a plastic tube that drains urine from the bladder. It is connected to a
Adjusting to Life after Treatment
Testicular Cancer Fertility Testosterone Replacement Therapy Recurrence Psychological Impact Emotions Most people feel overwhelmed when they are told they have cancer, even if the chance of cure is very high. Many different emotions arise, which can cause confusion and frequent changes of mood. You may experience fear, resentment, and anger. Reactions differ from one person
Lymphoedema
Testicular Cancer Orchidectomy Chemotherapy Radiotherapy RPLND Clinical Trials The Lymphatic System and Lymph Nodes The human body is covered by the lymphatic system. It transports fluid from the organs and tissues of the body in a fluid called lymph. Lymph will contain various cells and substances that the body no longer needs and passes through
Retro Peritoneal Lymph Node Dissection (RPLND)
Testicular Cancer Orchidectomy Chemotherapy Radiotherapy Clinical Trials What is a Retro Peritoneal Lymph Node Dissection (RPLND) If there is evidence that cancer cells have spread to lymph nodes in the abdomen, surgery to remove them may be recommended. This is performed under a general anaesthetic. An incision is made into the abdomen and the lymph
Radiotherapy
Testicular Cancer Orchidectomy Chemotherapy RPLND Lymphoedema Clinical Trials Radiotherapy uses high-energy radiation beams to kill cancer cells. It may be used to treat seminoma that has spread to the lymph nodes at the back of the abdomen (retroperitoneal lymph nodes), which measure less than 5 cm. A short course of chemotherapy may also be given at
Chemotherapy
Testicular Cancer Orchidectomy Radiotherapy RPLND Lymphoedema Clinical Trials Chemotherapy is the use of drugs to kill cancer cells. It is administered directly into the blood stream. It may be recommended if there is a strong chance that cancer may return after orchidectomy, or if cancer has spread to other areas of the body. During and
Orchidectomy (Surgery)
Testicular Cancer Chemotherapy Radiotherapy RPLND Clinical Trials Orchidectomy An orchidectomy (unilateral), is an operation to remove one testicle. It is carried out under a general anaesthetic, which means you are asleep during surgery. During surgery, a small incision is made into the groin region on the affected side and the testicle is removed. The scrotum
Medicines
Back to nocturia Treatments Anticholinergics Anticholinergic medication is often shortened to anticholinergics or called ‘muscarinic blockers.’ They are a type of medication that reduce how often you feel the need to urinate. Common side effects include dry eyes, dry mouth, acid reflux or indigestion and constipation. These drugs are not recommended for long-term use in
Living with urinary incontinence
Urinary incontinence Treatment options What is it like living with urinary incontinence? Urinary incontinence can be an embarrassing and isolating condition and can negatively affect your physical and mental health. Although it is not an illness in the same way as diabetes or cancer, or life-threatening in itself, urinary incontinence can nevertheless have a huge
Treatment options urinary incontinence
Medication Surgery for women Surgery for men Electrical stimulation Botulinum toxin injections Cystoplasty Self-management Lifestyle advice It is very likely that some simple lifestyle changes you can make will to improve your urinary incontinence. You may need to do some detective work to find what patterns make it worse or better, but it is very
Recurrence of prostate cancer
About the Prostate About Prostate Cancer Risks and Symptoms Treatments Living with Prostate Cancer What happens if the cancer comes back? It can be extremely difficult to find out that your cancer has come back. All of the thoughts and feelings you had when you were first diagnosed can come back too. These feelings and
Living with prostate cancer
Prostate Cancer Risks and Symptoms Treatments About the Prostate Reoccurrence What is it like living with prostate cancer? Living with prostate cancer can affect your everyday life, work, and relationships. You may experience side effects from treatment, even when the treatment has finished, which can affect your physical health. You may also be worried about
Other treatments
Treatments Surgery Hormone Therapy Radio Therapy Chemotherapy Monitoring High intensity focused ultrasound (HIFU) High intensity focused ultrasound, or HIFU, uses ultrasound beams to generate heat, destroying areas of the prostate containing cancer cells. It is usually only given to men with early-stage prostate cancer. The treatment can be given to the whole prostate if you
Chemotherapy
Chemotherapy is usually offered to men who have been diagnosed with advanced prostate cancer and are fit enough to tolerate the treatment. Chemotherapy is not a cure, but it can help keep the cancer under control. Common chemotherapy drugs include: 1. Docetaxel 2. Cabazitaxel Chemotherapy is a powerful medication that destroys cancer cells in the
Hormone therapy
Treatments Surgery Monitoring Radio Therapy Chemotherapy Other Treatments What is hormone therapy? Testosterone causes prostate cancer to grow, so the most common way of controlling how much testosterone there is in your body is to have hormone therapy. This is also known as androgen deprivation therapy or ADT. Your doctor may recommend hormone therapy to
Radiotherapy
Treatments Surgery Hormone Therapy Monitoring Chemotherapy Other Treatments Radiotherapy uses high energy x-ray beams (radiation) to destroy cancer cells. There are two different types of radiotherapy: 1. external beam radiotherapy 2. brachytherapy Radiotherapy treatment is painless, but there are side effects caused by both types of treatment that may cause you problems. Your doctor will
Surgery
Treatments Monitoring Hormone Therapy Radio Therapy Chemotherapy Other Treatments Radical prostatectomy You may be offered an operation to remove your prostate, called a radical prostatectomy. There are 3 different ways of removing the prostate: laparoscopic or “keyhole” surgery, robot-assisted keyhole surgery, or open surgery. Your doctor will discuss the surgery method, which is most appropriate
Monitoring prostate cancer
Monitoring means your doctor will keep a close eye on you rather than recommending treatment straight away. You may feel fearful or angry about monitoring your cancer rather than receiving treatment. But all treatments have side effects, and your doctor will not recommend treatment if he or she believes the risks outweigh any benefit you
Prostate cancer treatments
Monitoring Surgery Hormone Therapy Radio Therapy Chemotherapy Other Treatments What treatments are available for prostate cancer? There are different treatments for prostate cancer. The treatment you are offered will vary depending on your age, overall health, and your tumour’s stage and grade. Your doctor will discuss the results from your diagnostic tests and your treatment
Risk & symptoms of prostate cancer
About the Prostate About Prostate Cancer Treatments Living with Prostate Cancer Reoccurrence What increases the risk of getting prostate cancer? Four main risk factors increase a man’s chance of developing prostate cancer. If you feel you have any risk factors for developing prostate cancer, you should speak to your doctor. Age Age is the biggest
About prostate cancer
About the Prostate Risks and Symptoms Treatments Living with Prostate Cancer Reoccurrence What is prostate cancer? Our bodies are made up of trillions of tiny cells, which are the basic building blocks of all living things. Cells continuously divide to make new cells. It is how we grow and how the body heals itself. Sometimes
Cardiovascular disease and Androgen Deprivation Therapy
Cardiovascular considerations in prostate cancer patients treated with Androgen Deprivation Therapy There is a growing epidemic of cardiovascular disease (CVD) in cancer patients during and after cancer treatment. The frequency of cardiovascular (CV) problems is higher in cancer patients who are receiving or who have previously received cancer treatments with a known CV toxicity profile.
Roundtable Discussion EAU21
How sharing the right information at the right time can save lives EAU Patient Day’s Roundtable on prostate cancer results in thirteen calls to action Authors: Eamonn T. Rogers, EAU Patient Office Chairman, Galway (IE) Hein Van Poppel, University Hospital Leuven, Leuven (BE) Introduction Every year, almost 450,000 men across Europe are diagnosed with prostate
EAU22 Congress & EAU22 Patient Day
37th Annual EAU Congress, Amsterdam EAU22 Patient Day, 4 July 2022 Welcome to our look back on the EAU22 Patient Day! We are proud to have been a part of EAU22, the first regulsr in-person congress in three years. Despite all the challenges and unpredictable situations for everyone, the EAU and EAU Patient Office (EAU
EAU21 Patient Poster Session: What have we learned?
Authors: S.J. MacLennan, Aberdeen (GB) L. Makaroff, Chinnor (GB) E. Rogers, Galway (IE) E. Robijn, Arnhem (NL) Key messages from the EAU21 Patient Poster Session: What have we learned? Introduction Since 2012, the EAU has sought to meaningfully involve patients and their families in its mission to raise the level of urological care in Europe.
Chronic pelvic pain syndrome
About chronic pelvic pain syndrome What is pain? Pain alerts us to an injury, allowing us to protect our bodies. While everyone has their own way of describing pain, the widely accepted definition that it’s an unpleasant sensation. Pain is something that we feel. It can range from mild discomfort to unbearable agony. It can
Orchidectomy
What is an orchidectomy? Some men may be offered an operation, called an orchidectomy, to help control their prostate cancer. An orchidectomy involves having surgery to remove both testicles. Having an orchidectomy to manage prostate cancer is not usually recommended ahead of hormonal therapy, but it is recommended in patients who cannot take hormonal therapy
EAU21 Scientific sessions of interest
The EAU21 Virtual Congress offers a multitude of thematic sessions. We have selected a number of sessions which might be of interest to you. Bladder cancer-related sessions Advanced bladder cancer in 2021: Going forward Bladder cancer Patient Information Session Controversies in Bladder Cancer 2021: Rapid-fire debates Immunotherapy in urothelial cancer Kidney cancer-related sessions A tale
Hormone Therapy and the Risk of Cardiovascular Disease in Patients with Prostate Cancer
About prostate cancer What is the prostate, and what does it do? The prostate is a small gland that forms part of your reproductive system. It is about the size of a golf ball and surrounds the tube that empties urine from your bladder, called the urethra. The prostate makes a thick white fluid that
FAQs on COVID-19 and Kidney Cancer
On this page you will find FAQs about COVID-19 and Kidney Cancer. Find more FAQs on our page FAQs about COVID-19. 1 Q: What are some of the renal complications that might arise as a result of COVID-19 infection? A: In most patients COVID-19 infection is minor, but in those admitted to hospital there is
FAQs on COVID-19: Miscellaneous questions
On this page you will find FAQs about COVID-19 and miscellaneous matters. Find more FAQs on our page FAQs about COVID-19. 1 Q: Can I successfully continue my treatments during COVID-19 or can I safely delay some regularly scheduled treatments? A: Depending on the stage of your cancer, you may be able to safely delay
FAQs on COVID-19 and Prostate Cancer
On this page you will find FAQs about COVID-19 and Prostate Cancer. Find more FAQs on our page FAQs about COVID-19. 1 Q: I am participating in a clinical trial for prostate cancer, what should I know? A: A good place to start is visiting your cancer centre or healthcare professionals’ website. Be mindful of
Meet our team of experts
Our multidisclipinary team of experts is in place to find the best answers to your COVID-19 urology-related questions. We want to express our gratitude to them for donating their time and making this important project possible. We will share the Q&As on our FAQs page that will be continually updated as our medical experts find
Patient Advocacy
Introduction Looking beyond the scientific and educational needs of healthcare professionals (HCPs), it is EAU’s aim to play a more important role with regards to strengthening patient advocacy. This is accomplished by taking a variety of proactive steps to work together with patient advocate groups. Foundational elements of the EAU’s aim are recognising and cultivating
Penile cancer
About the disease Know your risk Diagnosis Treatments Living with Penile Cancer Penile Cancer Penile cancer is very rare. Only 1 man in 100,000 will be affected and roughly 36,000 men will be diagnosed globally each year. It is most often diagnosed in men over the age of 60 years, but younger men can also
Urachal cancer
What is the urachus? The urachus is a tube-like structure that forms in a developing embryo. It connects the umbilical cord to the urinary bladder before birth. After birth, the urachus usually shrinks into a small ligament. However, traces of the urachus (called urachal residues) can be detected in up to one-third of adults. Urachal
Testicular cancer
About Testicular Cancer Risk Factors and Diagnosis Treatments Living with Recurrence Testicular Self Examination (TSE) TSE can identify testicular problems including cancer. It can be performed in a bath or shower when the scrotum is warm and relaxed. Each testicle should be checked separately using both hands (see diagram). The thumb and fingers can be
Prostate cancer
Prostate Cancer Risks and Symptoms Treatments Living with Prostate Cancer Reoccurrence What is the prostate? The prostate is a small gland that forms part of a man’s reproductive system. It is about the size of a golf ball and surrounds the tube that empties urine from the bladder, called the urethra. It is normal for
Primary urethral cancer
What is primary urethral cancer? You have been diagnosed with primary urethral cancer. This means you have a cancerous growth (malignant tumour) in your urethra. The urethra carries urine out of the body from the bladder, also known as urinary bladder. In men, the urethra runs through the prostate and the penis (Fig. 1). In women,
Male infertility
What is male infertility? Male infertility means not being able to father children. Infertility is the inability of a sexually active, non-contracepting couple to achieve spontaneous pregnancy in one year. If the cause of the fertility problem is found in the man, this is male infertility. Male infertility is found in approximately half of all childless
Male hypogonadism
What is male hypogonadism? Male hypogonadism means the testicles do not produce enough of the male sex hormone testosterone. When levels are low, men might have decreased sex drive, less muscle mass, erectile dysfunction, and fatigue. Hypogonadism has a negative effect on organ function and quality of life. Testosterone is responsible for male reproductive and
Kidney cancer
What is kidney cancer? Kidney cancer is a malignant cell growth (a tumour) in the kidneys. Its medical name is renal cell carcinoma. A tumour in the kidney can also be benign (non-cancerous). Kidney cancer is a general term. There are many variations of tumours in the kidney and stages of the disease. Your treatment and
Bladder cancer
What is bladder cancer? [glossary_exclude]Bladder[/glossary_exclude] cancer is the growth of abnormal tissue (tumour) in the bladder. There are several stages of bladder cancer. Your treatment and experience will depend on the specific characteristics of the tumour (referred to as “staging” the tumour) and the expertise of your medical team. This section provides general information about
Benign prostatic enlargement
What is BPE? The prostate is a small gland that forms part of a man’s reproductive system. It surrounds the urethra tube that empties urine from the bladder. Benign prostatic enlargement, or BPE, is the medical term for an enlarged prostate, a condition that is common in men over 50. In BPE, the enlarged prostate
Cryptorchidism or undescended or hidden testicles
What is cryptorchidism? The failure of the testicles (or “testes”) to descend into the scrotum (the skin sac below the penis) is called “cryptorchidism”. It is also called having hidden or undescended testicles. The condition is generally uncommon but often affects boys born prematurely. As a male foetus grows, the testicles appear in the abdomen
Treatments
There are numerous treatments for urologic cancers and other diseases. On this page you will find an overview of the treatments from A-Z and the treatments per disease. Go directly to Treatments A-Z Treatments per disease Treatments A-Z A Ablation therapy Active surveillance Anti-androgen therapy Anti-angiogenic therapy Autologous Fascial Sling Artificial compression devices in men
Orchidopexy (surgery to move the testicle into the scrotum)
The main treatment for cryptorchidism is surgery to move the testicle into the scrotum (orchidopexy). This surgery is nearly 100% successful. If a testicle has not fully descended by the age of 6 months, surgery should be performed within the subsequent year. Delaying treatment can increase the risk of testicular cancer or infertility later in
Surgery for urachal cancer
Tumour removal Surgery is recommended to remove a urachal cancer tumour that has not spread to other tissues or organs. The tumour will be removed along with surrounding tissue in the abdomen, the navel, and the top of the bladder to make sure no cancer cells remain. In rare cases, some or all of the
Penectomy
If a tumour has grown into surrounding tissue, removing it surgically is the best chance of cure. If the tumour is in your penis tissue, some or all of your penis might need to be removed to get rid of the cancer. A recommendation of penectomy raises many questions. Talk with your doctor about your
An improved approach to prostate cancer
Europa Uomo chairman André Deschamps sets out the need for an improved approach to prostate cancer diagnosis and treatment. 30 million men in Europe are confronted with a diagnosis of prostate cancer in their lifetime. Each year 75,000 men die from prostate cancer. A questionnaire amongst our members in 24 European states showed that: Less
Radiation therapy castration-resistant prostate cancer
Castration-resistant prostate cancer can be managed with radiation therapy. The radiation damages and kills cancer cells. The treatment will help to relieve pain and may allow you to live longer. Common side effects are a burning sensation when you urinate, urinary frequency, and anal irritation.
Treatment of urachal cancer
Urachal cancer is often diagnosed at later stages. Based on your disease stage and predicted outcomes, recommended treatment may include: Surgery Chemotherapy Palliative care Recommended treatment and predicted outcomes will be based on your cancer stage. The planned treatment approach should be discussed by a multidisciplinary tumour board. This board is made up of practitioners
Treatment of testicular cancer
Testicular cancer is usually treated with surgery. The testicle must be removed (orchiectomy) to remove the cancer (Fig. 1). The tissue may be examined during surgery to confirm the diagnosis and stage. Additional surgery, drug treatment (chemotherapy), or radiation therapy also may be needed. Fig. 1: Orchiectomy—incision in the groin area. Surgery to remove the
Treatment of metastatic kidney cancer
Kidney tumours can spread to other organs or distant lymph nodes. This is called metastatic disease. In metastatic disease, the kidney tumour is referred to as the primary tumour and the tumours in other organs are called metastases. Your doctor may recommend to treat metastatic disease with surgery, usually in combination with antiangiogenic therapy, also
Treatment of locally-advanced kidney cancer
What is locally-advanced kidney cancer? Locally-advanced kidney cancer refers to a tumour which has spread to or beyond the blood vessels, tissue, organs, or lymph nodes surrounding the kidney. It may be a stage III or IV tumour, depending on how far outside the kidney the tumour has spread. If you are diagnosed with locally-advanced
Treatment of localised kidney cancer
What is localised kidney cancer? Localised kidney cancer refers to a tumour which is limited to the kidney and has not extended to other parts of your body. It may be a stage I or II tumour, depending on its size (Fig 1 and 2). If you are diagnosed with localised kidney cancer, your doctor
Active surveillance kidney cancer
Active surveillance is a form of treatment for localised kidney cancer in which the doctor actively monitors the tumour. It is recommended if surgery is not the best option for you and you have a tumour in your kidney which is smaller than 4 cm. Some of the reasons why your doctor may say you
Ablation therapy
What is ablation therapy? Ablation therapy is a type of minimally invasive surgery doctors use to destroy abnormal tissue, like small tumours, that occur with kidney cancer and prostate cancer. The goal is to remove as many cancer cells as possible. This therapy kills cancer cells by heating them or freezing them. The following types
Project partners
EAU Patient Information is a collaborative undertaking with numerous project partners contributing to its success. Asklepios Kliniken Around 150 medical facilities in 14 states and more than two million treated patients place Asklepios firmly in the group of Germany's pre-eminent clinic operators. EAU Guidelines Office The EAU Guidelines Office is responsible for the production of
Treatment of recurrent prostate cancer
It is possible that prostate cancer comes back after you have been treated. This is known as recurrence. The cancer may come back in the prostate, in tissue around the prostate or pelvic lymph nodes, or in other parts of the body. The follow-up treatment pathway depends on where the cancer is. Your doctor will
Treatment of metastatic prostate cancer
What is metastatic disease? Prostate cancer can spread to other organs or lymph nodes outside the pelvic area. This is called metastatic disease. The tumours in other organs or lymph nodes are called metastases. Your doctor may recommend treating metastatic disease with hormonal therapy. It is important to realise that metastatic disease cannot be cured.
Hormone therapy
About hormone therapy What is hormone therapy? Prostate cancer is one of the most common cancers among men. But advances in science mean, in most cases, it is a treatable condition. Hormone therapy is an effective treatment for prostate cancer that aims to stop the cancer from growing. The type of hormone therapy you are
Bilateral Orchiectomy
Bilateral orchiectomy, or surgical castration, is a surgery to remove both testicles. It is a treatment option for locally-advanced and metastatic prostate cancer and aims to stop the production of androgens. The surgery can be done under local anaesthesia. If you have a history of cardiovascular disease, your doctor may advise you to see a
New experimental techniques: Ablation therapy
Besides surgery, radiation, and conservative management there is also ablation therapy (also referred to as focal therapy) as treatment option for localised prostate cancer, such as: Cryosurgical ablation of the prostate (CSAP) High Intensity Focussed Ultrasound (HIFU) Because the tumour cells are targeted directly, there is not much damage to other tissue in the prostate
Treatment of localised prostate cancer
What is localised prostate cancer? Localised prostate cancer refers to a tumour which is limited to the prostate and has not extended to other parts of your body. It may be a T1 or T2 tumour, depending on its size and where it is located in the prostate. T1 means that the tumour is too
Prostate-specific antigen (PSA) test
What is the prostate, and what does it do? The prostate is a small gland that forms part of your reproductive system. It is about the size of a golf ball and surrounds the tube that empties urine from your bladder, called the urethra. The prostate makes a thick white fluid which mixes with sperm
Treatment of cryptorchidism
If the testicle does not descend on its own, treatment will be needed. The goal of treatment is to prevent problems making sperm and hormones and to lower the risk of cancer developing. Treatment should be done at around 1 year of age or 18 months at the latest. Hormonal therapy In some cases, hormone
Radical nephrectomy
Radical nephrectomy is the removal of the whole kidney and the surrounding fatty tissue. It is done when it is not possible to leave a functioning kidney behind after a partial nephrectomy. It is generally recommended for kidney cancers that have not yet spread but that have grown into surrounding tissue. It is also used
Partial nephrectomy
Partial nephrectomy is used to treat kidney cancer that has not spread to other tissue. It is recommended whenever possible. The aim is to remove the part of the kidney with abnormally growing cells (tumour) but to leave as much as possible of the healthy kidney. How is partial nephrectomy performed? You will be asleep
Urinary diversions
After removal of your bladder (cystectomy), you’ll need a new way to store and pass urine without a bladder. To do this, your surgeon will create a urinary diversion. The three most commonly used urinary diversions are discussed: The ileal conduit (with urostoma) The neobladder (with internal urine pouch) Rerouting ureters through the skin (ureterocutaneostomy)
Cystectomy
The mainstay of treatment for muscle-invasive bladder cancer is surgical removal of the urinary bladder. Your doctor has several reasons for recommending removal of the whole bladder: Presence of a muscle-invasive tumour Presence of a tumour that grows aggressively (high grade), that has multiple cancerous areas (multifocal), or that is superficial, but has recurred after
Coping with cancer
What is the impact of cancer on my life? Getting diagnosed with cancer has a great impact on your life and the lives of your loved ones. It can cause feelings of anxiety, uncertainty, fear, or even depression. Undergoing treatment for cancer is intense and will affect your work and social life. You may worry about
Chemotherapy
Treatments Surgery Hormone Therapy Radio Therapy Monitoring Other Treatments Chemotherapy is a type of drug treatment that uses chemicals to stop cancer cell growth. These chemicals affect any cell in the body that grows rapidly. This includes tumour cells but also hair growth cells and bone marrow, among others. Chemotherapy is usually administered through an
Instillation treatment
What is intravesical therapy? With intravesical therapy for bladder cancer, drugs are put directly into the bladder through a catheter, instead of being injected into a vein or swallowed. Both immunotherapy and chemotherapy drugs can be given this way. A single, immediate intravesical instillation of chemotherapy after TURBT If a superficial tumour can be fully
Transurethral resection of the bladder (TURBT)
What is TURBT? Transurethral resection of bladder tumour (TURBT) is the surgical removal (resection) of bladder tumours. This procedure is both diagnostic and therapeutic. It is diagnostic because the surgeon removes the tumour and all additional tissue necessary for examination under a microscope (histological assessment). TURBT is also therapeutic because complete removal of all visible
Urine biomarkers for bladder cancer
What is a biomarker? Biomarkers are substances that doctors can measure in the body to help them tell if a patient has a disease, how a disease is developing or if a treatment is working. Urine biomarker tests for bladder cancer Early detection of bladder cancer can improve the chance of successful treatment. Therefore, doctors
What is cancer?
What is cancer? Our bodies are made up of trillions of cells. Usually, every cell has a certain function in the body. Cancer is caused by cells that no longer work properly. Uncontrolled cell growth can crowd out other cells and become a tumour (Fig. 1). Fig. 1: Cancer cells crowding out healthy cells. Types of
Psychological Support
Home Urinary Problems Sexual Impact Urinary Catheters Lymphoedema Counselling A diagnosis of cancer can be a frightening experience and you may feel quite isolated with a mix of emotions. Once diagnosed, treatment follows quickly, and this can leave you in a state of shock while also feeling very vulnerable. Discovering that you have cancer often
Clinical Trials
Home Treating Early Penile Cancer Radiotherapy for Localised Penile Cancer Radiotherapy and Chemotherapy for Advanced Penile Cancer Surgery Clinical trials are used to try and improve ways of treating cancer or reducing possible side effects of treatment. If you are being treated for penile cancer which has spread to other areas of your body, you
Risk Factors and Symptoms
Home About Penile Cancer Diagnosis Treatments Living with Penile Cancer Symptoms Possible symptoms of penile cancer may include: Penis Rash Growth/lesion/lump Swelling Bleeding Ulcer Discharge Change in colour of foreskin. Groin Lumps felt under skin in the groin area. Any abnormal rash, lesion, ulcer, or discharge, on or from the penis should be checked by
Clinical Trials
Testicular Cancer Orchidectomy Chemotherapy Radiotherapy RPLND Clinical trials are used to try and improve ways of treating cancer or reducing possible side effects of treatment. You may be asked if you would like to take part in a clinical trial during your treatment. Some of the current clinical trials for testicular cancer are investigating the
Risk Factors and Diagnosis
Home About Testicular Cancer Treatments Living with Recurrence Testicular cancer occurs when normal, healthy cells, which are carefully regulated by the body, begin to reproduce uncontrollably within the testicles. 1 in 250 males will develop testicular cancer in their lifetime. Over 21,000 men are diagnosed in Europe each year and around 55,000 globally. It can