Hormone therapy, or androgen deprivation therapy (ADT), is used to suppress a man’s testosterone level in hopes of starving the prostate cancer tumor. Since hormone therapy does not remove the prostate or eliminate prostate cancer, it does not provide the same level of cancer-free assurance as robotic prostate removal. Using external beam radiation therapy (EBRT) or brachytherapy seed implants, radiation can be used to target prostate cancer tumors. Like hormone therapy, radiation therapy does not remove the prostate gland or the prostate cancer. Research also indicates that radiation for prostate cancer could increase a man’s risk of developing bladder cancer and rectal cancer. CyberKnife Robotic Radiosurgery is not surgery, but simply a brand name for high-dose radiation.
CyberKnife is FDA approved, but because the procedure is so new there is very little data regarding its effectiveness in treating prostate cancer.
Like radiation, CyberKnife can cause problems with urination and irritation of the anus and rectum.
During CyberKnife treatment, radiation is administered to the prostate based on imaging gathered before and during the procedure.
HIFU (High Intensity Focused Ultrasound) is an experimental prostate cancer treatment that is not FDA approved. Some studies indicate that as many as 70% of men who undergo HIFU are left permanently impotent. All healthcare decisions are personal and should be made after gathering all of the facts, exploring treatment options, and discussing lifestyle goals with your loved ones. Both terms are used to define patients who choose not to treat their prostate cancer upon diagnosis.
Beyond the obvious risk of disease advancement, the decision to delay prostate cancer treatment can lead to increased anxiety and depression among men. Other men choose active surveillance based on the potential side effects of treatment or other concurrent health issues. Successful heart surgery at We Care India partner hospital allows Robert Clarke to live a normal life despite a rare genetic disorder We Care india helped Robert find best super specialised surgeon for his rare condition.
Liver tumours may be divided up into those arising in the liver (primary tumours), or those which have spread to the liver from elsewhere (secondary tumours or metastases). There has been a great deal of experience in the treatment of primary liver tumours in Far East.
The treatment of secondary tumours has been shown to be feasible based on the work performed in Far East.
Treatment may be either with curative intent (as primary treatment or after other forms of therapy) or with palliative intent (to debulk tumours or reduce pain of malignant origin). Fig.3 Gadolinium-enhanced MRI scans of a 62-year-old patient with HCC who received a single session of both TACE and HIFU. Fig.4 Gadolinium-enhanced MRI of a patient who underwent a single HIFU session, at which two foci of HCC were targeted, one close to the diaphragm, another close to the interior vena cava. This information is not designed to replace a physician's independent judgment about the appropriateness or risks of a procedure for a given patient. We Care Health Services - India - Mumbai (Bombay), Chennai (Madras), Hyderabad, Kokatta, Delhi, Bangalore. This involves the insertion of radioactive seeds into the prostate gland with needles placed through the skin beneath the scrotum. You will be asked not to eat or drink for 6 hours before surgery and, immediately before the operation, you may be given a pre-medication by the anaesthetist which will make you dry-mouthed and pleasantly sleepy.
Normally, a full general anaesthetic will be used and you will be asleep throughout the procedure. You will usually be given injectable antibiotics before the procedure, after checking for any allergies. A dressing will be placed between your legs, to reduce the swelling caused by penetration of the needles, and held in place by some elasticated pants.
When you leave hospital, you will be given a A“draftA” discharge summary of your admission. You will be discharged with mild painkillers and a 7-day course of antibiotics (Ciprofloxacin 500mg twice daily). If you develop a fever, severe pain on passing urine, inability to pass urine or worsening bleeding, you should contact your GP immediately. Women who are or may be pregnant should not sit close to you or on your lap for 3 months after seed implantation. During the first few weeks after seed implantation, condoms should be used during sexual intercourse and disposed by double-wrapping them in aluminium foil and placing them in your dustbin.
There is no specific research in this area at the moment but all operative procedures performed in the department are subject to rigorous audit at a monthly Audit & Clinical Governance meeting.
The commonality of prostate cancer—it is the most prevalent non-skin cancer in the country—doesn’t make it any less disarming for men. From radiation to removal to hormone therapy, most conventional therapies can be described as “fairly intense,” often triggering side effects like urinary incontinence and erectile dysfunction, says Dr. Fortunately, about half of the 234,000-plus American men who will be diagnosed with prostate cancer in 2006 can choose to delay such treatments and take their time to explore less aggressive alternative therapies. As with any anti-cancer diet, eating for a healthy prostate calls for trimming the saturated fat and red meat from your meals. Those precious omega-3s, so wonderfully abundant on most any sushi platter, may help keep the prostate cancer-free.
Altmann recommends eating a handful of pumpkin seeds and a tablespoon of flaxseed daily to boost your intake of omega-3s: “Pumpkin seeds have long been in traditional use for prostate issues, although they’re not shown to be directly anti-tumor,” he says. But the biggest benefit may come from loading up on fruits and veggies as you cut back on the bad stuff. As for vegetables, look to crucifers like broccoli, cauliflower, radishes and kale for a top source of isocyanates, chemicals that help to detoxify carcinogens in the body. Since even the most conscious eaters aren’t likely to incorporate the perfect amount of prostate-healthy compounds at every meal, both Katz and Altmann recommend adding supplements to your self-care regimen. In fact, a study from the Arizona Cancer Center at the University of Arizona in Tucson found that taking 200 micrograms of selenium in supplement form daily decreased prostate cancer risk by 60 percent.
With 51 anti-inflammatory phytonutrients, green tea was found to inhibit prostate cancer development and metastasis in University of Wisconsin lab tests that studied the effect of drinking the equivalent of six cups of green tea a day.


Herbs like ginger, oregano, rosemary and holy basil (or tulsi, an ayurvedic herb) boast anti-inflammatory properties as well, he adds. Read the latest results on a new North American study that shows the prostate cancer treatment results using High Intensity Focused Ultrasound (HIFU). From 1995 to 1999, 559 prostate cancer patients were included in a European multi-center study. In those patients developing a recurrence of their cancer after they have received external radiation, few treatment options have been available.
Ablatherm® HIFU has proven to be the most effective treatment for recurrent prostate cancer. There have been no GI system complications reported when Ablatherm® HIFU was used in the initial treatment of T-1 or T-2 cancer of the prostate. In the cases where Ablatherm® HIFU was used in patients with previous radiation treatment failures, there was a feeling of mild rectal burning. However, with a nerve sparing procedure, potency is retained in approximately 80% of patients.
Urethral Stenosis can occur in the months following the treatment due to scar tissue replacing the treated prostate tissue.
In the first patients treated with Ablatherm® HIFU approximately 1 in 50 experienced either Type 2 or Type 3 incontinence.
In recent months, further advancements in the Ablatherm® HIFU technologies have resulted in even fewer cases of initial Type 1 and Type 2 incontinence. The patients were treated with Ablatherm® HIFU in the University of Regensburg, Germany, between October 1997 and November 2002. Studies from Lyon, France where patients were followed for more than 5 years after treatment with the Ablatherm® HIFU showed similar results. Over 90% of patients undergoing Ablatherm® HIFU therapy will not require further treatment for their prostate cancer. Ablatherm® HIFU treatment has a similar success rate to radical prostatectomy but has the major advantage of using non-invasive technology. If the PSA remains elevated after one treatment, however, or if a biopsy shows residual cancer of the prostate, re-treatment may be necessary. Sometimes tissue around the nerve coming into the prostate is spared on the side of the prostate gland if it has not been found by biopsy to have cancer. The complications observed with the patients throughout European hospitals using the Ablatherm® HIFU device are quite homogeneous. The following is a chart outlining the main side effects in relation with the treatment of prostate cancer with the Ablatherm® HIFU. It is important to note that the index measuring the quality of life of the patients remains unchanged before and after the treatment. The goal is to shrink the tumor or cause it to grow more slowly, but hormone therapy is not a prostate cancer cure. Hormone therapy may be best suited for men of advanced age, those who are not surgical candidates, or for those whose cancer has returned. A separate 2013 study found a significantly increased risk of acute kidney injury (AKI) among hormone therapy patients with advanced, non-metastatic prostate cancer. The treatment is conducted over a series of 1-5 sessions to administer Stereotactic Body Radiation Therapy (SBRT). Long-term, CyberKnife patients can experience sexual impotence and erectile dysfunction (ED) for up to 2 years.
Unlike the first-hand analysis afforded by surgery, CyberKnife is essentially a “best guess” treatment about where the cancer is located and how extensive it may be. Using radiation-free sound waves via rectal probe, HIFU is used to cover the prostate with High Intensity Focused Ultrasound energy. As a new treatment modality, there is very limited data about the effectiveness of HIFU for prostate cancer. Based on age, overall health, and personal beliefs, some men choose not to treat their prostate cancer.
These men are encouraged to follow very aggressive testing regimens to watch for changes in their disease. Some patients report feeling like they have a ticking time bomb in their bodies, wondering if the disease is spreading or not.
Samadi can help you assess the likelihood of disease spread based on your diagnosis and individual risk factors.
Since older men are more likely to develop prostate cancer, it is possible for a separate medical condition to take precedence over prostate cancer treatment. Research has suggested that, for tumours which are not amenable to surgery, treatment with HIFU and embolisation (blocking the blood vessels which feed the tumour) may improve survival when compared to current therapies. Surgery And Liver Transplantation May Be Curative For Early Stage HCC, But They Can Only Be Performed In 20% Of Patients.
Enhanced-CT scans obtained in a 56-year-old patient after a single HIFU treatment for advanced stage HCC. Gadolinium-enhanced MRI obtained in a patient with metastatic liver cancer before and after HIFU treatment. Here is a guide to natural remedies that may help prevent and treat a disease that has a near-100 percent cure rate when found early. A recent study from the journal Cancer Research showed that the omega-6 fatty acids found in red meat—as well as egg yolks, corn and soybean oils—doubled the growth rate of human prostate tumors in cell cultures. Tucker, director of the Friedman School of Nutrition Science and Policy at Tufts University.
When digested, crucifers produce indole-3-carbinol, a phytochemical that may slow the growth of prostate cancer cells, according to Katz. Both nutrients may play a role in prostate cancer prevention, with the trace mineral selenium crucial for “cooling the fires of excess oxidation,” says Katz. And while unprotected sun exposure may be your best bet for upping your body’s vitamin D levels, Katz recommends that the sun-sensitive and climate-challenged get at least 400 IU daily from a multivitamin or supplement. As Katz explains, chronic inflammation—often triggered by a high animal-fat diet—may increase oxidative stress, which in turn may raise cancer risk. Because those six daily cups may mean too much brewing for the average tea drinker, Katz advises getting the anti-inflammatory and antioxidant compounds through a green tea extract supplement. This study was conducted by 7 noted urologists at the Maple Leaf HIFU clinic in Canada with over 400 patients.


Most of the patients (n=402) were T-1 or T-2 prostate cancer patients treated with Ablatherm® HIFU as first choice therapy. In addition, the majority of patients who are impotent following an Ablatherm® HIFU treatment will respond readily to oral medications (Viagra, Levitra, Cialis) for erectile dysfunction. Importantly, there are essentially no reports of patients with Type 3 incontinence unless patients have had previous radiation or surgery.
Erectile function was preserved in 47.3% of patients, and the International Prostate Symptom Score and Quality of Life Index did not change from before to after treatment. In those developing a recurrence, they remain candidates for surgery, radiation or hormone therapy. One unique advantage of treatment with Ablatherm® HIFU is the fact that treatment is repeatable: if the nerve sparing procedure does not eliminate the cancer, the procedure can be repeated. Ablatherm® HIFU seems to be a valid alternative treatment for patients who are not eligible for radical prostatectomy or who do not want to experience the potential side effects of the operation. A 10-year study published in 2013 demonstrated that ? of hip fracture patients had previously been treated with ADT for low-risk prostate cancer. Radiation alters the prostate tissue in such a way that surgery is typically not an option for disease recurrence. However, since CyberKnife is radiation therapy it may preclude the ability to have robotic prostate surgery later.
Bowel function can also be impacted, and risk of bladder cancer and rectal cancer can increase by as much as 5%. Like radiation and hormone therapy, HIFU is designed to treat prostate cancer, but not remove it. The Prognosis For Patients With Untreated HCC Is Very Poor, With A Range Of Overall Median Survival From 1.6 To 6 Months. A) Before HIFU, the patient underwent three sessions of TACE that failed to control tumour growth. A) Before HIFU, two large tumour foci are present, located in the left and right lobe of the liver (arrow). And what those men hear about conventional treatment options after the initial diagnosis is what usually throws them most off-balance.
Wilt, professor of medicine for the Minneapolis VA Center for Chronic Diseases Outcomes Research. Also found in juicy summer fruits like watermelon and papaya, lycopene acts as an antioxidant and may reduce PSA levels. Complication rates are significantly lower with Ablatherm® HIFU than with salvage cryotherapy or salvage surgery. Fortunately, many patients regain potency 6 to 12 months after treatment by the process of nerve regeneration. If cancer should return after surgery, radiation can be used for long-term disease control with positive survival rates.
Each treatment of this kind requires men to adhere to a rigorous post-treatment regimen to monitor the possibility of prostate cancer recurrence. As such, the decision not to treat prostate cancer may weigh heavily on men over the long-term. High-Intensity Focused Ultrasound (HIFU) Is A Novel, Non-Invasive Therapy Which Has Been Used To Treat Patients With HCC In India Since 1998. The tumour shows good contrast uptake, indicating perfusion (arrow); B) Four weeks after TACE. B) Two weeks after HIFU, absence of contrast uptake, indicating coagulation necrosis in both foci (arrow). Katz’s Guide to Prostate Health, points to a 2003 study finding that men who ate omega-3-rich fish more than three times a week had roughly half the risk of metastatic prostate cancer compared to men who ate fish less than twice a month. It Can Be Performed Not Only In Surgical Candidates Whose Lesions Are Less Than 5cm In Diameter, But Also In Patients With Large-Volume, Unresectable HCC. It had invaded the right branch of portal vein (yellow arrow), and the interior vena cava (IVC) was compressed (yellow arrow). In This Latter Group, HIFU Can Be Used Alone Or In Combination With Transcatheter Arterial Embolisation (TAE), Either As A Primary Therapy, Or After Standard Treatments Have Failed. Studies Have Shown That This Has A Positive Survival Advantage Compared To Trans-Arterial Chemo-Embolisation (TACE) Alone. The markers are inserted using the same method a prostate biopsy is performed… External beam radiation is excellent choice for men to treat localized prostate cancer. As technologies advance, radiation oncologists are able to treat prostate cancer with better accuracy. There was blood flow in the distal part of the portal vein (blue arrow) indicating resolution of the portal vein. Gelet (6) Munich-Harlaching University, Munchen, Germany (1) - Institut Mutualiste Montsouris, Paris, France (2) - Caritas Krankenhaus, Regensburg, Germany (3) - Hopital Saint Louis, Paris, France (4) - University Medical Center St. Today, the radiation delivered to treat prostate cancer is becoming so precise that we are seeing less side effects. For the last few years, urologists have been placing gold fiducial markers in the prostate gland to help the radiation oncologist see the prostate gland when the patient has his daily treatment. Some patients my require a testosterone blocking hormone injection to slow the progression of their prostate cancer. In general, three gold fiducial markers are then inserted through a needle which is passed through the ultrasound probe. The ultrasound provides the urologist with the ability to precisely place the markers in strategic positions. The markers are used as a fixed standard of reference for comparison or measurement every time the patient has their radiation treatment.
The radiation oncologist uses X-ray to locate the markers when a patient gets their treatment. The combination of improving radiation technology and use of gold fiducial markers has the ability to expand the use external beam radiation therapy for men with prostate cancer.



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