What is castration-resistant prostate cancer therapy at 63?

Question

Hello doctor,

My husband, 63, has recently learned that his prostate cancer has become resistant to current treatments. He has always been incredibly strong and independent, but now he is struggling with the emotional and physical challenges of this diagnosis. He has become withdrawn and reluctant to discuss his condition, which makes it even harder for us as a family.

Our insurance coverage is limited, so we are exploring all possible treatment options, including experimental therapies. We need guidance on managing his treatment and understanding the latest advancements in prostate cancer care.

Additionally, we are seeking advice on how to maintain his quality of life and cope with the financial and emotional strain this is placing on our family.

How can we best support him and ensure he feels cared for during this difficult time?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Symptoms of prostate cancer (a type of cancer that develops in the prostate gland, often growing slowly and sometimes spreading to other parts of the body):

Frequent or urgent need to urinate.
Weak urine flow.
Pain or burning sensation during urination.
Loss of bladder control.
Loss of bowel control.
Painful ejaculation.
Erectile dysfunction.
Blood in semen is called hematospermia.

The risk factors for prostate cancer can increase the risk. These are as follows:

Risk increases with age.
Certain groups, such as African American men, are at higher risk.
A family history of prostate cancer or other cancers in the family.
Mutations in the BRCA1 (breast cancer 1) and BRCA2 (breast cancer 2) genes can increase risk.
Smoking is a known risk factor.
Prostatitis (inflammation of the prostate).
A high BMI (body mass index) over 30 is associated with a higher risk.

It is essential to diagnose prostate cancer early. The diagnostic procedures are described below:

PSA (prostate-specific antigen) test.
Ultrasound.
MRI (magnetic resonance imaging).
Biopsy.

To prevent complications, early management is required. The management options are as follows:

The multidisciplinary team approach (MDTA) includes a urologist, who treats the urinary and reproductive systems, and an anesthesiologist, who manages anesthesia during procedures; a medical oncologist, who diagnoses and treats cancer; a histopathologist, who studies tissue samples for diagnosis; and a radiologist, who interprets medical imaging for diagnosis.

Medical treatment options are as follows:

Active surveillance includes regular screenings, scans, and biopsies that are done every one to three years to monitor cancer growth.
A less aggressive approach, monitoring symptoms and cancer progression.
Prostatectomy:
- Open radical prostatectomy (traditional surgery to remove the prostate through a large incision).
- Robotic radical prostatectomy (minimally invasive surgery using robotic assistance to remove the prostate).
Radiation therapy.
Consult a psychiatrist and psychotherapist for emotional well-being and coping with the diagnosis.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.