How to handle my dad's prostate cancer treatment side effects?

Question

Hi doctor,

My 63-year-old father was recently diagnosed with prostate cancer, and we are trying to understand what this means for him moving forward. Could you provide information on treatment options, such as surgery, radiation, or hormone therapy?

We are particularly concerned about the potential side effects of these treatments and how we can help maintain his quality of life during this period.

Kindly provide your insight.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Prostate cancer treatment (a type of cancer that starts in the prostate, a small gland in the male reproductive system that produces seminal fluid) depends on factors like the stage of cancer, the patient’s overall health, and preferences regarding side effects and quality of life.

For your 63-year-old father, the main treatment options include surgery, radiation therapy, and hormone therapy.

Surgery, specifically a radical prostatectomy, involves removing the entire prostate gland and some surrounding tissue. This is typically recommended for men in good health with localized prostate cancer. Side effects may include urinary incontinence and erectile dysfunction, though robotic-assisted surgery can help minimize these risks. Recovery from surgery may take several weeks.
Radiation therapy can be delivered as either external beam radiation or brachytherapy, where radioactive seeds are implanted directly into the prostate. Radiation therapy may be an option if surgery is not feasible or if the cancer is localized but not suitable for surgery. Side effects include fatigue, skin irritation, and long-term issues with bowel, bladder, or sexual function.
Hormone therapy, also known as androgen deprivation therapy (ADT), is often used when the cancer has spread beyond the prostate or in combination with other treatments. It works by lowering testosterone levels to slow the growth of cancer cells. Common side effects include hot flashes, reduced libido, fatigue, weight gain, and bone thinning.

Maintaining quality of life during treatment involves a holistic approach to managing side effects and improving overall well-being.

This can include managing side effects with medications, physical therapy, or supportive treatments like pelvic floor exercises for incontinence, staying physically active, eating a healthy diet, and addressing mental and emotional well-being through counseling or support groups.

A physical examination by an oncologist is essential to finalize the treatment plan.

I suggest you consult an oncologist, talk to them, and take medications with their consent.

I hope this has helped you. Kindly follow up if you have more doubts.

Thank you and take care.