Prostate cancer is the most common type of cancer in men and the third leading cause of cancer-related mortality. Every year, more than 1.1 million new cases are diagnosed worldwide, with 68,579 cases recorded in Germany as of 2019. Malignant prostate tumors often develop without noticeable symptoms. Our team at the Clinic for Urology, Urologic Oncology, and Pediatric Oncology has compiled essential information about prostate cancer, along with recommendations for prevention and treatment.
Survival Rates and Risk Factors
The relative 10-year survival rate for prostate cancer is 88%. The risk of developing the disease increases with age, with the average age of diagnosis being 72 years. Another significant risk factor is a family history of prostate cancer, particularly in close relatives such as a father, brother, or paternal uncle. In the early stages, the disease is often asymptomatic, and symptoms such as difficulty urinating usually appear only when the tumor has significantly enlarged.
Early Detection: The Key to Successful Treatment
PSA Test for Early Prostate Cancer Diagnosis
The prostate-specific antigen (PSA) test is the most informative method for the early detection of prostate cancer. Men aged 45 and older can undergo prostate cancer screening by measuring PSA levels in their blood. Those with a family history of the disease are advised to start screening at 40.
Other Early Diagnostic Methods:
- Digital Rectal Examination (DRE): A simple method in which a doctor palpates the prostate gland
- Transrectal Ultrasound (TRUS): A visualization technique to detect prostate abnormalities
- Prostate Biopsy: Tissue sample collection for accurate diagnosis confirmation
Lifestyle and Prevention
Maintaining a healthy lifestyle can reduce cancer risk. Regular physical activity and a balanced diet can lower the overall risk of cancer by up to 30%. Keeping a healthy weight, consuming alcohol in moderation, and avoiding smoking also have a positive impact on prostate health.
Treatment Options
Brachytherapy
Brachytherapy involves irradiating the tumor from within. Small radioactive metal implants, known as seeds, are placed in the prostate gland. This method is also referred to as low-dose-rate (LDR) brachytherapy.
Innovative Treatments: Da Vinci Robotic Surgery
For several years, the Center for Interdisciplinary Robotic Surgery (ZIRO) has been performing minimally invasive operations using the da Vinci surgical system. This method enhances surgical precision, helping to preserve urinary and erectile function while also reducing recovery time after surgery.
Other Treatment Methods:
- Radical Prostatectomy: Complete removal of the prostate gland
- Radiation Therapy: Various radiation treatment techniques
- Active Surveillance: Monitoring the disease without immediate treatment
Postoperative Care and Quality of Life
Comprehensive follow-up care plays a crucial role after prostate cancer diagnosis and treatment. This includes regular medical check-ups and monitoring to detect potential recurrences early. Side effects such as urinary incontinence and erectile dysfunction can significantly affect quality of life, so they should be discussed with a doctor. Psychological support, counseling, and self-help groups can help patients manage emotional stress and successfully adapt to a new reality.
A balanced diet and physical activity contribute to overall well-being after treatment. Issues related to fertility and family planning should be discussed with a doctor before starting therapy.
An Interdisciplinary Approach to Treatment
The diagnosis, treatment, and follow-up care of prostate cancer patients require close collaboration between the patient and the medical team. At our Clinics for Urology, Urologic Oncology, and Pediatric Oncology, we offer a comprehensive approach—from advanced diagnostic procedures to innovative treatment methods. Thanks to the combined expertise of our specialists, patients can make informed decisions and receive the most effective therapy tailored to their individual needs.
For more information, feel free to contact us. We are always here to help!