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Treating prostate cancer with hormone therapy can be very effective. Click here to learn how hormone therapies can help your prostate cancer.
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In this video, leading urologist Mr Christopher Eden discusses the advantages and effects of treating prostate cancer with surgery.
Treating prostate cancer with hormone therapy is a very common. In most circumstances it is used to slow the progression of advanced prostate cancer and reduce the discomfort of the prostate cancer symptoms for a patient. Hormonal therapy is rarely used to treat localised, or locally advanced prostate cancer, where surgery or radiotherapy can offer a possible cure. Hormone therapy is often used with radiotherapy to increase the effectiveness of the radiotherapy at destroying the cancer cells.
Hormonal manipulation works by altering the production of, or effect of, testosterone on prostate cancer cells. Altering testosterone levels controls the growth of cells in the prostate, both cancerous and normal, as cancer cells need testosterone to grow1.
Unlike surgery and radiotherapy, hormone treatment does not cure prostate cancer. Hormone treatment can manage the progression of prostate cancer for a period of time before additional methods of treating the cancer will be necessary. On average, hormone therapy is effective at managing prostate cancer for three years. After this time, the prostate cancer cells become resistant to the effects of hormonal manipulation.
Hormone therapy can be delivered in a tablet form, called anti-androgen treatment, or by an injection given either monthly or once every three months, called luteinising hormone-releasing hormone (LHRH) agonists. In some circumstances, both tablets and injections are given together1.
The downside to hormonal therapy is the number of side effects associated with it; this is due to the changes in testosterone levels in the body1. These include:
- Breast swelling or tenderness
- Decreased libido
- Impotence
- Weight gain
- Tiredness1
- Hot flushes1
- Increased risk of heart attack and stroke
Mr Christopher Eden
Consultant Urologist
Reference:
1. NHS Choices – Prostate cancer treatment. Date last updated: 14.02.2011. Website:
www.nhs.uk/Conditions/Cancer-of-the-prostate/Pages/Treatment.aspx
10516 Revised November 2012
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