Robotic Prostatectomy: Technique, Recovery and Cancer Control
Surgeon • controls Ports • access 3D view • precision Recovery • perioperative Pathology • PSA Robot-assisted radical prostatectomy is a minimally invasive way to perform the same cancer operation as a radical prostatectomy: the prostate and usually the seminal vesicles are removed, the bladder is reconnected to the urethra, and lymph nodes may be […]
Radiation Therapy for Prostate Cancer: External Beam, Brachytherapy and Treatment Selection
Risk • stageBeam • implantFraction • doseADT • intensifyPSA • follow-up Radiation therapy can treat prostate cancer with curative intent by delivering ionizing radiation to the prostate and selected surrounding tissues while limiting dose to the bladder, rectum, urethra and other normal structures. The two main local radiation approaches are external-beam radiation therapy (EBRT), delivered […]
Brachytherapy for Prostate Cancer: Seeds, Dose Delivery and Candidates
Risk • candidateTRUS • templateLDR • seedsHDR • cathetersPSA • follow-up Brachytherapy treats prostate cancer by placing a sealed radiation source directly inside the prostate rather than sending the full treatment dose through the body from an external machine. Low-dose-rate (LDR) brachytherapy leaves small radioactive seeds permanently in the prostate, where their radiation gradually decays. […]
Androgen Deprivation Therapy (ADT) for Prostate Cancer: Testosterone Suppression, Uses and Side Effects
Androgen • receptorTestes • testosteroneAgonist • antagonistRisk • combinationBone • metabolic Androgen deprivation therapy lowers testosterone—or blocks the hormonal pathway that prostate cancer uses for growth. The main testosterone-suppressing approaches are bilateral orchiectomy, gonadotropin-releasing hormone (GnRH/LHRH) agonists, and GnRH antagonists. Androgen deprivation therapy can strengthen radiation treatment in intermediate- and high-risk localized disease, control recurrent […]
Prostate Cancer Treatment Side Effects: Urinary, Sexual, Bowel and Hormonal Effects
Surgery • leakageSex • erectionsRadiation • bowelADT • hormonesRehab • recovery Prostate cancer treatments can affect urinary control, erections and orgasm, bowel function, libido, testosterone-dependent body systems and long-term quality of life—and the pattern depends strongly on the treatment used. Radical prostatectomy most often causes an immediate urinary-leakage and erectile-function burden. External-beam radiation and brachytherapy […]
Erectile Dysfunction After Prostate Cancer Treatment: Causes, Recovery and Rehabilitation
Nerves • vesselsSurgery • injuryRadiation • delayADT • libidoRehab • function Erectile dysfunction after prostate cancer treatment can result from nerve injury, vascular injury, fibrosis, testosterone suppression—or a combination of these mechanisms. Radical prostatectomy most often causes an abrupt erectile decline because the neurovascular bundles run directly along the prostate. Radiation tends to produce a […]
Urinary Incontinence After Prostate Cancer Surgery: Causes, Recovery and Management
Bladder • neckSphincter • supportStress • leakagePelvic floor • recoverySling • AUS Urinary incontinence after radical prostatectomy most commonly occurs because removing the prostate changes the anatomy and support around the urinary sphincter. Leakage is expected in the early period after catheter removal and usually improves as swelling settles, the bladder adapts and pelvic-floor/sphincter control […]
Sex and Ejaculation After Prostate Cancer Treatment: Orgasm, Semen and Sexual Function
Orgasm • sensationSemen • emissionSurgery • dryRadiation • declineClimacturia • urine Prostate cancer treatment can change ejaculation, orgasm and sexual experience even when erectile function is discussed separately. Radical prostatectomy permanently removes the main organs that contribute seminal fluid, so ejaculation no longer occurs after surgery even though orgasm can still be possible. Radiation leaves […]
Libido After Prostate Cancer Treatment: ADT, Testosterone and Sexual Desire
Desire • arousalADT • testosteroneRecovery • timeMood • fatigueBridge • libido root Low libido after prostate cancer treatment can come from direct testosterone suppression, treatment-related sexual dysfunction, fatigue, mood changes, body-image changes or relationship strain—and the mechanism matters. Androgen deprivation therapy has the clearest direct biological effect because it intentionally lowers testosterone, a hormone that […]
Fertility After Prostate Cancer Treatment: Sperm, Semen, Treatment Effects and Preservation
Goal • parenthoodSperm • bank firstSurgery • obstructionRadiation • testesRetrieve • ICSI Prostate cancer treatment can impair fertility through different mechanisms even when the testes themselves are not removed. Radical prostatectomy permanently prevents normal semen ejaculation and therefore prevents natural conception, although testicular sperm production may continue. Prostate radiotherapy can expose the testes to scattered […]