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Prostate cancer - truth or myth?
When you have been given lots of information about a disease it is important that you are able to tell what is true and what is a myth. On the next few pages have listed a few of the truths and myths about prostate cancer and its treatment. If you are unsure about any information you have been told about prostate cancer and its treatment you can always contact us.
Many myths about prostate cancer do exist and it is important that you know the truth about this disease and its treatment, to help you make the choice that is right for you.
Prostate cancer - truth or myth?
Radical prostatectomy guarantees cure for localised prostate cancer.
This is a myth and not true.
All radical therapies are designed to remove or kill the cancer cells but none of the available treatments can guarantee a complete removal of the cancer. Even if you have surgery to remove the whole prostate gland there is a chance that not all the cancer cells will have been removed. Studies have shown that cancer cells may still be present in at least 15 and even in as many as 50 patients in every 100 patients undergoing surgery.
Surgery, brachytherapy and external beam radiotherapy (EBRT) all have the same chance of curing the prostate cancer; if not, decision making would be easy!
Prostate cancer - truth or myth?
If your first PSA blood test after your surgical treatment is PSA <0.1ng/mL you are cured.
This is a myth and not true.
Whilst it is encouraging that the PSA is undetectable (at a very low level) immediately after a radical prostatectomy there is the same chance that it may recur over the next 5 years as with radical prostatectomy or external beam radiotherapy (EBRT). This is why whichever treatment you have you will continue to have your PSA levels checked for at least 5 years after treatment to make sure that you are still free of prostate cancer.
PSA levels
PSA is a protein produced by both normal and cancer cells in the prostate gland. If the prostate gland gets larger there is an increase in the levels of PSA in the blood. A rise in PSA levels can indicate that there may be cancer cells growing in the prostate gland. However the prostate gland can get larger with age or due to the presence of an infection. So an abnormal level of PSA is only a warning sign for prostate cancer and further investigations are needed to be sure that cancer is present or to rule it out.
Prostate cancer - truth or myth?
Some treatments are better than others at curing localised prostate cancer.
This is a myth and not true
All three of the commonly used radical therapies are similarly effective but there are some differences in the side effects that can occur with each therapy and in the effects each therapy may have on the normal activities of daily life. Go to the Treatment selector for some facts about each type of treatment.
Prostate cancer - truth or myth?
Urinary incontinence (loss of bladder control) is less common after brachytherapy than after surgery to remove the prostate gland (prostatectomy).
This is true.
Incontinence following treatment at The Prostate Brachytherapy Centre is rare (less than 1%) at any stage after patients are treated with prostate brachytherapy. However, patients very frequently suffer with urinary incontinence in the first few months after radical surgery. In experienced surgical hands (surgeons who have carried out a significant number of procedures) only 1 in 20 patients have significant urinary incontinence after one year. In less experienced hands, this figure can be much higher.
Prostate cancer - truth or myth?
Having radiotherapy after surgery will give me the best chance of success.
This is a myth and not true.
There have been no studies to show that this combination of treatments is any more effective than any other.
Prostate cancer - truth or myth?
If you have brachytherapy and it does not completely remove your cancer you cannot then have surgery.
This is a myth and not true.
If prostate brachytherapy does not completely remove your prostate cancer there are other treatment options available to you including surgery. Contact us if you want to find out more about these treatment options.
Prostate cancer - truth or myth?
If you have brachytherapy and it does not completely remove your cancer you cannot then have surgery.
This is a myth and not true.
If prostate brachytherapy does not completely remove your prostate cancer there are other treatment options available to you including surgery. Contact us if you want to find out more about these treatment options.