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MORE ABOUT CANCER

Prostate cancer


A preventive examination by a urologist once a year, for men over the age of 50, is needed for early discovery of the disease!

What should we know about cancer of the prostate gland?
Of all types of tumors that occur in the urogenital system, prostate cancer appears to spread the fastest.
Each year, around 18,000 people in the U.S. die from this disease, 6.8% of men in Austria and 7.5% in Israel. The statistics in Bulgaria show that prostate cancer takes the leading place for cause of death from malignant diseases in men.
Science has determined that a hormonal disorder can result in an outbreak of the disease.  In the beginning, a knob-like growth forms on the gland which gradually increases and covers the entire gland. The disease then enters the surrounding tissues and metastasizes in local and more distant parts of the body, the bones of the spine and pelvis, the lungs, the spleen, and other organs.


Symptoms
The initial complaints are typical for diseases localized in the bladder and urinary tract, and include disturbances in urination: increases in urinary frequency, difficulty voiding urine, and the feeling of an inadequately emptied bladder after urination. These disorders appear first in the morning and, as the disease progresses, throughout the day. Gradually, a patient reaches a point when partial or complete urinary retention is experienced. In some cases, blood also appears in the urine. Pain is a later symptom and is indicative that the disease has developed past the initial growth on the gland, and that surrounding tissue is also affected. The pain may be periodic or permanent, and its strength depends on how much of the carcinoma has spread to the surrounding tissues. Usually it distributes itself to the urethra, the penis, or the area between the anus and scrotum. The pain may appear initially due to the metastasis, and also may have symptoms similar to that of sciatica. In the later stages, general complaints such as weakness, lack of appetite, and other symptoms may occur.

Diagnosis and research
Making the diagnosis of prostate cancer is not difficult, but is only possible in a specialized institution, a urologic department or clinic - facilities that have all the equipment necessary for accurate diagnosis. Typically, diagnosis starts with a rectal exam. When prostate cancer is suspected, radiological studies, research with isotopes, scans, and biopsies are undertaken, which will then be analyzed by laboratory personnel.

Treatment
Treatment of prostate cancer is performed most often with the aid of medication. Surgery should be done only when strictly necessary. Treatment should be determined by considering the patient's general condition, age, and the health of his organs.
It is desirable for the medical treatment to begin in a hospital and the patient to remain under medical supervision. The scheme and duration of treatment is determined depending on the stage of the disease, type of tumor, clinical tests, and potential side effects of the treatment.
If the disease is treated early, results can be very good - the volume of the tumor reduces, the symptoms disappear, and the spreading of metastasis to neighboring and distant organs is stopped.