Treating Prostate Cancer That Has Spread To The Bones
Doctors are studying the use of radiofrequency ablation to help control pain in men whose prostate cancer has spread to one or more areas in the bones. During RFA, the doctor uses a CT scan or ultrasound to guide a small metal probe into the area of the tumor. A high-frequency current is passed through the probe to heat and destroy the tumor. RFA has been used for many years to treat tumors in other organs such as the liver, but its use in treating bone pain is still fairly new. Still, early results are promising.
Why Choose Jefferson For Prostate Cancer Treatment
Every day, our nationally recognized oncologists and urologists in the Philadelphia area are helping to fight prostate cancer and save lives. As one of the nations best hospitals for cancer treatment according to U.S. News & World Report, our dedicated team of urologists and prostate cancer specialists, along with our world-renowned researchers are pioneering new approaches to prostate cancer treatments and designing effective prostate cancer prevention strategies.
Our Multidisciplinary Genitourinary Oncology Center is one of only a handful of centers in the U.S. dedicated to advanced patient care for prostate cancer.
At Jefferson, not only does our hospital offer patients best-in-class prostate cancer medical services, our compassionate care includes a prostate cancer support group to meet you and your familys emotional and psychological needs as well.
Prostate Cancer Signs & Symptoms
The symptoms of prostate cancer in men usually dont show until the cancer progresses. Some early signs of prostate cancer include:
- weak or interrupted urine flow
- sudden urges to urinate
Advanced prostate cancer symptoms include:
- pain or burning while urinating
- blood in the urine or semen
- severe pain in back, hips or pelvis
Read Also: Does A Vasectomy Increase Risk Of Prostate Cancer
Prostate Cancer Care At The Sidney Kimmel Cancer Center At Jefferson
If you have been diagnosed with prostate cancer, you can feel confident that the renowned prostate cancer specialists at the Sidney Kimmel Cancer Center at Jefferson are experienced and here to help. We not only offer our patients best-in-class prostate cancer medical services, our compassionate care includes a support program to meet your emotional and psychological needs, too. When you choose the Sidney Kimmel Cancer Center at Jefferson for prostate cancer care, youll have access to:
- Physicians who specialize in prostate cancer
- Surgical appointments within 24 hours
- State-of-the-art diagnostic and treatment tools, such as MRI-guided radiation therapy
- Advanced clinical trials
- Precision medicine and advanced cancer treatments including targeted therapies, molecular and genomic testing, brachytherapy and techniques to protect the heart during radiation therapy
- Second opinions and treatment options that may not be available elsewhere, including minimally invasive laparoscopic prostatectomy
- A multidisciplinary clinic that allows you to see an entire team of cancer specialists medical oncologist, radiation oncologist, urologist, oncology nurses and social workers all in one location, in a single visit
Find The Best Surgeon You Can Get It Done Right
Radical prostatectomy is a very difficult operation. It takes not only skill, but the kind of expertise you get only after being involved in a lot of procedures, first from the sidelines as a doctor in training, and then learning how to do it meticulously with the guidance of an expert surgeon.
The very best prostate surgeons specialize in the prostate. Thats often all they do, and they do a lot of these procedures every year.
You dont want to be part of the learning curve.
Another point: Because there are so many bad surgeons out there, you cant trust everything you read on the internet or from hospitals propaganda.
Our goal is to weed out the bad surgeons, so they stop doing procedures they arent skilled enough to do.
As for you, well, this is your one shot at this. Do your due diligence. How can you find the right surgeon? We have developed this checklist with the help of three experts. Please. Take the following things into consideration before you go under the knife:
Don’t Miss: What Does An Enlarged Prostate Indicate
Cancer Treatment Centers Of America
Dr. Loaiza-Bonilla is dedicated to comprehensive care for patients suffering from gastrointestinal malignancies, such as colon, esophagus, gastric, liver, pancreas and neuroendocrine tumors.
Dr. Loaiza-Bonilla earned a medical degree from the Universidad Nacional de Colombia in Bogotá, Colombia. Following medical school, he completed an internship and residency in internal medicine at Harbor Hospital Center, Johns Hopkins Hospital in Baltimore, Maryland. Dr. Loaiza-Bonilla also completed a fellowship in hematology and oncology from the University of Miami, Miller School of Medicine in Miami, Florida.
He has been published in several medical journals and oncology publications. He is also a reviewer and counselor for several journals, special interest groups, panels and academic competitions. He has also served as principal investigator and co-investigator for many large oncology clinical trials. Dr. Loaiza-Bonilla has been a member and held leadership positions for several medical organizations. These include the Pennsylvania Society of Oncology and Hematology, American Society of Hematology, American Society of Clinical Oncology and American Association of Cancer Research.
Chemotherapy, Clinical Trials, Hematologic Oncology, Interventional Oncology, Precision Medicine, Radiation Therapy, Surgery
Address: 1331 E Wyoming Ave, Philadelphia, PA 19124Phone: 606-0841
Best doctor we found. Charlie Smith
A Minimally Invasive Approach
After receiving a diagnosis of prostate cancer, I met with Dr. Eric Horwitz, a radiation oncologist, in January 2020, and we walked through all the processes and he did more blood tests. At that point, it looked like radiation was the best way to go. We scheduled a minimally invasive SpaceOAR procedure for February with surgical oncologist Dr. Richard Greenberg.
SpaceOAROAR stands for organ at riskis a gel that is injected under anesthesia into the space between the rectal wall and the prostate. The idea is to protect the rectum from the high doses of radiation used to treat the prostate. Exposing the rectum to radiation can lead to a disruption of bowel function in some patients. After the procedure, I was scheduled for 23 external beam radiation treatments.
Recommended Reading: Prostate Cancer Surgery Recovery Period
Best Urologists In Philadelphia Pa
Expert recommended Top 3 Urologists in Philadelphia, Pennsylvania. All of our urologists actually face a rigorous 50-Point Inspection, which includes customer reviews, history, complaints, ratings, satisfaction, trust, cost and general excellence. You deserve only the best!
DANIEL D. EUN, MD – TEMPLE HEALTH CENTER CITY
255 South 17th Street, Medical Tower, 7th Floor, Philadelphia, PA 19103DIRECTIONS
Heres The Deal:Dr. Daniel D. Eun is board-certified in urology. He has completed his medical degree at Lewis Katz School of Medicine at Temple University, Philadelphia. Dr. Daniel D. Eun is internationally regarded as a thought leader in advanced robotic surgery techniques, robotic procedure development, and training. He has performed thousands of robotic procedures and more than 50 different types of robotic procedures. Dr. Daniel D. Eun has also performed over 50 live demonstration surgeries at meetings and training courses around the world. He has an extensive referral network from the tri-state area and commonly sees referrals from the northeast and mid-Atlantic regions. Dr. Daniel D. Eun has developed numerous novel techniques and procedure modifications. He has published peer-reviewed journal articles, book chapters, and video teaching guides. Dr. Daniel D. Eun is a member of the American Urological Society, Philadelphia Urologic Society, and Endourological Society.
THOMAS J. GUZZO, MD, MPH
Prostate Cancer Doctors & Care Team
At Fox Chase Cancer Center, we take a multidisciplinary approach to prostate cancer diagnosis, treatment, and follow-up care.
Our surgeons, medical and radiation oncologists, radiologists, and pathologists work together to diagnose your cancer and help you make informed decisions about treatment. Each member of our prostate cancer team is focused on delivering excellent treatment and helping you retain function.
Learn more about the Prostate Cancer Program at Fox Chase.
Don’t Miss: Rapid Rise In Psa May Signal Prostatitis
Shields & Shields Pc Ocular Oncology
Doctor Carol Lally Shields is the Director of the Ocular Oncology Service at Wills Eye Hospital. She is Professor of Ophthalmology at Thomas Jefferson University and consultant at Childrens Hospital of Philadelphia.
Dr. Shields graduated from the University of Notre Dame with highest honors. She attended medical school at the University of Pittsburgh. She is a recipient of the American Academy of Ophthalmology Honor Award and was the first female ophthalmologist in the world to receive the prestigious Donders Medal for excellence in ophthalmology from the Dutch Ophthalmologic Society in 2003.
Dr. Shields maintains a rewarding professional life, managing patients with cancer of the eye. Her special interests include pediatric eye cancer such as retinoblastoma as well as adult eye cancer such as melanoma, conjunctival tumors and orbital tumors.
Address: 840 Walnut St #1440, Philadelphia, PA 19107Phone: 928-3105
Dr shields is an amazing doctor have been going for 18 years Dylan Fox
Best place ever for ocular oncology care and surgery. Lisa Wilson
How Prostate Cancer Is Diagnosed
The experienced urologists and surgeons at Philadelphias Jefferson Multidisciplinary Genitourinary Oncology Center and Sidney Kimmel Cancer Center Jefferson Health work as a team to confirm a prostate cancer diagnosis. Our thorough examination begins with a discussion about your symptoms and a review of your medical history.
Jeffersons experts will conduct a series of physical exams to feel for prostate gland abnormalities. Our urologists and our prostate cancer specialists will conduct a Prostate Specific Antigen or PSA blood test as well as other prostate-related tests and diagnostic imaging tests such as the Color Doppler or 3D Ultrasound. Our urologists may also take prostate tissue samples for conducting a prostate biopsy.
Jefferson was among the first hospitals in the Philadelphia area to offer MRI Fusion Biopsy, an innovative procedure used for a prostate cancer diagnosis.
Recommended Reading: What Is Prostate Gland Enlargement
Nipping It In The Bud
Although the fatality rate of my cancer was relatively low, I felt more comfortable nipping it in the bud. Presented with the same three treatment options by Fox Chase, I finally decided to undergo robotic surgery .
I could not fully enjoy life with the lingering thought of prostate cancer, so the wait-and-see approach was not really an option for me. I cannot overstate the amount of research I put into my decision to have surgery. Whether for legal decisions or diet and exercise info, thorough research has always been a major part of my life.
My wife Janet knows this better than anyone. When we shop together, she knows I will go out of my way to compare the prices and attributes of a certain appliance, and a final decision might take weeks. I went over my PSA numbers and Gleason score again and again and related them to my research.
Everyone has some anxiety about operations, but my biggest concern was urinary incontinence afterward. Thats the one thing I couldnt live with. I had endured a few days of incontinence due to a previous unrelated procedure, so I knew it was something I wanted to avoid if at all possible.
Thankfully, my mind was put at ease after Dr. Chen and his team took the time to explain the unlikelihood of incontinence occurring as a result of having my prostate removed. Because of this, I felt I was in the hands of a knowledgeable and extremely competent surgeon at a superior facility.
Recognized For Quality In Prostate Cancer Care
The Sidney Kimmel Cancer Center at Jefferson is your Philadelphia area resource for nationally recognized oncology expertise. Some of our achievements include:
- Were one of eight centers in the nation to be designated as a Prostate Center of Excellence by the National Cancer Institute .
- Were one of only 69 National Cancer Institute -designated cancer centers in the U.S., and we are ranked as one of the nations best hospitals for cancer treatment by U.S. News & World Report.
Don’t Miss: How Do You Milk A Prostate Gland
Former Philly Mayor Michael Nutter Had Surgery For Prostate Cancer He Especially Wants Black Men To Hear About His Experience
PSA screening poses a dilemma, especially for Black men, who are at higher risk of developing and dying of prostate cancer.
In December, after more than four years of medical monitoring while keeping his early-stage prostate cancer secret from his family, Michael Nutter had the walnut-size organ removed.
Now, fully recovered fully, he stressed the former Philadelphia mayor is advocating that men undergo regular screening for prostate cancer with the PSA blood test.
Get screened! he said during an interview on Thursday at the Center City offices of public relations executive Jay Devine. All you have to do is give a little blood. See where you are. Its not like theyre drilling a hole in your head.
Nutter, 63, is aware that prostate specific antigen screening is far more controversial than when he began doing it at age 50 in 2008. Back then, his doctor recommended checking his PSA level, so Nutter did it.
Fast forward to today. All the expert groups that issue guidelines, including the American Urological Association, acknowledge a dilemma. Studies show automatic, one-size fits all screening saves very few lives, and leads to diagnosis and treatment of many cancers that would never cause harm if left undetected. Treatment may cause permanent urinary or sexual problems, or both. The guidelines say men should be informed of the risks, as well as the benefits, before deciding what to do.
Nutrition And Lifestyle Changes
Many studies have looked at the possible benefits of specific nutrients in helping to treat prostate cancer, although so far none have shown a clear benefit. Some compounds being studied include extracts from pomegranate, green tea, broccoli, turmeric, flaxseed, and soy.
One study has found that men who choose not to have treatment for their localized prostate cancer may be able to slow its growth with intensive lifestyle changes. The men in the study ate a vegan diet and exercised frequently. They also took part in support groups and yoga. After one year the men saw, on average, a slight drop in their PSA level. It isnt known if this effect will last since the report only followed the men for 1 year. The regimen may also be hard for some men to follow.
It’s important for men thinking about taking any type of nutritional supplement to talk to their health care team first. They can help you decide which ones you can use safely while avoiding those that might be harmful.
Recommended Reading: Prostate Cancer Check How Often
Prostate Cancer Treatment Options
There are many treatment options for prostate cancer. Our world-renowned urologists located in Philadelphia will recommend a personalized prostate treatment plan based on your symptoms, age, physical condition, and your cancers size and stage of growth.
Our urologists at the Sidney Kimmel Cancer Center Jefferson Health, are performing exciting, new treatments for prostate cancer. In fact, sipuleucel-T , a new immunotherapy treatment shown in clinical trials to extend survival for patients with advance prostate cancer and the use of the minimally invasive da Vinci® Surgical System to remove the prostate laparoscopically.
Our full complement of treatments used to help beat prostate cancer includes:
Resources To Find And Evaluate Doctors
Administrators in Medicine DocFinderInformation on licensing and disciplinary actions taken against doctors in 18 states links to state medical boards of remaining states.
American Board of Medical Specialties Includes a database to find doctors who are ABMS Member Board Certified Specialists, a designation achieved through additional training and education.
American College of SurgeonsInformation about finding surgeons who are Board Certified as well as information about surgical specialties. Includes database of member surgeons.
American Medical Association DoctorFinderEducation, board certification, and hospital admitting privileges for doctors who belong to the AMA.
American Society for Radiation Oncology RT AnswersIncludes searchable database of radiation oncologists.
American Society of Clinical Oncology Cancer.NetOncologist-approved cancer information from the American Society of Clinical Oncology can be found on the site Cancer.Net. This site includes a Find an Oncologist tool with tips on choosing a doctor and a database of oncologists.
Urology Care FoundationSearchable database of member urologists all of whom have been certified by the American Board of Urology.
Medicare Physician and Other Healthcare Professional DirectoryProvider profiles including specialties, practicing locations, and phone numbers. Other information may also include education, gender, residency, foreign languages spoken, and hospital affiliation.
Read Also: Can Prostate Surgery Cause Erectile Dysfunction
Newer Treatments For Early
Researchers are looking at newer forms of treatment for early-stage prostate cancer. These new treatments could be used either as the first type of treatment or after unsuccessful radiation therapy.
One treatment, known as high-intensity focused ultrasound , destroys cancer cells by heating them with highly focused ultrasonic beams. This treatment has been used in some countries for a while, and is now available in the United States. Its safety and effectiveness are now being studied, although most doctors in the US dont consider it to be a proven first-line treatment for prostate cancer at this time.
I Didnt Want To Worry Them
In 2007, Nutter won a come-from-behind victory in a field of political heavyweights by promising to clean up City Hall and avoid the ethical scandals of his predecessor and nemesis, John F. Street. Nutter led with a data-focused approach to city management. He had an oftentimes icy relationship with City Council and labor throughout his eight years, which included the recession, the spotlight of the 2015 papal visit, and planning for the Democratic National Convention.
Since leaving office in 2016, he has been involved in education, media, public policy, political campaigns, consulting, and more.
It was in 2016 that Nutters PSA level, which had been under the threshold for concern, rose enough that his primary care doctor, Chris Hannum, sent him to urologist Laurence Belkoff in Bala Cynwyd. Belkoff is a managing partner of the MidLantic Urology group and on the faculty at Philadelphia College of Osteopathic Medicine and Drexel University College of Medicine.
Nutter underwent a biopsy, an ultrasound, a CAT scan, and a bone scan, then Belkoff gave him the bottom line: He had a tiny, relatively nonaggressive cancer confined to his prostate. The options, Belkoff said, were surgery or radiation. Or, they could monitor the cancer closely with frequent PSA tests and follow-up biopsies so-called active surveillance.
Im working and traveling and teaching, Nutter recalled. I said Id like to do active surveillance.
I didnt want to worry them, he said.
Also Check: Procedure To Check For Prostate Cancer