Questions To Ask When Searching For The Best Prostate Cancer Care
Men diagnosed with prostate cancer face some difficult choices. Should they proceed with surgery or radiation, and if so, what kind? If theyre low risk and the cancer is not likely to spread, do they have the patience for active surveillance? And in the midst of all these questions, theres this one: Which doctor or hospital delivers the best care?
The short answer is no one knows, at least not by any objective measure. But experts are beginning to agree about what matters for prostate cancer patients. Weve collected some of those measures in the list below. They may help you assess the quality of a urologist or oncologist as you seek the best care.
Many doctors will tell you they dont have answers to these questions. Even those who do wont know if they are above or below a national average, because there is no such thing yet. But if you ask, youll get a sense of how your doctor thinks about quality and about your desire to make an informed decision. And maybe youll learn about what matters most to you.
Heres the list:
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What Should I Do If I Have Cancer
Some people with cancer might have a higher risk of getting COVID-19 or having a serious infection from it. Do your best to follow the steps listed above to protect yourself. Ask your doctor or nurse if they have special recommendations based on your health or type of treatment.
- You have a fever higher than 100.3 degrees F.
- You feel short of breath.
- You develop a cough, runny nose, or congestion.
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Best Prostate Cancer And Cancer Of Prostate Doctors Innew York Ny
We found 1517doctors who treat Prostate Cancer in New York.
Doctors who treat Prostate Cancer in this region have an average rating of 4.2 stars. Below are some of the best options around New York. The providers below have at least 1 or more past patient ratings, so you can be confident that these providers have the experience that you are looking for.
A Clearly Superior Treatment Option
Proton radiation therapy is an advanced and extremely precise form of radiation treatment that targets and destroys tumor cells while reducing the risks of harmful side effects. It may be right for you if you are newly diagnosed with prostate cancer or if you have been found to have a recurrence after prior surgery or radiation therapy.
Treatment with proton therapy kills prostate cancer cells with a very high radiation dose. But because the protons are also highly targeted, they deliver more radiation to the prostate cancer and less to healthy organs surrounding the prostate gland, like the rectum, bowel, bladder, and hip bones. As a result, proton therapy minimizes the likelihood of side effects and can better preserve your quality of life.
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Stages Of Prostate Cancer
Cancer stages show whether cancer has spread within or around the prostate or to other parts of the body. Cancer spreads in the body in three ways: through tissue, the lymph system, or the blood.
These are the stages used for prostate cancer:
- Stage I: Cancer is found in the prostate only and cannot be felt by a digital rectal exam or seen through imaging tests.
- Stage II : Cancer has not spread outside the prostate but is found in one-half of one lobe of the prostate, or in opposite sides of the prostate.
- Stage III: Cancer has spread beyond the outer layer of the prostate.
- Stage IV: Cancer has spread beyond the seminal vesicles or to distant parts of the body.
When cancer spreads from where it started to another part of the body, it is called metastasis. These metastatic cancer cells are the same type of cancer as the primary tumor. For example, if prostate cancer spreads to the bone, the cancer cells in the bone are actually prostate cancer cells. The disease is metastatic prostate cancer, not bone cancer.
Doctors Differ On Course Of Action For Prostate Cancer
Many even felt that the study actually supports testing for PSA.
“This study does not undermine the value of PSA but underscores the importance of proper use of PSA in appropriate populations,” said Dr. Phillip Kantoff, professor of medicine at Harvard’s Dana Farber Cancer Institute. “The USPSTF fails to distinguish the value of PSA in saving lives from the problem of overtreatment.”
While the experts could not agree on how to interpret the findings of this study, they all felt that more research was needed to find better tools to identify which prostate cancers would be slow-growing and harmless — and which ones could be lethal. Technological advances such as prostate MRI and targeted biopsy are promising options undergoing study.
In the meantime, Ginyard and Carrillo had similar advice for patients who get the news they have prostate cancer.
“Really take time to do your research,” Ginyard said. “Make the decision by gathering as much information as you can.”
“Make sure you get a second opinion,” said Carrillo.
Dcotors agreed that this is sound advice.
“Prostate cancer is not a one-size-fits-all disease. It’s really a spectrum,” said Dr. Martin Sanda, a urologist at Harvard’s Beth Israel Deaconess Medical Center.
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Causes Of Prostate Cancer
While the precise causes of prostate cancer are still unknown, doctors and scientists have identified several risk factors. It has been highlighted earlier on that prostate cancer is caused by the mutation of DNA in the prostate cell. DNA is the basic component of the cells that make up genes.
Genes are responsible for the function of the cells. They also control how the cells divide, grow, and die. This is the cell life cycle.
There are two types of genes:
- Oncogenes They are responsible for cell growth and division. They also keep the cells alive.
- Tumor suppressor genes They control cell growth, repair in faults found in the DNA, and see to it that cells die when they are supposed to.
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The Bayview location of Johns Hopkins Sidney Kimmel Comprehensive Cancer Center specializes in Breast Cancer, Esophageal Cancer, and Lung Cancer. The Sidney Kimmel Center is the only one in Maryland, and one of only 71 in the country, designated by the National Cancer Institute as a Comprehensive Cancer Center.
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The Initial Causes Best Prostate Surgeons In Usa
One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.
Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.
If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.
Prostate Cancer Support & Survivorship
Prostate cancer treatment and recovery can be overwhelming, which is why the Northside Hospital Cancer Institutes Prostate and Urologic Cancer Program offers patient access to oncology nurse navigators to guide them through every step of their journey. Our oncology nurse navigators are registered nurses with extensive knowledge and training in oncology. They are available to help guide patients after diagnosis and through prostate cancer treatment, educating and supporting them to make informed decisions, while working with urologists, radiation oncologists, medical oncologists and other cancer specialists on the prostate cancer care team to coordinate each patients treatment plan.
Support provided by our NHCI oncology nurse navigators includes access to emotional and psychological support such as referrals to the right counseling services and cancer support groups.
To learn more about oncology patient navigation or to speak with an oncology nurse navigator, please call or email .
Ongoing support is crucial when you are facing prostate cancer and afterward. Northside Hospital Cancer Institute provides a full range of support and survivorship programs and services to address the unique needs of each prostate cancer patient.
- Clinical Support
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What You Need To Know About The Prostate Best Prostate Surgeons In Us
A enlarged prostate can also cause blockages in the urethra. A blocked urethra can also damage the kidneys. A patient suffering from an enlargement of the prostate may have pain in his lower abdomen and genitals. If pain is present, a digital rectal examination will reveal hard areas. A doctor may prescribe surgery or perform an endoscopic procedure. If the enlarged prostate is not completely removed, it will shrink.
While the size of an enlarged prostate will influence the extent of urinary symptoms, men may experience a range of urinary symptoms. Some men have minimal or no symptoms at all. Some men will have a very enlarged prostate, whereas others will have a mild enlargement. Generally, the symptoms can stabilize over time. Some men may have an enlarged prostate but not notice it. If they have an enlarged colon, their physician can perform a TURP procedure.
How To Pick A Prostate Cancer Surgeon
Who ought to know best how to think about finding a high quality prostate cancer surgeon? Presumably another high quality prostate cancer surgeon. The following article was written by Arnon Krongrad, MD. He is a prostate cancer surgeon. Prostate cancer surgery is pretty much all he does. He has some suggestions you may find useful!
I have tried to develop a formula for finding a prostate cancer surgeon but I cant. So instead, and for what it might be worth, the best I think I can do is try to put myself in a patients shoes. This is how I would think about my surgeon if I ever needed one.
As you read this, please remember that my thoughts reflect not only my professional experience but also my personality: focused, driven, and impatient. I want my prostate taken out today because tomorrow I have to be back in the operating room taking out other mens prostates. This means my surgery needs to be done really well. Thats me, but it may not be you.
Its not about where its about who I do not care what the hospital is called or whether its in New York, Los Angeles or Houston . I care who will do my operation. If I have found the right surgeon, he will have made sure that he is working at a hospital that does what needs to be done for his or her patients and does it well!
Content on this page last reviewed and updated April 13, 2008.
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Radiation Therapy For Prostate Cancer
When choosing a radical method of treatment for prostate cancer its important to know that not all cancer cases require surgery. Modern, high-precision radiation therapy can show good results without significantly disrupting the body functions. Treatment of prostate cancer with radiation therapy does not restrict the lifestyle after the treatment sessions.
The total volume of radiation therapy required for prostate cancer treatment is very individual, and is based on general health condition of the patient, presence of comorbidities, etc.
The techniques that allow the precise delivery of tumor-destroying radiation target only the tumor, with minimal impact on the adjacent healthy tissues.
Top Doctors : Urology
This article appears in print in the issue as part of the Top Doctors cover story.
Urologists are surgeons who diagnose and treat disorders of the urinary tract, such as urinary tract infections and incontinence. They also treat cancer of the bladder, kidneys, prostate and testes.
Emily B. Bradley, M.D., incontinence, voiding dysfunction, pelvic organ prolapse repair The Polyclinic Northgate Plaza, Urology, 9709 Third Ave. NE, Seattle, 206.528.4944 Northwest Hospital & Medical Center, Swedish Medical CenterFirst Hill
John M. Corman, M.D., prostate cancer/robotic surgery, urologic, bladder and kidney cancer Virginia Mason Medical Center, Urology, 1100 Ninth Ave., Seattle, 206.223.6772 Virginia Mason Medical Center
John L. Gore, M.D., MS, cancer, robotic surgery, minimally invasive surgery Urology Clinic at University of Washington Medical Center, 1959 NE Pacific St., Seattle, 206.598.4294 University of Washington Medical Center
Michael Y. Han, M.D., robotic and minimally invasive surgery, kidney stones, no-scalpel vasectomy Pacific Medical Centers, First Hill, 1101 Madison St., Suite 300, Seattle, 206.505.1300 Swedish Medical CenterIssaquah, Swedish Medical CenterFirst Hill
Kathleen C. Kobashi, M.D., urogynecology, pelvic organ prolapse repair, male and female incontinence Virginia Mason Medical Center, Urology, 1100 Ninth Ave., Seattle, 206.223.6772 Virginia Mason Medical Center
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Benefits And What To Expect
The mission of the GRI is to ensure that our hand-selected team is comprised of the worlds best and brightest medical staff. With that in mind, we have built a team of over 50 professionals who strive to serve our patients and support the surgical teams pursuit of excellence. We have assembled a comprehensive team to deliver the best option to each patient that comes to our Institute. We take a multi-modality and multi-disciplinary approach to patient care, collaborating with experts in radiation oncology, medical oncology and internal medicine to provide the optimal comprehensive approach to urologic cancer to our patients. Surgery is not the best option for all patients therefore, we evaluate each patient individually and assess the potential prostate treatment options of active surveillance, radiation therapy, androgen deprivation and other surgical modalities.
The state-of-the art facilities at AdventHealth are unparalleled. From the resort inspired facility at Celebration Health to the hub of Central Florida’s healthcare at AdventHealth Orlando, patients travel from all over the globe to receive their treatment at our hospital. Fine dining, hotels and entertainment abound in Orlando, and patients and families often extend their stay in Orlando to take advantage of these amenities.
Getting Proton Therapy Covered By Insurance
The New York Proton Center accepts both Medicare & Medicaid and is currently in-network with many commercial insurers. We are committed to working with ALL insurance companies to help patients secure approval. We will provide your insurer with supporting clinical evidence about your case. We will work with you to complete all the paperwork, explain to your insurance company the reasoning behind your treatment plan and assist you throughout the process.Please contact us so we can discuss your particular situation and provide support to help you secure coverage.
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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.
What Is Da Vinci Robotic Prostate Cancer Surgery
Prostate cancer surgery has been revolutionized with the use of the da Vinci robotic surgical system.
- Da Vinci Robotic Prostatectomy is a minimally invasive option for the treatment of prostate cancer available thanks to incredible breakthroughs in surgical technology.
Da Vinci robotic prostatectomy maintains all of the benefits of definitive surgical treatment for prostate cancer while adding the benefits of a shorter hospital stay, decreased blood loss, less pain, and a more rapid return to regular activities. For these reasons, it is clear why da Vinci robotic prostatectomy has become the preferred method for removal of the prostate following early diagnosis of prostate cancer.
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