Moffitts Approach To Prostate Cancer Treatment
Having earned the prestigious Comprehensive Cancer Center designation from the National Cancer Institute , Moffitt Cancer Center has distinguished itself as one of the nations premier cancer centers. Through our extensive research, bench-to-bedside approach and robust clinical trials program, our patients have opportunities to be among the first to benefit from promising new prostate cancer treatments that are unavailable elsewhere.
The renowned Urologic Oncology Program at Moffitt features a multispecialty team that includes board-certified surgeons, radiologists, radiation oncologists, nurses, supportive care specialists and other medical professionals. Working together, these diverse experts develop a tailored treatment plan for each patient. Moffitt also holds weekly tumor board meetings to assess and monitor complex cases. These are just some of the ways in which we provide outstanding cancer care.
If you would like more information about prostate cancer, you are welcome to talk with a specialist in the Urologic Oncology Program at Moffitt Cancer Center. To request an appointment, please call or submit a new patient registration form online.
Prostate Cancer Detection And Symptoms
Prostate cancer screening involves a blood test called a Prostate Specific Antigen test which measures the level of PSA in the blood. Levels of PSA in the blood are typically higher in men who have prostate cancer, although PSA levels may be elevated by other conditions. Some doctors also perform Digital Rectal Examinations to detect abnormalities in the prostate, although there is conflicting evidence as to the benefits of this procedure.
Symptoms of prostate cancer include:
- Difficulty in starting urination
- Weak or interrupted urine flow
- Difficulty emptying the bladder
Treatment Options For Prostate Cancer
Depending on a patients specific diagnosis, symptoms and medical history, their prostate cancer treatment plan may include:
Surgery and therapies such as chemotherapy, radiation, hormone and biological are innovative targeted treatments.
- Traditional or robotic surgery, such as a nerve-sparing surgery, a laparoscopic radical prostatectomy or a robotic prostatectomy, which is used to remove visible cancerous growths along with nearby tissue and/or lymph nodes that may be affected
- Radiation therapy, which uses high-energy X-rays to destroy cancer cells in a specific area
- Chemotherapy, which uses oral or intravenous medications to kill rapidly-dividing cells throughout the body
- Hormone therapy, which controls the prostate glands ability to produce testosterone and other hormones either by injection or orally
- Immune therapy, which activates the patients own immune response to help fight the cancer
- Targeted therapy, which helps fight the cancer by targeting certain mutations the patients cancer or DNA may have
- Bisphosphonate therapy, which helps reduce the likelihood of the cancer spreading to the bones
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Welcome To Florida Urology Partners And The Offices Of Dr Frank Mastandrea
Deeply committed to his patients and the advancement of men’s health issues, Dr. Mastandrea is nationally respected for his mastery of the state-of-the-art da Vinci Surgical System and has earned the reputation as the doctor that other doctors choose for treatment.
Dr. Mastandrea and his dedicated staff of highly skilled healthcare professionals stand ready to guide you through your individual course of treatment with compassion, care and sincere concern to ensure your highest quality of life.
The Highest Quality Care
Our priority is to deliver the highest standard of quality care, customized to the speciifc situation of each patient. We take pride in the reputation we have built by providing a comfortable, reassuring environment in which to deliver the exceptional care that ensures the well being of each patient. By blending our passion for compassionate care with state-of-the-art surgical technology, we strive to instill confidence before, during and after your treatment.
Dedicated to The Informed Patient
Our belief is that informed patients are in the very best position to make the wisest decisions regarding their care. That is why we begin by carefully listening to your concerns, and then taking all the time necessary to ensure that you thoroughly understand each response. We are also prepared to provide additional comprehensive information to help you best understand your condition, diagnosis and treatment.
Spaceoar Prostate Cancer Specialist In Tampa Fl
If you have been diagnosed with prostate cancer and are considering surgery, contact Florida Urology Partners to discuss your treatment options with SpaceOAR for prostate cancer radiation therapy. To schedule a consultation at our urology clinic in Tampa, FL, please call or request an appointment online.
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Request An Appointment At Moffitt Cancer Center
Please call for support from a Moffitt representative. New Patients and Healthcare Professionals can submit an online form by selecting the appropriate button below. Existing patients can call . for a current list of insurances accepted at Moffitt.
NEW PATIENTS To request a new patient appointment, please fill out the online form or call 1-888-663-3488.
REFERRING PHYSICIANS Providers and medical staff can refer patients by submitting our online referral form.
Moffit now offers Virtual Visits for patients. If you are eligible for a virtual appointment, our scheduling team will discuss this option further with you.
Moffitt Cancer Center is committed to the health and safety of our patients and their families. For more information on how were protecting our new and existing patients, visit our COVID-19 Info Hub
Types Of Radiation Treatment
There are a few different types of radiation therapy used in the treatment of prostate cancer, including external beam radiation therapy , stereotactic body radiation therapy , internal radiation , and proton beam therapy.
External radiation uses a machine that directs high-energy rays from outside of the body into the tumor. Most patients get external radiation therapy over many weeks, during outpatient visits to a hospital or treatment center.
Stereotactic body radiation therapy uses advanced imaging techniques to deliver extremely precise, very intense doses of radiation to the prostate .
Internal radiation, also called brachytherapy, involves putting a radioactive source inside the body into or near the tumor.
Proton beam therapy uses proton particles in lieu of x-rays or photons.
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What We Treat In South Florida
Radiation TherapyRadiation therapy is the use of high-energy X-rays, electron beams or radioactive isotopes to kill cancer cells and shrink tumors. Radiation ionizes or damages the chromosomes in the cell so that they cannot multiply. Radiation can be produced and administered from a machine outside the body or implanted inside the body .
Brachytherapy is a type of internal radiation commonly used to treat prostate cancer. In this form of radiation therapy, radioactive pellets each the size of a grain of rice are implanted into the prostate through thin plastic tubes into the area where the cancer cells are found. Placement of the radioactive pellets inside the prostate minimizes the radioactive exposure of the surrounding normal tissues. The Brachytherapy procedure takes about one hour and is done on an outpatient basis.
Varian Edge RadiosurgeryCleveland Clinic Florida offers Varian Edge radiosurgical suite which helps us deliver radiation therapy more accurately, precisely and quickly. Varian EdgeTM radiosurgical suite is only offered in a few centers around the world. Many patients only need to come for five outpatient treatments with the Varian EdgeTM, significantly fewer visits than required with traditional radiation technologies.
For more information on Radiation Therapies, visit Radiation Oncology.
Find helpful posts from Cleveland Clinics Health Essentials site.Discover the latest prostate cancer health and wellness tips.
What Are The Causes And Risk Factors Of Prostate Cancer
Prostate cancer tends to occur most commonly in men over the age of 50, and greater than 65 percent of all cases are diagnosed in men 65 years and older. The incidence of prostate cancer increases with age the lifetime risk for the average American man is about 1 in 6, but only 8 percent of men develop prostate cancer between the ages of 50 and 70 years. Well-established risk factors include older age, family history and race . Other potential risk factors thought to be associated prostate cancer include a Western diet high in saturated fat, and obesity.
At UF Health, our urologic surgeons, medical oncologists, radiation oncologists and pathologists work together to develop individualized, multidisciplinary treatment plans for each patients unique circumstances based on age, general health, life expectancy and tumor characteristics. Your prostate cancer team works with you to develop the best course of action. This might include surgery, radiation therapies, immunotherapy or a combination of multiple treatment types. Additionally, our prostate cancer team at the UF Health actively participate in clinical trials to advance the field of prostate cancer care.
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What Are The Signs And Symptoms Of Prostate Cancer
For most men, prostate cancer does not cause symptoms but is detected because of an elevation in prostate specific antigen . Largely due to the widespread use of PSA tests, most prostate cancers are now diagnosed at an earlier stage and younger age compared to 20 years ago. However, symptoms of the lower urinary tract, such as hematuria , frequency and dysuria may be signs of prostate problems, including prostate cancer. Other uncommon symptoms of prostate cancer can include urinary retention, weight loss, abdominal pain, bone pain, or fracture.
Why Patients From Tampa Fly In To See Dr Razdan
- One of the Most Experienced Robotic Prostate Cancer Surgeons in the World
- Over 8,500 procedures and counting
- Pioneering Researcher and Surgeon on Prostate Cancer and Robotic Surgery Outcomes
- First Surgeon in the World to USE HUMAN AMNIOTIC MEMBRANE for EARLY RETURN of ERECTILE FUNCTION after robotic prostate surgery Pioneered the technique of MAXIMAL URETHRAL LENGTH PRESERVATION for EARLY RETURN OF URINARY CONTINENCE after robotic prostate surgery
- Best outcomes in terms of Cancer Control, Urinary Continence and Erectile Function
- Most Tampa patients have full urinary control often within days of surgery and almost 98% are continent by 6 months
- Majority of Tampa patients have erections sufficient for sexual activity by 6 months
- 99% of patients leave the hospital within 24 hours.
- Personalized, high quality care at the busiest center for Robotic Prostate Surgery in the southeastern United States, i.e. INTERNATIONAL ROBOTIC PROSTATECTOMY INSTITUTE, Miami, FL.
If you have been diagnosed with Prostate Cancer and are located in Tampa, contact us today to schedule your short flight to your Miami and your robotic prostatectomy with Dr. Razdan.
Useful Link
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Prostate Cancer Treatment Information
Prostate cancer is the most frequently diagnosed malignancy in American men , and it is especially common after age 50. The cancer occurs when cells in or around the prostatea walnut-sized gland that produces seminal fluidundergo abnormal changes that cause them to grow and divide uncontrollably. The excess cells then bind together and form a tumor.
In many cases, prostate cancer is relatively slow-growing, which means that it can take several years to become large enough to be detected, and even longer to grow and spread outside the prostate. However, some cases are more aggressive and require more urgent treatment.
How Can I Find A Top
You can use Zocdoc to find Prostate Cancer doctors who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.
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What Types Of Prostate Cancer Are There
The overwhelming majority of prostate cancers are adenocarcinomas, which arises from the glandular component of the prostate.
Other rare and atypical types of prostate cancer include:
- Ductal carcinoma
- Clear cell adenocarcinoma
- Giant cell carcinoma
These rare and atypical variants often act aggressively and may respond differently to therapy than the more common prostate adenocarcinoma. As they are rare, however, most men are unaffected by these atypical variants.
Prostate cancer has changed significantly over the past two decades. Most prostate cancers are now diagnosed in patients at an earlier stage and younger age compared with 20 years ago, largely because of the widespread evaluation of prostate specific antigen, or PSA, levels. Although prostate cancer deaths have decreased in recent years, PSA screening continues to be controversial.
Risk Factors For Prostate Cancer
While the most common risk factor for prostate cancer is age, the prostate tends to increase in size as men age, which can cause the urethra to narrow and decrease urine flow. This is called benign prostatic hyperplasia, and it is not the same as prostate cancer.
Men who do develop prostate cancer, however, usually have one or more other risk factors. These risk factors typically involve family history, such as men with more than one first-degree relative who had prostate cancer. African American men are also more likely to get prostate cancer than other men, tend to get prostate cancer at a younger age, have more advanced disease when diagnosed, and often have a more severe type of prostate cancer.
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Lakewood Ranch Medical Center Offers New Technology To Treat Prostate Cancer
Lakewood Ranch Medical Center is the first hospital in the state of Florida to partner with Vituro Health to offer FDA-approved technology for prostate cancer treatment. High Intensity Focused Ultrasound is a minimally invasive procedure that aims to eradicate prostate cancer with reduced side effects. Traditional treatment options like surgery or radiation often come with unwanted side effects, namely erectile dysfunction and incontinence. HIFU therapy helps to maintain patient quality of life by drastically reducing these unwanted side effects through highly targeted tissue ablation. The outpatient procedure allows patients to return to regular activity within a week and typically requires no opioid treatment for recovery.
Steve Scionti, MD, Vituro Healths Medical Director and lead physician at the Scionti Prostate Center in Sarasota, Florida, performed the first HIFU procedure at Lakewood Ranch Medical Center in May, 2018. Dr. Scionti is globally recognized for his work in advanced prostate cancer diagnostics and minimally invasive prostate cancer therapy. He has worked extensively with HIFU, having performed over 1,000 successful procedures, and is considered one of worlds most experienced HIFU surgeons.
Spaceoar Hydrogel With Radiation Therapy
SpaceOAR Hydrogel is an FDA-cleared absorbable hydrogel that temporarily creates space between the prostate and the rectum, reducing the radiation dose delivered to the rectum during prostate radiation therapy. By acting as a spacer, the hydrogel temporarily moves the rectum a half inch away from the prostate. By separating the prostate from the rectum, SpaceOAR Hydrogel reduces the radiation dose delivered to the rectum and may eliminate or decrease damage to the rectum and surrounding tissue.2
SpaceOAR Hydrogel is a minimally invasive pretreatment option for patients undergoing prostate radiation treatment and is used by leading physicians and cancer centers around the world.3
References:1. Key Statistics for Prostate Cancer. American Cancer Society. https://www.cancer.org/cancer/prostate-cancer/about/key-statistics.html. Accessed February 20, 2020.2. Mariados N, Sylvester J, Shah D, et al. Hydrogel spacer prospective multicenter randomized controlled pivotal trial: Dosimetric and clinical effects of perirectal spacer application in men undergoing prostate image guided intensity modulated radiation therapy. Int J Radiat Oncol Biol Phys. 2015 Aug 1 92:971-7. 3. Data on file with Boston Scientific.
View important safety information here. Caution: U.S. Federal law restricts this device to sale by or on the order of a physician. Results from case studies are not necessarily predictive of results in other cases. Results in other cases may vary.
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What Are The Symptoms Of Prostate Cancer
In most cases, prostate cancer is silent. Due to the location of the prostate gland deep within the groin, a growing tumor would not be close enough to painfully press on any nearby organs or tissues. With that said, some men experience:
- Burning sensations during urination
- Difficulty starting and stopping urination
- A weak urine stream
- More frequent urination, especially at night
More often, the cause of these symptoms is unrelated to prostate cancer, so its important to discuss them with a physician before drawing any conclusions. As part of the diagnostic process, a physician may perform a digital rectum exam to manually check the prostate and order a prostate-specific antigen test to measure the level of PSA in the blood.
Although an elevated PSA level may be a sign of prostate cancer, it could also indicate a noncancerous condition, such as prostate inflammation or enlargement . Therefore, if a PSA test reveals an elevated PSA level, a physician will typically order a biopsy to confirm or rule out a diagnosis of prostate cancer.
Several Treatment Options Are Available For Men With An Enlarged Prostate
Treatment for an enlarged prostate largely depends on the underlying cause. While an enlarged prostate is a common condition experienced by many older men, often manifesting as a condition known as benign prostatic hyperplasia , it can also be a result of a more serious condition, including prostatitis or prostate cancer. A qualified doctor should perform tests to achieve an accurate diagnosis of the underlying cause of a swollen prostate before an effective treatment can be recommended.If an enlarged prostate results from BPH, treatment options can include:
- Dietary and lifestyle changes, such as avoiding drinking excessive fluids before bed
- Medications including alpha blockers, which relax the prostate and the neck of the bladder, and 5-alpha reductase inhibitors, which shrink the prostate and prevent further growth
- Dietary supplements that have been shown to reduce the size of the prostate, such as beta-sitosterol, pygeum, and rye grass
- Transurethral resection of the prostate
- A minimally invasive procedure known as prostate artery embolization
Treatment for prostatitis, a bacterial infection, will typically involve a course of antibiotics to quell the infection and prevent it from returning. You may also be prescribed pain medication, as needed. There are several treatments for prostate cancer, including:
- Radiation therapy
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