Managing Stage IV Prostate Cancer: Tips for Patients and Families
Prostate cancer If a family member has been diagnosed with stage IV prostate cancer with bone metastasis and has already undergone radiation therapy, what steps can be taken to control the growth of cancer cells? What daily practices should be followed, and what foods should be a...
Dr. Du Shixi Reply:
Hello: After radiation therapy, regular blood tests will be conducted. It is important to maintain a balanced diet and protect the skin post-radiation (as there will be changes). Be vigilant for any signs of hematuria or hematochezia. According to statistics from the fourth stage...[Read More] Managing Stage IV Prostate Cancer: Tips for Patients and Families
Can You Still Experience G-Spot Stimulation After Prostate Cancer Surgery?
Prostate cancer After undergoing a radical prostatectomy for stage I prostate cancer, it is still possible to experience G-spot stimulation.
Dr. Sun Hongshun Reply:
Hello, the "G-spot" you mentioned likely refers to the prostate point. The area around the prostate contains a significant number of sensory nerves, so stimulating the prostate can lead to heightened sexual arousal. After prostate cancer surgery, if the nearby sensory n...[Read More] Can You Still Experience G-Spot Stimulation After Prostate Cancer Surgery?
Effectiveness of Radium-223 for Bone Metastasis in Prostate Cancer
Prostate cancer Doctor, if prostate cancer has metastasized to the bones (only one leg with bone erosion), would using Radium-223 be an effective treatment? I have already completed radiation therapy; can it be used in conjunction? Will there be significant effects, and how long ...
Dr. Du Shixi Reply:
Hello: In this situation, a comprehensive evaluation is necessary. Bone metastasis indicates active cancer cells, and to prevent further spread, radiation therapy will certainly be effective; however, the duration of life it can maintain should be discussed with your physician. G...[Read More] Effectiveness of Radium-223 for Bone Metastasis in Prostate Cancer
Understanding Elevated PSA Levels: Is It Prostate Cancer?
Elevated PSA levels? Recently, I visited a urologist due to urinary issues. In addition to a digital rectal exam, my PSA level was measured and found to be in the sixties. The doctor prescribed antibiotics, and after taking them, my urinary flow improved. The doctor recommended a...
Dr. Fu Shizhang Reply:
There are many reasons for elevated PSA levels, with cancer, inflammation, and benign prostatic hyperplasia being common causes. A definitive diagnosis requires a prostate biopsy. Generally, if PSA levels are high but digital rectal examination and ultrasound imaging show no abno...[Read More] Understanding Elevated PSA Levels: Is It Prostate Cancer?
Advanced Prostate Cancer: Treatment Options and Life Expectancy
Prostate cancer In the case of stage IV prostate cancer that has metastasized to the pelvis, treatment options typically include hormone therapy, chemotherapy, radiation therapy, and possibly targeted therapy or immunotherapy. Each treatment may lead to various side effects, such...
Dr. Du Shixi Reply:
Hello: 1) Treatment should be tailored to the patient's condition. In advanced stages, both radiation therapy and hormone therapy are utilized, depending on the facilities available at each hospital and the patient's physical condition, with varying effectiveness. 2) Ac...[Read More] Advanced Prostate Cancer: Treatment Options and Life Expectancy
Understanding Prostate Cancer Stages and Effective Self-Care Strategies
Prostate cancer Doctor, my father has been diagnosed with prostate cancer and it seems that there is bone metastasis (he is experiencing pain in the pelvic area). Could you please tell me what stage this might be? What methods of self-care would be more effective? Approximately w...
Dr. Du Shixi Reply:
Hello: The attending physician will explain the examination results to you. If there is bone metastasis, it is classified as stage IV, and treatment will depend on the overall health status. Once cancer has metastasized, curative treatment methods are no longer applicable. Hormon...[Read More] Understanding Prostate Cancer Stages and Effective Self-Care Strategies
Understanding Hematospermia: Causes and Concerns for Men
Ejaculation occurs as a result of a complex interplay of physiological and neurological processes. During sexual arousal, signals from the brain stimulate the reproductive system, leading to the production of sperm in the testes and seminal fluid in the seminal vesicles and prost...
Dr. Du Shixi Reply:
Hello: There are many conditions that can lead to hematospermia. The following diseases may cause this condition, but please note that in many cases, the cause remains unknown. [1] Trauma - such as urethral injury. [2] Inflammatory responses - such as urethritis, prostatitis, sem...[Read More] Understanding Hematospermia: Causes and Concerns for Men
Understanding Elevated PSA Levels: Causes and Next Steps for Diagnosis
The PSA levels are abnormally high, but the cause has not been identified? Hello Doctor: I am very concerned about my father, so I am inquiring on his behalf. My father is 58 years old and a few years ago, his PSA level was found to be as high as 80. However, after a prostate bio...
Dr. Fu Shizhang Reply:
To confirm a diagnosis of prostate cancer, biopsy is currently the only definitive method. However, there is a possibility that the biopsy may miss the tumor. In terms of imaging, MRI provides the clearest results. If cancer has not been diagnosed and the ultrasound imaging appea...[Read More] Understanding Elevated PSA Levels: Causes and Next Steps for Diagnosis
Understanding Prostate Health Issues After Health Checkups
Prostate-related issues after health check-up? Dear Doctor, I apologize for taking up your time. I would like to consult you regarding prostate-related issues following my health check-up. The results from my examination are as follows: 1. (!! Abnormal) Prostate ultrasound sho...
Dr. Xu Wencang Reply:
A 42-year-old male with prostate cancer has an almost negligible probability. The ultrasound shows low echogenicity, and the PSA level is slightly elevated, so continued monitoring is necessary.[Read More] Understanding Prostate Health Issues After Health Checkups
Post-Da Vinci Surgery: Managing Frequent Urination After Prostate Cancer
Post-Da Vinci prostatectomy - urinary frequency issues? Hello Dr. Du, in February of this year, my father was diagnosed with stage III prostate cancer (T3A). He underwent a Da Vinci robotic-assisted radical prostatectomy in early April. It has been nearly five months since the su...
Dr. Du Shixi Reply:
Hello: This situation can be observed after radical prostatectomy, and the recovery rate varies from person to person, as each individual's condition of the urethra and bladder before surgery is different. The need for further surgery depends on whether the patient feels tha...[Read More] Post-Da Vinci Surgery: Managing Frequent Urination After Prostate Cancer
Understanding Bladder Issues: Chronic Prostatitis and Its Symptoms
Abnormal bladder symptoms? Last year, I experienced hematuria and initially took antibiotics. After reviewing the reports, it showed an increase in red blood cells, but everything else was normal. Later, the doctor diagnosed me with chronic prostatitis. During the winter, I suffe...
Dr. Du Shixi Reply:
Hello: If urine tests consistently show abnormalities and do not return to normal after treatment, further examinations should be conducted (as determined by the physician). It is recommended to seek evaluation and treatment from a urology department at a medical center. Addition...[Read More] Understanding Bladder Issues: Chronic Prostatitis and Its Symptoms
Understanding Chronic Prostatitis: Symptoms, Concerns, and Diagnosis
Five years of chronic prostatitis with hematuria? Hello Doctor, I am 26 years old and have been suffering from chronic non-bacterial prostatitis for about five years. In the first year, I experienced discomfort in the perineal area, but as that improved, I stopped taking medicati...
Dr. Xu Wencang Reply:
At such a young age, one is unlikely to develop prostate cancer. Chronic inflammation requires treatment for a period of time, and it is essential to maintain a regular lifestyle, avoid irritant foods, and undergo physical therapy.[Read More] Understanding Chronic Prostatitis: Symptoms, Concerns, and Diagnosis
Understanding Chronic Prostatitis: Symptoms, Risks, and Treatment Options
Chronic prostatitis Hello doctor, I have been suffering from chronic non-bacterial prostatitis for about five years. In the first year, I experienced discomfort in the perineal area, but as that improved, I stopped taking medication. However, over the past few years, I still have...
Dr. Du Shixi Reply:
Hello: Chronic non-bacterial prostatitis is indeed very difficult to treat. I have patients who have experienced intermittent issues for decades. You may need to not only take medication but also pay attention to lifestyle factors. To help him recover more quickly, you can refer ...[Read More] Understanding Chronic Prostatitis: Symptoms, Risks, and Treatment Options
Understanding Prostate Inflammation: Risks, Symptoms, and Diagnostic Methods
Prostatitis I have been experiencing frequent fevers over the past three months. During the fever, I feel swelling in the perineum and pain around the pubic area. After resting for a few days, the symptoms disappear and the fever subsides. Based on past experiences, it seems to b...
Dr. Du Shixi Reply:
Hello: 1) No 2) No 3) Most likely it will increase; however, I personally do not recommend performing a digital rectal exam during inflammation, as it may prolong the healing process. 4) It is mostly due to hematuria or poorly treated inflammation; a definitive diagnosis requires...[Read More] Understanding Prostate Inflammation: Risks, Symptoms, and Diagnostic Methods
Understanding Chronic Prostatitis: Symptoms, Treatments, and Concerns
Chronic Nonbacterial Prostatitis Hello, Doctor. I have a few questions regarding chronic prostatitis. Three months ago, I visited a urologist due to frequent urination, urinary retention, and a burning sensation in the urethra. The doctor diagnosed me with chronic prostatitis, an...
Dr. Sun Hongshun Reply:
1. Chronic prostatitis is termed "chronic" because it is difficult to cure and prone to recurrence. 2. Low-energy extracorporeal shock wave therapy is very effective in treating chronic prostatitis, and I have many cases of patients who have experienced relief after t...[Read More] Understanding Chronic Prostatitis: Symptoms, Treatments, and Concerns
Understanding PSA Levels: When to Consider Chemotherapy for Prostate Cancer
Could you please provide more details about your question regarding the PSA index? Hello Doctor, I am 69 years old. In August 2011, my PSA level reached 14 ng/mL, and after examination at a hospital, I was diagnosed with prostate cancer. Following surgery, it was confirmed to be ...
Dr. Xu Wencang Reply:
Local recurrence can be treated with radiation therapy. Chemotherapy is considered only in cases of bone metastasis or visceral metastasis.[Read More] Understanding PSA Levels: When to Consider Chemotherapy for Prostate Cancer
Understanding Side Effects of Prostate Biopsy: When to Seek Further Help
What are the side effects of prostate biopsy surgery? Hello Dr. Du, I previously inquired about my father's prostate cancer issue, and I appreciate your response. We have not yet received the results of the orthopedic scan, but recently, due to prolonged sitting, he has been...
Dr. Du Shixi Reply:
Hello: The treatment approach may differ due to bone involvement, and this also applies to rehabilitation. If the orthopedic scan results are normal, you may consider consulting a rehabilitation specialist. Otherwise, the rehabilitation department might only prescribe medication ...[Read More] Understanding Side Effects of Prostate Biopsy: When to Seek Further Help
Understanding Side Effects After Prostate Biopsy Surgery
What are the side effects of prostate biopsy surgery? Hello Dr. Du, I previously asked you a question and received a very detailed response. My father was recently diagnosed with prostate cancer, but the stage has not yet been confirmed. Nine days after undergoing a prostate biop...
Dr. Du Shixi Reply:
Hello: It has been three weeks, so it should not be related. Additionally, what are the results of the bone scan? If there is no metastasis, you can consider consulting the rehabilitation department at the hospital. Wishing you good health.[Read More] Understanding Side Effects After Prostate Biopsy Surgery
Managing Prostate Cancer Pain: Treatment Options and Next Steps
Prostate cancer Hello Dr. Du, my father was recently diagnosed with prostate cancer at the age of 70, with a PSA level of 26.6. He has already undergone a biopsy, but the doctor mentioned that further bone scans and MRI are necessary before discussing treatment options. However, ...
Dr. Du Shixi Reply:
Hello: The biopsy for prostate cancer treatment is just the first step. It is necessary to confirm whether there are bone metastases and surrounding tissue involvement through bone scans and magnetic resonance imaging (MRI). The treatment effectiveness should also be assessed bas...[Read More] Managing Prostate Cancer Pain: Treatment Options and Next Steps
Understanding Prostate Cancer: Bone Pain, Metastasis, and Treatment Options
Prostate cancer Hello Dr. Du, thank you for your response. I would like to ask if bone pain is equivalent to metastasis? Does bone metastasis indicate late-stage cancer? Additionally, when you mentioned total removal, are you referring to prostatectomy (Da Vinci surgery)? Is it a...
Dr. Du Shixi Reply:
Hello: Bone pain does not necessarily indicate metastasis. If examinations reveal bone metastasis, it is considered advanced stage. Both prostatectomy and hormone therapy (such as androgen deprivation therapy) can be options for treating prostate cancer, but there is a possibilit...[Read More] Understanding Prostate Cancer: Bone Pain, Metastasis, and Treatment Options