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Prostate cancer is a challenging disease for men and their physicians as it can present with virtually no symptoms and progress at an unpredictable rate.
Although there are various options, the truth is that in the case of prostate cancer treatment, one size does not fit all.  Consulting with experts in the field is often the best way to go when trying to figure out the best treatment option for you. Beyond treatment modality, the expertise of the specialist plays a leading role in treatment outcomes. As stated earlier, the treatment of testicular cancer has evolved into one of the most successful in oncology. Surveillance (expectant management) refers to close monitoring of the tumor until there is a need for further therapy (surgery or chemotherapy).
Although some patients feel that surveillance is "not doing anything," it is quite intensive. For patients with tumors that have a high risk of spread to the lymph nodes in the abdomen, the doctor may recommend a surgery to remove these lymph nodes. Although RPLND is commonly performed as the initial treatment, some patients require surgery after completing a course of chemotherapy. Patients with NSGCT without definite spread of the cancer outside of the testicle but with some high risk features on the pathology assessment may be offered an abbreviated regimen of chemotherapy as an alternative to surgery (RPLND). Unlike NSGCT, seminomas are extremely sensitive to radiation therapy (along with chemotherapy). The information provided throughout this website is not intended to provide personal medical advice.
For prostate cancer, we believe in procedures that are minimally invasive, successful, with low complications, and best of all, can be repeated.
We are willing, and have treated patients who have endured complications of HIFU after being treated elsewhere, and have extensive experience in all aspects of HIFU therapy. Rectal injury is very rare in cryosurgery, and although we were the first to inject saline between the prostate and rectal wall in 1993, we seldom have the need to perform this maneuver during cryosurgery. As the primary treatment for prostate cancer, cryosurgery has an extremely low incidence of any type of urinary incontinence, and total incontinence is very rare. Immunotherapy is one of the many innovative treatment options available at Genesis Prostate Cancer Center for the management of advanced prostate cancer. PROVENGE is a personalized treatment that collects and reprograms the body’s own immune cells to jump start the immune system to attack prostate cancer.
To learn if Immunotherapy with PROVENGE is right for you, call us at 858-429-7050 and schedule an appointment with one of our prostate cancer specialists to discuss this and other innovative treatment options in the fight against prostate cancer. Fortunately, there are many viable treatment options available for prostate cancer and a cure is possible. Some prostate cancers are slow growing and cause no significant impact, while others silently and quickly spread. Your doctor will take into consideration your age, risk, medical history and your expectations. Surgery is the only option that removes the entire prostate, giving you accurate staging of your disease. With robotic prostatectomy, in particular, a man’s success in overcoming prostate cancer and maintaining quality of life, hinges on the experience and skill of his surgeon.  So make sure you choose your doctors and surgeons wisely.

Samadi is a board-certified urologic oncologist trained in open and traditional and laparoscopic surgery and is an expert in robotic prostate surgery. This talk will focus on what is known about prevention, current diagnostic techniques and the variety of treatment options available. Even in cases with Stage IV disease, long term control rates can be achieved in 70-80% of patients (typically, stage IV cancers have very low 5 year survival rates). This approach is generally recommended for patients who do not have any spread of the cancer outside the testicle and whose cancer does not appear to have aggressive features on the pathology assessment. These patients usually present with advanced disease, undergo chemotherapy, and then have persistently enlarged lymph nodes in the abdomen.
Although the urologist continues to be the leader of the team, the chemotherapy is administered by the medical oncology team.
Therefore, patients with pure seminoma on the pathology assessment may be recommended to undergo radiation therapy to the lymph nodes in the abdomen. Doug feels that HIFU should be the first choice therapy for failed radiation cancer patients, and that HIFU may offer the best chance for potency. Doug has been treating patients with HIFU since 2004, and is trained and certified to use both the EDAP Technomed Ablatherm Device, and the Sonablate 500. Doug is also a HIFU clinical instructor for the EDAP sponsored FDA Clinical Trial for HIFU in the United States.
Douglas and Mahlon Chinn have been pioneers in the role of cryosurgery for treating prostate and renal cancer. Chinn has performed focal therapy since 1993, and has a new device in development that may spare the nerves, yet totally ablate the entire prostate gland. National cancer guidelines recommend PROVENGE as a first treatment option for advanced prostate cancer for men with few or no cancer-related symptoms.A  You can still undergo chemotherapy later on, but with PROVENGE you can get your immune system in the fight against your advanced prostate cancer as soon as possible.
The aggressiveness of a patient’s prostate cancer is not definitively known at the time of diagnosis, leaving men to weigh the risks of the disease with the risks of treatment. He is chairman of urology, chief of robotic surgery at Lenox Hill Hospital and professor of urology at Hofstra North Shore-LIJ School of Medicine. David Samadi is a board certified urologic oncologist trained in open and traditional and laparoscopic surgery and is an expert in robotic prostate surgery. For patients with higher risk tumors, this schedule may involve assessments every 1-2 months for the first year, every 2 months for the second year, and every 3-4 months for the third year. There are both risks and benefits to each approach (surgery versus chemotherapy) and requires a full discussion between the doctor and patient. The initial regimen involves either bleomycin, etoposide and cis-platinum for 3 cycles or bleomycin and etoposide for 4 cycles. This type of radiation therapy is generally a short course (2-3 weeks) and very well tolerated.
Kavoussi, provides the very best in comprehensive urologic care on Long Island and the New York area, including minimally-invasive treatment of the prostate, bladder, and kidneys. The American Cancer Society estimated approximately 230,900 new cases were diagnosed in 2004. He is a medical correspondent for the Fox News Channel’s Medical A-Team and the chief medical correspondent for am970 in New York City.

He is Chairman of Urology, Chief of Robotic Surgery at Lenox Hill Hospital and Professor of Urology at Hofstra North Shore-LIJ School of Medicine. Before any patient elects for surveillance, he must be willing to commit to the follow up schedule.
Following the chemotherapy regimen, repeat CT scans are obtained to assess the response of the cancer to the treatment. If the cancer grows back after radiation, chemotherapy can then be administered with very good results. The average age for prostate cancer is 70 years of age.The prostate is about the size of a walnut and is a gland in the male which surrounds the neck of the bladder and the urethra. Laparoscopic surgery offers the benefits of minimally invasive surgery and is performed through 4 small (1cm) incisions in the midline of the abdomen. If there continue to be enlarged lymph nodes on the imaging scans, the doctor will likely recommend surgery to removes these lymph nodes. David Samadi is also part of the Fox News Medical A Team as a medical correspondent and the Chief Medical Correspondent for am970 in New York City.
The primary two factors that are involved in the decision making are the pathology (seminoma versus NSCGT) and the stage of the disease (the extent to which the cancer has spread). If, however, there are other organs that continue to show cancer, the doctor will likely recommend additional courses of chemotherapy. The surgery involves the removal of lymph nodes that reside in the posterior portion of the abdomen around the aorta and inferior vena cava. The gland is covered by a membrane called the capsule which produces prostate-specific antigen. The number of lymph nodes to be removed can vary among individuals and can range from less than 10 to over 50. Along with the removal of the lymph nodes, the remainder of the blood supply to the testicle and spermatic cord is also removed. Once the lymph nodes have been removed, the pathologist can determine if the cancer has spread into the nodes.
Other symptoms may include: Difficulty in starting to pass urine Sometimes a slow, interrupted or weak stream of urine. Unable to urinate Often times there are a need to get up several times at night to urinate.
In case of alternative cancer treatments, speak to specialists, do your own research, ask a lot of questions but do act quick. You may not have been able to prevent cancer from happening but once the cancer is diagnosed, it is imperative you take action for treatment.Stop feeling helpless to your disease…you still have options! Are you looking for an Alternative, complementary treatment that Really works?

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