A 41-year-old member asked:
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what is the best treatment for prostate cancer?

2 doctor answers
Dr. Bahman Daneshfar
33 years experience Radiation Oncology
Different opinions: Every doctor has a different opinion on this. Different options have different side effects and risks. Depending on the patients age, extent of cancer and features of the cancer patients choose between observation, surgery and radiation in the form of external machines or internal seed implants. I personally favor seeds for most patients do to the fact its one day treatment (continued in comment).
Answered on Mar 2, 2012
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1 comment
Dr. Bahman Daneshfar
33 years experience Radiation Oncology
Provided original answer
Also seeds have the lowest impotence and incontinance risks. Seeds implants are also inexpensive (compared to external radiation) and help control costs. All around I feel seed implant is the best but there is too much competition between doctors and hospitals vying for the healthcare dollar.
Mar 2, 2012
Dr. Tahir Ijaz
30 years experience Radiation Oncology
Many options: Generally speaking, options for treatment depend on patient factors (general health, preferences) and tumor factors (gleason grade, psa, clinical stage). Options include surveillance, radiotherapy, surgical removal of prostate. Radiation can be done with seeds in appropriate patients, external beam (usually imrt) with image guidance (igrt). An emerging radiation tool is radiosurgery.
Answered on Dec 8, 2015
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1 comment
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Dr. Andrew Turrisi
47 years experience Radiation Oncology
Cryotherapy is another option. Stage for stage, & factors balanced, CURE/CONTROL is quite similar; TOXIXITY (side effects) vary widely. Find somone you trust that takes time with you and explains controversies. There is no one size that fits all.
Mar 12, 2012

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