Prostate Cancer

Prostate cancer develops in the prostate, a male reproductive gland about the size of a walnut located beneath the bladder. The purpose of the gland is to produce seminal fluid, which transports sperm.

Some types of prostate cancer are slow-growing and may not require treatment. Other types of prostate cancer are more aggressive and can spread to other parts of the body, primarily the bones, if left untreated.

Early-stage prostate cancer is not likely to cause any noticeable symptoms. However, if the cancer has spread to other parts of the body, symptoms may include:

• Urinary problems
  • Frequent urination (especially at night)
  • Difficulty starting or stopping urination
  • Weak urine flow
  • Incontinence (lack of control over bladder)
• Blood in urine or semen
• Discomfort or pain in pelvic area
• Erectile dysfunction, or trouble getting or maintaining an erection
• Bone pain, such as in the hips or back
• Weakness or numbness in legs or feet

A blood test known as a prostate-specific antigen (PSA) test may be used to screen for prostate cancer. If this test returns abnormal results, additional testing and a biopsy will be needed to confirm the diagnosis.

MultiCare offers prostate fusion biopsy, an advanced diagnostic tool that reduces the chances of unnecessarily treating benign tumors and the need for repeat biopsies. During the procedure, patients receive an MRI test, which is combined with ultrasounds to give doctors a clearer picture of the areas of concern and allow for precise guidance of needles to perform the biopsy.

Treatments for prostate cancer depend on the stage of the cancer and other factors. The most common treatment approach for low-risk prostate cancer is active surveillance, which means working closely with your doctor to monitor the cancer. If the cancer progresses, you and your urologist develop a treatment plan together.

Treatments for more advanced prostate cancer may include:

• Robotic radical prostatectomy. Minimally invasive surgery for robotic-assisted prostate removal
• Radiation therapy using TrueBeam^®. High-dose radiation that targets cancer cells with precision, limiting damage to surrounding tissue
• Chemotherapy. Used most often in late-stage prostate cancer
• Hormone therapy. Typically combined with other therapies to reduce levels of androgens (a male hormone) to stop prostate cancer cell growth

At MultiCare, you can count on a team of experts — urologists, surgeons, radiation oncologists and support staff — to work together to develop a treatment plan based on your individual needs. Learn more about cancer treatment options and support services at MultiCare.

Knowing your risk factors for prostate cancer and when to get screened is important for early detection.

Risk factors for prostate cancer include:

• Age (over 50)
• Family history of prostate cancer
• Ethnicity (African Americans are at higher risk)

Learn More About Prostate Cancer Risks, Prevention and Screening