Prostate Health Archive

Doctors used to recommend treating all men with prostate cancer; now they are likely to advise active surveillance for lower-risk cancers. But some men require closer monitoring — so how do they determine which ones?

In some men who have prostate cancer surgery the cancer never returns, while in others it does. A new type of imaging technology indicates the presence of prostate tumors, and researchers wanted to know if this could be used to predict cancer recurrence after treatment.

Sexual side effects can be a primary concern when treating an enlarged prostate with medication or surgery. Depending on the treatment, side effects might include erectile dysfunction, low libido, reduced volume of ejaculation, or retrograde ejaculation, (in which semen travels backward into the bladder rather than out through the penis). Understanding the risks can help men with their treatment decision and to be better prepared if any sexual-related problems arise.

This year, results from a review of literature on plant-based diets and prostate cancer risk concluded that apart from having advantages for cardiovascular health, quality of life, and environmental benefits, plant-based diets have the potential to improve prostate cancer outcomes.

Hormonal therapy is a cornerstone of prostate cancer treatment, but it has burdensome side effects. Doctors and patients alike are highly motivated to use this therapy only for as long as necessary. But how long is long enough? A recent study provides needed clarity.

Over-the-counter supplements touted to support prostate health are popular, and supposedly help prevent and manage symptoms of an enlarged prostate (benign prostate hyperplasia). Some of the ingredients are said to protect against prostate cancer or slow its growth. While research has explored supplements’ role in prostate health and some had positive results, the findings are far from conclusive. A better dietary option for prostate health is to follow a plant-based diet like the Mediterranean or DASH diet.

When prostate cancer spreads beyond the gland, it has been treated with hormone therapy, but there are challenging side effects. A new study shows that a different treatment option involving radiation can allow some men to delay or avoid hormone therapy.

Men with lower-risk prostate cancer often opt for active surveillance, which involves regular testing and biopsies to check for possible tumor growth. A newer type of imaging may reduce the frequency of repeat biopsies for some men, but there are concerns about its limitations.

A standard treatment for localized prostate cancer is radiation, but there is a risk that it can lead to secondary cancers forming in the body later. Now, a large study of men treated with current radiation delivery methods clarifies that the amount of risk is low, but real.

Benign prostatic hyperplasia, also known as an enlarged prostate, occurs in about 50% of men by age 60. It can lead to urination problems like a hesitant, interrupted, or weak urine stream; dribbling after urinating; a feeling that the bladder does not completely empty; and more frequent urination, especially at night. Medication and lifestyle changes are the first-line treatments, but if these don't work, men can choose from several types of surgery or less-invasive procedures to help manage symptoms.