Prostate Cancer Treatment Options

PROSTATE CANCER
TREATMENT OPTIONS
1400 North IH 35, Austin,TX 78701 (512) 324-8060 www.austincyberknife.com

PROSTATE CANCER OVERVIEW
 The prostate is located in a
man’s lower abdomen and
controls the flow of urine and
semen.
 Second only to lung cancer,
prostate cancer is the leading
cause of cancer death among
American men.
 According to the American
Cancer Society, an estimated
238,590 cases of prostate
cancer will occur in the U.S.
during 2013.

TREATING PROSTATE CANCER
 The stage of the cancer
 The patient’s age and health
 The patient’s Gleason Score —
This determines how likely it is
that a tumor will spread
 Whether the cancer is recently
diagnosed or recurring
 The patient’s prostate-specific
antigen (PSA) levels — PSA is a
substance made by the prostate
that may be found in an increased
amount in the blood of men who
have prostate cancer
Prostate cancer treatments differ primarily in technical nature and potential side
effects.
Treatment options can depend on the following:

TREATMENT OPTIONS
 Prostate cancer treatment options
include:
 WatchfulWaiting
 Surgery
 External-Beam RadiationTherapy
 Brachytherapy
 ProtonTherapy
 Stereotactic Body RadiationTherapy

WATCHFULWAITING
 The concept of watchful waiting has emerged as a viable option
for men who decide not to undergo immediate surgery or
radiation therapy.

SURGERY
 Procedure & RecoveryTime
 Procedure lasts 3 – 4 hours
 Requires general anesthesia and a three-
day hospital stay
 Recovery usually requires a few weeks at
home
 Potential side effects
 Urinary incontinence
 Erectile dysfunction
Radical Retropubic Prostatectomy: Surgery in which the prostate gland is
removed and that may include biopsies of nearby lymph nodes.

EXTERNAL-BEAM RADIATIONTHERAPY
 Approximately 40 daily radiation treatments over a period of seven to eight weeks
 Treatment takes approximately 15 minutes
 Outpatient procedure that allows most patients to return to their normal routine
 Temporary rectal and urinary irritation
 Lacks the ability to correct for movement of the prostate during treatment,
resulting in possible damage to healthy tissue surrounding the prostate
Intensity Modulated RadiationTherapy or IMRT: IMRT targets radiation beams to
the location of the patient’s tumor.

BRACHYTHERAPY
 One-time procedure that requires patients to
remain in the hospital for several hours
 Patients are usually allowed to return home on
the same day
 Urinary irritation, frequency and obstruction
 Rectal injury
Brachytherapy: Small radioactive seeds are implanted within the prostate gland and
give off radiation to the immediate surrounding area over the course of several months.
After a year, the radioactive material degrades, and the seeds that remain are harmless.

PROTONTHERAPY
 Treatment is usually delivered five days a week for
approximately eight weeks
 Patients are usually able to return to their normal routine
after treatment
 Few to no side effects when compared to traditional
radiation therapy
ProtonTherapy: Noninvasive treatment that uses a particle accelerator to
deliver a focused ray of proton particles that destroy cancer cells.

STEREOTACTIC BODY RADIATIONTHERAPY
 Five or fewer outpatient sessions over the course of one to two weeks
 Treatment procedures take about 30-90 minutes
 Patients are usually able to return to their normal routine after treatment
 Recovery is often immediate
 Few to no side effects when compared to traditional radiation therapy
Stereotactic Body RadiationTherapy:
Noninvasive procedure that delivers targeted
radiation beams to the prostate without
incision or sedation using CyberKnife®
technology.

How Does CyberKnifeTreat Prostate Cancer
The treatment process includes:
 Consultation appointment
 Pretreatment procedures
 CyberKnife treatment
 Follow-up
Prior to stereotactic body radiosurgery treatment with CyberKnife, small tissue markers known as
fiducials are implanted in the prostate to help the CyberKnife pinpoint the tumor location
throughout each treatment, so the radiation beams can be locked on the tumor.
About a week later, patients are fitted with a custom body mold of soft material that they lie on
during treatments. The fitting process is painless.

Our Center
AustinCyberKnife was the first in the greater Austin area, as well as the centralTexas
region, to offer CyberKnife treatment, giving our physicians the most experience
treating patients with this technology in our area. Austin CyberKnife is a department of
University Medical Center Brackenridge, a member of the Seton Healthcare Family.
If you or a loved one is diagnosed with prostate cancer, contact Austin CyberKnife to
schedule a consultation with our physicians to determine the best next step for your
treatment needs.
ConnectWith UsMedical Director: Dr. Doug Rivera
CyberKnife Nurse: Lori Eitelbach, RN
Medical Physicist: Jim Hevezi, PhD

Prostate Cancer Treatment Options

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Prostate Cancer Treatment Options