Androgens (male hormones) especially dihydrotestosterone and testosterone stimulate prostate cell growth and determine secondary male sex characteristics. When both cancerous as well as healthy prostate cells are deprived of androgens they do not proliferate and die. Prostate alternative treatments like cryotherapy – which means freezing the prostate, are suitable when the Luperon therapy does not work.
Prostate cancer hormonal treatment uses surgery or drugs to block androgen – particularly dihydrotestosterone and testosterone. In case cancer recurs and localized treatment for prostate cancer has failed then hormone therapy is used. This type of treatment has side effects like decreased muscle mass, decreased bone density, enlargement of breasts and hot flashes.
Metastasized and advanced cancer uses prostate alternative therapies that suppress or block male hormones/androgens. These therapies are in the form of orchiectomy surgery (when testicles are surgically removed), hormonal drugs etc. Late stage prostate cancer cure is rare but possible. Prostate alternative treatments produce objective and subjective responses in patients.
Some of the androgen suppression treatments like orchiectomy are obviously irreversible and thus most patients choose hormonal treatment to block and stop androgens. But reports show that patients who have had the orchiectomy surgery have a higher survival rate than those who choose hormonal therapy.
Prostate alternative hormonal therapies are appropriate for those men who have advanced prostate cancer before being treated with radiation (neoadjuvant therapy) therapy. If PSA levels have risen, it does not mean that there is a spread of the cancer or that the cancer will recur. It is possible to be cured if the cancer is within the prostate itself.
Prostate alternative treatment options for persistent or recurring cancer after localized treatment are:
o Patients that have had radiation treatment first may go in for androgen-suppression and surgery.
o Patients who have had surgery first, both androgen-suppression and surgery are options.
Note that after radiation seed implantation, PSA levels do rise temporarily, which does not signal recurrence of cancer.
Patients who are most likely to die from cancer that has recurred and are at high risk should have prostate alternative treatments and therapies. Those who are at a low risk probably do not need a prostate alternative treatment. Some studies carried out found that low-risk patients sometimes lived for more than sixteen years or so after cancer recurrence. Some prostate alternative treatments and therapies are:
o Androgen-Suppression Therapy: Treatments that suppress or block androgens/male hormones are the right response to rising PSA after failure of treatment. Starting Androgen-Suppression Therapy early when PSA levels rise or later after symptoms have been developed will depend on the particular patient.
o Salvage Prostatectomy: This procedure is also performed sometimes after radiation treatment has been unsuccessful and if the cancer is still localized. The odds of this prostate alternative treatment procedure are 10 to 64% and many doctors do not recommend salvage prostatectomy in case of failure of radiation treatment, because of severe complications that arise. For example, incontinence after this procedure cannot be treated with collagen implants, medications or other standard treatments.