SIWAT PAISANKIT, M.D.
Urologist

Prostate Cancer (Prostate Cancer) is a common cancer in men, especially those aged 60 and older. It occurs when prostate cells grow abnormally and rapidly, eventually forming a tumor that obstructs the urinary tract. These cancer cells can spread to other organs such as the seminal vesicles, bladder, lower ureters, lymph nodes, bones, lungs, and liver, causing damage to those organs and potentially leading to death.

The incidence of prostate cancer is currently increasing. Risk factors include:
This disease develops gradually and may not show any symptoms in the early stages until the cancer cells grow enough to compress the urethra, causing urinary issues such as:

Prostate cancer is divided into 4 stages:

Doctors may consider surgical removal of the tumor. This method yields good results and is suitable for younger patients who are physically strong and have no other health conditions that would affect the surgery. It can be performed via open surgery or laparoscopy.
To avoid major surgery in older patients or those ineligible for surgery, radiation can be delivered externally or via radioactive implants directly into the prostate.
Monitoring the disease and symptoms without immediate treatment is suitable for elderly patients or those in early stages.
The doctor, in consultation with the patient, may opt for surgical removal of both testicles or medication to reduce male hormone levels.
Chemotherapy is typically used when hormone therapy is no longer effective.
Revised
19/09/2022