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Prostate Cancer : All Treatment Options

In our previous blog, we discussed the causes and symptoms of prostate cancer.

In this blog, we will delve into the various treatment options available for managing this disease.

The treatment modalities for prostate cancer can be broadly categorized into hormonal therapy, surgery, radiation therapy, and chemotherapy.

Stages of Prostate Cancer

Prostate cancer can be divided into four stages:

  • Stage 1 : The cancer is confined to the prostate.
  • Stage 2 : The cancer is still within the prostate but may be more aggressive.
  • Stage 3 : The cancer has spread beyond the prostate to nearby tissues or seminal vesicles.

  • Stage 4 : The cancer has spread to distant parts of the body, such as lymph nodes, bones, lungs, or liver.

Prostate Cancer Treatment Options

  • Hormonal Therapy :
    This treatment aims to reduce the levels of male hormones (androgens) in the body, which can help slow down the growth of prostate cancer cells.
  • Surgery :
    Surgical removal of the prostate gland (prostatectomy) is a common treatment for early-stage prostate cancer.
  • Radiation Therapy : This treatment uses high-energy beams to kill cancer cells or slow their growth. It can be given as external beam radiation or through radioactive seeds implanted in the prostate (brachytherapy).

  • Chemotherapy :
    This treatment uses powerful drugs to kill cancer cells throughout the body.

You may also want to know, some common questions people ask about radiation therapy

Treatment Options by Stage

  • Stage 1 and Stage 2:

In these early stages, when the cancer is confined to the prostate, surgery and stereotactic body radiation therapy (SBRT) are the most effective treatment options.

Both have similar results but come with their own set of advantages and disadvantages.

 –  Surgery is often preferred for younger patients (less than 60 years old) and involves robotic prostatectomy, which has fewer complications and can improve the quality of life.

 –  For older patients, stereotactic radiotherapy may be recommended. The choice of treatment depends on factors such as the patient’s age, general health, and the specific characteristics of the cancer (e.g., PSA levels, Gleason score, and stage).

  • Stage 3 :

In this stage, the cancer has spread to nearby tissues or lymph nodes. Surgery is typically not an option.

Hormonal therapy is used to shrink the prostate before administering radiation therapy, which may last for 6 to 8 weeks.

Hormonal injections may be given every three months for 2 to 3 years to control hormone levels.

  • Stage 4 :

In the most advanced stage, the cancer has spread to distant parts of the body.

At this point, treatment focuses on managing symptoms and prolonging life.

Hormonal therapy, chemotherapy, and targeted radiation therapy may be used to control the cancer’s spread and alleviate pain.


The treatment options for prostate cancer vary depending on the stage of the disease and the individual patient’s circumstances.

It is essential to discuss all available treatments with a healthcare professional to determine the best course of action.

Early detection and prompt treatment can significantly improve outcomes for patients diagnosed with prostate cancer.

About Author


Dr. Sanjay Hunugundmath

Consultant Radiation Oncology
Contact: +91 88888 22222
Email – [email protected]

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