Half of prostate cancer surgeries are done unnecessarily!

operationThe rate of deaths due to prostate cancer is around 3%. However, unnecessary surgery for cancers in the low-risk group negatively affects the quality of life of the person. Experts note that with early diagnosis or the right surgery in advanced cancers, the rate of healthy life will increase. Regionally growing cancers are in the low risk group. It’s not deadly unless it spreads to other places, settles and grows there.

Stating that when prostate cancer is first diagnosed, 50 percent of it is low-risk cancer, Fatih University Faculty of Medicine Head of Urology Department Prof. Dr. Şinasi Yavuz Önol makes the following assessment: “Centers that do this job very well have reduced the annual number of prostate cancer surgeries by 50 percent. The most striking example is Hein Van Poppel, Head of Education of the European Association of Urology. The rate of deaths from prostate cancer is 3 percent. This shows how futile the surgeries are.”

Noting that it will be too late when prostate cancer gives symptoms, Prof. Önol recommends that men over the age of 50 should go to a urologist once and have their anus checked with their fingers for diagnosis. He emphasizes that those who have cancer in their family have to go for a check-up from the age of 40. The specialist also warns that genetic predisposition should not be ignored.

Prostate cancer surgery in the low-risk group is 80% unnecessary

Explaining that they follow the patients in the low risk group with active monitoring, Prof. Şinasi Yavuz Önol gives the following information: “In the active monitoring method, we examine our patient every 3 months and check PSA. We also do a biopsy once a year. The aim of active follow-up is the possibility of 20-25 percent underdiagnosis at the end of the first diagnosis. Some of these patients may require treatment according to the subsequent biopsy finding. The biopsy is very important. Prostate cancer is diagnosed by biopsy. For this reason, pathology is also very important. An experienced pathologist and modern instruments are vital in determining the extent of cancer.” Noting that some patients who were diagnosed with low-risk cancer and were not offered surgery, may want to have surgery due to the depression, anxiety and fear caused by the cancer diagnosis. Önol said, “If he still has concerns despite giving the necessary information and warnings, then we respect the preference of our patient and perform the surgery. Such patients should know that at least 75-80% of them will have unnecessary surgery.” he speaks.

In prostate cancer surgery, lymph nodes must also be removed.

Stating that anarchic medium, high and very high risk group cancers can be treated with surgery and advanced light therapy and radiotherapy methods, the expert says: “It is essential to remove the prostate with great delicacy so that no cancer cells are left in the surrounding tissues. Simply removing the prostate is not enough. After removing the prostate, it is absolutely necessary to remove the lymph nodes nestled above the abdomen. The more lymph nodes removed, the longer the life expectancy will be. Cancer surgery, in which only the prostate is removed, is an incomplete surgery. As many lymph nodes as possible should also be removed. Thus, we will both understand whether the cancer has spread higher, and increase the life expectancy of the patient. It is of great importance that the removed parts are evaluated in a good pathology department.” (Time)




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