Prostate Cancer Specialist in Jacksonville
Prostate cancer is the most common cancer diagnosed in men – 1 in 6 men will be affected in their lifetime.
It is the second leading cause of cancer death. Fortunately, prostate cancer diagnosed in its early stages can be effectively treated and cured. In order to decrease the death rate from prostate cancer, it is important to be screened on a consistent basis with a blood test called a PSA (prostate specific antigen) and a physical exam, which allows for the best chance of early detection.
Screening for prostate cancer with PSA has been controversial since prostate cancer is a slow growing cancer. However, recent studies from certain areas in Europe (where non-treatment of cancer was standard), Canada and USA have confirmed the benefit of PSA screening. The National Cancer Institute (America’s leading cancer authority) recently supported the use of PSA screening starting at age 40.
Patients with abnormal PSA value or physical exam are recommended to have a prostate biopsy – a procedure done under local anesthesia in the office.
Current recommendations for PSA testing are as follows:
- Baseline PSA and exam at age 40
- Further testing occurs yearly, but can be less often, if the PSA is very low
- Patients with a life expectancy of less than 10 years should not be screened for prostate cancer
- Patients with a strong family history should consider early biopsy, even if PSA is low
- Use of PSA test in men over 75 is unlikely to be of benefit, but must be individualized
- In general a PSA value over 4 is abnormal, but in younger men a value over 2.5 could be considered abnormal
The Prostate Center specializes in the diagnosis and treatment of prostate cancer.
McIver Clinic physicians have written nationally recognized articles on the use of PSA testing and optimal prostate cancer detection strategies with the use of prostate biopsy.
Once cancer is diagnosed the center provides the following treatment options:
Prostate Cancer Surgery
The first line of attack against prostate cancer is usually surgery to remove the cancerous prostate gland. At McIver Clinic, we offer the latest advancements in prostate cancer surgery, including the da Vinci robotic surgical system.
The minimally-invasive da Vinci system uses precise, miniaturized robotic tools to remove tumors from the prostate. Tiny instruments are introduced through several small incisions and are controlled (not pre-programmed) by your surgeon from a nearby console. These high tech instruments are able to perfectly mimic the hand motions of the doctor.
The robotic system also provides a 3D, high definition visualization of the prostate and adjacent tissues, giving your doctor a view of the surgical site that is far superior to that of the human eye.
Robotic surgery is a breakthrough in modern medicine and allows for more precision and control than surgeons have ever had when compared to “open” or traditional laparoscopic surgery. For prostate cancer patients, that means a greater assurance of the best outcome possible. It also means a better chance of avoiding side effects of more traditional approaches to surgery, such as impotence or urinary incontinence.
Radiation for Prostate Cancer
Radiation therapy, including brachytherapy (internal radiation therapy) for the treatment of prostate cancer. During brachytherapy, tiny radioactive “seeds” the size of a grain of rice are implanted into the prostate. The implants deliver a low dose of radiation over a period of several months.
Chemotherapy for Prostate Cancer
Chemotherapy is not a standard treatment for most cases of prostate cancer, but can be useful in cases of advanced prostate cancer where the disease has metastasized to the bones, or when the cancer has not been responsive to more conventional hormonal therapy methods.