Prostate cancer surgery costs and treatment methods

Patients with prostate cancer are concerned about the cost of surgery and treatment methods for this disease. However, there are many ways to treat prostate cancer. According to the patient's own situation and cause, the patient should go to a regular tertiary hospital for examination and take the most ideal treatment method. However, for most patients, surgical treatment of prostate cancer is the best method. The following introduces some methods of surgical treatment of prostate cancer.

Prostate cancer surgery

1. Bilateral orchiectomy: Removal of the testicles removes the source of testosterone production, slowing the growth of androgen-dependent prostate cancer or causing it to regress. This surgery is simple, safe, and has few side effects. Castration levels (serum testosterone concentration less than 1.75mmol/L) can be achieved within 12 hours after surgical resection. However, orchiectomy can cause secondary adrenal cortical zona reticularis proliferation, resulting in hypersecretion of adrenal androgens. Therefore, this surgery is often combined with other therapies to achieve better results. Orchiectomy is still an effective treatment for prostate cancer.

2. Radical prostatectomy: The scope of radical prostatectomy for prostate cancer includes the prostate body and prostate capsule, in order to achieve the purpose of eliminating all tumor tissues in the body. The surgical approach adopts perineum or retropubic incision, and retropubic incision is now more commonly used. During the operation, the degree of tumor infiltration behind the bottom of the bladder and near the seminal vesicle and the presence of lymph node metastasis in the pelvic area can be explored at the same time. Generally, patients who are suitable for radical prostatectomy only account for 5% to 10% of all cases.

3. Pelvic lymph node dissection: The incidence of pelvic lymph node metastasis in prostate cancer is relatively high, so the pelvic lymph node metastasis should be fully examined during the operation. If metastasis is found, pelvic lymph node dissection should be performed at the same time.

4. Extended radical prostatectomy: Use high-frequency electrosurgery to extensively remove local tumors in situ, with special attention to the removal of the bladder base, the residual part of the seminal vesicle and vasectomy, the fascia behind the bladder, and the urogenital diaphragm around the membranous urethra. It is mainly suitable for stage C prostate cancer and should be used in combination with interstitial radiotherapy, but such extensive surgery has not achieved satisfactory results.

5. Transurethral prostatectomy: It is suitable for the elderly and weak who have complications such as urinary obstruction. For patients with local lesions that have reached stage C, it can only relieve symptoms and there is no possibility of cure. It can prevent the occurrence of uremia and improve the quality of life of patients. Many patients can undergo repeated transurethral resection to relieve bladder obstruction. If it can be supplemented with non-surgical treatment methods, the value of surgical treatment can be improved. Unlike general surgery, due to the invasion of cancerous masses, the landmarks (such as the seminal colliculus) are no longer very clear, and more attention should be paid to not damaging the external sphincter during surgery.

Prostate cancer patients should seek medical treatment in time to avoid complications that may cause greater harm to the body. However, in addition to the treatment methods, the cost of treatment is also a problem that bothers patients. Therefore, it is recommended that patients go to a regular tertiary hospital for treatment. The fees are uniformly regulated by the state, and there are medical insurance services to reduce unnecessary financial burdens for patients.