Can surgery still be performed if prostate cancer metastasizes to bladder cancer?

After prostate cancer metastasizes to bladder cancer, surgical treatment needs to be evaluated based on the specific situation, and usually needs to be combined with comprehensive treatments such as radiotherapy and chemotherapy. Treatment options include radical surgery, radiotherapy, chemotherapy and targeted therapy. The specific choice depends on the tumor stage, the patient's physical condition and

1. Radical surgery: If the tumor is confined to the bladder and surrounding tissues, and the patient's physical condition allows, radical cystectomy can be considered, and the prostate and surrounding lymph nodes can be removed at the same time to completely remove the tumor. Radiotherapy or chemotherapy is required after surgery to reduce the risk of recurrence.

2. Radiotherapy: Radiotherapy is a common treatment for prostate cancer and bladder cancer. It is suitable for patients who cannot undergo surgery or for postoperative adjuvant therapy. Radiotherapy can locally control tumor growth, relieve symptoms, and improve survival rates. Specific options include external beam radiotherapy and brachytherapy, which should be selected based on the location of the tumor and the patient's condition.

3. Chemotherapy: Chemotherapy is suitable for advanced or metastatic prostate cancer and bladder cancer. It can kill cancer cells or inhibit their growth through drugs. Commonly used drugs include cisplatin, gemcitabine, etc. The dosage and course of treatment need to be adjusted according to the patient's tolerance and tumor response.

4. Targeted therapy: Targeted therapy targets tumor cells with specific gene mutations or abnormal protein expression, and has higher selectivity and efficacy. Commonly used drugs include abiraterone, enzalutamide, etc., and their applicability needs to be determined through genetic testing.

The treatment of prostate cancer metastasis to bladder cancer requires multidisciplinary collaboration, comprehensive assessment of the patient's condition, and development of an individualized plan. Surgery, radiotherapy, chemotherapy, and targeted therapy each have their own advantages and should be selected based on specific circumstances. Patients should actively cooperate with treatment, undergo regular follow-up examinations, monitor changes in their condition, and adjust treatment plans in a timely manner.