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Prostate Cancer, Ambulatory Care

Prostate cancer

develops in the male sex gland that helps make semen (prostate). It is about the size of a walnut and wraps around the urethra. The urethra is the tube that carries urine from the bladder to the end of the penis. In most cases, prostate cancer is slow growing.


Common symptoms include the following:

  • Trouble starting or stopping the flow of urine
  • Feeling the need to urinate often, especially at night
  • Pain or a burning feeling when you urinate or ejaculate semen
  • Trouble having an erection
  • Blood in your urine or semen
  • Not being able to urinate at all
  • Pain or stiffness in your lower back, hips, or upper thighs

Call 911 for any of the following:

  • Warm, tender, swollen, red, and painful arm or leg
  • Chest pain when you take a deep breath or cough
  • Suddenly feeling lightheaded and short of breath
  • Coughing up blood

Treatment for prostate cancer:

If you have early stage cancer, your healthcare provider may recommend that you have frequent tests and regular follow-up visits to watch for changes. You may also need any of the following:

  • Hormone therapy is medicine used to decrease testosterone (male hormone) levels.
  • Radiation therapy is used to kill cancer cells with high-energy x-ray beams. You may receive radiation therapy from outside your body or from small beads or rods placed inside your prostate.
  • Surgery may be needed, depending on the stage of the cancer. Part or all of your prostate may be removed. You may also need to have some lymph nodes taken out. This may help keep the cancer from spreading to other parts of your body.

Manage your prostate cancer:

  • Do not smoke. Smoking increases your risk for new or returning cancer. Smoking can also delay healing after treatment. Ask your healthcare provider for information if you currently smoke and need help quitting.
  • Limit or do not drink alcohol as directed. Limit alcohol to 2 drinks per day. A drink is 12 ounces of beer, 1½ ounces of liquor, or 5 ounces of wine.
  • Eat a variety of healthy foods. Healthy foods include fruits, vegetables, whole-grain breads, low-fat dairy products, beans, lean meats, and fish. Your healthcare provider may also recommend changes to the amounts of calcium and vitamin D you have each day.
  • Manage your weight. Obesity may increase your risk for problems from prostate cancer. Limit or do not have high-calorie foods or drinks.
  • Exercise as directed. Exercise may help you recover after treatment and may help prevent your prostate cancer from returning. Exercise can also help you manage your weight. Try to get at least 30 minutes of exercise 5 days a week, such as walking.
  • Ask about sexual activity. Ask your healthcare provider when it is safe for you to start having sex after your treatment. Medicines may be given if you have trouble getting or maintaining an erection.
  • Manage incontinence. You may have incontinence (trouble controlling when you urinate) after treatment. Ask your healthcare provider for information on managing urinary incontinence. You may be able to gain control over your urination with techniques or medicines.
  • Drink liquids as directed. Ask how much liquid to drink each day and which liquids are best for you. Drink extra liquids to prevent dehydration. You will also need to replace fluid if you are vomiting or have diarrhea from cancer treatments.

Follow up with your urologist or oncologist as directed:

Write down your questions so you remember to ask them during your visits.

Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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