Fast Five Quiz: Advanced and Metastatic Prostate Cancer Treatment

Daniel S. Schwartz, MD, MBA

May 02, 2022

Despite advances in care, most men with metastatic prostate cancer will ultimately experience disease progression. In these cases, integrative palliative care is important. Transurethral resection and cauterization may be used as initial treatment for prostatic bleeding. If these methods are unsuccessful, medications can be tried, including ADT if it is not already being used. If ADT is not already being used, aminocaproic acid and megestrol may help some patients.

Placement of a urinary sphincter may be beneficial for patients with incontinence secondary to radical prostatectomy or RT. Rarely, urinary diversion may be considered as a last-resort treatment.

The management of bone pain due to metastatic disease is a multifaceted endeavor that requires narcotics, awareness of fractures, and possibly but not preferably, palliative RT.

The combination of mitoxantrone and prednisone may treat the symptoms of metastatic disease, but it has no impact on survival.

Learn more about palliative care for metastatic prostate cancer.

Editor's Recommendations

1 2 3 4 5 6

Next Section

Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Daniel S. Schwartz. Fast Five Quiz: Advanced and Metastatic Prostate Cancer Treatment - Medscape - May 02, 2022.

Comments

Commenting is limited to medical professionals. To comment please Log-in.

Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.