Surgical Castration Works Better Than Drugs in Prostate Cancer, Study Finds

While many of the estimated 200,000 American men who will be diagnosed with prostate cancer this year will find their recommended treatments are very mild, some may learn that more drastic measures are needed. In advanced cases of metastatic prostate cancer, in fact, chemical castration is sometimes recommended to better control the disease by blocking a hormonal fuel source.  Researchers are finding, however, that surgical castration could be the superior option.

Surgical castration involves the removal of the testicles. During a procedure known as an orchiectomy a surgeon removes the testicles to better control advanced forms of the disease. While a number of new therapies have enabled many men to avoid chemical or surgical castration, cases still remain where this is the best bet. Researchers say the chemical alternative to surgical removal has the potential to cause serious side effects, such as cardiac-related complications, fractures and arterial disease. A recent study showed that surgical castration can lower these risks rather dramatically.

Although studies have indicated surgical castration poses fewer risks, this option is not widely used. Psychological concerns and aesthetics, researchers say, have led doctors and patients away from this treatment option even when it may offer better results.

All men are at risk for prostate cancer as they age. When this disease is caught in its early stages, a host of treatments are available. Advancements in treatment of metastatic cases have also enabled many men to enjoy much more positive outcomes than they may have only a few decades ago.

Men are urged to discuss prostate cancer and their personal risks with their healthcare providers. Starting around the age of 50, routine screening exams should be performed. Men who are at higher risk for the disease may find screening should begin sooner in their cases. For those who are diagnosed with prostate cancer, the best treatment recommendations will come from healthcare providers familiar with the unique case.