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Facing Prostate Cancer Treatment?
Get a Second Opinion

Rose Khavari, M.D., and Kenneth Yun, M.D., are urologists at Methodist Willowbrook Hospital.

M ore than 240,000 American men learn they have prostate cancer each year.* Unlike certain other cancers where treatment follows a well-defined course, managing prostate cancer can take several different forms, with each having potential benefits and drawbacks.

The Second Opinion Clinic at Methodist Willowbrook Hospital gives men the opportunity to meet one-on-one with a urologist to review any test results, discuss their physician's recommendations, and gain a greater understanding of treatment options. Through medical education and consultation, each patient receives the information he needs to be confident that the treatment he ultimately chooses is right for him.

Treatment for prostate cancer may include:

  • Surgery to remove the prostate.
  • External beam radiation to kill cancer cells.
  • Brachytherapy, which involves implanting tiny radioactive seeds directly into the prostate gland.
  • Hormone treatment for advanced stages of the disease.
  • Active surveillance that requires closely monitoring – not actively treating – the disease.

"With this clinic, prostate cancer patients can rely on the expertise of trusted professionals rather than information they find on the Internet. If they choose surgery, the new standard of care for patients is to remove the prostate robotically," says Kenneth Yun, M.D., board certified urologist with Methodist Urology Associates. "But if the cancer has not spread beyond the prostate, just carefully watching it may be appropriate for some men since the disease often grows very slowly and may not cause problems for them."

Timothy Boone, M.D.
Timothy Boone, M.D., department chair, Urology, The Methodist Hospital System

Men who have been diagnosed with prostate cancer will have already undergone a number of tests, such as a prostate specific antigen (PSA) test, computed tomography scan, bone scan or biopsy. To get a second opinion, they can bring the pathology report from their biopsy plus other test results to the Second Opinion Clinic. Alternately, men can come to the clinic without tests results and their records can be evaluated later. In that case, the first appointment would be primarily educational.

"Based on simple pathology alone, there may be questions if a PSA report represents lethal cancer or indolent cancer that is much less lethal and can be actively surveyed," says Timothy Boone, M.D., department chair, Urology, The Methodist Hospital System. "Through a second opinion, men can also learn about some of the consequences of prostate cancer, such as erectile dysfunction, urinary incontinence, spread of cancer in the body and side effects of radiation."

"Men should know that not all prostate cancer needs to be treated by surgery or radiation. We personalize care according to the patient's background, age and medical history," says Rose Khavari, M.D., board certified urologist with Methodist Urology Associates. Drs. Khavari and Yun are among just a few urologists in the northwest Houston area trained to do robotic surgery. "Prostate cancer is very common, but not all treatment options fit everyone."

For more information about urology services at Methodist Willowbrook Hospital or to make an appointment at the Second Opinion Clinic, call 713-790-3333.

Source: http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-key-statistics.