What causes prostate cancer, and what causes it?

Written by: Mr Pavlos Pavlakis
Published:
Edited by: Conor Lynch

Prostate cancer is one of the most common types of cancer among men worldwide, particularly in older adults. It develops in the prostate gland, a small walnut-shaped gland located below the bladder and in front of the rectum, which plays a role in producing seminal fluid that nourishes and transports sperm.

 

In this article, esteemed consultant urologist, Mr Pavlos Pavlakis, sheds more detailed and expert light on the common cancer.

What causes prostate cancer?

While the exact cause of prostate cancer is not fully understood, several risk factors have been identified, including age, family history, ethnicity, and lifestyle factors such as diet and exercise.

 

What are the associated symptoms?

Prostate cancer often develops slowly, and many men may not experience symptoms in the early stages of the disease. However, as the cancer progresses, symptoms may include urinary problems, such as frequent urination, difficulty urinating, blood in the urine, or pain in the pelvic area or lower back.

 

How is prostate cancer diagnosed?

Screening for prostate cancer typically involves a combination of a digital rectal exam (DRE) and a prostate-specific antigen (PSA) blood test. If abnormalities are detected during screening or if symptoms suggestive of prostate cancer are present, further diagnostic tests, such as a prostate biopsy or imaging studies may be performed to confirm the diagnosis.

 

How is it treated?

Treatment options for prostate cancer vary depending on the stage and aggressiveness of the cancer, as well as the individual's overall health and preferences. Options may include active surveillance, which involves closely monitoring the cancer but not immediately initiating treatment unless it becomes necessary, surgery to remove the prostate gland (prostatectomy), radiation therapy, hormone therapy, chemotherapy, or immunotherapy.

 

The choice of treatment is typically made in collaboration between the patient and a multidisciplinary team of healthcare professionals, including urologists, radiation oncologists, medical oncologists, and other specialists. Factors such as the patient's age, overall health, the extent of the cancer, and potential side effects of treatment are taken into consideration when determining the most appropriate course of action.

 

To book an appointment with Mr Pavlos Pavlakis today, simply visit his Top Doctors profile. 

By Mr Pavlos Pavlakis
Urology

Mr Pavlos Pavlakis is a highly skilled consultant urological surgeon based in Southend-on-Sea who specialises in the diagnosis, management and treatment of prostate cancer and bladder cancer using robotic urological surgery. Having performed over 300 robotic operations and assisted in 700, Mr Pavlakis has particular expertise in robotic cystectomy and robotic prostatectomy on top of conventional prostate removal.

After qualifying from Sapienza University of Rome, Mr Pavlakis went on to obtain a Master’s degree in Robotic Surgery from the prestigious University of Paris Pierre and Marie Curie in France. He undertook his general urology training in Greece and later accomplished three additional fellowships in advanced urology in Sweden, the UK and the USA, including a reconstructive urology visiting fellowship and a post CCT robotic urology fellowship in prostate and bladder cancer. In 2019, Mr Pavlakis took a position as a consultant urologist at the Clinic St Joseph in Belgium, where he performed several of the hospital’s first complex procedures including a Johansen stage 1 urethral reconstruction, a robotic retzius sparing radical prostactectomy and a transperineal prostate biopsy. Mr Pavlakis currently works at Southend University Hospital. He sees patients in private practice at Cromwell Hospital, London

With a wealth of international training and clinical experience, Mr Pavlakis is renowned for his skill in performing robotic radical prostatectomy, including with standard and Retzius Spare approaches, circumcision, short frenulum reconstruction, flexible cystoscopy, haematuria and PSA investigations, prostate biopsy, prostate enlargement management, kidney stones treatment, hydrocele surgical repair and epydidimal cyst excision

Mr Pavlakis also has decades of research experience, and his academic work has been widely published in international volumes and peer reviewed journals, analysing robotic assisted treatments, cancer detection and renal trauma. Mr Pavlakis himself regularly presents at global urology and cancer conferences.

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