What causes prostate cancer, and what causes it?

Written in association with: 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 London. He specialises in the diagnosis, management, and treatment of prostate and bladder cancer using robotic urological surgery.

With participation in over 1000 robotic operations  Mr Pavlakis has particular expertise in robotic cystectomy and robotic prostatectomy. After graduating from Sapienza University of Rome, Mr Pavlakis earned a Master's degree in Robotic Surgery from the prestigious University of Paris Pierre and Marie Curie. He completed his general urology training in Greece and subsequently pursued three additional fellowships in advanced urology in Sweden, the UK, and the USA.  

These fellowships included a reconstructive urology visiting fellowship and a post CCT robotic urology fellowship specializing in prostate and bladder cancer. In 2019, Mr Pavlakis joined the Clinic St Joseph in Belgium where he performed several of the hospital's first complex procedures, including a Johansen stage 1 urethral reconstruction, first robotic Retzius sparing radical prostatectomy, and introduced the transperineal prostate biopsy approach. 

Mr Pavlakis currently has his NHS post at the Southend University Hospital. Mr Pavlakis sees his private patients in Cromwell Hospital, and Harley street London. Drawing on his extensive international training and clinical experience, Mr Pavlakis is renowned for his skill in performing robotic radical prostatectomy, including standard and Retzius Spare approaches, circumcision, short frenulum reconstruction, flexible cystoscopy, hematuria, PSA investigations, prostate biopsy, prostate enlargement management, kidney stone treatment, hydrocele surgical repair, and epididymal cyst excision.

Mr Pavlakis has decades of research experience. His academic work has been widely published in international volumes and peer-reviewed journals, focusing on robotic assisted treatments, cancer detection, and renal trauma. Mr Pavlakis himself is a regular presenter at global urology and cancer conferences.

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