Does the prostate always have to be surgically removed in the case of prostate cancer? If the tumor is confined to the prostate gland, modern radiation therapy provides the patient with an alternative to radical surgery. Learn about the advantages of internal radiation (brachytherapy) for prostate cancer therapy and why brachytherapy has equal and sometimes even better cure rates compared to prostate surgery. Dr. Pedram Derakhshani from the West German Prostate Center in the KLINIK am RING - Cologne explains in this med.clip which complications such as urinary incontinence and impotence can occur as a result of prostate surgery and why especially younger, sexually active patients without problems with continence and potency also benefit from brachytherapy, which has few side effects.

Side effects in the treatment of prostate cancer can be significantly reduced by the targeted and precise internal irradiation of the prostate in the course of seed implantation. The cure rate is equally good or even better compared to radical prostate surgery. Dr. Stephan Neubauer from the West German Prostate Center, in the KLINIK am RING - Cologne, explains how this effective and gentle procedure for curing prostate cancer works and what you can expect from this minimally invasive therapy. Learn in this med.clip how severe side effects such as incontinence or impotence can be prevented by seed implantation and what other advantages this modern treatment option for the treatment of prostate cancer brings with it.

Best chances of curing aggressive or already advanced #prostate cancer through #HDR afterloading. In Germany, more than 60,000 men are diagnosed with prostate cancer every year. If the tumor is particularly aggressive or locally more advanced, HDR afterloading is the most effective and at the same time best tolerated therapy for the successful treatment of prostate cancer. In this med.clip, Dr. Stephan Neubauer from the West German Prostate Center at the KLINIK am RING - Cologne, explains how HDR afterloading works and what you can expect with the combination of external radiation therapy and #brachytherapy (internal radiation). Learn why HDR afterloading promises significantly higher healing chances with fewer side effects than radical surgery of the prostate and why this treatment method entails significantly less impairment of the quality of life.

What to do if the PSA level rises? Before a prostate biopsy is performed, an MRI scan of the prostate can first be used to determine the likelihood of whether a benign enlargement of the prostate or a prostate carcinoma is present. If the suspicion of a malignant tumor is confirmed, a #biopsy is necessary in the next step. In this med.clip, Dr. Kai P. Schuster from the West German Prostate Center in the KLINIK am RING - Cologne, explains how prostate MRI can be used for biopsies to specifically remove tissue from areas suspected of tumors and to reliably diagnose #prostate cancer. Here you can find out what to expect from an MRI fusion biopsy of the #prostate and what possibilities modern diagnostics brings in cancer prevention.

Prostate cancer is the most common malignant disease in men. Since prostate cancer rarely causes symptoms, prostate cancer often remains undetected for a long time. However, if diagnosed early as part of prostate cancer screening, there is a very good chance of cure. In this med.clip, Dr. Stephan Neubauer from the West German Prostate Center at the KLINIK am RING - Cologne explains how prostate cancer develops, which symptoms can occur with this tumor disease of the prostate gland and which risk factors promote the development of prostate cancer. Learn why regular prostate cancer screening is so important to detect prostate cancer at an early stage, when the tumor is still confined to the prostate and has not yet metastasized (localized prostate cancer).

Elevated PSA value? Suspicion of prostate cancer? Prostate cancer does not always have to be the cause of an elevated PSA value. Diseases such as benign prostate enlargement, urinary tract infections or prostate inflammation can also trigger an elevated PSA level. In this med.clip, Priv.-Doz- Dr. Dr. Holger Gerullis from the West German Prostate Center in the KLINIK am RING - Cologne explains why the determination of the prostate specific antigen value as part of the preventive examination by the urologist is particularly important, what the value says exactly and how elevated values are to be classified. Learn why a prompt repetition of the PSA test is necessary in case of abnormal PSA values and why other diagnostic procedures should be used for clarification in addition to ultrasound and palpation.

Prostate cancer does not always require immediate treatment such as surgery or radiotherapy. Here you will learn in which cases active surveillance of prostate cancer makes sense as a strategy. Dr. Stephan Neubauer from the West German Prostate Center at the KLINIK am RING - Cologne explains in this med.clip for whom active surveillance is suitable and how active surveillance for prostate cancer works. Learn about criteria such as PSA value, Gleason Score and prostate volume, which provide information on whether active surveillance can be considered as an alternative to surgery or radiation of the prostate carcinoma.

Treat prostate cancer with medication? Radiation or surgery is not always necessary to treat prostate cancer. Here you can find out everything about the options for treating prostate cancer with medication. In this med.clip, Dr. Pedram Derakhshani from the West German Prostate Center at the KLINIK am RING - Cologne explains when the use of medication is useful in prostate cancer therapy and how hormone therapy blocks the growth of tumor cells. In this way, chemotherapy can be prevented or postponed to a later date. In this med.clip, you will learn not only about the mode of action, but also about the differences between the different variants of hormone therapy for prostate cancer, their advantages and side effects.

Early detection means better curability! In order to detect prostate cancer at an early, easily curable stage, proper prostate cancer screening is particularly important. If the cancer is diagnosed when the tumor is still limited to the prostate, the prostate cancer can usually be treated very well. But when is the right time to go for urological screening and what is done during the screening? In this med.clip, Dr. Sonja Knippschild from the West German Prostate Center in the KLINIK am RING - Cologne explains how the combination of palpation, PSA value and ultrasound of the prostate enables a reliable and early diagnosis of prostate cancer and from what age onwards the urological screening should be performed regularly in order to significantly reduce the risk of a late diagnosis.

Compared to classical radical surgery for prostate cancer, treatment with brachytherapy promises significantly fewer side effects and less loss of quality of life with equally good or even superior cure rates. In this med.clip, Dr. Pedram Derakhshani explains how prostate cancer can be cured by brachytherapy and what advantages the minimally invasive procedure has over radical surgery. Here you can learn all about focused prostate radiation through the implantation of so-called seeds and how temporary brachytherapy (afterloading) can treat more aggressive or advanced forms of prostate cancer more gently and effectively than surgery.

Safely detect prostate cancer by prostate biopsy. But what are the risks and side effects of a prostate biopsy and which tissue removal method is gentlest? In this med.clip, urologist Kai P. Schuster from the West German Prostate Center in the KLINIK am RING - Cologne, presents two methods for removing prostate tissue. Here you will learn why the risk of prostate inflammation is higher with a biopsy through the rectum than with a prostate biopsy through the perineum, what side effects such as blood in the urine, urinary retention and pain can occur as a result of a prostate biopsy and what measures help to treat the side effects.

During radical removal of the prostate to treat prostate cancer (prostatectomy), incontinence can occur as a result of an injury to the bladder sphincter. Learn how likely urinary incontinence really is after prostate surgery and what alternatives are available to radical prostatectomy? Urologist Kai P. Schuster from the West German Prostate Center in the KLINIK am RING - Cologne explains in this med.clip which measures, such as pelvic floor training, help against possible incontinence after prostate cancer surgery.

What to do in case of recurrence after successful therapy of prostate cancer? This is how prostate cancer recurrence can be treated. Dr. Pedram Derakhshani from the West German Prostate Center at the KLINIK am RING - Cologne explains in this med.clip which options (brachytherapy, external radiation and radical surgery) are available for treating a recurrence and how recurrences of prostate cancer can be detected early through regular follow-up. Learn about the influence of cancer stage on the risk of recurrence and how the treatment of recurrences due to metastases in lymph nodes, bones or other organs differs from the treatment of cancer recurrences in the prostate area.

What happens after successful treatment of prostate cancer? With the right cancer aftercare, both a cancer relapse (recurrence) and the formation of metastases can be detected early and treated correctly. In this med.clip, you will learn what it means when prostate cancer recurs and what treatment options are available. Dr. Kai P. Schuster from the West German Prostate Center at the KLINIK am RING - Cologne explains how tumor progression (recurrence) and metastases can be detected and treated at an early stage by regularly determining the PSA value. Learn why further diagnostic measures, such as CT, skeletal scintigraphy or PSMA-PET-CT, should definitely be taken when the PSA value rises and what options there are for treating prostate cancer recurrence.

High-risk prostate cancer: surgery or radiation? Which treatment is the right one to safely treat aggressive or advanced tumors and prevent the formation of metastases? Here we show you on which factors, such as PSA level, cell type and stage, the classification of prostate cancer risk depends and which therapy has the best cure rates in the case of high-risk prostate cancer. Dr. Pedram Derakhshani from the West German Prostate Center in the KLINIK am RING - Cologne explains why brachytherapy in combination with external radiation is the most sensible and effective treatment option for high-risk prostate carcinoma and presents the results of current studies comparing the effectiveness of surgery, external radiation and brachytherapy.

Avoid relapses (recurrences) and side effects after prostate cancer therapy through regular urological aftercare: These aftercare measures are useful and highly recommended after prostate removal or radiation therapy for prostate cancer! Dr. Pedram Derakhshani from the West German Prostate Center in the KLINIK am RING - Cologne explains in this med.clip what you can expect during the aftercare of a prostate cancer therapy and at what intervals the aftercare measures should take place. Learn how a cancer relapse (recurrence) can be ruled out at an early stage through a combination of PSA value, palpation and ultrasound monitoring of the prostate region and how possible side effects, complications and functional limitations can be treated during aftercare.

Are there any abnormalities in your prostate cancer screening? With the help of a high-resolution, modern MRI, it is now possible to diagnose prostate cancer at an early stage. If suspicious areas are detected in the MRI, a targeted biopsy can be performed. Urologist Kai P. Schuster from the West German Prostate Center in the KLINIK am RING - Cologne, shows in this med.clip how a prostate MRI works and when it should be used. Learn about the advantages of magnetic resonance imaging in cases of suspected prostate cancer and why the precision and detection rate in case of a necessary prostate biopsy (MRI fusion biopsy) is significantly increased by MRI.

Prevent prostate cancer - tips for the right diet. Whether to prevent prostate cancer or to support your own body in the fight against cancer: You should know these recommendations for nutrition! Dr. Sonja Knippschild from the West German Prostate Center in the KLINIK am RING - Cologne presents in this med.clip the four main recommendations of the German Cancer Society and explains which factors, such as alcohol consumption, weight or exercise, should be taken into account in addition to diet to prevent prostate cancer.

How high is the risk of prostate cancer if your father or brother already has it? What does this mean for your own preventive care at the urologist? Dr. Pedram Derakhshani from the West German Prostate Center at the KLINIK am RING - Cologne explains in this med.clip what influence genetic factors and familial clustering have on one's own prostate cancer risk and when prostate cancer screening makes sense in the case of familial predisposition. You can also find out what a prostate cancer screening examination should include and what influence the early detection of a prostate tumor has on treatment.

The most common misconceptions about prostate cancer recurrence: Which treatment options are suitable for the therapy of a prostate cancer recurrence should already be clarified before the start of the initial therapy. Dr. Stephan Neubauer from the West German Prostate Center at the KLINIK am RING - Cologne explains in this med.clip which treatment options are available in the case of a prostate cancer recurrence after primary radiation in order to treat the cancer effectively and with few side effects after recurrence. Learn which errors often lead to wrong decisions and learn three important points to avoid misjudgements.

Elevated PSA value? Significance and significance of the PSA test in prostate cancer screening. In this med.clip, Dr. Pedram Derakhshani from the West German Prostate Center at the KLINIK am RING - Cologne explains the importance of the PSA test in the early detection of prostate cancer and what the PSA value actually means. Learn why prostate cancer is only one of several possible causes for an elevated PSA value and what to do in case of an elevated PSA value to avoid false diagnoses and unnecessary treatments.

Proper treatment of metastatic prostate cancer: What to do if the tumor has already spread? These treatment options are available to prevent the progression of the cancer and to alleviate the symptoms. Dr. Pedram Derakhshani from the West German Prostate Center at the KLINIK am RING - Cologne explains in this med.clip how hormone therapy inhibits the growth of the tumor and which agents are used when the effect of classic hormone treatment wears off. In addition, you will learn when it makes sense to eliminate the primary tumor with radiation therapy in the case of metastatic prostate carcinoma.

Curing prostate cancer: The selection of the right therapy depends on the risk profile of the tumor. Dr. Stephan Neubauer from the West German Prostate Center at the KLINIK am RING - Cologne explains how the PSA value, Gleason score, and the size and extent of the prostate carcinoma are used to classify the tumor into the risk groups Low-Risk, Intermediate-Risk, and High-Risk. Learn how the prostate cancer risk groups differ from each other and which therapy recommendations result from the classification in order to achieve the best possible healing chances of the prostate cancer with low side effects.

Bei fortgeschrittenem Prostatakrebs ist die Hormontherapie häufig die sinnvollste Behandlungsoption. Die Testosteronwirkung auf die Prostata wird unterbunden und dadurch das Wachstum der Tumorzellen blockiert. Doch welche Nebenwirkungen bringt die Hormonbehandlung mit sich? Dr. Pedram Derakhshani vom Westdeutschen Prostatazentrum in der KLINIK am RING – Köln erklärt, wie sich die Hormontherapie mittels Depotspritze und die Behandlung in Tablettenform (Antiandrogene) voneinander unterscheiden und welchen Einfluss sie auf den Testosteronhaushalt nehmen. Hier erfahren Sie alles zu Verträglichkeit, Vor- und Nachteilen der unterschiedlichen Behandlungsmethoden und erhalten hilfreiche Informationen was Sie gegen Nebenwirkungen wie Muskelabbau, Hitzewallungen, Erektionsprobleme oder Brustwachstum tun können.

Die Hormontherapie bei Prostatakrebs wirkt nicht mehr? Wenn der PSA-Wert trotz Hormonentzug ansteigt und die Krebserkrankung weiter fortschreitet, spricht man von einem kastrationsresistenten Prostatakarzinom (KRPCA). Doch was bedeutet das, wie kann man ein kastrationsresistentes Prostatakarzinom erkennen und wann wird Prostatakrebs unempfindlich gegenüber dem Entzug von Testosteron? Dr. Stephan Neubauer vom Westdeutschen Prostatazentrum in der KLINIK am RING - Köln erklärt, wie sich das kastrationsresistente Prostatakarzinom anhand des PSA-Wertes nachweisen lässt und was die Diagnose für den Patienten bedeutet. Denn auch wenn die klassische Hormontherapie nicht mehr wirkt, lässt sich der Tumor durch moderne Medikamente wie Abirateron, Enzalutamid oder Apalutamid weiter in Schach halten.

Prostatakrebs-Rückfall: Rezidiv richtig diagnostizieren und behandeln. In seltenen Fällen kann es nach erfolgreicher Prostatakrebs-Behandlung zu einem Tumorrezidiv kommen. Hier erfahren Sie, wie ein Rückfall im Rahmen der Nachsorge richtig erkannt wird und wie mit Hilfe einer nuklearmedizinischen Untersuchung, dem PSMA-PET / CT, zwischen einem Lokalrezidiv und Metastasen unterschieden werden kann. Dr. Pedram Derakhshani vom Westdeutschen Prostatazentrum in der KLINIK am RING - Köln erklärt, wie sich die Position des Tumorrezidivs mittels PSMA-PET / CT präzise bestimmen lässt und welchen Einfluss dies auf die empfohlene Behandlungsstrategie hat.