- Prostate Center
- Our Center
Both benign and malignant prostate diseases are common conditions. More than half of the elderly patients experience a prostate-related disease.
Benign enlargement of the prostate is called benign prostate hyperplasia (BPH), and this may cause some problems with urination.
That being said, prostate cancer can also be detected in patients without any complaints. Meaning, complaints alone are not enough for the diagnosis of prostate-related diseases. For this reason, it is important for all male patients after 45 years of age go for the prostate check without waiting for complaints.
Acıbadem Ankara Prostate Diseases Diagnosis and Treatment Center
In our center, diagnosis and treatment of prostate diseases are carried out in a multidisciplinary manner with the cooperation of multiple specialties.
This center also acts as a training center . Training is provided by a surgical team which has an international coaching certificate on HoLEP and Robotic Surgery. This training is supported by live operations and theoretical courses.
Which specialists work in the prostate center?
- Interventional Radiology
- Medical Oncology
- Radiation Oncology
- Infectious Diseases
- Emergency Medicine
- Anesthesia and Algology
- Nursing Services
How is this multidisciplinary approach carried out in the center?
In the prostate center, a detailed investigation specific for each patient is performed.
First-time admitted patients undergo screening for prostate cancer by a urologist. This screening consists of blood PSA (prostate-specific antigen) analysis and rectal examination.
After this screening, the patients with neither detected abnormalities nor complaint are informed of their follow-up intervals and prostate diseases by the urologist.
Patients with complaints:
Patients with urination complaints undergo uroflowmetry test and ultrasonography (USG) in addition to the above screening. Patients who were detected to have an abnormality in this work-up but with normal PSA and rectal examination are considered as BPH. Medical therapy or surgical therapy is organized. Patients who are deemed eligible are referred for Holmium Laser Enucleation of the prostate (HoLEP) surgery.
Our center is one of the limited centers that also offers HoLEP training.
Patients with elevated PSA level or abnormal rectal examination findings:
These patients undergo further workup for prostate cancer. Multiparametric prostate MRI is performed by a radiologist. This imaging modality can detect the presence of prostate cancer including little foci. If cancer is suspected as a result, a prostate biopsy is scheduled for the patient.
Being called MRI-USG fusion biopsy and allowing biopsy collection from suspicious focus by combining MR images and USG images, this method is performed by an interventional radiologist. A biopsy can be performed by two different areas, through the rectum (transrectal) and through the perineum (transperineal). A transrectal biopsy is usually preferred. Independent from the method used for these procedures, anti-biotherapy is initiated by infectious diseases specialist for the patients beforehand.
If a tumor is detected:
Biopsy result is assessed by pathologists working in uropathology field. As a result of the pathological examination, if a low-risk tumor with small volume, which is called clinically non-significant tumor, is detected, follow-up or "NanoKnife" procedure can be recommended. This procedure halts the disease for a period of time and saves time for main therapy. A nanoknife procedure is performed in our center.
If a clinically significant tumor is detected:
If the patient who was detected to have localized (prostate-limited) prostate cancer is eligible for operation, robotic radical prostatectomy operation is planned.
Having full knowledge of anatomic locations is one of the most important factors that will make this operation successful. With the revealing of the anatomic plane especially between bladder and prostate, a novel technique has been developed in robotic prostate operations.
After operations using this method known as "bladder neck preservation technique" in the literature, early and late period incontinence rates are very low. Robotic prostatectomy operations are performed using this technique in our center. Our center also has robotic surgery training certificate . Operations using this technique are also performed abroad for training purposes.
For the patients who are not eligible for operation despite they were detected to have localized prostate cancer, intensity modulated radiation therapy (IMRT) is planned by radiation oncology department.
For sexual dysfunctions which may develop before the treatment due to age and comorbidities and after the procedures due to treatment, the patients are examined by andrologist and necessary treatment is planned.
In case an advanced tumor is detected, the patient starts to be followed-up by medical oncology department for metastasis investigation and treatment organization, and the necessary treatment is planned.
Majority of the patients diagnosed with cancer experience some psychological problems. When fighting against cancer disease, both the patient and his relatives being cheery will have a positive contribution to recovery. Therefore, all patients diagnosed with prostate cancer in our center are evaluated by psychiatrist and psychologist specialized in this field. Starting from the first time of diagnosis till treatment is completed, we aim to give support to the patients and their relatives so they can fight with this disease.
If they have heart diseases:
Since prostate diseases usually occur in elderly, heart diseases may be observed before and after the operation. Patients with pre-existing heart diseases or experiencing heart disease at early postoperative period are evaluated by cardiology department, and their treatment is organized.