Banner Health
Making healthcare easier
INSTALL

Prostate Cancer Treatment and Support

A prostate cancer diagnosis can bring many questions and decisions. Treatment depends on the type of prostate cancer you have, how advanced it is and your overall health. Some prostate cancers grow slowly and may not need treatment right away. Others need more active care.

At Banner MD Anderson Cancer Center, prostate cancer care is personalized and coordinated. A multidisciplinary team works together to guide treatment decisions and support you at every stage of care. 

How prostate cancer treatment is chosen

There isn’t one treatment plan that works for everyone. Treatment decisions are made together by you and your care team. You will talk openly about options, risks and benefits.

Things that help decide treatment include:

  • How advanced the cancer is, whether it is local, has spread nearby or is in other parts of the body
  • The Gleason score and PSA level, which show how aggressive the cancer might be
  • Your age and overall health, including any other health problems
  • What you want, including your goals and how treatment might affect your quality of life
  • Results from scans and biopsies, like MRI findings

In many cases, prostate cancer treatment plans are reviewed by a multidisciplinary tumor board. This group of specialists works together to make sure all options are considered.

Precision medicine and personalized treatment

Precision medicine helps your care team tailor treatments to the specific features of your prostate cancer. This approach looks beyond standard test results to better understand what is driving your cancer. 

This might include:

  • Genetic or molecular testing of the tumor
  • Blood tests that look for inherited or acquired gene changes
  • Advanced imaging and pathology findings

Using this information, your team can help match you with treatments that are most likely to work for your cancer, avoid therapies that may not be helpful and identify targeted therapies or clinical trials when appropriate. 

Treatment options for prostate cancer

Treatment depends on how advanced the cancer is, risk level and your personal goals. Some men might get just one type of treatment, while others may need a combination of therapies.

Active surveillance

Active surveillance might be an option for men with low-risk prostate cancer or if the cancer is not causing symptoms.

This may include:

  • Regular PSA blood tests
  • Prostate MRI scans
  • Repeat biopsies if needed

The goal is to closely monitor the cancer while avoiding unnecessary treatments and side effects. If the tumor shows signs of growth or change, treatment can begin.

Surgery

Surgery removes the prostate and might be recommended for prostate cancer that is only in one place (localized). 

Types of surgery include: 

  • Radical prostatectomy (taking out the prostate)
  • Robotic-assisted prostatectomy (a less invasive surgery)
  • Nerve-sparing techniques (to help keep sexual function)
  • Lymph node removal (if the cancer has spread)

Recovery may involve a short hospital stay, a temporary catheter and a gradual return to daily activities. Your care team will help manage side effects and support your healing.

Radiation therapy

Radiation therapy uses powerful beams of energy to destroy cancer cells. It can be used alone or with hormone therapy.

Types of radiation therapy include:

  • External beam radiation therapy (EBRT): Uses beams from outside the body to target cancer while protecting nearby healthy tissue.
  • Image-guided radiation therapy: Uses imaging before and during treatment to make sure radiation hits the right spot.
  • Proton therapy: Uses special particles called protons instead of regular radiation, so it stops at the tumor and reduce exposure to surrounding tissue.
  • Brachytherapy: Places tiny radioactive seeds directly into the prostate to deliver radiation slowly over time, protecting nearby organs.

Your radiation oncologist will help decide the best treatment for your cancer and health. Side effects are watched closely and treated to help you feel better.

Hormone therapy (androgen deprivation therapy)

Prostate cancer often depends on testosterone to grow. Hormone therapy reduces or blocks the amount of testosterone in the body to help slow down the cancer.

Hormone therapy may be used:

  • For fast-growing or high-risk prostate cancer
  • Along with radiation treatment
  • For cancer that has advanced or recurrent cancer

Treatment may be short- or long-term, depending on how serious the cancer is. Side effects are managed with medicines, lifestyle guidance and supportive care.

Systemic treatments 

Systemic treatments travel throughout the body and are often used for aggressive or metastatic prostate cancer. 

Chemotherapy:

  • Uses medicines to destroy fast-growing cancer cells
  • May be recommended when cancer spreads beyond the prostate

Immunotherapy:

  • Helps the immune system recognize and attack cancer cells
  • May be used for certain advanced cancers or for cancers with specific genetic features

Targeted therapy

  • Focuses on cancers with specific genetic changes, such as BRCA or DNA repair mutations
  • Tumor testing helps guide treatment choices

Your care team will explain which options may be appropriate for you.

Advanced Treatment: Theranostics

Theranostics is an advanced treatment that combines diagnosis and therapy:

  • It uses radioactive molecules to find prostate cancer cells
  • These molecules attach to cancer cells and deliver targeted radiation
  • This approach limits damage to healthy tissue

Theranostics might be an option for some advanced prostate cancers. 

Supportive care and treating side effects 

Supportive care focuses on comfort, recovery and quality of life during and after treatment.

Urinary health

Some treatments may affect bladder control. Support may include:

  • Pelvic floor physical therapy
  • Bladder training
  • Guidance for managing incontinence

Sexual health and intimacy support

Changes in sexual function are common and treatable. Support may include:

  • Medications for erectile recovery
  • Counseling for patients and partners
  • Sexual health specialists

Bowel health

Radiation therapy may cause bowel changes. Care may include:

  • Nutrition counseling
  • Symptom management strategies
  • Ongoing monitoring

Emotional and mental health

A cancer diagnosis can cause stress, fear or anxiety. Support services include:

  • Counseling
  • Support groups
  • Social work services

Pain and symptom management 

Pain caused by cancer or treatment is treated proactively. Palliative care services focus on comfort, symptom relief and emotional support at any stage of care. 

Clinical trials at Banner MD Anderson

Clinical trials offer access to new and emerging prostate cancer treatments:

  • Trials help improve future care
  • Participation is voluntary
  • Your care team can help determine eligibility

Ask your provider if a clinical trial may be right for you.

Follow-up and survivorship care

Care does not end when prostate cancer treatment is finished. Follow-up and survivorship care are important parts of long-term health and peace of mind. These visits help your care team monitor recovery, manage side effects and watch for signs that cancer may return.

Monitoring after treatment

After treatment, regular follow-up visits help track how your body is healing and how well the treatment worked. Most men continue to get PSA blood tests on a schedule set by their care team. Your provider will explain what the results mean and how often testing is needed.

Managing long-term effects

Some side effects of prostate cancer treatment may last longer or appear months after treatment ends. Support may include help with:

  • Bladder control
  • Sexual health concerns
  • Hormone therapy effects

If you received hormone therapy, your care team may also monitor bone health and recommend steps to reduce the risk of bone loss.

Transition to survivorship programs

As time passes, care often shifts from active cancer treatment to long-term wellness. Survivorship programs help you focus on overall health and quality of life. 

These programs may offer:

  • Guidance on physical activity and healthy nutrition
  • Support for emotional well-being and stress management
  • Education about signs to watch for and when to call your provider

Your care team works with you to create a survivorship plan that supports your goals and helps you move forward with confidence. 

Why choose Banner MD Anderson Cancer Center

Our nationally recognized team combines leading edge cancer treatment with compassionate care. Our patients have access to advanced technology, clinical trials and coordinated care close to home. Every step of care is focused on treating the cancer and supporting the whole person.

Where to go next

Request an appointment