Articles

Prostate cancer live chat
19.03.13

Tags: cancer

Anonymous27 asked: Hi, what could cause blood in my semen?

Mr Barry Maraj Consultant Urologist answered: An enlarged prostate, prostate infection or prostate cancer

AXA PPP healthcare commented: Hello Mr Maraj, Would you suggest that Anonymous27 gets this checked with his GP?

Mr Barry Maraj Consultant Urologist answered:Yes

Ruth asked: Hi, does a family history of prostate cancer increase my dad's of developing it?

Mr Barry Maraj Consultant Urologist answered: If a first degree relative has prostate cancer at 60 yrs or yunger this pust a man at an increased risk

Ruth commented: I see, so are regular screenings recommended?

Jeff asked: Hi, are gay men more at risk?

Mr Barry Maraj Consultant Urologist answered: Not as far as I am aware

One of Silverhairs fans asked: I am being treated for an enlarged, cancer free, prostate with medication. Given the Finestaride gives a false PSA reading, how often should I have my prostate checked for cancer?

Mr Barry Maraj Consultant Urologist answered: If your PSA to start with was normal I would recommend annually. You must however inform your doctor that you are taking Finasteride

Steve asked: Can having a vasectomy increase my risk?

Steve commented: also Is there a vaccine to treat prostate cancer?

Mr Barry Maraj Consultant Urologist answered: No

Jose asked: Can a healthy diet reduce my risk of prostate cancer?

Mr Barry Maraj Consultant Urologist answered: There is much debate about this. The answer is unknown although some studies have shown a reduced risk with Lycopenes and Selenium

Jose commented: what foods contain those?

Mr Barry Maraj Consultant Urologist answered: Tomato peels for Lycopenes. You can get both in health shops nowadays

Jose commented: ok thanks

Mr Barry Maraj Consultant Urologist answered: Pleasure

Gez asked: What are the biggest mistakes men make regarding prostate cancer?

Mr Barry Maraj Consultant Urologist answered: Good question. The difficulty is that early prostate cancer has very little in the way of symptoms. Men however ignore mild symptoms with urinary flow and should really seek advice

AXA PPP healthcare asked: We have received another question from a fan of Silverhairs.
Why are we still relying on a PSA count as an indicator?
From what i understand of my dads test results they kept coming back nice & low despite his prostate cancer doing the nasty & taking his life very quickly due to the growth rate of it not being noticed. Other countrys no longer rely on this so why do we?

Mr Barry Maraj Consultant Urologist answered: Unfortunately it is the only 'marker' of prostate cancer we curently have. Agree it is not ideal. PSA is more useful when a rectal exam of prostate is also undertaken. It is most useful when a diagnosis is made.

AXA PPP healthcare asked: We have another question from a Silvershairs fan, who asks:Why is the removal of the prostate gland not possible if the p.s.a. level has risen above 15 p.s.a.

Mr Barry Maraj Consultant Urologist answered: Generally a high PSA may indicate advanced cancer that is not amenable to cure.

Anonymous28 asked: What types of surgery are available for men with prostate cancer?

Mr Barry Maraj Consultant Urologist answered: Open, laparoscopic and robotic prostatectomy

Mark asked:
What kinds of treatments for prostate cancer are being developed?

Mr Barry Maraj Consultant Urologist answered:New treatments include HIFU which is ultrasound based and does not involve cutting.

Ruth asked: So, are there other conditions that have symptoms like prostate cancer?

Mr Barry Maraj Consultant Urologist answered: Prostate cancer can produce symptoms like Benign enlargement (BPH)

Mrs F asked: Do you think pretreatment counseling about erectile dysfunction would ease the potential sexual/relationship problems that may arise as a consequence of having radical prostatectomy?

Mr Barry Maraj Consultant Urologist answered: I entirely agree that pretreatment counselling can help with subsequent ED

Ted S asked: I have heard that some men don't get treated immediately. If I have cancer, shouldn't I get it taken out right away? Why wait?

Mr Barry Maraj Consultant Urologist answered: Prostate cancer treatment can be a dilemma in that not all men require treatment. Some types can be observed with a PSA test and rectal examination of the prostate. These are termed low risk prostate cancers

AXA PPP healthcare asked: Thank you for all your questions. Dont' forget that we have lots of helpul information on our website. Have a look at our fact sheet about prostate disease.
https://www.axappphealthcare.co.uk/Health-worries/General-health-worries/Prostate-disease/

Anonymous29 asked: Good evening. What would be the difference in effect on recurring prostate cancer between surgical castration, hormonal therapy and radiation?

Mr Barry Maraj Consultant Urologist answered: Surgical castration and hormonal treatment are usually reserved for advanced and metastatic cancer. Radiation is more appropriate for localised and locally advanced cancer without evidence of bony spread.


Sign up to our monthly Better Health newsletter to receive updates on our latest health and wellbeing articles.


Sign up to newsletter

Ask the expert

Got a question about health or wellbeing?
Our team of medical experts are ready to help.