Advanced prostate cancer treatment in Germany: focus on curative procedures

While the early-stage prostate cancer has the beneficial prognosis and 5-year relative survival rate of 100%, more effort is needed to cure the disease at a late stage. In addition to the conventional techniques, advanced prostate cancer treatment in Germany includes PSMA therapy with Lutetium-177 and Actinium-225, as well as innovative nonsteroidal antiandrogen medicine Xtandi (enzalutamide).

While the early-stage prostate cancer has the beneficial prognosis and 5-year relative survival rate of 100%, more effort is needed to cure the disease at a late stage. In addition to the conventional techniques, advanced prostate cancer treatment in Germany includes PSMA therapy with Lutetium-177 and Actinium-225, as well as innovative nonsteroidal antiandrogen medicine Xtandi (enzalutamide).

Diagnostics – not missing any health aspect

You may visit a doctor for a regular check-up or in case of the presence of the suspicious symptoms. First, a doctor will ask you about the complaints (if any), cases of oncology in relatives, chronic conditions, etc. Then he will proceed to the examination itself:

  • Digital rectal examination includes direct palpation of the prostate gland through the rectum.
  • Transrectal ultrasound is receiving images of the prostate inner structure with the help of sound waves. A doctor sees the volume of the gland and neoplasms if any.
  • PSA blood test reflects the amount of the specific protein produced by the prostatic tissues. Reaching level 4 ng/mL or more, it may be indicative of prostate cancer.
  • Biopsy with histological examination of the tissue sample is “gold standard” in oncology diagnostics. To be more informative, samples are usually taken from up to 12 different loci.
  • MRI, CT scan, PSMA-PET CT provide the doctor with comprehensive images of the prostate and surrounding organs. In addition, MRI can improve the precision of the biopsy procedure.

Treatment planning – what a doctor may offer you

Planning the treatment scheme, doctor considers a number of factors:

  • Stage of the disease that is determined after the above mentioned examination.
  • Age of a patient and concomitant health conditions.
  • Patient’s preferences. A healthcare professional will explain all the important information for informed decision making.

Doctors in leading German hospitals have no restrictions in treatment option choosing:

  1. Surgery. Prostatectomy will not be a curative option in patients with advanced cancer, but it can restore normal urination in case of urethra compression by the tumor.
  2. Radiation therapy includes a number of modes: radioactive seeds implantation (interstitial brachytherapy), PSMA therapy with Actinium-225 or Lutetium-177. The last ones are able to fight metastases, regardless of their location.
  3. Chemotherapy. Administration of cabazitaxel (Jevtana) or docetaxel (Taxotere) in combination with prednisone is the modern therapeutic regimen for men with metastatic tumor and resistance to the hormone therapy.
  4. Immunotherapy is a developing sphere that involves stimulating the patient’s immune system. Sipuleucel-T (Provenge) is a vaccine approved for advanced prostate cancer therapy.
  5. Androgen deprivation therapy blocks stimulating influence of the male hormones and prevents the neoplasm from growing. Enzalutamide (Xtandi) is such a medication approved for men with castration-resistant prostate tumors.
  6. Bone-modifying drugs in bone metastases.
  7. Symptomatic treatment.

Receiving treatment in the world leading hospitals with Booking Health

Searching the information about prostate cancer treatment in Germany, one should consider the independent statistics (e.g. a number of successful surgeries and diagnostic procedures per year), availability of the equipment (e.g. proton therapy system, da Vinci robotic system), and skills of the healthcare professionals.

For the seekers of medical services with little or no international experience, it will be more convenient to use the assistance of Booking Health. Booking Health is the international medical tourism provider that helps patients from 75 countries to use the medical services of the leading hospitals in Germany. Booking Health offers:

  • Choosing the best urological clinic and oncologist exactly for your case.
  • Booking an appointment on the necessary date, without long waiting lists for the foreigners.
  • Facilitating visa issuing and preparing documents for treatment abroad.
  • Translating medical reports into German (this helps to avoid repeating examinations).
  • External monitoring of all therapy stages by independent experts.
  • Further communication with the doctor after medical program completion.
  • Control of bills, avoiding overpricing for the foreigners (saving up to 50%).
  • Booking tickets and accommodation, transfer organization, services of an interpreter.
  • Staying confident and concentrating only at your health restoring.

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