About 1 in 6 men will be diagnosed with prostate cancer within their lifetime. After performing a complete evaluation and diagnostic testing, Dr. Steinberg discusses in depth the treatment options for prostate cancer, as well as his recommendations for treatment with patients and their families.
Active surveillance is a protocol used for monitoring prostate cancer closely if the cancer is low grade and felt not to be potentially aggressive nor immediately threaten the patient’s health. After a detailed discussion with Dr. Steinberg and, depending upon the specific characteristics of the patient’s prostate cancer and other recommended diagnostic tests, the patient may opt for this approach which includes an office visit with a prostate-specific antigen (PSA) blood test and digital rectal exam (DRE) every 3 months. Prostate biopsies may be done every year as well. If test results change, Dr. Steinberg would then discuss further diagnostic tests and treatment options.
RADIOACTIVE SEED IMPLANT (BRACHYTHERAPY)
Brachytherapy (also called seed implantation or interstitial radiation therapy) uses small radioactive pellets, or “seeds,” each about the size of a grain of rice. These pellets are placed directly into the prostate under general anesthesia at Milford Regional Medical Center. Brachytherapy alone is generally used only in men with early-stage prostate cancer that is relatively slow growing (low-grade). Dr. Steinberg partners with world renown Radiation Oncologists from Brigham and Women’s/Dana Farber Cancer Center to provide this state-of-the-art therapy in Milford.
EXTERNAL BEAM RADIATION THERAPY
Dr. Steinberg also partners with Radiation Oncologists/Brigham and Women’s/Dana Farber Cancer Center in Milford to coordinate external beam radiation where a small amount of radiation is focused on the prostate over several weeks to treat the cancer. Patients may go about their usual activities during this outpatient treatment. This treatment is conveniently offered at the Milford Cancer Center, eliminating the need to drive to Boston for this advanced care.
SPACE OAR HYDROGEL AND GOLD FIDUCIAL PLACEMENT
In preparation for External Beam Radiation Therapy, Dr. Steinberg may advise the patient to have a Space Oar Hydrogel implant and Gold Fiducials placed into the prostate. Performed under IV sedation at Milford Regional Medical Center, Space Oar is a revolutionary material that is placed by a simple needle injection to push the prostate away from the rectum to minimize any potential side effects from radiation. During the same procedure, Dr. Steinberg will implant tiny small gold “seeds” into the prostate to enable the radiation device to precisely focus upon the prostate during the course of radiation treatment. Both procedures take approximately 15 minutes and are performed on an outpatient basis.
Learn more about Space Oar Hydrogel here.