g. Rating The table below describes common treatments for prostate cancer as well as Considerations the side effects and rating considerations associated with the treatment. for Prostate Cancer Type of Treatment Potential Side Rating Considerations Effects watchful waiting none, except for the Review to confirm the continued presence continuation of active also called and potential cancer previously conservative metastasis of cancer confirmed by biopsy. management often used when life Evaluate at 100 observation, or expectancy is short percent, despite the surveillance. due to age or other lack of treatment and No immediate specific illness since prostate possible lack of therapy is being used, cancer is slow- symptoms. but cancer is active. growing. radical prostatectomy impotence, and/or In all cases of radical surgery which is incontinence. prostatectomy, award characterized by SMC (k) for loss of use of a creative organ. removal of prostate Consider SC for ED gland and seminal on a facts-found basis. vesicles most common treatment for localized cancer can be curative, and nerve-sparing procedure can be performed to improve chances that the patient will retain normal erectile function. also impotence Consider SMC (k) on a Cryotherapy, known as cryosurgery or incontinence basis. cryoablation, is a urethral scarring, and procedure by which the rectourethral fistula prostate and nearby (rare). tissues are frozen with liquid nitrogen via probes in the perineum. Radiation after external beam After internal HDR radiation the radiation can be curative if impotence, and/or continues only for cancer is confined to incontinence or days, so a the prostate and after brachytherapy six-month
g. Rating Considerations for Prostate Cancer The table below describes common treatments for prostate cancer as well as the side effects and rating considerations associated with the treatment. Type of Treatment Potential Side Effects Rating Considerations watchful waiting also called conservative management observation, or surveillance. No immediate specific therapy is being used, but cancer is active. none, except for the continued presence and potential metastasis of cancer often used when life expectancy is short due to age or other illness since prostate cancer is slow- growing. Review to confirm the continuation of active cancer previously confirmed by biopsy. Evaluate at 100 percent, despite the lack of treatment and possible lack of symptoms. radical prostatectomy surgery which is characterized by removal of prostate gland and seminal vesicles most common treatment for localized cancer can be curative, and nerve-sparing procedure can be performed to improve chances that the patient will retain normal erectile function. impotence, and/or incontinence. In all cases of radical prostatectomy, award SMC (k) for loss of use of a creative organ. Consider SC for ED on a facts-found basis. Cryotherapy, also known as cryosurgery or cryoablation, is a procedure by which the prostate and nearby tissues are frozen with liquid nitrogen via probes in the perineum. impotence incontinence urethral scarring, and rectourethral fistula (rare). Consider SMC (k) on a basis. Radiation can be curative if cancer is confined to the prostate and after external beam radiation impotence, and/or incontinence after brachytherapy After internal HDR the radiation continues only for or days, so a six-month
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