Hormone Therapy FAQs

How is hormone therapy used to treat prostate cancer?

Prostate cancer hormone therapy, also called androgen deprivation therapy (ADT), is used to suppress the amount of testosterone produced by the body. The goal is to shrink or slow the prostate tumor by starving cancer cells of the androgens that fuel its growth and spread.

 How does hormone therapy differ from robotic prostate surgery?

First and foremost, hormone therapy does not remove prostate cancer from the body; rather, it is a treatment modality for disease management. Men who undergo hormone therapy for prostate cancer must remain dedicated to ongoing screenings for their fluctuating PSA level and to watch for disease recurrence.

Robotic prostate surgery is the only prostate cancer treatment that removes the cancerous prostate from the body and results in a lifetime PSA of zero. Many men and their families choose robotic prostate surgery for the cancer-free assurance it provides.
 

What are the side effects of hormone therapy?

There are three primary concerns associated with hormone therapy: bone weakening and loss, kidney damage, and hip damage.

A study published in 2013 found that one quarter of patients who suffer a hip fracture previously underwent ADT. The risk of Cancer Treatment-Induced Bone Loss (CTIBL) is widely documented and should be carefully considered and discussed with your physician prior to electing hormone therapy.

In a separate 2013 study, risk of acute kidney injury (AKI) was significantly increased among men who elected hormone therapy for their advanced, non-metastatic prostate cancer.

In 2009, a prostate cancer study cautioned against the use of hormone therapy in men with pre-existing heart disease, citing potentially fatal side effects.

Other potential prostate cancer hormone therapy side effects include:
  • Erectile dysfunction and loss of libido
  • Shrinking of the penis and testicles
  • Hot flashes and breast tenderness
  • Osteoporosis (bone weakening) and anemia
  • Reduced muscle mass and excess weight
  • Fatigue and depression

 Will I need additional treatment after prostate cancer hormone therapy?

While there is no way to determine if your hormone therapy will be definitive, keep in mind that the cancerous tumor will remain in your body. Therefore, men of advanced age or those who are not surgical candidates may be best suited for this treatment.

Call to Make an Appointment With Dr. David Samadi:

1-212-365-5000

Click the contact link to learn how Dr. Samadi can help treat your prostate cancer and give you back your quality of life.

* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.
Testimonials
Louis S., USA

The operation went like clockwork and was successful. My stay at Mt. Sinai for a little over 24 hours went just as Dr. Samadi had explained at our first consultation .There were no surprises or unexpected incidents. The staff at Mt. Sinai were great. My post operative recovery is progressing well...

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V. S., Spain

My story is surely the same as hundreds of patients that have gone before me, and hundreds more than will come after me. I feel, however, an uncontrollable desire to tell this story, hoping it helps someone who is in the same situation that I was and that they find it inspirational enough to make a decision that will help them feel reborn...

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Joseph P., USA

Your fame as the Leonardo of the Da Vinci robotic prostate surgery is well known. It is also documented by the many testimonials of your patients. I would like to add my own experience to show how masterfully you also apply your unique skills and methodology to the most demanding surgery of this type removal of the bladder...

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Rob

It has been nearly two weeks since Dr. Samadi performed my SMART prostatectomy!  Every day since the surgery  Dr. Samadi and his skill as a surgeon have soared in my estimation. I feel humbled and privileged to have experienced such great care.

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