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
Shlomo P. - Israel

My story starts on August 2010 when results from a PSA test showed a disturbing signal-6.3 A biopsy held in the beginning of October 2010 showed a more disturbing signal-Gleason 4+3.

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Ann, G

My husband and I have been extolling the virtues of Dr. David Samadi and Mt. Sinai Hospital since my husband’s robotic prostatectomy March 11, 2009, and we thought you would like to know of our positive experience...

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Jacob G, Israel

פתאום באמצע החיים הודיעו לי שחליתי בסרטן. בבלוטת הערמונית שלי שהיא המקור ליצירת חיים ולהתחדשות, התגלה גידול ממאיר. מעבר להלם הראשוני ולחרדה הקיומית התברר לי שאני שוקע במערכת מפותלת ומורכבת של אפשרויות לטיפול ולריפוי, החל ממעקב ללא התערבות, דרך תהליכי הקרנות פנימיים וחיצוניים ועד לניתוחים מגוונים לכריתת הערמונית. להפתעתי גיליתי.

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A. K, New York

I am aware of the fact that it takes a extraordinarily rare surgeon to be the master of Robotic Laparoscopic Radical Prostatectomy.  I watched the video released by the Henri Mondor hospital before my surgery, and once again today. Although you make it seem easy to the patients and their families, your accomplishment is nearly superhuman.

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