Prostate Cancer Treatment

At John Theurer Cancer Center at Hackensack University Medical Center, you receive personalized care from our nationally and internationally known prostate cancer experts. From diagnosing your cancer to understanding the stage and aggressiveness of the disease, your team of specialists pool their knowledge every step of the way to provide you with the most advanced, proven, and effective treatment with the fewest possible side effects.

Ultimately, our goal is the same as yours: to help you regain your function and quality of life so you can return to doing the things you love.

Recognized Leaders:

We are known nationally and worldwide for excellence in prostate cancer treatment and robotic surgery and teach the latest techniques to physicians from around the world.

Our urologic oncologists have published more than 500 research abstracts and peer-reviewed publications and are invited to speak at international conferences.

Getting Screened for Prostate Cancer

If you are between the ages of 55 and 70 or have a family history of prostate cancer, it’s time to have a discussion with your doctor about prostate cancer screening by a urologist. Together you can determine your risks and decide on a prostate cancer screening schedule.

Timing is critical when it comes to prostate cancer. The sooner you receive a diagnosis and treatment plan, the more likely you are to have a better outcome.

Diagnosing and Staging Prostate Cancer

PSA Blood Test: Prostate-specific antigen (PSA) is a protein produced by normal as well as cancer cells in the prostate gland. An elevated level of PSA in a man’s blood can be an indicator of cancer or another urological condition. 

Prostate MRI:  We offer state-of-the-art, 3-Tesla magnetic resonance imaging (MRI) to provide highly detailed pictures that help identify cancer.  

Biopsy: We offer MRI-targeted fusion biopsy, advanced biopsy technology that uses MRI and ultrasound guidance to safely obtain tissue from suspicious lesions in your prostate. Our urologists are experts in this system and routinely use this technology to accurately determine the type and stage of prostate cancer. In the last decade, we have performed more than 1,500 MRI-targeted fusion biopsies and have published and presented our outcomes at national conferences. 

Tumor Analysis: An accurate diagnosis is critical to your treatment. In addition to having a dedicated uropathologist on our team, we use sophisticated next-generation sequencing, molecular analysis and imaging to understand your cancer and design a unique treatment plan for it.

What Treatment Options are Available for Prostate Cancer? 

Our team works closely with you to develop an individualized treatment plan designed for your type and stage of prostate cancer while preserving your quality of life.
 

Most men who are diagnosed with prostate cancer will try to seek treatment of some sort. In the past, radical treatment was offered for men regardless of stage and aggressiveness of the cancer. Over the past few years, scientists and doctors have learned that not all cancers act the same - not all of them are equally aggressive or likely to spread. Urologists now have the ability to identify those cancers that are lower risk. By identifying these cancers with our advanced tools available at HMH, urologists can monitor the cancer closely, known as active surveillance.

Active surveillance is a treatment option in which men with low risk prostate cancer are closely monitored to ensure the cancer does not progress or spread. Other treatments, such as surgery and radiation, are deferred but are always available as an option for patients with cancer progression or spread. By deferring the more involved treatment options, men are spared the side effects that are associated with surgery or radiation.

Our doctors at HMH will monitor your cancer closely with periodic blood tests, physical exam, advanced imaging, and occasional biopsy. For patients that are eligible, an additional genetic test may be offered to help determine if the cancer is likely to spread. By combining the different array of tests and imaging, our doctors can accurately determine if you would be a candidate for this option.

Prostate-Cancer-SuccessFor those men with more aggressive localized prostate cancer, surgery is an option for many patients. In this operation, our surgeons remove the entire prostate gland and seminal vesicles - and in some cases, the nearby lymph nodes.

Surgery at HMH is tailored to each individual patient. The size, location, and type of cancer will help guide our team to determine the best surgical option for you. Your urologist will coordinate with our expert radiologist and pathologists on the team to determine the best type of surgical treatment for you.

Our surgeons are experts in many different surgical approaches, including open surgery and minimally invasive surgery. However, for eligible patients, our doctors recommend minimally invasive robotic surgery. Surgeons at John Theurer Cancer Center have performed nearly 2,000 robotic prostatectomies in the last six years — more than any other center in New Jersey. Using advanced prostate imaging and sophisticated robotic surgical systems, our expert surgeons have achieved some of the best surgical outcomes of any center.

Common side effects from surgery are incontinence and erectile dysfunction. However, over the past few years, our surgeons have refined surgical techniques to minimize these side effects, providing patients curative therapy while still achieving an excellent quality of life. Our focus on reducing complications and side effects from surgery have helped thousands of men start a new chapter of their life - cancer free.

Depending on the situation, prostate cancer is treated primarily or in conjunction with anti-cancer medications. These medications help with the treatment of prostate cancer and can help patients survive longer. Systemic therapies include anti-androgen therapy, IV chemotherapy, and immunotherapy. Our team of doctors work in a multidisciplinary fashion with our medical oncology and radiation oncology colleagues at the John Theurer Cancer Center to determine if any systemic therapy is appropriate for your individualized treatment plan.

Our urologists offer cryoablation, a freezing technique that destroys prostate cancer while minimizing damage to surrounding tissue, as well as high-intensity focused ultrasound (HIFU) — an ablation technique that treats only the area of the prostate where cancer is detected — as an alternative to surgically removing the prostate.

If anticancer drugs are part of your treatment plan, we’ll match you with the chemotherapy that is most appropriate for your cancer type, stage and biology. 

You may be a candidate for anti-androgen therapy if your prostate cancer returns after previous treatment or if your prostate cancer has spread and is unable to be treated with surgery or radiation. Our team collaborates with medical oncologists to determine if this is an option, as part of our multidisciplinary approach to prostate cancer care.

Our medical oncologists offer a vaccine called Provenge, which helps your immune system fight prostate cancer cells. 

Radiation therapy for prostate cancer involves the delivering of high-dose energy beams or radioactive seeds to your prostate. Which radiation therapy is right for you is determined by our radiation oncology team after evaluating your cancer. Radiation therapy is offered for all stages of cancer and can be administered with hormone treatment, depending on the stage. 

Forms of Radiation Therapy

External Beam Radiation (EBRT) – This form of therapy delivers radiation on its own or in combination with brachytherapy. There are three main types of EBRT for prostate cancer:

  • Intensity-modulated radiation therapy (IMRT) – IMRT uses computer programs to treat a tumor from multiple angles while minimizing risk of high-dose radiation to adjacent healthy tissue.
  • Stereotactic body radiation therapy (SBRT) – SBRT provides high doses per treatment that are precisely targeted. Treatment can be delivered in as few as five sessions.
  • Proton therapy – Unlike the EBRT techniques described above, which use x-rays, protons are different because they deposit most of their energy over a shorter distance. This decreases radiation dose to nearby tissue while effectively targeting the tumor.

Brachytherapy: This involves implanting tiny radioactive seeds or wire into tumor tissue. 

Why Choose Hackensack Meridian Health for Urology Care

Quality

Hackensack University Medical Center has been ranked the #1 Urology Department in New Jersey for eight years in a row by U.S. News & World Report and have the only urology department in New Jersey that is nationally ranked.

Awards & Accreditations | Urology Year in Review

Innovation

Our urologists present their clinical research at national conferences and have published over a dozen original studies in peer reviewed journals in a variety of subspecialties. 

 

Patient Experience

We collaborate with physicians throughout our world class health network and partner with Magnet® recognized nurses to provide patients with the most advanced and compassionate care. 

Why Choose Hackensack Meridian Health for Prostate Cancer Care

Hackensack University Medical Center has been ranked the #1 Urology Department in New Jersey for eight years in a row by U.S. News & World Report and is the only urology department in New Jersey that is nationally ranked. Awards & Accreditations | 2020 in Review

Record of Success

We are leaders in some of the most innovative approaches to diagnosing and treating prostate cancer.

  • MRI-targeted fusion biopsy is an advanced prostate cancer biopsy system that uses high-quality, 3-Tesla MRI and ultrasound imaging.
  • High-intensity focused ultrasound (HIFU) uses ultrasound to destroy tissue with great precision.
  • Single-port robotic prostate cancer surgery requires only one abdominal incision. See how Single-Port Robotic Surgery works
  • Precision-medicine approach is designing your individual treatment around the molecular biology, localization, volume, grade and stage of your tumor. 
  • Partnership with Genomic Testing Cooperative (GTC) in Irvine, Calif., a first-of-its-kind genomic profiling laboratory where physicians and researchers are improving cancer treatment by identifying a cancer’s origin, biology, clinical behavior and response to the patient’s immune system.
Urology
Team Approach

Our radiation oncology team includes radiation oncologists, physicists, therapists, nurses and support staff, and our medical oncology team offers the most advanced chemotherapy, hormone and vaccine therapy to target your specific type of prostate cancer.

Our Doctors

Our award winning team of renowned surgeons, physicians, researchers and other health care specialists are able to provide you with exceptional urological expertise, advancements and cutting-edge technology to develop a highly- personalized plan for each and every one of our patients.

“It’s a scary, uncertain time when you are diagnosed with prostate cancer. But everyone on my treatment team at John Theurer Cancer Center made it easy to go through the process.”

— Mark Saczawa, Wantage, N.J.

Our Research and Clinical Trials for Prostate Cancer

John Theurer Cancer Center provides you with access to a wide range of clinical trials for new treatments, including studies not available elsewhere. 

We have a particularly strong program committed to Phase I clinical trials, the earliest phase of assessment of a new therapy in patients. For urologic cancers, we are evaluating new biological agents and immunotherapy options that are changing the field. This offers our patients an opportunity to participate in a clinical trial, bringing the options of tomorrow today. 

Learn more about clinical trials for prostate cancer and other urologic cancers

Watch: Learn about our Prostate Cancer Program

What to Expect After a Prostate Removal Procedure

A radical prostatectomy, which removes the prostate gland as well as surrounding tissue, takes just a few hours.

Things to Know About Prostate Cancer

There's no denying the importance of taking our health seriously and staying proactive about the health risks that impact us as we age.

Radiation Therapy for Prostate Cancer

As options for cancer treatment get more advanced, it's important to understand what to expect from treatment.

What You Should Know about Prostate Cancer

Prostate cancer is a serious disease, but emerging treatments are giving patients new hope for survival. 

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