Rehabilitation After Prostate Cancer Treatment - Follow-Up At The Home

Rehabilitation After Prostate Cancer Treatment And Cancer Follow-Up At The Home


The necessary after cancer regular follow-up examinations will usually take the attending urologist at the origin over. Yes, even after radical removal of the prostate early detection is continued, whether the risk of incidence, recurrence, no matter how small. Absolute certainties there are in medicine as good as ever, and of course, the risk that any remaining cells begin to grow again and a relapse occurs, the higher the more advanced the tumor was. But even then decides early recurrence detection with treatment success.

An essential role in the follow-up also plays the detection and treatment of possible sequences of operations. The investigation program is not standardized and is determined individually.Mostly, however, about three-month intervals of the check-ups are proposed. Prostate specific antigen (PSA), characterized the presence of prostate cells in the body, because it consists of the fragments. PSA rises sharply in prostate cancer. If it was significantly increased before treatment, is one of the best control options dar. In a new cancer growth a renewed rise in PSA is then quite reliable as the first detectable. After a radical prostatectomy-removal of the PSA value should be in the zero range.
But must be cautioned not to let terrorize by such a laboratory value. Small fluctuations are not a reason to panic. Only clear, steady and / or steep climbs characterize tumor growth There is laboratory error and never 100 percent reliability. By means of transrectal ultrasound night keys and could local recurrences, thus further propagation of remaining cancer cells are discovered with the development of a tumor nodule early. The ultrasound examination of the abdomen gives information about possible metastases, such as in the liver or suspicious lymph node enlargements.

In addition, it is important to detect any surgery-related complications, especially urinary obstruction. When abnormalities may be useful to further investigation, for example, with computed tomography or magnetic resonance imaging. For detection of bladder dysfunction simple urine flow is: When urinating the flow rate in ml per second is measured by a photocell.A urine-attenuation can reference to the development of a scarred constriction in the urethral seam, an anastomosis be, which can also increase. It is then recommended to determine the residual urine: After complete from the feeling bladder emptying is examined with ultrasound, if there is urine left in the bladder. In case of complaints significantly increased Restharnwerten - 30 ml - or other incontinence is recommended to be carried a correction procedure that allows the normal bladder emptying again.

The number of white blood cells in the serum, which is normally per mm ³ to about 10,000, and the sedimentation rate of the blood - is normal to about 15/30 mm Westergren - may be evidence of inflammation or irritation in the body tissue. The bacteriological examination of the urine is used to detect a possible Urinary type infection. By the determination of red blood cells or of the contained oxygen transport protein hemoglobin is anemia, anemia, to determine how they can be caused by blood loss during surgery, due to inflammation or other diseases of the body. Typically, 100 ml of serum containing 13 to 14 g of hemoglobin.

The lactate dehydrogenase is an enzyme that is present in every cell of the body. When the enzyme is elevated in the serum, which suggests that somewhere cells are propagated destroyed in the body. For many reasons are conceivable, even cancer activity. Alkaline phosphatase is an enzyme which occurs particularly strong in the bile ducts and in the bone.An increase, for example, be an indication of bone metastases. A bone scintigraphy is to be carried out without any particular reason not routinely used in the rule.

In addition to the outpatient follow-up near the home the day-care, close to home rehabilitation is increasingly provided by the payers as part of the austerity measures and the limitations for inpatient rehabilitation services. In this cost-reducing alternative, you are at the latest the evening back at home, during the day or the hour can be performed in outpatient clinics or institutes a rehabilitation program.

That should, in our opinion mainly be considered, when only a single, specific symptom to be treated specifically, the rest of rehabilitation is already largely completed. Has to be considered in particular that a relief from the home and the environment conditions is not guaranteed and the holistic claim a rehabilitation case can not even be raised.