Men's Health

Prostate Cancer

What is prostate cancer?

Prostate cancer is a malignancy that develops from cells of the prostate gland that may eventually spread outside the gland to other parts of the body. The prostate gland is about the size of a walnut, although it can grow larger, and is behind the base of the penis and under the bladder. The main function of the prostate is to make fluid that carries sperm.

Prostate cancer is one of the most common types of cancer among American men and is usually found in men older than 65. Each year, approximately 2,000 Arkansans will be told they have prostate cancer. While most prostate cancers grow very slowly; some spread quickly to other areas.

In general, men 50 and older should receive annual prostate cancer screenings. However, African-American men and men with close family members who have had prostate cancer are at greatest risk. These men should begin prostate cancer screenings at age 40. 

What are the symptoms?

  • Problems passing urine, such as pain, difficulty starting or stopping the stream or dribbling
  • Low back pain
  • Pain with ejaculation
  • Blood in urine or semen

What treatment options are available?

Radical Prostatectomy

Traditional radical prostatectomy requires an eight to 10 inch incision. While highly effective, this so-called "open" procedure can result in substantial blood loss and the need for blood transfusions; it also involves substantial risk for both sexual impotence and urinary incontinence, and it may require a lengthy and uncomfortable recovery.

da Vinci®  Prostatectomy

Da Vinci Prostatectomy incorporates a state-of-the-art surgical system, complete with robotic technology, that not only helps your surgeon see vital anatomical structures more clearly, but also allows your surgeon to perform a much more precise procedure. With the da Vinci Prostatectomy, recovery is much shorter and offers substantially less pain than traditional prostate surgery. Other advantages may include reduced need for blood transfusions, less scarring and less risk of infection. Moreover, recent studies suggest that da Vinci Prostatectomy offers improved cancer control and a lower incidence of impotence and urinary incontinence.

What preventive tests are available?

Finding cancer early means treatment begins earlier. Contact your physician to schedule your annual prostate examination. Click here to request an appointment online

Prostate Screening Exam

A complete prostate exam usually includes a digital rectal exam (DRE) and a prostate-specific antigen (PSA) blood test. Prostate cancer screenings can be performed by several kinds of doctors: urologists, oncologists, or any primary-care physician (family physician, general practice physician, internal medicine doctor or geriatrics physician).

UroNav MR/Ultrasound Fusion

UroNav MR/Ultrasound (US) fusion is a new option for patients with negative transrectal ultrasound-guided (TRUS) biopsy. This new technique fuses pre-biopsy magnetic resonance images of the prostate with ultrasound-guided biopsy images in real time, for excellent delineation of the prostate and suspicious lesions. Performing biopsy with MR/US fusion holds the potential to target the suspicious areas, reduce the number of tissue samples acquired and may reduce the risk of infection, bleeding, pain and recovery time. 
Candidates for MR/US fusion have:
  • an elevated prostate-specific antigen (PSA) level greater than four
  • a negative prior transrectal ultrasound-guided biopsy with continued elevation or rising PSA
  • a positive digital rectal examination with negative transrectal ultrasound-guided biopsy 

What are the patient outcomes?

The best advocates for the care you can expect from Baptist Health are the patients themselves. Hear this patient's success story.

James Jolly, Prostate Cancer Patient (2:48)

Baptist Health used new robotic technology to surgically remove James’ cancer with more precision and delicacy than ever possible before. Hear his story.