• Is surgical castration an option after prostate cancer has metastised to bones ?

    Asked by Poliana on Wednesday, October 10, 2012

    Is surgical castration an option after prostate cancer has metastised to bones ?

    4 Answers from the Community

    4 answers
    • nancyjac's Avatar

      I don't mean to sound flippant, but that would be kind of like shutting the door after the fox is already in the hen house.

      almost 8 years ago
    • mgm48's Avatar

      Short answer , yes. The initial treatment is usually zoladex orlupron which chemically castrate a man. Surgical castration (orchiectomy) is sometimes an alternative. I have no Idea if there are different side effects or how effective each is but there are always possible complications from surgery.

      Keep it positive and smile :)

      almost 8 years ago
    • Crash's Avatar

      If you don't have testicular cancer why would you want to cut off the boys?

      almost 8 years ago
    • GENMAR47's Avatar

      Hi Poliana. This treatment is called "orchiectomy" and it is a form of androgen deprivation therapy. It is used in men with advanced metastatic prostate cancer to stop prostate cell growth and help control and/or relieve cancer symptoms and pain especially when prostate cancer is in the bones. The process is used to eliminate testosterone production in the body. Testosterone causes prostate cells(normal or cancerous) to grow. With no testosterone in the body, the prostate cells cease growing which helps alleviate some of the symptoms and pain.The procedure is not a cure, it is a treatment. However, the operation is permanent and not reversible. It can have can have other consequences such as psychological problems and since it is a surgical procedure, there could be problems with the surgery. The plus is there is never any more testosterone to cause the prostate cells to grow. There are LHRH antagonists (chemical castration), but they must be done on a schedule because if it is discontinued, the testicles will begin making testosterone again which can cause the cancerous prostate cells to begin growing wherever they are in the body. There is a lot of information on the web on this. Just google orchiectomy and LHRH antagonists. Hope this helps.
      Best wishes in this journey.

      almost 8 years ago

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