Movember – Dr. Marlene Guandalino, urologist from Brioude (Haut-Loire), calls for screening: “Prostate cancer has been asymptomatic for a long time.”

Prostate cancer is the most common type of cancer in men. In front of the lungs and large intestine. Cunning. Insidious. Slow. Asymptomatically for a long time.

Dr. Marlene Guandalino, urologist at the Bon Secours clinic in Puy-en-Velay, visits the Brioude hospital once a week for consultations and examinations. This November, dedicated to the prevention of cancer in men, provides an opportunity to discuss prostate cancer and the importance of screening.

Male Cancer Awareness Month with Movember

Who gets prostate cancer and at what age?
The number of new cases is estimated at 50,000 each year in France. It affects men more likely from the age of 50, with a peak incidence around 65 years of age.

Are there any special risk factors?
Old age, aging is a major risk factor. Most cancers develop between the ages of 60 and 80. Of course, family history should also be taken into account. Finally, ethnicity is also a factor in this particular case, with men of African and West Indian ancestry being most affected.

Are there warning signs or symptoms of this cancer?
This is a cancer that develops very slowly and is asymptomatic for a long time.

Many men confuse prostate cancer with urinary problems.

More frequent or more urgent urge to urinate is often a symptom of an enlarged prostate. Nothing much to do…
By the time symptoms appear, the cancer is already at an advanced stage. This can then be manifested by blood in the urine or semen, kidney failure, back pain… Screening can make it possible to detect the disease when it is still at a localized and therefore treatable stage.

What does screening consist of?
There are two screening tests for prostate cancer. The first consists of a blood test to measure the level of PSA, a protein produced by the prostate, in the blood. And there is a digital rectal examination that allows you to check the prostate directly. It is advisable to have screening every two years from age 50 depending on the PSA level and every year if there is a family history.

Due to the Covid crisis, some men have somewhat neglected this screening. Today, patients come to us with a PSA level of 600, and the norm is below 4. We must be vigilant!

What happens next, from Brioud, to treating a patient with prostate cancer?
Every week I go to Brioude Hospital, where a very dynamic team works. In case of suspicion, we first perform an MRI on the patient to establish an accurate diagnosis. Depending on the result, a biopsy will follow, which can also be done at the Brioude hospital, as well as a preoperative meeting with the anesthesiologist, which will take place in Puy-en-Velay.

premium In Brioude (Haut-Loire), a construction site for the future gendarmerie is being built.

At the Bon Secours clinic, we have a surgical robot. It is a robot with four arms that mimics and even magnifies the surgeon’s gestures. Thanks to this advanced minimally invasive coelioscopy technology, we can see in 3D and therefore greatly improve accuracy. The advantage for the patient is that it is fast and has far fewer side effects…

Matilda Fontes

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