Side Effects of Treatment Prostate Cancer The - Prostate Cancer UK

Side Effects of Treatment Prostate Cancer The - Prostate Cancer UK

Prostate Cancer Side Effects of Treatment Prostate Cancer Psychological Well Being Continence J. Sharon Clovis Clinical Nurse Specialist The Urolo...

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Prostate Cancer

Side Effects of Treatment Prostate Cancer

Psychological Well Being

Continence

J. Sharon Clovis Clinical Nurse Specialist The Urology Centre, Guy’s Hospital, London

LHRH Side Effects

The Treatments

Red Flags

Incontinence

Radical Prostatectomy Radical Hormone Radiotherapy  Radical Hormone Radiotherapy with Brachytherapy Boost  Brachytherapy  Hormone monotherapy  

Continence Radical Prostatectomy Short Term

Continence 









Pads Pelvic Floor Exercises  Physiotherapy

Medium Term 

Conveens

Long Term 

Injectables, Slings, AUS

    

Coping strategies Pelvic floor exercises Fluid management Bladder retraining Electrical stimulation Pharmacotherapy Macroplastique inj Artificial sphincter

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Managing Continence

Sheaths

Sling

Artificial Urinary Sphincter

Drinking Habits

Dear Sir/Madam, Your doctor or nurse has told you that you should try to drink 2 litres of fluid (4 pints) per day. The Following fluids are recommended: (Please remember that if you are diabetic you will need to buy appropriate drinks without sugar). •Water •Squash •Cordials •Juice (do not drink more than 2 glasses of cranberry juice per day) •Milk •Herbal teas (caffeine free) Drinks to avoid: •Drinks with caffeine or decaffeinated e.g. Tea, coffee, green tea •Hot chocolate •Horlicks •Fizzy drinks •Alcohol •High energy drinks e.g. Redbull, •Any drinks containing guarana •Cranberry juice (if you suffer from arthritis, heartburn, irritable bowel syndrome, diabetes, hiatus hernia or are on wafarin). It will help if you: •Drink regularly throughout the day (every hour if possible) •Stop drinking 2 hours before you go to bed •Try not to drink more than 2 small glasses/cups (2 x 200ml) of caffeinated drinks per day

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LHRH Side Effects

Psychological Wellbeing Preparation  Managing expectations  Body Image  Support Groups  Prostate Cancer UK  Volunteers  Complimentary therapies  Reference material 

Weight gain Hot Flushes/Sweats  Breast Enlargement  Gastrointestinal disturbances  Erectile dysfunction  Cardiac complications  Skeletal Related Events  Osteoporosis  

Discharge and Beyond

Red Flags

Information for the GP on discharge into the community  Information for the patient  Preparation for discharge  Reassurance  Quick re admittance to system  Novel follow up  Early discharge 

ALERT – PE/DVT (clot) Call an ambulance Sweats Chest/Calf pain  Pulsating chest pain  Shortness of breath, struggling for breath  Feeling “like your lung has collapsed”  Calf pain + red hot feeling in the calf/leg  

DVT/PE UTI Specific pain

Urine/scrotal infection – Call your GP/CNS or if you have a temperature or are shivering go to your local A&E

Bladder or kidney pain, usually severe back pain  Urine looks muddy and also has a distinctive foul smell / swollen testicles  Pain in urethra  Thick red/fresh blood in catheter bag 

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References

References cont’d

Cancer Counselling Trust, www.cancercounselling.org.uk  Cancer Black Care, www.cancerblackcare.org  www.nhs.uk/Conditions/Urinary...infection.../ Prevention.aspx  www.cancerbackup.org.uk  NICE guidelines 

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