摘要
Prostate cancer is the most common non-cutaneous cancer in men worldwide.Several different treatment strategies are available including minimally invasive procedures for localized tumors such as radical prostatectomy,radiotherapy,and androgen deprivation therapy,among others.All these strategies can be given as mono-therapy or as combination therapy.For this review,we will focus on the side effects of androgen deprivation therapy,independent of the other treatment modalities.Some of the most common affections are loss of bone mineral density,weight gain and obesity,myocardial infarction and sudden death,metabolic syndrome and insulin resistance,dyslipidemia,loss of libido and erectile dysfunction,fatigue,cognitive decline,vasomotor flushing,to mention a few.All these alterations can have an impact on quality of life and even lead to more serious complications such as fractures and cardiovascular complications.We present recommendations for prevention,early recognition and treatment.The different modalities for androgen deprivation therapy have particular side-effects profiles and indications should be made in an individualized manner.Androgen deprivation therapy is a useful tool for some patients with prostate cancer but every effort should be made to avoid related complications.The use of guidelines and educational programs for both,patients and urologists,are extremely useful strategies.
Prostate cancer is the most common non-cutaneous cancer in men worldwide.Several different treatment strategies are available including minimally invasive procedures for localized tumors such as radical prostatectomy,radiotherapy,and androgen deprivation therapy,among others.All these strategies can be given as mono-therapy or as combination therapy.For this review,we will focus on the side effects of androgen deprivation therapy,independent of the other treatment modalities.Some of the most common affections are loss of bone mineral density,weight gain and obesity,myocardial infarction and sudden death,metabolic syndrome and insulin resistance,dyslipidemia,loss of libido and erectile dysfunction,fatigue,cognitive decline,vasomotor flushing,to mention a few.All these alterations can have an impact on quality of life and even lead to more serious complications such as fractures and cardiovascular complications.We present recommendations for prevention,early recognition and treatment.The different modalities for androgen deprivation therapy have particular side-effects profiles and indications should be made in an individualized manner.Androgen deprivation therapy is a useful tool for some patients with prostate cancer but every effort should be made to avoid related complications.The use of guidelines and educational programs for both,patients and urologists,are extremely useful strategies.
