Prostate Cancer

Advanced Treatment Options

Overview

Prostate Cancer

Prostate cancer occurs when there’s abnormal cell growth in the prostate gland. While the precise cause remains unclear, certain factors increase its likelihood, such as age, ethnicity, and having a family history of the disease. Testosterone, the male sex hormone, may also play a role in its development.

Advanced prostate cancer, also known as “Castrate-Resistant Prostate Cancer,” occurs when cancer cells stop responding to hormonal therapy, leading to a rise in Prostate-Specific Antigen (PSA) levels. Imaging scans are necessary to assess if the cancer has spread. Additional treatments are required to slow its growth. Hormone injections remain essential as they can still target some cancer cells effectively.

Treatments

Prostate Cancer Treatments

Nebraska Urology provides a comprehensive range of treatment options for prostate cancer.

  • Watchful Waiting and Active Surveillance

    Close monitoring with no active treatment or potential curative interventions if cancer progresses.
  • Surgery

    Radical prostatectomy can be performed using open surgery or robotic procedures.
  • Radiation Therapy

    External beam radiation therapy and brachytherapy, both aimed at targeting cancer cells while minimizing damage to surrounding tissues.
  • Cryotherapy

    A minimally invasive procedure involving the freezing of cancerous cells within the prostate.
  • Hormonal Therapy

    Lowering testosterone levels to slow cancer growth, either alone or in combination with other treatments.
  • Immunotherapy

    Provenge (Sipuleucel-T), utilizing the body’s immune cells to fight cancer.
  • Oral Medications

    Xtandi, Erleada, and Zytiga, which prevent cancer cell growth and spread.
  • Monthly injections

    Xofigo to alleviate symptoms associated with metastatic disease.
  • Chemotherapy

    Referral to an oncologist for treatment if necessary.
  • Palliative Care

    Minimal cancer therapy focusing on symptom management and comfort.

Your Visit

Learn about what you should bring to your appointment and locate forms, registration packets, and other patient resources.

Symptoms

Prostate Cancer Symptoms

If you experience any of the following signs, it’s essential to promptly consult your doctor. Symptoms may include the following:

  • Blood in urine or semen

  • Burning sensation during urination

  • Difficulty initiating urination

  • Difficulty fully emptying the bladder

  • Frequent urination, particularly during nighttime

  • Persistent pain in the back, hips, or pelvis

  • Painful ejaculation

  • Weak or intermittent urine flow

These symptoms might also be indicative of conditions other than prostate cancer.

DISCLAIMER: The symptoms listed are for informational purposes only and do not necessarily indicate the presence of a specific medical condition. It is important to consult with a qualified healthcare professional for accurate diagnosis and appropriate treatment. Any decision regarding medical care should be made in consultation with your healthcare provider based on individual circumstances and medical history.

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Expert Urology Providers in Nebraska

Our urologists expertly diagnose and treat the full spectrum of urology conditions. Beyond their expertise, open communication and empathy guide our approach to patient care.

See Our Providers
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Thomas Brush

MD 5 years
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Dr Johnathan Henning, Nebraska Urology

Jonathan Henning

MD 9 years
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Don Henslee, MD, headshot

Don Henslee

MD 31 years
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Tara Kirkpatrick, MD with her hands on her hips

Tara Kirkpatrick

MD 6 years
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Andrew Lepinski, MD, headshot

Andrew Lepinski

MD 33 years
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Logan McGuffey

MD 5 years
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AJ Pomajzl, MD, headshot

AJ Pomajzl

MD 3 years
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Lance Wiebusch, MD, headshot

Lance Wiebusch

MD 14 years
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David Wiltfong, MD, headshot

David Wiltfong

MD 26 years
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Heidi Beynon Solano, PA-C, headshot

Heidi Beynon Solano

PA-C 7 years
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Casey Bock, PA-C, headshot

Casey Bock

PA-C 22 years
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Amy Collingham, APRN-FNP, headshot

Amy Collingham

DNP, APRN, FNP-C 2 years
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Jacob Creevan, PA-C, headshot

Jacob Creevan

PA-C 2 years
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Lillie Leuke, DNP, APRN, headshot

Lillie Lueke

DNP, APRN 1 year
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Simone Martin, MSN, APRN, headshot

Simone Martin

MSN, APRN 16 years
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Jackie O'Doherty, PA-C, headshot

Jackie O’Doherty

PA-C 1 year
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Nebraska Urology Logo

Ashley Sealy

MSN, FNP-C, RDN, LMNT 7 years
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Julie Wilson

APRN-NP 1 year
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Katherine Wolverton, DNP, FNP, APRN-NP, headshot

Katherine Wolverton

DNP, FNP, APRN-NP 2 years
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Tiffany Wood, PA-C, MPAS, headshot

Tiffany Wood

PA-C, MPAS 24 years
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Advancing Urologic Cancer Treatment

By offering advanced imaging, minimally invasive surgical procedures, and innovative targeted therapies, our providers offer forward-thinking care for the best possible outcomes.

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Clinical Trials

Participating in clinical trials is one of the ways we stay at the forefront of research. We partner with Be Well Clinical Studies to improve patient outcomes.

What Our Patients Say

The staff is very welcoming and professional. My yearly checkup was thorough and informative. I would recommend this group to anyone interested in the best level of healthcare!

The staff is always so considerate and they really go above and beyond for my client. Never a doubt that we are in good hands – and leaving with smiles.

I had an issue and was worked into the schedule with no problem. I received the utmost care and concern from everyone I worked with. The nurses were patient with me, helping me try different approaches until we found the right solution. They were very helpful throughout the entire visit, and even afterward when I needed a replacement cap. Such a great relief to know that everyone is so caring. Thank you!

I have had numerous appointments, procedures, and surgeries with Nebraska Urology over this last year. They are definitely a 5-star medical facility. The doctors, nurses, and other staff are extremely efficient, knowledgeable, and helpful. Everything ran smoothly, I am very happy with my decision to have my medical needs in their hands!

Learn about our approach to prostate care.

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A Case for ProACT

Man sitting doctors office and doctor smiling at him

Need help? Visit our FAQ.

You may call 402-421-8899 if your questions are related to your planned procedure, procedure instructions, postoperative care, etc. This will connect you with our surgery preadmission nurse. If your questions is more general or related to your clinic appointment or if you are calling for procedure results, please call 402-489-8888 to speak with a clinic nurse.

In general, we believe that it is important for family members to be able to be present as much as possible in the preop and recovery phases of care. Patient safety, visitor safety, patient privacy and confidentiality are also important, so we entrust this to the discretion of our nursing staff. In general, we ask that no more than two family members/visitors be present to accompany a patient.

Minor/pediatric patients are required to have a responsible adult in the center with them at all times.

We do request that, whenever possible, your escort remain at the center until you are ready to leave. It is acceptable if they have a short errand to make and will return immediately prior to you being ready for discharge. If your driver leaves the center, we must have a phone number to reach them.

If you are having general anesthesia, we will request that you remove your dentures just prior to going into the operating room. They will be given back to you as soon as you are awake. This is due to the possibility of bending or breaking during your procedure when you will not be able to protect the dentures. If you are having only topical anesthesia, you may keep your dentures intact.

Please call our preadmission nurse at 402-421-8899 to discuss your procedure and current illness or symptoms. Our nurse will work closely with your surgeon to determine if there is a need to reschedule.

Your ability to return to work will be determined by your surgeon. You are encouraged to discuss them with him/her at your appointment. If needed, a release can be provided to you for the day of the procedure and FMLA/disability forms can be completed by clinic personnel. There is a nominal fee, and it may take up to 1 week for completion.

We do advise that you have someone available to drive you in some cases. If you are receiving general or moderate/IV anesthesia or if you take sedating medication, you must have a driver for your safety. For procedures that are scheduled without anesthesia (i.e. cystoscopy, prostate biopsy, vasectomy, etc.) you may drive yourself as long as you feel comfortable doing so.

Depending on your procedure and overall health, you may need pre-operative testing and/or an appointment with a primary provider to ensure that you are healthy and safe to undergo a procedure. This will be determined by your surgery and anesthesiologist prior to surgery.

Our knowledgeable support staff are here to help connect you with the care you need. Contact us today.