The Prostate Cancer Program at Hackensack University Medical Center’s Department of Urology has earned the Gold Seal of Approval® by The Joint Commission, signifying the highest quality patient care and a devotion to patient safety.
Our Prostate Cancer Program is made up of a multidisciplinary team that includes urologic oncologists, cancer specialists from the John Theurer Cancer Center, uroradiologists with expertise in advanced prostate imaging techniques, radiation oncologists, and specially trained pathologists with experience in molecular analysis and markers. Our team works closely with you to develop an individualized treatment plan designed to effectively cure your cancer while preserving your quality of life.
By using a personalized approach, we are able to identify which men are best served by aggressive treatment and which men can safely be treated with a more conservative method. From diagnosing the cancer, to understanding the stage and aggressiveness of the disease, to deciding on treatment options, our team is with you every step of the way.
Diagnosing Prostate Cancer
If our urologists suspect that you have prostate cancer, we may recommend a biopsy procedure using the UroNav system. This advanced imaging and prostate biopsy platform uses both MRI and ultrasound biopsy guidance technology to help obtain high-quality tissue samples. With the UroNav system, our urologists are able to accurately determine the type and stage of your prostate cancer.
We also have access to sophisticated molecular staging techniques as well as highly advanced imaging technology to better understand your cancer. We believe that the initial diagnosis and disease classification is critical in designing the most accurate treatment plan.
Treatment for Localized Prostate Cancer
The best treatment options for your prostate cancer depend on whether the cancer is localized or whether it has metastasized (spread) to other parts of your body.
Depending on the grade, stage and molecular biology (if appropriate) of your tumor, along with your age, overall health and personal priorities, our specialists may recommend one or more of the following treatment options for localized prostate cancer:
Ablation therapy/focal therapy: Similar to active surveillance, we offer focal therapy to a select group of patients who meet specific disease criteria. Our urologists have experience using cryoablation, a freezing technique, to destroy prostate cancer while minimizing damage to surrounding structures. We will soon offer high intensity focused ultrasound (HIFU), an ablation technique that uses ultrasound to destroy tissue with great precision.
Radiation therapy. The Division of Radiation Oncology offers some of the most advanced diagnostic and treatment methods for targeted therapies, including helical tomotherapy, a sophisticated type of intensity modulated radiation therapy (IMRT) that is accurate, safe and precise.
At each step of radiation therapy patients have access to a multidisciplinary team dedicated to their well-being. The team includes board-certified radiation oncologists, physicists, therapists, nurses and support staff. The department also offers access to licensed social workers and registered dietitians to help patients during radiation therapy.
Robotic radical prostatectomy. This surgery to remove the prostate is one of the most effective treatment options for localized prostate cancer. In the past, this operation was often complicated by high blood loss, loss of urinary control and resulting sexual dysfunction. Today, with the use of robotics, the outcomes of this surgery are significantly better.
The precision of robotic technology is ideal for delicate and complex urological surgeries, allowing surgeons to perform complicated procedures while avoiding damage to surrounding structures like delicate nerves. The urologists at Hackensack University Medical Center are pioneers in the field of minimally invasive robotic surgery for prostate cancer. We have performed more robotic prostatectomy surgeries than any other center in New Jersey and are among the top five in the NYC metro area.
Treatment for Advanced Prostate Cancer
Some patients present or develop prostate cancer that has moved out of the prostate and is present in other parts of the body. We rely on hypersensitive PSA tests, advanced imaging and, when appropriate, molecular signature techniques to identify and stage patients with suspected metastatic prostate cancer.
Once it is determined that the cancer is located outside the prostate, we work with our radiology oncology and medical oncology teams to design the best treatment plan. Our team is constantly involved in clinical trials offering new options, including novel therapies such as biological agents and checkpoint inhibitors for patients with genitourinary (GU) malignancies.
Surgery for Prostate Cancer
Radical prostatectomy. This surgery to remove the prostate may be recommended for men with cancer that hasn’t spread to the lymph nodes, the bones or other organs. Our surgeons use laparoscopic robotic technology to remove the prostate gland. In most cases our surgeons are able to carefully preserve the bundle of nerves close to the prostate that control erectile function.