SYMPTOM

In the earliest phases prostate cancer doesn’t come with any symptoms. Difficulties emptying the bladder is usually due to enlarged prostate (BPH) rather than prostate cancer and the symptoms resemble one another. The following symptoms can be caused by prostate cancer:

  • Frequent need to urinate, often at night. 
  • Difficulty urinating or controlling the urinary flow. 
  • Trouble urinating.
  • Decreased force in the flow of urine.
  • Blood in the urine or semen.
  • Erectile dysfunction.
  • Painful ejaculations.
  • Frequent pain or staleness in the lower back, hips or upper thighs.

If you are experiencing any of the above symptoms, you’re welcome to contact us for a consultation. 

EXAMINATION AND TREATMENT

By having all diagnostic tests in-house we can offer expedited examinations and test results, thus minimising the wait times.

  • PSA test
  • Imaging and MRI
  • Biopsy
  • Diagnosis 

The initial test results are available within a few days. At the Peritus Clinic we guarantee you a diagnosis within 2 weeks.

SECOND OPINION

If you’ve received a cancer diagnosis or treatment plan at another hospital, we offer a second opinion. That means that our specialists scrutinise all relevant patient data and make a new assessment of your optimal treatment plan. In these assessments a team of urologists, oncologist and radiologists participates. 

DIAGNOSTIC PROCEDURES

We are a complete diagnostic hospital and offer the latest imaging technology to ensure refined and accurate diagnosis of tumour diseases.

PSA test

We perform blood tests with the results reported to you within a few days. PSA levels increase as you get older. We follow the latest guidelines and reference values and will assess your case individually as well as establishing whether you need further testing. 

Palpation

Palpation is a simple procedure where the urologists will examine the prostate gland via the rectum wall with the index finger. If the gland is hard or asymmetrical it may indicate that a tumour is developing and more tests will be required.

Fusion biopsy-Risk free biopsy-

MRI of the prostate combined with ultrasound is considered the most accurate method to diagnose or rule out cancer. At the clinic we use this method when the biopsy is being performed. At Peritus Clinic we use a risk free method to perform tissue sampling from the prostate: A specialist punctures the skin in front of the rectum instead of through the rectum wall. With this approach the risk of septicemia is minimal. 

PET-CT

Peritus Clinic is the only private hospital in Sweden that offers a diagnostic procedure that combines PET scan with CT scan. PET-CT is used to diagnose and determine the stage and spread of the tumour and monitor the effectiveness of the treatment.

A radioactive drug (tracer) is injected into the body. This scan can sometimes detect disease before it shows up on other imaging tests. The tracer collects in areas of your body that have higher levels of chemical activity, which often correspond to areas of disease. On a PET scan, these areas show up as bright spots.

The procedure is painless and takes about an hour. You must remain immobile and we will therefore provide you with pillows as support for your head and body.

Side effects are rare. The radioactive dose is relatively harmless and has a short half life, which means it quickly leaves the body.

TREATMENT OPTIONS

Active surveillance

You can choose to hold off on treatment if the cancer is localised to the prostate gland and is growing slowly. You will then need regular check-ups. 

The check-ups take place every six months. You’ll do a PSA test and the doctor will examine the prostate through the rectum. If necessary we also perform MRI and a biopsy. If the tumour develops we will start the treatment.

OPERATION

At Peritus Clinic some of Sweden’s most renowned robotic surgeons perform all surgeries. We use the latest version of DaVinci Xi robotic surgical platform. 

Robotic assisted surgery for prostate cancer

Using the advanced surgical system, miniaturised robotic instruments are passed through several small keyhole incisions in the patient’s abdomen to allow the surgeon to remove the prostate and nearby tissues with great precision.

Complications are rare but there is a risk of urine incontinence and impotence, which you will be informed about before the procedure.

Normally you need to stay at the hospital the night after the surgical procedure and leave the day after with a urinary catheter in place. The catheter can be removed after 7-10 days. If the cancer is aggressive the lymph nodes surrounding the prostate gland are removed too. At the Peritus Clinic we also perform surgery after relapses post radiotherapy.

Preparations

Ahead of surgery you need to fill out a questionnaire about your urinary function and sexual ability. Your doctor will inform you about how these functions could be affected in your specific case. A named contact nurse will also be appointed to you and will assist you during rehabilitation. Your contact nurse will guide you through all preparations ahead of the procedure.

A contact nurse who has time for you

When you receive a cancer diagnosis it’s often difficult to navigate a complex healthcare system with many points of contact. At the Peritus Clinic we therefore offer contact nurses who are highly specialised in urology or oncology and coordinate your treatment pathway in or between private and public healthcare providers.  

All patients who have received a prostate cancer diagnosis are in need of guidance before, during and after treatment. We offer rehabilitation of incontinence and impotence and continuous surveillance of PSA levels. If relapses occur we provide examinations and guidance on treatment. In these circumstances a contact nurse is important to feel safe.

As a patient at Peritus Clinic you can rest assured that there’s always a contact nurse for you who has full information about your full medical history.