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Psychological Therapies

Psychological Therapies

Psychological therapies

This section treats therapies involving primarily mental processes. As with all other therapies, we encourage you to consult your doctor first.
 

Cognitive-behavioural therapy

This therapy, also called supportive counselling, involves techniques to help people gain a sense of motivation, better acceptance, and enhanced self-esteem. The first task is to evaluate which factors and behaviours may have a negative effect on coping mechanisms. Once these have been identified, the therapist and patient work together on behavioural answers. The role of the clinician is one of support, acceptance, and facilitation of interaction.

Humour therapy

Laughter therapy is used as an emotional release and to reduce stress. Of course, humour can be a delicate matter and it has to be appropriate – you won’t always feel like laughing. But there are many demonstrated benefits, and has helped many people. Laughing has physiological effects: it can lower blood pressure, reduce stress hormones, increase muscle flexion, boost immune function and also release endorphins, the body’s natural painkillers which produce a general sense of well-being. If using all of the body’s energy to concentrate on cancer, it can block therapeutic interventions of both medical and CAM treatment. Using laughter can help to strengthen human energy and achieve a greater sense of inner peace.

Hypnosis

Hypnosis is an artificially induced condition, resembling profound sleep, marked by subconscious activity and sensitivity to suggestion. This intervention has been found useful in the treatment of cancer pain.

Imagery

Imagery or visualization is the language that the mind uses to communicate with the body. A person’s mind can learn to direct and control images and can help his body to heal itself. Imagery can be used to help relieve pain and to control hundreds of ailments. Visualization and other relaxation methods have shown that they may produce significant benefits –often by helping to ease pain.

Meditation

Meditation is a safe and simple way that can help balance a person’s physical, emotional, and mental states. The focus of meditation is to quieten the busy mind. The intention is to direct your concentration to one healing element – a sound, word, image, or breath. Meditation may confer benefit by helping to reduce stress and anxiety, and regain a sense of self-control. There are various types of meditation – prayer is probably the best known, but there is also transcendental meditation, mindfulness meditation, Zen, Buddhist, and Taoist meditation, among others.

Music therapy

Music or sound therapy is a method that consists of the active or passive use of music to promote therapeutic effects and improve quality of life. This intervention can involve guided imagery, and can lower heart rate, blood pressure, and breathing rate. In cancer patients who have had chemotherapy, research found that music therapy resulted in reductions in levels of pain and nausea.

Relaxation

The main objective of relaxation exercises is to calm the mind and to reduce emotional tension through muscle relaxation. It can be useful in assisting the patient to relax muscles, get better blood flow to a painful part, as well as to decrease anxiety. Several techniques may be used, such as progressive muscle relaxation, rhythmic breathing, and guided imagery.

Spiritual practices

A very old healing tradition, such practises involve asking favours and interventions from a spiritual source – God or spirit – to participate in healing the sick. Studies have found that spirituality is very important to the quality of life for some people with cancer. The psychological benefits can include reduction of stress and anxiety, promotion of a more positive attitude, and the reinforcement of the will to live.

Support and self-help groups

A support group can provide patients with support and hope can help patients and families look beyond the diagnosis, cope with treatment, and start living life once again. For more information about support groups, see our section on support groups.

Additional Information - Treatment options

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Sources and references
Last medical and editorial review: April 2024. See our web page validation committee and our collaborators by clicking here.

Discover our animated video!

Symptoms, risk and screening
Are you over 50 years old, or have you been having urinary problems for some time now? This video is for you! Several diseases can affect your prostate, and it’s important to detect them early. Let’s take a closer look. 

 

Anatomy

What is the prostate

Illustration de l’appareil de l’homme pour un cancer prostate

The prostate is a gland:

  • Located between the bladder and the penis, just in front of the rectum;
  • Formed of 2 lobes which surround the urethra, a canal that runs through the center of the prostate, from the bladder to the penis, letting urine and sperm flow out of the body;
  • The size of a walnut, which grows larger in size in your forties;
  • That has a soft, spongy texture to the touch like a small, ripe plum.

The prostate is made of:

  • Gland cells that secrete liquids for ejaculation;
  • Muscle cells that participate in the evacuation of your sperm during ejaculation;
  • Fiber cells that maintain the structure of the gland.

Around the prostate, we find:

  • The seminal vesicles, glands that produce sperm and that are located on either side of the prostate;
  • The vas deferens, the tube that carries sperm from the testicle to the seminal vesicles;
  • The nerve bundles that control your bladder and erectile function and that are located on either side of your prostate.

Structure

Three main zones of the prostate

Illustration des 3 zones de la prostate de l’homme cancer prostate

Peripheral zone

  • The peripheral zone is the largest area of the prostate. It can easily be felt by the doctor during a digital rectal exam (DRE).
  • Most prostate cancers start in the peripheral zone.

Transition zone

  • This is the area located in the middle of the prostate, between the peripheral and central areas. It surrounds your urethra that runs through the prostate.
  • With age, the transitional area increases in size until it becomes the largest portion of your prostate. This is called benign prostatic hyperplasia (BPH) or enlarged prostate.

Central zone

  • It is the part of the prostate that is farthest from the rectum. This is why prostate tumors located in this area can not be felt by the doctor during a digital rectal examination.
  • If the doctor is in doubt, the following information will help decide if additional investigation is necessary:
    • Your PSA level
    • Your age and family history
    • Your ethnic origin

Fonction

In short

Illustration d’une prostate saine cancer prostate

Your fertility and natural fertilization

  • It produces … a prostatic fluid rich in enzymes, proteins and minerals that nourishes and protects your spermatozoa.
  • It makes … a protein (APS) that is used to liquefy your sperm to facilitate the mobility of your spermatozoa.
  • It allows … ejaculation by contracting.
  • It promotes … fertility through its enzymes facilitating the penetration of sperm through the cervix.
  • It is not related to the mechanism of erection. Therefore, the origin of erectile dysfunction lies elsewhere.

Additional details

Exocrine Function

The prostate is made up of thousands of tiny fluid-producing glands. Specifically, the prostate is an exocrine gland. Exocrine glands are so-called because they secrete through ducts to the outside of the body (or into a cavity that communicates with the outside). Sweat glands are another example of an exocrine gland.

The fluid that the prostate gland produces forms part of semen, the fluid that carries sperm during orgasm. This fluid, produced in the prostate, is stored with sperm in the seminal vesicles. When the male climaxes, muscular contractions cause the prostate to secrete this fluid into the urethra, where it is expelled from the body through the penis.

Urine Flow

The prostate wraps itself around the urethra as it passes from the bladder to the penis. Prostatic changes can affect urine flow. Increasing the size of the prostate or muscle tone may impede the flow of urine due to the close anatomical relationship between the urethra and the prostate.

Prostate Specific Antigen (PSA)

The prostate also produces a protein called prostate-specific antigen (PSA). PSA is released with the ejaculatory fluid and can also be traced in the bloodstream. The testing of PSA levels in the blood is used to detect prostate cancer. The level of PSA in the blood is usually measured in nanograms of PSA per milliliter of blood (ng/mL).

A raised PSA level

Usually, a PSA rate of less than 4 nanograms per milliliter of blood is normal, but age should also be taken into consideration as PSA levels gradually increase with age. A rise in PSA concentration may indicate the presence of:

  • An enlarged prostate (benign prostatic hyperplasia)
  • An inflammation or infection of the prostate (prostatitis)
  • A prostate cancer

Your doctor will have you undergo other tests to determine the exact cause of the increase in your PSA.

We are here for you

You have questions or concerns? Don’t hesitate. Contact us at 1-855-899-2873 to discuss with one of our nurses specialized in uro-oncology. They are there to listen, support and answer your questions, and those of your family or your loved ones. It’s simple and free, like all of our other services.

Also take the time to visit each of our pages on this website, as well as our YouTube channel, in order to get familiar with the disease, our expert lectures, our section on available resources, the support that is offered to you, our events and ways to get involved to advance the cause..

 

Staying Informed

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The medical content and editorial team at PROCURE
Our team is composed of urologists, and nurses certified in uro-oncology with a deep knowledge of prostate cancer and other diseases related to the genitourinary system. Meet our staff by clicking here.

Sources and references

Last medical and editorial review: September 2023
Written by PROCURE. © All rights reserved

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