Prostate Cancer | Miami Cancer Institute | Baptist Health South Florida
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 Prostate Cancer

Our team will provide a comprehensive, individualized treatment plan to meet your unique healthcare needs.

In addition to innovative clinical therapies to treat prostate cancer, Miami Cancer Institute’s Cancer Patient Support Center offers patients and families a wide range of supportive services, from financial planning to support groups to spiritual counseling.

Expert Prostate Cancer Care

Marcio Fagundes, M.D., a Board-certified radiation oncologist at Miami Cancer Institute, has extensive experience using proton therapy to treat prostate cancer. Proton therapy is the most advanced cancer treatment in the world. It delivers high radiation doses directly into the tumor, sparing nearby healthy tissue and vital organs. Dr. Fagundes also has conducted significant research to investigate the advantages of using proton therapy to treat prostate cancer.

Dr. Fagundes works alongside the Institute’s deputy director and chief of Radiation Oncology, Minesh Mehta, M.D. Dr. Mehta is a widely renowned expert in radiation oncology and proton therapy whose broad experience and innovative cancer research have led to significant advances in the treatment of cancer.

About Prostate Cancer

Prostate cancer forms in the tissues of the prostate, a male gland just below the bladder and in front of the rectum. Prostate cancer is the second most common type of cancer among men in this country. A man in the U.S. has a one in five chance of being diagnosed with prostate cancer in his lifetime.

If diagnosed early, prostate cancer has a good chance for successful treatment. In some cases, prostate cancer does not pose a significant threat to a man’s life and can be observed cautiously instead of treated immediately.

Prostate Cancer Risk Factors

Most men who develop prostate cancer are over age 50, and about two of every three prostate cancers are diagnosed in men over age 65. African-American men are nearly twice as likely as Caucasian men to be diagnosed with the disease. Eating a diet high in fats, particularly animal fats, and having a family history of prostate cancer, especially involving a father, brother or son, raises your risk. 

Some healthy lifestyle habits may help lower your risk of prostate cancer. These include eating five or more servings of fruits and vegetables daily, eating less red meat, decreasing fat intake, exercising regularly and maintaining a healthy weight. 

Symptoms of Prostate Cancer

While many men with prostate cancer have no symptoms, some patients may experience the following:

  • Frequent need to urinate
  • Difficulty starting or stopping urination.
  • Weak or interrupted urine flow.
  • Leaking urine when laughing or coughing.
  • Painful or burning urination. 
  • Blood in the urine or semen.
  • Dull pain or stiffness in the lower back, ribs or upper thighs.
  • Swelling, weakness or numbness in the lower extremities.
  • Difficulty having an erection.​​​​​​​​​​​​​​​​​​​​


TTo diagnose prostate cancer, your doctor will perform a physical exam and review your health history, including lifestyle habits and family history. The most common tests for prostate cancer are:

  • Digital rectal examination (DRE), which checks for swelling and hard or lumpy areas in the prostate.
  • Prostate-specific antigen (PSA) test, which measures the level of PSA, a protein produced by the prostate gland, in the blood. If you have abnormal test results, your doctor may order additional tests to make a diagnosis.
  • Biopsy of the prostate, to determine whether cancer cells are present in the tissue of the gland.

At Miami Cancer Institute, our team of experts offers the most advanced treatments for prostate cancer as well as comprehensive support services to assist you and your family. The treatment that is right for you depends on your age and general health and tumor characteristics such as grade (Gleason score), location and stage. Learning about your options can help you take an active part in your medical care. Your doctor will review your treatment choices and discuss the side effects and expected results.

Therapies for prostate cancer may include:

  • Surgery to remove the prostate. Surgery types include an open prostatectomy and minimally invasive laparoscopic robotic surgery.
  • Proton therapy, using charged particles called protons rather than the X-rays used in conventional radiation therapy to deliver high doses of radiation directly into the tumor, sparing surrounding tissues.
  • Radiation therapy to treat prostate cancer that is contained within the prostate. Our world-renowned radiation therapists may perform:
      • Image-guided radiation therapy (IGRT) – combines precise 3-D imaging from CT scanning with highly targeted radiation beams to deliver radiation with extreme precision.
      • Intensity-modulated radiation therapy (IMRT) – uses computer-controlled radiation beams that are precisely shaped to match the tumor shape and attack it from various angles.
      • Brachytherapy – inserting tiny radioactive seeds at the tumor site.
      • Cryotherapy to freeze and destroy the tumor using a long, thin probe.
  • Chemotherapy to treat prostate cancer that has spread to other parts of the body. Chemotherapy drugs destroy cancer cells and control their growth.
  • Hormone therapy to help control prostate cancer that is not treatable with surgery or radiation therapy. Hormone therapy blocks testosterone production or interaction with the tumor cells to reduce the tumor size or slow its growth.
  • Targeted therapy that uses drugs or other substances to identify and attack specific types of cancer cells, blocking their growth and spread.
  • Prostate cancer vaccines to help the body fight cancer on a molecular basis.
  • Active surveillance to monitor slow-growing prostate cancer. If you and your doctor agree that active surveillance is the best option, your treatment will include regular doctor visits and prostate-specific antigen (PSA) blood tests. If the cancer grows or your condition changes, your doctor can initiate treatment.
  • Clinical trials that can offer innovative therapies. Doctors and scientists continue to research new treatments for prostate cancer. Talk to your doctor for more information.