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Prostate Cancer | Symptoms, Diagnosis & Treatments in Turkey 2025

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The prostate is a chestnut-sized gland of the male reproductive system, located below the bladder and in front of the rectum. It surrounds the urethral canal, which drains urine and sperm. Prostate cancer, one of the most common diseases affecting men, can affect its proper functioning.

Prostate cancer begins when a normal cell undergoes an abnormal transformation and multiplies uncontrollably, forming a tumor. In its early stages, this tumor remains confined to the prostate, but over time it can spread beyond the prostate capsule, the membrane that surrounds and protects the gland. In many cases, however, progression is slow, allowing for early and effective treatment.

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Doctors, Price & Reviews Hospitals in Turkey Joint Commission International
Doctors, Price & Reviews Hospitals in Turkey ISO 9001:2008
Doctors, Price & Reviews Hospitals in Turkey International Organization for Standardization (ISO)
HISAR INTERCONTINENTAL
Istanbul, Turkey
OP. Dr. Hasan Sahin
OP. Dr. Hasan Sahin
  • Graduate of GATA Medical School
  • Specialization at Izmir Dokuz Eylul University.
  • Specialist in aesthetic, plastic and ... Read more
4.4
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Doctors, Price & Reviews Hospitals in Turkey Joint Commission International
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LIV Ulus
Istanbul, Turkey
Op. Dr. Mediha Tok Çevik
Op. Dr. Mediha Tok Çevik
5.0
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Doctors, Price & Reviews Hospitals in Turkey Joint Commission International
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MEMORIAL Şişli
Istanbul, Turkey
Dr. Gülsüm ÇEBİ
Dr. Gülsüm ÇEBİ
4.5
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LIV Vadistanbul
Istanbul, Turkey
Prof. Dr. Çağatay Öztürk
Prof. Dr. Çağatay Öztürk
4.1
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NEOLIFE ONCOLOGY CENTER
Istanbul, Turkey
Dr. Nesrin Aslan
Dr. Nesrin Aslan
4.6
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Doctors, Price & Reviews Hospitals in Turkey Joint Commission International
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MEMORIAL ANKARA
Ankara, Turkey
PROF.DR.GÖKHAN BOZKURT
PROF.DR.GÖKHAN BOZKURT
4.3
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MEMORIAL Bahçelievler
Istanbul, Turkey
MD Sema AYSAN KIZILDAĞ
MD Sema AYSAN KIZILDAĞ
4.3
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MEDIPOL UNIVERSITY HOSPITAL
Istanbul, Turkey
Prof. Tansel ÇAKIR
Prof. Tansel ÇAKIR
4.0

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Doctors, Price & Reviews Hospitals in Turkey Joint Commission International
Doctors, Price & Reviews Hospitals in Turkey ISO 9001:2008
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MEMORIAL Antalya
Antalya, Turkey
PROF DR ERDAL KUKUL
PROF DR ERDAL KUKUL
5.0
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ACIBADEM
Istanbul, Turkey
Dr. A.BÜLENT OKTAY
Dr. A.BÜLENT OKTAY

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Doctors, Price & Reviews Hospitals in Turkey Joint Commission International
Doctors, Price & Reviews Hospitals in Turkey International Organization for Standardization (ISO)
NP BRAIN
Istanbul, Turkey
Assoc. Prof. Dr. Barıs Metin
Assoc. Prof. Dr. Barıs Metin
4.8
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Florence Nightingale
Istanbul, Turkey
Dr. Banu Bingöl Günenç
Dr. Banu Bingöl Günenç

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Doctors, Price & Reviews Hospitals in Turkey Joint Commission International
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AMERICAN HOSPITAL
Istanbul, Turkey
Dr.Aylin Şimşek
Dr.Aylin Şimşek

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Doctors, Price & Reviews Hospitals in Turkey ISO 9001:2008
Doctors, Price & Reviews Hospitals in Turkey International Organization for Standardization (ISO)
LOKMAN HEKIM Üniversitesi
Ankara, Turkey
Op. Dr. Ahmet ARIK
Op. Dr. Ahmet ARIK
5.0
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Development of prostate cancer

Prostate cancer develops from a normal cell which, following alterations, transforms and proliferates uncontrollably, forming a tumoral mass. Initially localized within the prostate, the tumor may, over time, grow and cross the prostate capsule, a covering that separates the prostate from adjacent tissues. Subsequently, cancer cells may dissociate from the primary tumor and migrate via blood or lymphatic vessels to infiltrate other organs, such as :

Prostate cancer usually progresses slowly over several years. At the time of diagnosis, doctors conduct a thorough evaluation of the extent and aggressiveness of the disease to determine the most appropriate treatment(s) for each patient.

In Turkey, prostate cancer care is provided by a team of highly qualified healthcare professionals from a variety of medical specialties. Your situation will be carefully reviewed in a multidisciplinary consultation (RCP) involving at least three physicians specializing in urology, radiation oncology, medical oncology and anatomopathology.

Symptoms of prostate cancer

In its early stages, prostate cancer progresses quietly without causing any symptoms. When it is localized, it usually does not cause urinary problems.

The first signs appear when the prostate increases in volume, causing compression of the urethra. However, this enlargement is not specific to prostate cancer, as it can be caused by much more common pathologies:

It is also possible for a patient to have both prostate cancer and benign prostatic hypertrophy.

Symptoms of an enlarged prostate

An enlarged prostate can cause several urinary and sexual problems, including:

Diagnosis of prostate tumors

The diagnosis of prostate cancer involves several steps. First, the doctor assesses the patient's health, personal and family history, and the presence of symptoms suggestive of prostate abnormalities. A clinical examination, including a rectal examination, is then performed.

Rectal examination

The doctor inserts a gloved finger into the rectum to palpate the prostate and check its size, surface, and consistency. An irregular surface, lumps, or a hard consistency may indicate cancer.

PSA test

If the clinical exam is abnormal, a PSA (Prostate Specific Antigen) test is ordered. A level above 4 ng/ml does not systematically indicate cancer; other factors, such as infection or benign enlargement of the prostate, may explain it. Conversely, a normal level does not rule out the presence of cancer (in about 10% of cases).

Prostate Biopsies

If abnormalities are detected during the clinical exam or PSA test, prostate biopsies may be ordered to confirm or rule out the diagnosis of cancer. These biopsies, performed under local anesthesia, allow anatomopathologic analysis of the tissue removed.

Systematic prostate biopsies

Performed under local anesthesia, these consist of at least 12 ultrasound-guided samples, usually taken transrectally. Antibiotic therapy is systematically prescribed to prevent infection. Transcutaneous biopsies through the skin of the perineum are also possible.

Common complications include hematuria, hemospermia, and rectal bleeding. More rarely, serious infections or urinary retention may occur.

Targeted biopsies after MRI

MRI can identify prostate lesions and guide biopsies, which can be targeted or combined with systematic biopsies, depending on the clinical indication.

Prostate cancer: Treatment options in Turkey

In Turkey, treatment options for prostate cancer vary depending on the stage of the cancer, the patient's age, and general health. The most common treatments include:

Total prostatectomy

Radical prostatectomy, or total prostatectomy, involves the complete removal of the prostate and, in some cases, the seminal vesicles and surrounding lymph nodes. Performed by an urological surgeon, this is the standard treatment for localized low to intermediate risk prostate cancer. It may be combined with radiation or hormone therapy, especially for high-risk, locally advanced cancers or those involving lymph nodes.

External radiation therapy

External beam radiotherapy uses radiation to destroy cancer cells by stopping them from multiplying. The radiation is precisely targeted through the skin to the prostate while sparing as much of the surrounding healthy tissue (bladder, rectum, anal canal) as possible.

3D conformal radiotherapy adapts the radiation beam to the shape of the tumor. An advanced technique, Intensity Modulated Radiation Therapy (IMRT),adjusts the intensity of the radiation beam to the shape of the tumor.

Brachytherapy

In brachytherapy, radioactive sources are inserted directly into the prostate. These emit radiation that destroys the cancer cells, with limited effect on nearby tissues. There are two types of brachytherapy:

These treatments must be performed by specialized teams to ensure optimal care.

Active surveillance

In cases of low-risk, localized cancer, active surveillance may be proposed to monitor disease progression before starting treatment. This approach makes it possible to delay the start of treatment and its side effects. It includes regular check-ups with PSA measurement and periodic biopsies.

Prostate cancer treatment in Turkey is provided in state-of-the-art medical facilities that offer personalized care and expert guidance.

Lutetium-177 PSMA in metastatic prostate cancer

A major advance in the treatment of metastatic castration-resistant prostate cancer has been confirmed in a large clinical trial conducted in Turkey. Lutetium-177 PSMA-617, a next-generation targeted therapy, offers new hope to patients whose disease has progressed despite conventional treatment.

This innovation is based on a vector molecule that identifies and specifically targets cancer cells, coupled with a radioactive element that delivers a precise dose of radiation. This cutting-edge technology effectively eliminates malignant cells while sparing surrounding healthy tissue, thereby limiting side effects.

The results of the study show that patients who received Lu-177 in addition to standard treatment benefited from a significant increase in life expectancy compared to those treated with conventional therapies alone.

This medical breakthrough positions Turkey as a key player in providing access to next-generation oncology treatments, paving the way for more effective therapeutic options for patients with metastatic prostate cancer.

Prostate cancer treatment with Turquie Santé

Turquie Santé assists you in the treatment of prostate cancer by providing comprehensive, safe and high quality care. We facilitate access to the best medical care for international patients, ensuring a smooth and efficient experience.

We work with hospitals of excellence, accredited by the Joint Commission International (JCI) and equipped with the latest technological advances in diagnosis and treatment. In particular, our partner facilities utilize multiparametric MRI, ultrasound-guided biopsies and genomic testing for precise, personalized care.

In addition to medical care, we offer comprehensive support, including translation, transportation, lodging, and post-treatment follow-up, to ensure your comfort and peace of mind throughout your treatment journey.

Frequently asked questions

  • For stages 1, 2, 3, and non-metastatic stage 4, the chances of survival are estimated at 100%;
  • In the metastatic phase, 28% of patients survive.

Treatment for prostate cancer in Turkey includes surgery (partial or total prostatectomy),chemotherapy and radiotherapy sometimes combined with hormone therapy.

Almost 40% of men who have had their prostate completely removed complain of erectile dysfunction. However, late functional recovery is possible. Some men resort to drugs, intracavernous injections or the placement of penile prosthesis.

After the total prostatectomy, the patient would be given an injection into the phallus in order to soften and oxygenate the cavernous sponge. After a few weeks, the erection would come back. Sexual activities could therefore be restarted gradually.

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Emily

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The accuracy of the content has been reviewed by Emily, former manager of private hospitals in Turkey, with proven scientific knowledge from over 10 years in research, she has the ability to simplify complex medical data to make it accessible to all.

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