Is treatment with bisphosphonates beneficial in patients with HRPC?
Intravenous nitrogen-containing bisphosphonates may be used for patients with HRPC and bone pain due to skeletal metastases. Psychosocial Care It is advisable to assume that men with prostate cancer have specific psychosocial issues arising from disease- or treatment-related sexual dysfunction, urinary symptoms, gastrointestinal symptoms, and the slow course of the disease. Men with prostate cancer should be provided with sufficient counselling regarding the disease, treatment options, and the possible side effects of treatment. Men and their partners should be made aware of the educational materials available, the time and location of educational meetings, the services provided by patient organisations, and the contact information for discussion groups. Involving men and their partners in treatment decisions is recommended. Specialised (oncology or urology) nurses can play an important role in the detection of psychosocial issues and in counselling men and their partners on the diseas
