Principles of pain management in advanced prostate cancer

Quality of life can be enhanced in patients with advanced prostate cancer by managing pain effectively. It is important to recognize that palliative care does not imply terminal care and that urologists, oncologists, family practitioners, and palliative care specialists should coordinate their care with the patient and family to optimize treatment. This paper focuses on the correct use of opioids and adjuvants in the management of prostate cancer, and addresses the management of side effects of opioid administration.