Prostate Cancer Treatment in Ahmedabad


Prostate Cancer Treatment in Udaipur

WHAT IS THE PROSTATE GLAND?

The prostate gland is about the size of a walnut and surrounds the neck of a man's bladder and urethra—the tube that carries urine from the bladder. It's partly muscular and partly glandular, with ducts opening into the prostatic portion of the urethra. It's made up of three lobes, a center lobe with one lobe on each side.

As part of the male reproductive system, the prostate gland's primary function is to secrete a slightly alkaline fluid that forms part of the seminal fluid (semen), a fluid that carries sperm. The growth and function of the prostate depends on the male sex hormone testosterone, which is produced in the testes. It's common for the prostate gland to become enlarged as a man ages, and it's also likely for a man to encounter some type of prostate problem in his lifetime.

PROSTATE CANCER TREATMENT IN UDAIPUR

Symptoms of non cancerous and cancerous prostate conditions

As men get older their prostate gland often enlarges. This is usually not due to cancer. It is a condition called benign prostatic hyperplasia (BPH). BPH does not usually develop into cancer but an enlarged prostate may sometimes contain areas of cancer cells.

Very early prostate cancer generally does not cause any symptoms at all. Many prostate cancers start in the outer part of the prostate gland, away from the urethra. If a tumour is not large enough to put much pressure on the tube that carries urine out of the body (the urethra), you may not notice any effects from it.

The symptoms of growths in the prostate are similar whether they are non cancerous (benign) or cancerous (malignant). The symptoms include

  • Having to rush to the toilet to pass urine
  • Passing urine more often than usual, especially at night
  • Difficulty passing urine, including straining to pass it or stopping and starting
  • A sense of not being able to completely empty the bladder

Very rarely you may get

  • Pain when passing urine
  • Blood in the urine or semen

These are more often a symptom of non cancerous prostate conditions.

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Other symptoms of prostate cancer

Cancer of the prostate gland often grows slowly, especially in older men. Symptoms may be mild and occur over many years. Sometimes the first symptoms are from prostate cancer which has spread to your bones but this is not common. Prostate cancer cells in the bone may cause pain in your

  • Back
  • Hips
  • Pelvis
  • Other bony areas

Cancer that has spread to other areas of the body is called metastatic or secondary prostate cancer. Other symptoms that may occur are weight loss, particularly in elderly men.

RISK FACTORS FOR PROSTATE CANCER
Age
A family history of cancer
Genes
Ethnicity more common in black Caribbean and black African men than in white or Asian men.
A previous cancer.
Hormones
IGF-1 (insulin like growth factor)
Vasectomy
Cadmium
Inflammation of the prostate
PROTECTION FACTORS FOR PROSTATE CANCER
Diet factors and vitamin supplements

Recently, though, reviews of the evidence have found that foods containing lycopene and selenium probably reduce the risk of prostate cancer.

  • Lycopene is found mainly in tomatoes and tomato based foods, with especially high levels in cooked and processed tomato products
  • Selenium is a naturally occurring chemical found in plant foods (such as vegetables) fish, shellfish, some meats, grains, eggs, Brewer's yeast, and wheat germ

Diabetes

Men with diabetes mellitus may have a lower risk of prostate cancer than the average man.

Aspirin

There is some evidence that taking aspirin regularly may slightly reduce the risk of prostate cancer. It is important to remember that doctors and scientists don't recommend taking aspirin or other NSAIDs regularly. These drugs can damage the lining of your stomach and cause bleeding. Don't take aspirin or other NSAIDs regularly without checking with your doctor first.

Physical activity

Some, but not all, the studies looking at physical activity and prostate cancer have found that men who are more physically active have a lower risk of getting prostate cancer.

90% Acinar adenocarcinoma
10% Ductal adenocarcinoma
Transitional cell (or urothelial) cancer
Squamous cell cancer
Carcinoid
Small cell cancer
Sarcomas and sarcomatoid cancers
SCREENING FOR PROSTATE CANCER

The PSA test PSA stands for prostate specific antigen. It is a protein produced by prostate cells and can be measured with a blood test. PSA levels can be raised if a man has prostate cancer. But the levels can also be raised when a man has other medical conditions, such as an enlarged prostate that is not cancer called benign prostatic hyperplasia or BPH. PSA can also be raised by prostate infection (prostatitis), exercise and sex. Some drugs used to treat a benign enlarged prostate can lower PSA. The PSA level also naturally tends to get higher as men get older.

If you have the test you should not have

  • A urine infection
  • Ejaculated for 48 hours beforehand
  • Exercised heavily in the previous 48 hours
  • Had a prostate biopsy within the last 6 weeks
DIAGNOSING PROSTATE CANCER
  • PSA blood test
  • Rectal examination
  • Rectal ultrasound
  • MRI scan
  • Needle biopsy
  • Bone Scan
  • Chest X-ray
TREATMENTS

Prostate Cancer Treatment in Jaipur

The main treatments for prostate cancer are surgery, radiotherapy and hormone therapy. Doctors also sometimes use chemotherapy.

The main treatments for prostate cancer are surgery, radiotherapy and hormone therapy. Doctors also sometimes use chemotherapy.
Radical Prostatectomy
Surgery that completely removes the prostate gland, as well as the seminal vesicles and part of the urethra within the prostate.
There are 3 main types:

  • Open: One cut, 3 to 4 inches long, made from below the belly button to the pubic bone.
  • Laparoscopic: Several small cuts are made in the abdomen and a video camera is inserted to view the prostate. The surgeon operates the instruments by the bedside.
  • Robot-assisted: Similar to laparoscopic surgery except that the video camera and instruments are connected to a robotic system that is controlled by the surgeon.
  • MRI scan

Nerve-sparing techniques can be used to try to preserve the nerves that control erections, rather than removing them with the prostate. If you have a more advanced or aggressive cancer, this may not be recommended as there is increased risk that cancer cells may remain. Most men have minimal pain and discomfort after surgery.

  • Catheter is removed after 1–2 weeks.
  • Recovery process at home takes 4–6 weeks.

Side effects and risks

  • Incontinence is temporary in most men, but around 10% will continue to have stress incontinence when sneezing, coughing etc. 2-3% of men may have serious incontinence long-term.
  • Erectile dysfunction is a common side-effect that may be permanent or temporary. Recovery may take up to a couple of years.
  • Radical prostatectomy results in infertility.
  • Blood loss during surgery may require a transfusion (under 10% of cases).
  • Very rarely (in less than 1% of cases) there is injury to the rectum requiring a temporary colostomy.
  • Very small risk of death (as with any major surgery).

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