Minimally Invasive Prostate Cancer Treatment in India

Prostate Cancer

Prostate cancer usually occurs in older men and forms in tissues of the prostate (a gland in the male reproductive system found below the bladder and in front of the rectum). It is a slow growing cancer and may extend as it spreads to nearby tissues and organs and then metastasizes to other more distant organs (lymph nodes, bones, lungs, etc.) via the bloodstream.It is the most common cancer affecting 1 in 6 men. A non-smoking man is more likely to develop prostate cancer than he is to develop colon, bladder, melanoma, lymphoma and kidney cancers combined. In fact, a man is 35% more likely to be diagnosed with prostate cancer than a woman is to be diagnosed with breast cancer.

Benign Prostatic Hyperplasia (BPH) - In up to half of men in their 40s, the prostate begins to enlarge through a process of cell multiplication called benign prostatic hyperplasia (BPH). The symptoms of BPH can mirror late-stage prostate cancer because the enlarging inner portion of the prostate puts pressure on the urethra, which can potentially cause urinary problems. About 80% of men eventually develop enlarged prostates, but only some experience significant symptoms. BPH is a normal condition and is not life-threatening.

Symptoms of Prostate Cancer

The cancer grows in the prostate gland and narrows the urethra. Symptoms then include

  • Problems urinating such as difficulty in starting to pass urine, a weak, sometimes intermittent flow of urine, dribbling of urine before and after urinating, a frequent or urgent need to pass urine or a need to get up several times in the night to urinate
  • A feeling that the bladder is not completely empty
  • Pain at the time of orgasm
  • Rarely, blood in the urine.

Diagnosis of Prostate Cancer

PSA & DRE Screening: Men whose prostate cancer is detected through screening are found to have very early-stage disease that can be treated most effectively.Screening for prostate cancer can be performed quickly and easily in a physician's office using two tests: the PSA (prostate-specific antigen) blood test, and the digital rectal exam (DRE).

The PSA Blood Test : PSA is a protein produced by the prostate and released in very small amounts into the bloodstream. When there's a problem with the prostate, such as when prostate cancer develops and grows, more and more PSA is released, until it reaches a level where it can be easily detected in the blood.

The Digital Rectal Exam: During a DRE, the physician inserts a gloved, lubricated finger into the rectum and examines the prostate for any irregularities in size, shape, and texture. Often, the DRE can be used by urologists to help distinguish between prostate cancer and non-cancerous conditions such as BPH.

Prostate Biopsy : The surgeon will surgically remove a small piece of tissue using a needle. The sample will be tested for examination to find out if it is a tumour and how fast it is growing.

Treatment of Prostate Cancer

Medical Management of BPH - Today, medications are the most common method for controlling urinating symptoms of BPH and these are advised as a first treatment option.

Surgery - Most common to treat the Prostate Cancer if it has not spread in the body. One of the following types of procedures may be advised

Radical prostatectomy- Radical prostatectomy surgery aims to remove the whole prostate gland and the nearby lymph nodes. After the prostate gland is taken out through an incision, a catheter (a narrow rubber tube) is put in the bladder to carry urine out of the body until the area heals. Its a minimally invasive procedure where small cuts are made near the tumor site, and thin tools are used to remove the tumor and surrounding tissue. Usually patient are given general anaesthesia or an epidural or spinal anaesthesia that blocks nerve routes from the spine and numbs the area.

TURP - The excess prostatic tissue that is blocking the urethera is taken out using a minimally invasive resectoscope surgery. A catheter tube is placed to facilitate easy urine removal during the post operative period till recovery. The tissue removed is sent for biopsy to check for malignancy.

Robotic Prostate Surgery - Advanced Robotic Prostate Surgery is now the preferred choice for Prostate Cancer patients due its many advantages like Minimal Bleeding during the surgery and a very quick recovery to normal work life quicker recovery. Also the biggest advantage of Robotic Prostate Surgery is that there is minimal risk of complications after the surgery like Continence (control over urinary and fecal discharge) and avoidance of the risk of Impotency. Another advantage is that since its a high precision and minimally invasive surgery there much improved preservation of physical appearance.

Cost Estimate for Robotic Prostate Cancer Surgery at World Class Cancer Hospital in India

Cost Estimate for Robotic Prostate Cancer Surgery at World Class Cancer Hospital in India is $ 9000 US Dollars

Cost Estimate for Laproscopic Radical Prostatectomy Surgery at World Class Cancer Hospital in India is $ 5800 US Dollars

Cost Estimate for Laser Prostate Cancer (TURP) Surgery at World Class Cancer Hospital in India is $ 5000 US Dollars

Note: The cost include stay in a deluxe room for 4 days at the hospital, where a companion can stay with the patient, nursing care, surgeon fee, medicines and consumables, patient's food and airport pick up etc.

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