Low Cost Prostate Cancer Treatment in India

Prostate cancer occurs when a tumor develops in the prostate gland, which makes the liquid portion of semen.Prostate-Cancer456 Cancer that spreads outside the prostate gland to the lymph nodes, bones, or other areas is called metastatic prostate cancer. Currently, no treatments can cure advanced prostate cancer. However, there are ways to help control its spread and related symptoms.

Treatments that slow the spread of advanced prostate cancer and relieve symptoms often cause side effects. Some patients, often those who are older, decide that the risk of side effects outweighs the benefits of treatment. These patients may choose not to treat their advanced prostate cancer.

It’s important to remember that researchers are always searching for new and better treatments that will cause fewer side effects, better disease control, and longer survival rates.

What Are the Symptoms of Prostate Cancer?

There are no warning signs of early prostate cancer. Once a tumor causes the prostate gland to swell, or once cancer spreads beyond the prostate, the following symptoms may happen:

  • A frequent need to urinate, especially at night
  • Difficulty starting or stopping a stream of urine
  • A weak or interrupted urinary stream
  • Leaking of urine when laughing or coughing
  • Inability to urinate standing up
  • A painful or burning sensation during urination or ejaculation
  • Blood in urine or semen

These are not symptoms of the cancer itself; instead, they are caused by the blockage from the cancer growth in the prostate. They can also be caused by an enlarged, noncancerous prostate or by a urinary tract infection.

Symptoms of advanced prostate cancer include:

  • Dull, deep pain or stiffness in the pelvis, lower back, ribs, or upper thighs; pain in the bones of those areas
  • Loss of weight and appetite, fatigue, nausea, or vomiting
  • Swelling of the lower extremities
  • Weakness or paralysis in the lower limbs, often with constipation.

Prostate Cancer Treatments By Stage

  • Once your doctor determines the stage of your prostate cancer, he can start mapping out a treatment plan. The stage is based on:
  • The size of your tumor
  • How far it has spread
  • The chances of it coming back

Matching the right treatment with your stage isn’t always cut and dry. You might benefit from a combo of a few different approaches. Together, you and your doctor will decide on the best treatment.

There are three different doctors who might be involved in your care:

  • A medical oncologist, who treats cancer
  • A radiation oncologist, who also treats cancer
  • A urologist, who specializes in problems with the urinary tract and male reproductive organs

Here are the stages of prostate cancer along with common treatment options.

Stage I

The cancer is small, and it hasn’t grown outside your prostate. Slow-growing cancers might never cause symptoms or other health problems.

In this stage, your PSA levels and Gleason scores are low, and that’s good. When they’re higher, cost-of-prostate-cancer-treatment-in-indiayour cancer is more aggressive. It’s also more likely to come back and require more intensive treatment.

The PSA (prostate-specific antigen) test measures levels of this protein in your blood. Your doctor then determines your Gleason score by looking at prostate tissue cells under a microscope.

With stage I, you should consider the following treatment approaches:

  • Active surveillance. Your doctor tracks your PSA levels. If those levels rise, it might mean your cancer is growing or spreading. Your doctor can then change your treatment. He might also do tests like rectal exams and ultrasounds.
  • Watchful waiting. This involves fewer tests than active surveillance. Your doctor keeps a close watch on your symptoms. If you’re an older man, or you have other serious health problems, your doctor might opt for this method.
  • Radiation therapy. This kills prostate cancer cells or keeps them from growing and dividing. There are two types of this treatment. The “external” kind uses a machine to aim a beam of radiation at your tumor. With “internal radiation,” a doctor places radioactive pellets or seeds in or next to the tumor — this procedure is also known as brachytherapy.
  • Radical prostatectomy. This is a surgery to remove your prostate and some of the surrounding tissue.
  • Ablation therapy. This treatment uses freezing or high-intensity ultrasound to kill cancer cells.

Stage II

The cancer is much larger, but it hasn’t spread outside your prostate. Your PSA levels and Gleason scores are also higher. Surgery or radiation is often needed to keep it from spreading.

With stage II, you should consider the following treatments:

  • Active surveillance. In this stage, it’s typically used if you’re a much older man or you have other serious health problems.
  • Radiation therapy, possibly combined with hormone therapy. Those are drugs that stop testosterone from helping your cancer cells grow.
  • Radical prostatectomy

Stage III

The cancer has spread beyond your prostate, but it hasn’t reached your bladder, rectum, lymph nodes, or nearby organs.

With stage III, you should consider the following treatments:

  • External radiation plus hormone therapy
  • External radiation plus brachytherapy and possibly hormone therapy
  • Radical prostatectomy, often combined with removal of your pelvic lymph nodes. Your doctor might recommend radiation after surgery.

Stage IV

This happens when your cancer has spread to the bladder, rectum, lymph nodes, organs, or bones. Cases of stage IV are rarely cured. Still, treatments can extend your life and ease your pain.

In this stage, you should consider the following treatments:

  • Hormone therapy, which is often combined with surgery, radiation, or chemotherapy
  • Surgery to relieve symptoms such as bleeding or urinary obstruction and to remove cancerous lymph nodes
  • External radiation with or without hormone therapy
  • Chemotherapy, if standard treatments don’t relieve symptoms and cancer continues to grow. The drugs will shrink cancer cells and slow their growth.
  • Bisphosphonate drugs, which can help slow the growth of cancer in the bone and help prevent fractures
  • The vaccine sipuleucel-T (Provenge), which boosts your immune system so it will attack the cancer cells. This might be used when hormone therapy doesn’t work.
  • Palliative care, which offers you relief from symptoms like pain and trouble peeing

Clinical trials are testing new treatments. They can give you state-of-the-art cancer treatments or newer ones that aren’t available yet. Ask your doctor if a clinical trial might be right for you.

If Your Prostate Cancer Comes Back

If your cancer goes into remission but later returns, follow-up treatments will depend on where the cancer is located and which treatments you’ve already tried.

  • If the cancer is contained in your prostate, surgery or a second attempt at radiation is suggested. If you’ve had a radical prostatectomy, radiation therapy is a good option. If you had radiation, radical prostatectomy might be the best approach. Cryosurgery might also be an option.
  • If the cancer has spread to other parts of your body, hormone therapy might be the most effective treatment. External or IV radiation therapy or bisphosphonate drugs can relieve your bone pain.

Diagnosis & Tests

How Is Prostate Cancer Diagnosed?

Two initial tests are commonly used to look for prostate cancer in the absence of any symptoms. One is the digital rectal exam, in which a doctor feels the prostate through the rectum to find hard or lumpy areas known as nodules. The other is a blood test used to detect a substance made by the prostate called “prostate-specific antigen” (PSA). When used together, these tests can detect abnormalities that might suggest prostate cancer.

Neither of these initial tests for prostate cancer is perfect. Many men with a mildly elevated PSA do not have prostate cancer, and men with prostate cancer may have normal levels of PSA. Also, the digital rectal exam does not detect all prostate cancers, as it can only assess the back portion of the prostate gland.

The diagnosis can only be confirmed by examining prostate cells under a microscope. This is done by performing a biopsy in a urologist’s office. A small sample of tissue is taken from the prostate for testing and evaluation under a microscope.

Your doctor is likely to discuss your medical history with you. Answering questions about any history of genital or urinary disease in your family can help your doctor make an accurate diagnosis. Your doctor may also ask about any changes in your pattern of urinating.

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Low Cost Prostate Cancer Treatment in India

Robotic Prostate Cancer Best Hospitals in India

Robotic assisted prostatectomy is a way of doing surgery for prostate cancer. It is a type of keyhole (laparoscopic) surgery. It is also called da Vinci surgery.

A surgeon inciciondoes the surgery but uses a special machine (robot) to help.

We don’t yet know whether robotic assisted surgery is better than other types of surgery for prostate cancer or whether it is cost effective.

You have robotic assisted surgery in an operating theatre under a general anaesthetic.

Doctors need to have special training before they can carry out this type of surgery. It involves two machines. The patient unit and the control unit.

Robotic surgery had the same advantages as laparoscopic prostate surgery when compared to the standard open operation to remove the prostate gland (radical prostatectomy).

There was:

  • less bleeding
  • less scarring
  • a shorter stay in hospital
  • quicker recovery

The review also found that if the surgeon was experienced, the operation appears to be as good as the standard radical prostatectomy in removing cancer with a border of healthy tissue (clear margin).

Some studies in the review found that men were more likely to get their bladder control back quickly after this type of surgery.

They were also able to get an erection again sooner. The studies were small and weren’t randomised, so we don’t yet know for certain if it is better than standard surgery at reducing the number of men who have side effects.

The usual way of having your prostate removed is either through:

  • a cut in your abdomen (retropubic prostatectomy)
  • a cut between your testicles and your back passage (perineal prostatectomy)
  • keyhole surgery (laparoscopic)

Some of the best Hospitals for Robotic Prostate Cancer Treatment in India

  1. Fortis Memorial Research Institute, Gurugram.
  2. Jaypee Hospital, Noida.
  3. Artemis Hospital, Gurugram.
  4. Fortis Hospital, Mumbai.
  5. Fortis Hospital, Bangalore.
  6. Max Hospital, Delhi.

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MyMedOpinion.com  affiliated   Best hospitals in India provide an medical opinion from experienced surgeons and the treatment cost includes companion stay  , surgeon fee, medicines and consumables, nursing care, patient’s food and airport pick up & drop etc. etc. We offer free, no obligation assistance to international patients to find world class medical treatment in India. We offer support and services to facilitate the care you require. We can help you find the best hospital in India

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Robotic Prostate Cancer Best Hospitals in India

Pediatric Heart Surgery Best Hospital in India

Heart surgery in children is done to repair heart defects a child is born with (congenital heart defects) and heart diseases a child gets after birth that need surgery. The surgery is needed for the child’s well being.pediatric-cardiac

There are several sorts of heart defects. Some are minor, and others area unit additional serious. Defects will occur within the center or within the large blood vessels outside the heart. Some heart defects might have surgery right when the baby is born. For others, your kid could also be ready to safely wait for months or years to have surgery.
One surgery could also be enough to repair the heart defect, but typically a series of procedures is required. 3 completely different techniques for fixing congenital defects of the heart in children are described below.

Open-heart surgery is when the surgeon uses a heart-lung bypass machine.

  • An incision is made through the breastbone (sternum) while the child is under general anesthesia (the child is asleep and pain free).
  • Tubes are used to re-route the blood through a special pump called a heart-lung bypass machine. This machine adds oxygen to the blood and keeps the blood warm and moving through the rest of the body while the surgeon is repairing the heart.
  • Using the machine allows the heart to be stopped. Stopping the heart makes it possible to repair the heart muscle itself, the heart valves, or the blood vessels outside the heart. After the repair is done, the heart is started again, and the machine is removed. The breastbone and the skin incision are then closed.

For some heart defect repairs, the incision is made on the side of the chest, between the ribs. This is called a thoracotomy. It is sometimes called closed-heart surgery. This surgery may be done using special instruments and a camera.

Another way to fix defects in the heart is to insert small tubes into an artery in the leg and pass them up to the heart. Only some heart defects can be repaired this way.

The most common heart ailments in children are:

  • Fallot’s tetralogy
  • Ventricular Septal Defect
  • Atrial Septal Defect
  • Valvular defects
  • Aortic stenosis
  • Aortic coarctation
  • Tricuspid atresia

Procedure

There are various techniques to perform pediatric heart surgery, depending upon the heart defect the child is suffering from and the medical condition and age of the patient.

Besides, the defects can be inside the heart or in large blood vessels outside the heart. Sometimes, one surgery may be enough to repair the defect, but sometimes a series of procedures are required to completely correct the defect.

Three different techniques are used to fix congenital heart defects in children described as below:

  1. Open-heart surgery is when the surgeon uses a heart-lung bypass machine. It is done under general anesthesia
    • Incision is made through the breastbone (sternum)
    • Tubes are used to re-route the blood through a special pump called a heart-lung bypass machine. This machine adds oxygen to the blood and keeps the blood warm and moving through the rest of the body while the surgeon is repairing the heart.childicu_928442
    • Using the machine allows the heart to be stopped. Stopping the heart makes it possible to repair the heart muscle itself, the heart valves, or the blood vessels outside the heart. After the repair is done, the heart is started again, and the machine is removed. The breastbone and the skin incisions are then closed.
  2. Thoracotomy- Also known as closed heart surgery, during this type of surgery, the incision is made on the side of the chest, between the ribs. This type of surgery is done using special instruments and a camera.
  3. The other technique uses small tubes to be inserted in the heart through an artery in the leg. Only some heart defects can be repaired this way.

Why is the Procedure required?

If the following warning signs are found in children, it indicates that a surgery is required:

  • Blue or gray skin, nail beds and lips. These symptoms indicate that there is not enough oxygen in the blood (hypoxia).
  • If the child has difficulty in breathing because the lungs are “wet,” congested, or filled with fluid (heart failure).
  • If there exists problems in heart rhythm (arrhythmias) or heart rate.
  • If there is lack of growth and development of a child. And the child is not able to sleep and eat properly.

Risks for any surgery are:

  • Bleeding during surgery or in the days after surgery
  • Bad reactions to medicines
  • Problems breathing
  • Infection

Additional risks of heart surgery are:

  • Blood clots (thrombi)
  • Air bubbles (air emboli)
  • Pneumonia
  • Heartbeat problems (arrhythmias)
  • Heart attack
  • Stroke

Before the Procedure

If your child is talking, tell them about the surgery. If you have a preschool-aged child, tell them the day before what will happen. Say, for example, “We are going to the hospital to stay for a few days. The doctor is going to do an operation on your heart to make it work better.”

If your child is older, start talking about the procedure 1 week before the surgery. You should involve the child’s life specialist (someone who helps children and their families during times like major surgery) and show the child the hospital and surgical areas.

Your child may need many different tests:

  • Blood tests (complete blood count, electrolytes, clotting factors, and “cross match”)
  • X-rays of the chest
  • Electrocardiogram (EKG, or ECG)
  • Echocardiogram (ECHO, or ultrasound of the heart)
  • Cardiac catheterization
  • History and physical

Recovery

The child would stay in the ICU for 3-4 days after the procedure and another week or so in the hospital. The child would need about 3 or 4 more weeks at home to recover. For larger surgeries, recovery may take 6 to 8 weeks.

Pain after surgery is normal and would be controlled with medications. Most children behave differently after heart surgery- they may be irritable, clingy or cry even if they were not doing this before the surgery.

The child should not do any activity where there are chances that he/ she may fall or take a blow to chest- bicycle, skateboard riding, swimming and sports should wait for at least 4 weeks. If there has been an incision through the breast bone, they should be careful in using their arms. They should not do activities like pulling or pushing, lifting arms above the head, lifting heavy things. You should not lift the child by arms.

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MyMedOpinion.com  affiliated   Best hospitals in India provide an medical opinion from experienced surgeons and the treatment cost includes companion stay  , surgeon fee, medicines and consumables, nursing care, patient’s food and airport pick up & drop etc. etc. We offer free, no obligation assistance to international patients to find world class medical treatment in India. We offer support and services to facilitate the care you require. We can help you find the best hospital in India

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Pediatric Heart Surgery Best Hospital in India