Best Prostate Cancer Treatment Hospitals in India

What Means Of Prostate Cancer

Prostate cancer is that the cancer that happens in prostate gland in men. prostate gland isImage result for prostate cancer treatment accountable to transfers sperm. it’s one amongst the foremost common kinds of cancer. The cancer sometimes grows slowly and confined to the gland whereas it’s going to spread resulting in advanced stage. If the cancer is diagnosed at an early stage, it will be treated with success.

Once your doctor determines the stage of your prostate cancer, he can start mapping out a treatment plan. 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, your 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 cost-of-prostate-cancer-treatment-in-indiacancer 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 possible 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 the 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

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

Call Your Doctor About Prostate Cancer If:

  • You have trouble urinating or find that urination is painful or different from normal; your doctor should examine your prostate gland to determine whether it is enlarged, inflamed with an infection, or cancerous.
  • You have chronic pain in your lower back, pelvis, upper thighbones, or other bones. Pain in these areas can be caused by different things, including the spread of prostate cancer.
  • You have unexplained weight loss.
  • You have swelling in your legs.
  • You have weakness in your legs or difficulty walking, especially if you also have constipation.

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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Best Prostate Cancer Treatment Hospitals in India

Best Radical Prostatectomy Surgery Hospitals in India

What is a prostatectomy?

A prostatectomy could be a surgical procedure for the partial or complete removal of the prostate. it’s going to be performed to treat prostate cancer or benign prostatic hyperplasia.456.png
A common surgical approach to prostatectomy includes creating a surgical incision and removing the prostate gland (or a part of it). this might be accomplished with either of two strategies, the retropubic or suprapubic incision (lower abdomen), or a perineum incision (through the skin between the scrotum and therefore the rectum).
Prior to having a prostatectomy, it’s typically necessary to own a prostate biopsy.

Types of surgery

There are several ways of removing the prostate.

Keyhole surgery
Keyhole surgery (also called laparoscopy or minimally invasive surgery).

  • Keyhole surgery by hand – your surgeon makes five or six small cuts in your abdomen (stomach area) and removes the prostate using a thin, lighted tube with a small camera on the tip and special surgical tools.
  • Robot-assisted surgery – your surgeon uses three robotic arms (one for the camera and two for the surgical tools) to do the operation. Your surgeon controls the robotic arms from a computer. You may hear this called the ‘Da Vinci® Robot’.

Open surgery
Your surgeon makes a single cut in your stomach area to reach the prostate. This is called retropubic prostatectomy.

  • Radical prostatectomy with retropubic (suprapubic) approach. This is the most common surgical approach used by urologists (doctors who specialize in diseases and surgery of the urinary tract). If there’s reason to believe the cancer has spread to the lymph nodes, the doctor will remove lymph nodes from around the prostate gland, in addition to the prostate gland. Cancer has spread beyond the prostate gland if it’s found in the lymph nodes. If that’s the case, then surgery may be discontinued, since it won’t treat the cancer adequately. In this situation, additional treatments may be used.
  • Nerve-sparing prostatectomy approach. If the cancer is tangled with the nerves, it may not be possible to maintain the nerve function or structure. Sometimes nerves must be cut in order to remove the cancerous tissue. If both sides of the nerves are cut or removed, the man will be unable to have an erection. This won’t improve over time (although there are interventions that may restore erectile function).
    If only one side of the bundle of nerves is cut or removed, the man may have less erectile function, but will possibly have some function left. If neither nerve bundle is disturbed during surgery, function may remain normal. However, it sometimes takes months after surgery to know whether a full recovery will occur. This is because the nerves are handled during surgery and may not function properly for a while after the procedure.
  • Laparoscopic radical prostatectomy. The surgeon makes several small cuts and long, thin tools are placed inside the cuts. The surgeon puts a thin tube with a video camera (laparoscope) inside one of the cuts and instruments through others. This helps the surgeon see inside during the procedure.
  • Robotic-assisted laparoscopic prostatectomy. Sometimes laparoscopic surgery is done using a robotic system. The surgeon moves the robotic arm while sitting at a computer monitor near the operating table. This procedure requires special equipment and training. Not every hospital can do robotic surgery.
  • Radical prostatectomy with perineal approach. Radical perineal prostatectomy is used less frequently than the retropubic approach. This is because the nerves can’t be spared as easily, nor can lymph nodes be removed by using this surgical technique. However, this procedure takes less time and may be an option if the nerve-sparing approach isn’t needed. This approach is also appropriate if lymph node removal isn’t required. Perineal prostatectomy may be used if other medical conditions rule out using a retropubic approach.
    With the retropubic approach, there is a smaller, hidden incision for an improved cosmetic effect. Also, major muscle groups are avoided. Therefore, there’s generally less pain and recovery time.

What are the advantages and disadvantages?

Advantages

  • If the cancer is completely contained inside the prostate, surgery will aim to remove all of it.
  • The prostate is removed and sent for testing which will give a clearer picture about how aggressive the cancer is and how far it may have spread.
  • It is easy to measure the success of your surgery, as your PSA should drop to less than 0.1 ng/ml at six to eight weeks after the operation.
  • If your PSA starts to rise, you may be able to have radiotherapy or hormone therapy.

Disadvantages

  • There are risks in having a surgery, as with any major operation.
  • You will need to stay in hospital – this may be for one to seven days.
  • If the cancer has broken out of the prostate, the surgeon may not be able to remove all of it.
  • You won’t be able to have children naturally after surgery.

Before the procedure

Some things you can expect before the procedure include:

  • Your doctor will explain the procedure to you and offer you the opportunity to ask any questions you might have about the procedure.
  • You’ll be asked to sign a consent form that gives your permission to do the procedure. Read the form carefully and ask questions if something isn’t clear.
  • In addition to a complete medical history, your doctor may perform a physical examination to ensure you’re in good health before you undergo the procedure. You may also undergo blood tests and other diagnostic tests.
  • You’ll be asked to fast for eight hours before the procedure, generally after midnight.
  • Notify your doctor if you’re sensitive to or are allergic to any medications, latex, iodine, tape, contrast dyes, and anesthetic agents (local or general).
  • Notify your doctor of all medications (prescribed and over the counter) and herbal supplements that you’re taking.
  • Notify your doctor if you have a history of bleeding disorders or if you’re taking any anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It may be necessary for you to stop these medications prior to the procedure.
  • If you smoke, you should stop smoking as soon as possible prior to the procedure in order to improve your chances for a successful recovery from surgery and to improve your overall health status.
  • You may receive a sedative prior to the procedure to help you relax.
  • Based on your medical condition, your doctor may request other specific preparation.

During the procedure

Radical prostatectomy requires a stay in the hospital. Procedures may vary depending on your condition and your doctor’s practices.

Generally, a radical prostatectomy (retropubic or perineal approach) follows this process:

  1. You’ll be asked to remove any jewelry or other objects that may interfere with the procedure.
  2. You’ll be asked to remove your clothing and will be given a gown to wear.
  3. You’ll be asked to empty your bladder prior to the procedure.
  4. An intravenous (IV) line will be started in your arm or hand.
  5. If there is excessive hair at the surgical site, it may be clipped off.
  6. The skin over the surgical site will be cleansed with an antiseptic solution.
  7. The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
  8. Once you’re sedated, a breathing tube may be inserted through your throat into your lungs and you’ll be connected to a ventilator, which will breathe for you during the surgery.
  9. The doctor may choose regional anesthesia instead of general anesthesia. Regional anesthesia is medication delivered through an epidural (in the back) to numb the area to be operated on. You’ll receive medication to help you relax and analgesic medication for pain relief. The doctor will determine which type of anesthesia is appropriate for your situation.

After the procedure

After the procedure, you may be taken to the recovery room to be closely monitored. You’ll be connected to monitors that will constantly display your heart beat (electrocardiogram—ECG or EKG) tracing, blood pressure, other pressure readings, breathing rate, and your oxygen level.

You may receive pain medication as needed, either by a nurse, or by administering it yourself through a device connected to your intravenous line.

Once you’re awake and your condition has stabilized, you may start liquids to drink. Your diet may be gradually advanced to more solid foods as you’re able to tolerate them.

The drain will generally be removed the day after surgery.

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Best Radical Prostatectomy Surgery Hospitals in India

Most Advanced Radical Prostatectomy Surgery in India

Overview

Prostatectomy includes variety of surgical procedures to get rid of part or all of the endocrine gland. The endocrine gland is situated within the lower abdomen of men, below the urinary bladder. It surrounds the channel, that carries urine from the bladder to the penis.

There are different types of prostatectomy, depending on the treatment involved:

Radical prostatectomy is surgery to remove the entire prostate gland and surrounding lymph nodes.Figure-18-Comparison-of-ProstRcision-and-Radical-Prostatectomy.-A-larger-area-is-treated-with-ProstRcision-compared-to-Radical-Prostatectomy-where-cancer-is-left-behind This surgery is a treatment for men with localized prostate cancer. A surgeon can perform a radical prostatectomy using different techniques, including:

  • Robotic-assisted radical prostatectomy. The surgeon makes several small incisions in your lower abdomen to remove the prostate. He or she sits at a console, using instruments attached to a mechanical device (robot). Using the robotic device allows a more precise response to movement of the surgeon’s hands.
  • Open radical prostatectomy. The surgeon makes an incision in your lower abdomen to remove the prostate (retropubic surgery). Rarely, this incision is made between your anus and scrotum (perineal surgery).
  • Laparoscopic radical prostatectomy. The surgeon makes several small incisions in your lower abdomen and inserts special tools to remove the prostate.

Open simple prostatectomy is generally recommended for men who have severe urinary symptoms and very enlarged prostate glands. This enlargement of the prostate is called benign prostatic hyperplasia, or BPH. The surgery does not remove the entire prostate, as is done in a radical prostatectomy, but removes just the obstructive part of the prostate that is blocking the flow of urine.

Your surgical team will discuss the advantages and disadvantages of each technique, as well as your preferences, to determine which approach is best for you.

Why it’s done

Prostatectomy is most often done to treat localized prostate cancer. It may be used alone, or in conjunction with radiation, chemotherapy and hormone therapy. Prostatectomy to treat prostate cancer involves removing the entire prostate and some surrounding tissue, including lymph nodes.

Prostatectomy to treat prostate cancer includes open radical prostatectomy, laparoscopic radical prostatectomy and robot-assisted radical prostatectomy.

Prostatectomy also may be used to treat a blocked urethra caused by BPH. Prostatectomy to treat BPH doesn’t always involve removing the entire prostate.

Prostatectomy to treat benign prostatic hyperplasia (BPH) includes open simple prostatectomy. This surgery eases urinary symptoms and complications resulting from blocked urine flow caused by BPH. These can include:

  • A frequent, urgent need to urinate
  • Difficulty starting urination
  • Slow (prolonged) urination
  • Increased frequency of urination at night (nocturia)
  • Stopping and starting again while urinating
  • The feeling you can’t completely empty your bladder
  • Urinary tract infections
  • Inability to urinate

Open simple prostatectomy has a higher risk of complications and a longer recovery time than other procedures to treat BPH.

Risks

Radical prostatectomy risks

In addition to the risks associated with any surgery, risks with radical prostatectomy include:

  • Urinary tract infection
  • Urinary incontinence
  • Erectile dysfunction (impotence)
  • Injury to the rectum (rare)
  • Narrowing (stricture) of the urethra or bladder neck
  • Formation of cysts containing lymph (lymphocele)

Open simple prostatectomy risks

Although open simple prostatectomy works well at relieving urinary symptoms, it has a higher risk of complications and a longer recovery time than other enlarged prostate procedures. Risks of open simple prostatectomy include:

  • Heavy bleeding
  • Urinary tract infection
  • Urinary incontinence
  • Dry orgasm
  • Erectile dysfunction (impotence)
  • Narrowing (stricture) of the urethra or bladder neck.

How you prepare

Before surgery, your doctor may want to do a test that uses a visual scope to look inside your urethra and bladder (cystoscopy). This allows the doctor to check the size of your prostate and examine your urinary system. Your doctor may also want to do other tests, such as blood tests or tests to specifically measure your prostate and to measure urine flow.

Follow your doctor’s instructions on what to do before your treatment. Here are some issues to discuss with your doctor:

  • Your medications. Tell your doctor about any prescription or over-the-counter medications or supplements you take. This is especially important if you take blood-thinning medications, such as warfarin (Coumadin) or clopidogrel (Plavix), and nonprescription pain relievers, such as aspirin, ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others). Your surgeon may ask you to stop taking medications that increase your risk of bleeding several days before the surgery.
  • Fasting before surgery. Your doctor will likely ask that you not eat or drink anything after midnight. On the morning of your procedure, take only the medications your doctor tells you to with a small sip of water.
  • Bowel prep before surgery. Your surgeon may ask you to do an enema prior to surgery. You may be given a kit and instructions for giving yourself an enema to clear your bowels the morning of surgery.
  • Arrangements after surgery. Ask your doctor how long to expect to be in the hospital. And arrange ahead of time for a ride home. You won’t be able to drive yourself home.
  • Activity restrictions. You may not be able to work or do strenuous activity for several weeks after surgery. Ask your doctor how much recovery time you may need.

During the procedure

Robotic radical prostatectomy. Your surgeon sits at a remote control console a short distance from you and the operating table and precisely controls the motion of the surgical instruments using two hand-and-finger control devices. The console displays a magnified, 3-D view of the surgical area that enables the surgeon to visualize the procedure in much greater detail than in traditional laparoscopic surgery. The robotic system allows smaller and more-precise incisions, which for some people promotes faster recovery than traditional open surgery does. The robotic approach also enables nerve-sparing techniques that may preserve both sexual potency and continence in the appropriately selected person.

Robotic prostatectomy can result in reduced pain and blood loss, reduced tissue trauma, a shorter hospital stay, and a quicker recovery period than a traditional prostatectomy. You usually can return to normal activity, with minor restrictions, two to four weeks after surgery.

After the procedure

After surgery you should expect that:

  • You’ll be given intravenous (IV) pain medications. Your doctor may give you prescription pain pills to take after the IV is removed.
  • Your doctor will have you walk the day of or the day after surgery. You’ll also do exercises to move your feet while you’re in bed.
  • You’ll likely go home the day after surgery. When your doctor thinks it’s safe for you to go home, the pelvic drain is taken out. You may need to return to the doctor in one or two weeks to have staples taken out.
  • You’ll return home with a catheter in place. Most men need a urinary catheter for five to 10 days after surgery.

Results

Robotic prostatectomy can result in reduced pain and blood loss, reduced tissue trauma, a shorter hospital stay, and a quicker recovery period than a traditional prostatectomy. You usually can return to normal activity, with minor restrictions, two to four weeks after surgery.

Open simple prostatectomy provides long-term relief of urinary symptoms due to an enlarged prostate. Although it’s the most invasive procedure to treat an enlarged prostate, serious complications are rare. Most men who have the procedure generally don’t need any follow-up treatment for their BPH.

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Most Advanced Radical Prostatectomy Surgery in India

Most Advanced Radical Prostatectomy Surgery in India

Radical Prostatectomy

If you’ve got been diagnosed with prostate cancer, your doctor can discuss totally different choices for treatment. If your cancer is simply within the prostate gland and has not unfold to surrounding tissue, your doctor could recommend a surgery referred to as a radical prostatectomy.radical-prostatectomy2
In a radical prostatectomy, a surgeon removes your entire prostate gland. The prostate may be a tiny organ that wraps around your urethra, the tube that moves urine from your bladder to your penis. The seminal vesicles (small glands that turn out a liquid that’s a part of semen) and therefore the vas deferens (a muscular wire that moves sperm from your testicles to your urethra) may additionally be removed during this surgery. The surgery is named a “radical” prostatectomy as a result of the complete prostate gland is removed. In alternative prostate surgeries (i.e., a “simple” prostatectomy), only a part of the gland is removed.

Different Types of Radical Prostatectomy

 Open surgery

In open surgery, the surgeon uses a large incision to reach the prostate gland. Depending on the case, the incision is made either in the lower belly or in the groin between the anus and the penis. When the incision is made in the lower belly, it is called the retropubic approach. A radical prostatectomy using the retropubic approach is the most common treatment for prostate cancer. In this procedure, the surgeon may also remove lymph nodes in the area so that they can be tested for cancer.1 When the incision is made in the groin, it is called the perineal approach. The recovery time after this surgery may be shorter than with the retropubic approach. If the surgeon wants to remove lymph nodes for testing, he or she must make a separate incision. If the lymph nodes are believed to be free of cancer based on the grade of the cancer and results of the PSA test, the surgeon may skip the lymph node removal.

Laparoscopic surgery

In laparoscopic surgery, the surgeon makes several small incisions in the belly. A lighted viewing instrument called a laparoscope is inserted into one of the incisions. The surgeon uses special instruments to reach and remove the prostate through the other incisions. Men who have laparoscopic surgery tend to lose less blood during the operation and to recover faster than men who have open surgery.2 Laparoscopic prostatectomy is not yet widely available, and because it is a relatively new technique, no results from long-term follow-up after treatment are available.figure-lrp5-radicalbThe main goal of either type of surgery is to remove all the cancer. Sometimes that means removing the prostate as well as the tissues around it, including a set of nerves to the penis that affect the man’s ability to have an erection. Some tumors can be removed using a nerve-sparing technique, which means carefully cutting around those nerves to leave them intact. Nerve-sparing surgery sometimes preserves the man’s ability to have an erection.

 

Benefits of Radical Prostatectomy Surgery in India

By electing to have radical prostatectomy in India, you will be able to appreciate many benefits over having the surgery in your home country. Some of these benefits are:

  • The cost of radical prostatectomy in India is a fraction of the cost in the US and other western countries. Free quotes are available online to see just how affordable it can be.
  • In addition to techniques like the Da Vinci prostatectomy in India, which uses robotics, other minimally invasive procedures are available. You can choose to have a laparoscopic prostatectomy in India instead, which is a more traditional minimally invasive procedure that is carried out without the use of a machine.
  • In India, you can expect to receive care from doctors who have handled a large number of cases and are very experienced.
  • It’s recommended that after prostate removal surgery you begin to walk leisurely as soon as possible to help your body recover. Having your prostate removal surgery in India means you can take in a unique and beautiful culture during your recovery.

 

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Most Advanced Radical Prostatectomy Surgery in India