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Prostate Cancer Surgery in India

Overview

Prostate Cancer Surgery in India

Prostate Cancer is the most common malignancy in American men and the second leading cause of deaths from cancer, after lung cancer. According to the American Cancer Society's most recent estimates that deaths from Prostate Cancer has tolled to 27,360 on a yearly basis in the country. As reflected in these numbers, prostate cancer is likely to impact the lives of a significant proportion of men that are alive today. Over the years, however, the death rate from this disease has shown a steady decline, and currently, more than 2 million men in the U.S. are still alive after being diagnosed with Prostate Cancer at some point in their lives. Although it is subject to some controversy, many experts in this field, therefore, recommend that beginning at age 40, all men should undergo screening for prostate cancer.

What is Prostate Cancer?

Prostate cancer is a form of cancer that develops in the prostate, a gland in the male reproductive system. Most prostate cancers are slow growing; however, there are cases of aggressive prostate cancers. The cancer cells may metastasize (spread) from the prostate to other parts of the body, particularly the bones and lymph nodes. Prostate cancer may cause pain, difficulty in urinating, problems during sexual intercourse, or erectile dysfunction. Other symptoms can potentially develop during later stages of the disease.

Types of Prostate Cancer

There are many types of prostate cancer and the condition is often present in many different parts of the prostate. The precursor to prostate cancer is known as prostatic intraepithelial neoplasia, this is also found in many different locations within the prostate. Although there are many different kinds of prostate cancer the vast majority (around 95%) are of the type known as adenocarcinoma. As this is the most wide spread from it has become synonymous with the term prostrate cancer.

Causes of Prostate Cancer

The specific causes of Prostate Cancer remain unknown. The primary risk factors are age and family history. Prostate cancer is very uncommon in men younger than 45, but becomes more common with advancing age. The average age at the time of diagnosis is 70. However, many men never know they have prostate cancer. Men who have first-degree family members with prostate cancer appear to have doubled the risk of getting the disease compared to men without prostate cancer in the family. This risk appears to be greater for men with an affected brother than for men with an affected father.


Symptoms of Prostate Cancer

Because of the prostate's location in the body, prostate cancer is often accompanied by a number of unique symptoms. As the prostate enlarges due to cancer or another problem, the urethra is pinched tighter and tighter within the prostate. As the tube narrows, urine has a much harder time making its way through the urethra and out of the body. This results in four primary urinary symptoms:

All of these symptoms are a direct result of the urethra being pinched closed by the enlarged prostate. Other less common symptoms include:

These symptoms are less specific to problems with the prostate (meaning that problems with other organs such as the bladder can also cause them). However, they are important symptoms of which to be aware.


Diagnosis for Prostate Cancer

If Prostate cancer is diagnosed from the results of a biopsy of the prostate gland. If the digital rectal exam of the prostate or the PSA blood test is abnormal, a prostate cancer is suspected. A biopsy of the prostate is usually then recommended. The biopsy is done from the rectum (trans-rectally) and is guided by ultrasound images of the area. A small piece of prostate tissue is withdrawn through a cutting needle. The TRUS-guided Tru-Cut biopsy is currently the standard method to diagnose prostate cancer. Although initially a 6-core set was the standard, currently most experts advocate sampling a minimum of 10-12 pieces of the prostate to improve the chances of detection of the cancer and also to provide a better idea regarding the extent and areas of involvement within the prostate. Multiple pieces are taken by sampling the base, apex, and mid gland on each side of the gland. More cores may be sampled to increase the yield, especially in larger glands. A pathologist, a specialist physician who analyzes tissue samples under a microscope, then examines the pieces under the microscope to assess the type of cancer present in the prostate and the extent of involvement of the prostate with the tumor. Another very important assessment that the pathologist makes form the specimen is the grade (Gleason's score) of the tumor. This indicates how different the cancer cells are from normal prostate tissue. A Gleason score of 6 is supposed to indicate low-grade (less aggressive) disease while that of 8-10 demonstrates high grade (more aggressive) cancer; 7 is regarded as somewhere in between these two.

Prostate Cancer Staging

Prostate cancer is staged according to the pathological findings from biopsy. Staging is a method to describe how advanced a cancer is. Prostate Cancer Staging is done in the following ways:

Preparing for Prostate Cancer Surgery

Preparing for surgery can be an immensely stressful time. You can try the following tips given as under:

Common Procedures of Prostate Cancer Surgery

The following are the common procedure for Prostate Cancer Surgery:

Post Operative Care after Prostate Cancer Surgery

To make sure you heal fast, after your Prostate Cancer Surgery, it's helpful to know about some self-care you can do at home. Note, however, that these are general guidelines and may not apply to every patient. Always follow your doctor's specific instructions for care after treatment.

Recovering After Prostate Cancer Surgery

In the case of a patient having undergone Prostate Cancer Surgery, the time to be spent in the hospital depends largely on the nature of the surgery and the condition of his health after the surgery. In the prostate cancer surgery recovery, the catheter will be used for holding the urine of the patient till the track of urine becomes completely okay. You may be prescribed the pain killer medicines for proper recovery from the surgical procedure. After the improvement in control of urine and the reduction in the problem of swelling, you will be advised by your doctors to do light exercises. These light exercises will improve the circulation of blood to all the parts of your body. The prostate surgery recovery will be faster if the patient follows the vital instructions such as refraining from lifting heavy objects for a few months, maintaining a good and healthy diet with fruits, fruit juices and drinking water in adequate quantities. Though there are many prostate surgery side effects such as bowel dysfunction, urinary dysfunction, pain, bleeding, premature ejaculation, erectile dysfunction and infertility, this surgery has helped many people to lead a normal life by reducing the risk of prostate cancer.

Advance Prostate Cancer Surgery

High Intensity Focused Ultrasound (HIFU): HIFU is a highly precise medical procedure that targets tissue deep inside the body and destroys it using the power of ultrasound waves. This therapy, which is used to treat a variety of conditions including kidney cancer, uterine fibroids, breast cancer, and several other conditions, has recently caught the attention of the urology field as a highly effective, low-risk prostate cancer treatment option. When used to treat prostate cancer, HIFU begins with the administration of anesthetic, either spinal or general. Once the antistatic is in effect, the physician uses a Tran rectal probe to gather ultrasound images of the prostate gland. Through the probe, the physician will then deliver ultrasound waves directly into the prostate gland. HIFU offers less risk then other treatments with similar results. Because the treatment destroys the entire prostate gland, it is highly successful for localized prostate cancer cases. Because of the way the treatment works, tissues surrounding the prostate gland are not damaged, which lowers the risk of permanent conditions like impotence and incontinence, although these are still a risk as they are with any prostate cancer treatment option.

Prostate Cancer Surgery in India

India has been recognized as a new global medical destination for Prostate Cancer Surgery. Thousands of foreign patients from all across the world come to India for medical treatments and surgeries of high quality delivered as practiced in the developed nations like the US, UK and that too within their budget costs.

The Indian Oncologists performing different procedures of Prostate Cancer Surgery in India are highly qualified, skilled with many years of experience and are affiliated with many renowned medical organizations. India provides the services through most leading doctors and Prostate Cancer Surgery surgeons.

The Cancer Hospitals in India are well equipped with the most advanced medical treatment and methodologies. They have the most extensive diagnostic and imaging facilities including Asia’s most advanced MRI and CT technology. These are available in the following cities at reasonable costs in the following cities:

Mumbai
Hyderabad
Kerala
Delhi
Pune
Goa
Bangalore
Nagpur
Jaipur
Chennai
Gurgaon
Chandigarh

Cost of Prostate Cancer Surgery in India

India offers incredible cost saving in various procedures of Prostate Cancer Surgery, which goes to around 80% less than prevailing USA or UK rates. Even with travel expenses taken into account, the comprehensive medical tourism packages still provide a savings measured in the thousands of dollars for major procedures. A cost comparison of various medical treatments can give you the exact idea about the difference:


Medical Treatment

Procedure Cost (US$)

United States

India

Transurethral Resection of the Prostate (TURP)

15,000

3,000

Cryosurgery

32,000

4,500

Radical Prostatectomy

24,000

3,600


Some of the common countries from which patients travel to India for surgery are:

USA
UK
Canada
Australia
Zealand
Nigeria
Kenya
Ethiopia
Uganda
Tanzania
Zambia
Congo
Lanka
Bangladesh
Pakistan
Afghanistan
Nepal
Uzbekhistan





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