Prostate cancer is one of the most common cancers in males. Being diagnosed with prostate cancer may trigger a range of feelings, including fear, anxiety, depression, and disbelief.
Early presentation, mainly with irritative symptoms like frequency of urination, urgency and in some people urge incontinence. These symptoms are usually confused to urinary tract infection, stones in the urinary system and benign enlargement of the prostate.
Late presentation, mainly presenting with difficulty in passing urine, sometimes complete blockage of urine, bleeding in urine, loss of weight and appetite and in some cases with bone pains and in some cases with compression of the spinal cord which can lead to weakness of lower limbs.
Is the common question asked When cancer of the prostate is suspected, we normally examine the prostate with a finger, also get your PSA done.
This is a blood test, which tests for a prostate-specific antigen. This is a glycoprotein secreted by the prostate and is specific to the prostate. It is not specific to prostate cancer since it can be increased in prostate infections, following prostate manipulation and huge enlargement of the benign prostate.
If PSA is raised or there is any abnormality on finger examination, we advise a prostatic biopsy.
It is a small procedure, where we take a few bits of prostatic tissue directly with finger guidance or with trans-rectal ultrasound. The bits are sent for histological examination.
The patient will be asked to get few more tests like MRI of pelvis, Bone scans or PMSA PET scans depending on the initial findings to state the disease.
In early-stage disease- the option of removing the whole of the prostate which is called Radical prostatectomy is offered. This can be done through open, laparoscopic surgery or robotic urgery.
In late-stage disease- the option of radiotherapy, hormonal manipulation and chemotherapy is available