Prostate cancer

Prostate cancer

29 Jun 2018

Earlier the diagnosis, better is the treatment

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.

Prostate cancer can present in two ways

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

urinary system and benign enlargement of 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 spinal cord which can lead to weakness of lower limbs.

How to diagnose prostate cancer done? is the common question asked

When cancer of prostate is suspected, we normally examine the prostate with a finger, also get your

PSA done.

What is the PSA?

This is a blood test, which tests for prostate specific antigen. This is a glycoprotein secreted by

prostate and is specific to prostate. It is not specific to prostate cancer since it can be increased in

prostate infections, following prostate manipulation and huge enlargement of benign prostate.

If PSA is raised or there is any abnormality on finger examination, we advise a prostatic biopsy.

What is prostatic biopsy?

It is a small procedure, where we take few bits of prostatic tissue directly with finger guidance or

with trans-rectal ultrasound. The bits are sent for histological examination.

What happens once the diagnosis of prostate cancer is made?

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.

What are the treatments available for cancer of prostate?

In early stage disease- the option of removing the whole of prostate which is called Radical

prostatectomy is offered. This can be done through open, laparoscopic or robotic.

In late stage disease- the option of radio-therapy, hormonal manipulation and chemotherapy is

available