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Prostate Cancer PSA, Prostate cancer surgery

Prostate Cancer

The prostate is a gland in the male reproductive system located just below the bladder and in front of the rectum. It is about the size of a walnut and surrounds the urethra (the tube that empties urine from the bladder). The prostate gland produces fluid that makes up part of the semen. Prostate cancer is a disease in which malignant (cancer) cells form in the tissues of the prostate.
Prostate cancer surgery, Prostate Cancer PSA

Prostate cancer in India:

Prostate cancer is the 3rd leading site of cancer in males (Indian cancer society report 2001). According to a study based on the ‘Bombay Population-based Cancer Registry’ from the year 1986 to 2000, Prostate cancer constituted 4.7% of all male cancers (Asian Pac J Cancer Prev 2004;5(4):401-5). The probability estimates indicated that one out of every 59 men will have prostate cancer at some time in his whole life and it is more likely to happen once he reaches the age of 50. Due to lack of health care related awareness in general population the actual incidence of prostate cancer in Indians may be much higher. It is evident from the fact that 1 in 6 men in USA after the age of 60 are diagnosed with prostate cancer

A recently published study based on National Cancer Registry Program (NCRP) reports of India estimating the cancer magnitude, risk and trends of cancers in India has reported significant increasing trend for the cumulative risk for lifetime development of prostate cancer {IJMS 2008;62(2):35-44}

Treatment

Treatment options and prognosis of disease depend on the stage of the cancer, patient’s age and general health. With greater public awareness, early detection of prostate cancer is on the rise which makes it a potentially curable disease. Additionally, new advances in medical technology and more treatment options are enabling cancer victims to lead active and productive lives after their treatment. Consult with your urologist for advice on the options that are available to treat your specific condition. Briefly, the cancers detected at an early potentially curable stage can be offered curative treatment including radical prostatectomy, external beam radiotherapy or brachytherapy. It is important to have a full discussion of all options prior to making a therapeutic decision because each form of therapy has its own indications, cure rate and complications.

Surgery for localized Prostate Cancer

One of the most common treatments for organ confined prostate cancer involves the surgical removal of the prostate gland, known as radical prostatectomy. Traditional radical prostatectomy requires a large, 8-10 inch incision. This open surgery commonly results in substantial blood loss, a lengthy and uncomfortable recovery and the risk of impotence and incontinence.

If your doctor recommends surgery to treat your prostate cancer, you may be a candidate for a new, less-invasive surgical procedure called da Vinci Prostatectomy. The da Vinci Prostatectomy (dVP) performed with the da Vinci Surgical System represents the fastest growing treatment for prostate cancer today.
Prostate cancer surgery, Prostate Cancer PSA da Vinci® Prostatectomy (dVP): A Less Invasive Surgical Procedure

da Vinci Prostatectomy incorporates a state-of-the-art surgical system that helps your surgeon see vital anatomical structures more clearly and to perform a more precise surgical procedure.

For most patients, dVP offers substantially less pain and a much shorter recovery than traditional prostate surgery. As a minimally invasive procedure, da Vinci Prostatectomy can offer numerous potential benefits over open prostatectomy including:
Prostate cancer surgery

  • Shorter hospital stay
  • Less pain
  • Less risk of infection
  • Less blood loss and transfusions
  • Less scarring
  • Faster recovery
  • Quicker return to normal activities
Moreover, recent studies suggest that dVP may offer improved cancer control and a lower incidence of impotence and urinary incontinence.

As with any surgical procedure none of these benefits can be guaranteed as surgery is both patient and procedure dependent.

Advanced prostate cancer

Approximately 30-40% of patients present with evidence of metastatic disease. These patients have locally advanced disease in the pelvis or metastates to lymph nodes, bones or other organs. Hormonal therapy in the form of Bilateral orchidectomy, LHRH analogues and antiandrogen drugs are the mainstay of treatment in this group. When hormone therapy fails, most treatment is palliative which include radiotherapy and chemotherapy.

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