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Prostate Cancer

About the Department

Located below the bladder and in front of the rectum, the prostate is actually a gland that is only found in men. The size of the prostate varies according to the age of the man, and is usually the size of a walnut. However, it can be bigger than that in older men. 

The seminal vesicles are glands that are located just behind the prostate. The basic job of the prostate is making some of the fluid that forms a part of the semen. The tube that carries the urine and the semen or otherwise known as the urethra out of the body via the penis, passes through the centre of the prostate. 

The most common cancer in men is Prostate Cancer where the cells in the prostate gland go on an uncontrollable growth spurt. A slow growing cancer, it usually shows no symptoms till it has reached an advanced stage. Usually, prostate cancer spreads into parts outside of the prostate extremely quickly which can be very dangerous. If diagnosed in the early stages, there are reasonably good chances of the patient surviving the condition. 

Men closer to the 50 age bracket are more at risk of prostate cancer. If you have a family history of the condition, the risk increases as you get older. The usual age of 65 to 69 are when most men are diagnosed. However, if you are under the age of 50, the risk of prostate cancer is much less. 

The expert prostate cancer team at Fortis Bannerghatta is trained in the most advanced medical methods that assist in detecting, diagnosing and treating prostate cancer. Our highly skilled specialists will present an array of therapeutic possibilities. Our team of specialists will consult expert urologists, radiation and medical oncologists, pathologists and radiologists and in collaboration offer you the highest quality treatment based on the latest research.

At Fortis Bannerghatta, we have a policy of a bespoke and all-inclusive patient care approach. We will work very closely with you and your family members and assist you in choosing the right strategy for the treatment that is best suited to your health condition and your individual circumstances. 

Areas of Care

Depending from which cell the cancer has started, prostate cancer can be of five types:

  • Acinar adenocarcinoma
  • Ductal adenocarcinoma
  • Transitional cell (or urothelial) cancer
  • Squamous cell cancer
  • Small cell prostate cancer

In addition to the above, there are two rare cases of prostate cancer that can also occur. They are:

  • Carcinoid
  • Sarcomas

With constant research, treatment methodologies of prostate cancer are continuously progressing. Our renowned experts at Fortis Bannerghatta will help to formulate the right therapy plan that will be tailored to suit your current health condition. With our up-to-date techniques of cancer management, we will offer you a remedy that will be effective but will be as invasive in nature as possible. 

Symptoms & Diagnosis

Signs and Symptoms of Prostate Cancers

Prostate cancer does not really give out any early signs of detection. You may begin to gauge the situation once the prostate gland swells due into a tumourous state or if the cancer has already started infiltrating other organs in the body beyond the prostate. See a specialist immediately if you have the following symptoms:

- If you have a frequent urge to urinate, particularly at night
- If you are having problems in either starting or stopping the stream of urine
- If you see that the stream of urine is weak and is continuously interrupted
- If you leak urine especially during laughing or coughing
- If you are having difficulty urinating while standing up
- If you have a painful or a burning sensation whilst ejaculating or urinating
- If you see blood coming out with your urine or semen

If your prostate cancer has advanced, you have these symptoms as well:

- If you feel a muted yet searing ache or stiffness in the pelvis, lower back ribs, upper thighs and in the bones of that region
- If you have a serious loss of appetite
- If you are losing weight, feeling tired and nauseous
- If you have swelling in the lower areas of the body
- If you feel a weakness or numbness in your lower limbs often followed with constipation

If you are going through one or more of these symptoms, it is best to seek advice from a specialist.

Our Diagnostic Services

There are no perfect tests to detect prostate cancer. However, in the initial period if your specialist feels that you may have a prostate issue, he may recommend the following:

- A urine test to rule out a urine infection

- A prostate specific antigen (PSA) blood test

This test measures the amount of Prostate Specific Antigen or PSA in the bloodstream. If you have increased levels of PSA in your blood is might suggest that there is a problem with the prostate. 

- A digital rectum examination (DRE)

During this diagnostic test, your doctor will feel your prostate through the wall of the back passage of your rectum. If the size of the prostate feels normal, then there is nothing to worry about. If the size is larger than expected, it may suggest an enlarged prostate. If the texture of the prostate feels hard and lumpy, it may be a possible sign of prostate cancer. 

Once your specialist has had the opportunity to review the results of the diagnostic tests, another round of secondary diagnostics may be prescribed that may include:

- MRI Scan

The MRI Scan will help to create a detailed image of the prostate and the tissues surrounding it. 

- Prostate Biopsy

With the help of needles, the doctor will take samples of the prostate tissue which will later be analysed under a microscope to look for cancerous cells. 

The third round of diagnostics will check if the cancerous cells have spread to any other parts of the body. This may include:

- CT Scan

The CT scan will check if the cancer has spread to the lymph nodes of the bones.

- A Bone Scan

The Bone scan detects if the cancerous cells have infiltrated the bones. 

In order to be absolutely certain of prostate cancer, you have to undergo several diagnostics tests. If you feel you need more information at any point of time, then speak to your specialist. 

Treatment Options

Ensuring that you have access to the right care will completely depend on getting the diagnosis correct. At Fortis Bannerghatta, we have a team of expert radiologists and pathologists along with our specialist oncologists who will concentrate on charting out your treatment plan for prostate cancer.

- If your prostate cancer is still localised, then the treatment will comprise of the following:

- Surgical Therapy

  • Prostactectomy
  • Transurethral resection of the prostate

- Radiation Therapy

  • IMRT
  • SBRT
  • HDR Brachytherapy

- Focal Therapy

  • Cryosurgery
  • HIFU

- If your prostate cancer has gone to a metastatic stage, the treatment will include:

  • Hormone Therapy
  • Chemotherapy
  • Angiogenesis Inhibitors

At Fortis Bannerghatta, we are committed towards increasing the chances of your treatment being successful and limiting any side effects. We will sit with you and your family through a series of meetings, where we will discuss the best route of treatment and post surgery care plans that will put you on a faster recovery path. 

Our Team That Cares

We often hear from our patients that the level and quality of personalised patient care along with interactions from our support staff is something that they have not experienced in a healthcare environment before. In addition to that, Fortis, has always strived to bring together a team of physicians who are well known and highly respected in their individual domains of medicine. Using the latest techniques in treating prostate cancer, we seek to better the quality of life of our patients in every way possible.