Prostate Cancer Treatment

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Prostate cancer treatment-Robotic Radical Prostatectomy-Hormonal Therapy

 

Dr Vijayant Govinda Gupta is a Urologist with specialisation in Urooncology and Prostate Cancer Treatment in Delhi NCR. Read more.

This article discusses prostate cancer briefly, then moves on to prostate cancer treatment options and then focuses on radical prostatectomy and other surgical treatment options.

Prostate Cancer

Prostate cancer has been discussed in detail here.

Prostate cancer treatment

There are many various treatment options for prostate cancer. These include surgery (Radical Prostatectomy, TUR Channeling, Orchidectomy), Medicines (Hormone therapy, Newer drugs) and radiotherapy.

To read more about Prostate cancer treatment Delhi and Prostate Cancer Treatment Gurgaon read here.

We shall discuss each one by one.

Observation - Prostate cancer treatment

Prostate cancer is a disease with a long indolent course. Many patients will die of other causes than of this cancer. And the treatments, though now advanced and with minimal complications, do carry some risks and side effects. If the patient is over 70 years, the cancer is limited and is not causing any symptoms, then the disease may be observed. The patient is required to stay in follow up, given supportive therapy and followed up. Many patients do very well with this approach and may live completely normal healthy lives. But, remember, this approach requires very careful and nuanced evaluation and your urologist will be the best person to advise you.

You can contact me at vijayantgovinda@gmail.com for a free consultation

 Surgery - Radical Prostatectomy (Open/Laparoscopic/Robot Assisted Radical Prostatectomy/RARP)

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If you are diagnosed with prostate cancer, and have localized disease, which means that the cancer is limited to just your prostate gland, then you are eligible for radical prostatectomy. In radical prostatectomy, the urologist shall remove the prostate gland along with all cancerous tissues including lymph nodes.

Radical Prostatectomy
Radical prostatectomy - line diagram

Radical prostatectomy can be done open and via a robot. When a robot is used for te surger, then the procedure is called robot assisted lap radical prostatectomy or RALP or robotic radical prostatectomy.

Earlier this procedure used to be a formidable operation, with severe blood loss and many complications, but with refinement of technique and robotic assistance, today this procedure has become simplified.

You can read ore about radical prosatectomy here.

What to expect - Radical Prostatectomy

Radical prostatectomy sounds scary, and I understand it produces lot of anxiety in the patients mind. But with today's technical advancements, you are in safe hands.

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The surgery usually lasts for a few hours, bleeding is usually minimal and you will be ready to go home in a 48 hours. You shall be pain after surgery. You shall have a catheter in your penis to drain urine for aout 7 to 9 days after which it shall be removed to allow you to void normally. You shall have 5 small 8 mm scars that would heal within 7 days leaving very discrete marks.

prostate cancer treatment-radical prostatectomy

You abdomen would look something like this after a month.

The most feared complication of radical prostatectomy is incontinence or leakage of urine. But fortunately, it will occur in 5% patients. And it improves with time, and most patients will do well after 6 months. Leakage if any would usually be minimal, requiring placing a single pad for a day.

If you are young and enjoy a healthy sexual life, then I assure you that most patients who have normal erections before surgery, are able to retain erections and have intercourse after surgery too.

Robotic Radical Prostatectomy is now available in Delhi and Gurgaon. To read more about robotic radical prostatectomy Delhi and Robotic Radical Prostatectomy Gurgaon, read here.

Orchidectomy

If your prostate cancer has spread beyond your gland, and spread to your nodes or bones, then unfortunately you are not a candidate for surgery. But, in very selected patients, and especially if you are lucky, surgery may still provide cure. But this requires careful evaluation. But if you are not, then you would require hormone therapy. Prostate cancer growth is driven by the male hormone - testosterone. This hormone is produced in your testis (balls, nuts). So, if we remove the testis, then the hormone production dies, and the cancer comes in control.

The procedure to remove the male testis is called an orchidectomy and it is a simple painless daycare procedure where you can go home the same day.

If you wish for cosmesis, a artificial testis can be placed in the same sitting.

Injectible Hormone Therapy

If you do not want your testis removed, or if you require hormone therapy only for a limited period, then injectible medicines are available. Though a bit expensive, these medications are administered 3 monthly into the stomach, are painless and will keep your cancer under control.

Examples include - Leuprolide, Goserelin, Pamorelin, GNRH Agonists and antagonists, Fermingan etc.

Other Therapies

There exists other prostate cancer treatments and therapies which may provide benefit in patients not willing or ineligible for conventional gold standard treatments.

Radiotherapy

If you choose radiotherapy, be aware that you should get IMRT and 3D RT. In this the radiotherapy is focused only on the prostate and  prevent long term problems. But radiotherapy can make your follow up difficult, makes biopsy impossible and makes detection of residual cancer difficult. It will also not cure you, and make curative surgery very very difficult. Always consult a urologist before choosng radiotherapy as a treatment option

HIFU - High Frequency Ultrasound

A new modality, with limited results, it may be of benefit in some patients. But, you require careful evaluation by a urologist before proceeding to this modality. If you are eligible for HIFU, you are most likely to be benefited by radical prostatectomy.

You can contact me at vijayantgovinda@gmail.com for a free e consult.

prostate cancer

Prostate Specific Antigen (PSA)

Prostate Specific Antigen Delhi-PSA Delhi-PSA Gurgaon

Dr Vijayant Govinda Gupta is a Urologist in Delhi NCR and Gurgaon specialising in prostate cancer diagnosis and prostate cancer treatment. He is the best doctor to full evaluate and advise on elevated PSA levels and to interpret your prostate specific antigen levels. If you have received a PSA test in Delhi or a PSA test in Gurgaon or a PSA test in NCR, contact me today. Get a free e consult via email or drop a message.

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PSA Delhi-PSA Gurgaon-PSA NCR

I have written other articles for your consideration.

  1. Prostate cancer – Symptoms and Diagnosis – Describes in detail the various modalities to diagnose prostate cancer
  2. Prostate cancer treatment – Radical Prostatectomy – Describes in detail various prostate cancer treatment options.
  3. Prostate cancer in Delhi-Prostate cancer in Gurgaon – My facilities in Delhi and Gurgaon to treat prostate cancer.
  4. Prostate cancer treatment in Delhi and NCRRobotic Radical Prostatectomy Delhi Gurgaon – Describes essential information on robotic radical prostatectomy in Delhi and NCR.
  5. Serum PSA – Patient resource

If you still have any doubts feel free to contact me via email or drop me a message below.

Robotic Radical Prostatectomy Delhi-Radical Prostatectomy Delhi

Robotic Radical Prostatectomy Gurgaon-Radical Prostatectomy Gurgaon

Dr Vijayant Govinda Gupta is a Urologist and Robotic Surgeon in Delhi specialising in Urooncology and Robotic surgery of Prostate cancer including Robotic Radical prostatectomy Delhi and Robotic Radical Prostatectomy Gurgaon.

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What is Radical Prosatectomy – Is Radical Prostatectomy in Delhi and NCR?

Radical prostatectomy is a urooncological surgery in which the diseased prostate gland is removed en toto from the body along with its draining lymphnodes. This surgery is the curative surgery for prostate cancer. A technically complex and a challenging surgery, it requires expert assessment and great care from the operating surgeon. Apart from this, choosing whether you are suitable for this surgery is a challenge, few urologist are trained in.

With the introduction of the Da Vinci surgical robot, thankfully the world class cutting edge technique of Robotic Radical Prostatectomy is now available in Delhi and Gurgaon.

What is a Surgical Robot? Is Robotic Radical prostatectomy Delhi and Robotic Radical Prostatectomy Gurgaon a reality?

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A surgical robotic system is specialised cutting edge machine manufactured world over by Intuitive Surgicals, a California based company. It is supplied in India by a company called Vattikutti Institute. Specialised training is recommended before a someone is authorised to work on the console.

In this procedure the surgeon uses his wrist to manipulate the arms of a patient side robot and with high magnification and precise movements. Very intricate procedures can be performed inside the patient with very minimal scars and blood loss.

I have the good fortune to train at PGI Chandigarh, where the Da Vinci HD Si system has been operational since 2014. There I assisted in more than 50 robotic surgeries. The Da Vinci simulator was also operational and as a resident, simulator on time was provided to each of us.

Is Radical Prostatectomy possible without a robot?

Yes, Radical Prostatectomy is possible without a robot. In fact, data worldwide shows that open or laparoscopic conventional radical prostatectomy is superior. But, patient choice drives the decision. I am comfortable doing open, laparoscopic and Robotic Radical prostatectomy. The best option for you is always a decision made with consultation. What is right for you may not be right for some one else.

Who is the Best Robotic Surgeon in Delhi?

Best is a generic term. I believe the surgeon who can provide you relief from your disease in a economical ethical and caring manner is the Best Robotic Surgeon in Delhi and Gurgaon. A surgon who knows when to ask for help at the right time instead of compromising your care is the Best Robotic Surgeon in Delhi NCR.

I have my teachers and stalwarts practicing in Delhi, Gurgaon and NCR. In fron of these giants, I will always be a student. That said, it is my strong belief that prostate cancer is not a disease by a commitment. I will hold your hand through your entire journey to recover from this disease, a stronger man.

To take a free econsult, leave a message or drop a email.

 

PROSTATE CANCER TREATMENT DELHI-PROSTATE CANCER TREATMENT GURGAON

Dr Vijayant Govinda Gupta is a Urologist in Delhi NCR and Gurgaon specialising in Urooncology with special interest in the treatment of prostate cancer. You can read an excellent article on prostate cancer diagnosis here. In this article I write about prostate cancer treatment Delhi, Prostate cancer treatment Gurgaon and prostate cancer treatment in NCR.

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Why a Urologist for Prostate Cancer Treatment in Delhi?

A urologist is the best qualified medical specialist to handle your complex condition. Due to efforts and progress in science, today prostate cancer is eminently treatable. A Urologist will not only ensure treatment but will allow you to have a great quality of life too.

Delhi being a Metro, has many Urologist. Choose a Urologist that can provide you the best prostate cancer treatment Delhi and best Prosatate cancer treatment Gurgaon.

I can provide you the best results and a comfortable Prostate cancer treatment in Delhi NCR and Gurgaon, if you do choose me as your treating urologist.

What treatment of Prostate cancer can I offer you in Delhi and Gurgaon?

I am experienced and comfortable in all forms of prostate cancer treatment. You can read a detailed article here.

In Delhi and Gurgaon, I can offer you all the latest modalities of treatment including Robotic Radical Prostatectomy.

Contact me today for further discussion about your problem. Get a free consult via email, or leave a message.

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PROSTATE CANCER DELHI-PROSTATE CANCER NCR-PROSTATE CANCER GURGAON

Dr Vijayant Govinda Gupta is the best urologist in Delhi and NCR for the diagnosis and treatment of Prostate Cancer. Read further for more information on Prostate Cancer Delhi, Prostate Cancer NCR and Prostate Cancer Gurgaon.

Also read my article on Prostate CancerProstate cancer SymptomsProstate biopsy.

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PROSTATE CANCER DELHI-PROSTATE CANCER NCR-PROSTATE CANCER GURGAON

Prostate cancer is a rising problem in urban populations, especially in cities like Delhi and the National Capital Region. Gurgaon is seeing a rapid increase in population. And with it, its residents are having to face this dreaded problem.

Prostate cancer is eminently treatable. If caught early, it is completely curable and long term survival is the norm. But, prostate cancer is also an enigma of treatment paradigm. It requires very very careful and nuanced workup by a qualified urologist with significant experience in diagnosis of prostate cancer.

You can read my credentials to treat prostate cancer here. I have significant practical training in the diagnosis of prostate cancer.

You can refer to my articles on prostate cancer, serum psa and prostate cancer treatment.

Why should I contact an Urologist for Prostate Cancer in Delhi?

Prostate cancer is a disease with a very long course. You will live for many many years after treatment. A urologist is the one person who is the most qualified to manage all associated complications and life issues. Other specialities may mange your cancer initially, but at some point will always require a urologist to come on board. So consulting a good urologist in your area (Delhi, NCR Gurgaon) for prostate cancer will be in your best interest

Am I competent in evaluating all the latest diagnostic modalities for prostate cancer?

I am fully qualified in evaluating and diagnosing prostate cancer in Delhi, prostate cancer in gurgaon and prostate cancer in NCR. I am comfortable in all latest diagnostic modalities like multiparametric MRI, Serum PSA and TRUS guided Biopsies and routinely offer these tests to my patients in Delhi NCR.

If you are suffering from prostate cancer Delhi, Prostate cancer NCR and Prostate cancer Gurgaon, you can take an appointment or get a free econsult via email.

Or drop a message below.