Prostate Cancer Treatment

Prostate Cancer is a malignant tumor in the prostate gland. The tumor is the result of abnormal growth of cells in the prostate gland or other remote parts. Though the cause of prostate cancer is yet to be determined, certain factors may make you prone to it like radiation exposure, ageing, obesity, heredity and race. As prostate gland is found only in men, being a male is the biggest risk factor. The symptoms include hesitancy in urination, constant urge to urinate, agonizing ejaculations, dribbling and inability to maintain a consistent urine stream. Since early treatment means better recovery, timely medical intervention should be sought.

Rajiv Gandhi Cancer Institute & Research Centre continues to be the preferred centre for prostate cancer treatment in India. Our Department of Uro-Oncology opened its doors in 1996 with a handful of conventional open surgeries. With gradually evolving capabilities, we are positioned to implement all Laparoscopic and Robotic URO-GYNAE procedures. Our approach to prostate cancer management is based on multiple factors, such as presentation stage, age, and health status of the patient. Conventionally, we comply with the proven modality of expectant management, patient observation and active surveillance.

We prefer expectant management for ageing patients suffering from various other issues. The objective is to steer clear of the issues caused by radiation and incision based prostate cancer treatment modalities. Here, we determine the early indications of the deteriorating condition through Ultrasounds, PSA blood tests and Digital Rectal Exams. Prostate biopsies may be recommended to monitor the pace and spread of cancer. Watchful waiting is a toned down version of expectant management. The tests are restricted to bare minimum and focus is on monitoring the variance in patient’s symptoms to choose the further course of action.

As a treatment modality, surgery comes into play if the malignant tumor is restricted to the prostate gland and neighbouring tissues are still immune to its infestation. The most common surgical procedure for prostate cancer is Radical Prostatectomy, wherein we take out the entire gland and surrounding tissues in safe and efficient manner. We are well-equipped to deliver a range of interventions for prostate cancer treatment in India. These may include High intensity focused ultrasound (HIFU) and Open/ Robot-Assisted Laparoscopic Prostatectomy.

For Urinary Bladder Cancer, we provide HyperthermicIntravesical Chemotherapy (HIVEC) and Open/ Robot-Assisted Cystoprostatectomy with Intracorporeal/ Extracorporeal Ilial Conduit/ OrthotopicNeobladder. Open/ Laparoscopic/ Robot-assisted radical nephrectomy/ Nephron sparing surgery for Renal malignancies and Open/ Laparoscopic/ Robot-assisted Nephroureterectomy with bladder cuff excision for Ureter Malignancy are also available. You can also trust us for Robot-assisted retroperitoneal lymph node dissection for Testicular tumor and Open/ Laparoscopic/ Robot-assisted Adrenelectomy for Adrenal tumor.

As the robotic surgeries for prostate cancer treatment are getting mainstream acceptance, we stand tall as the veterans with over 2500 robotic urology surgeries performed thus far. We are among the select few to employ “RETZIUS Sparing Technique” to keep Post prostatectomy urinary incontinence at bay. The technique is known to deliver initial urinary continence after prostatectomy, leading to fewer complications in the post-prostatectomy stage.

Types of Treatment

The treatment offered to our patients will depend on several factors such as the stage of cancer, possibility of side effects, the overall health of the patient, his medical history and his preferences.

Prostate cancer treatment at the initial stage, generally, involves watchful waiting or active surveillance along with oral or intravenous medication. Your doctor will set up a schedule of test that should be followed. In case the cancer develops or spreads locally, our specialists recommend this because active treatment could be harmful.

Localised radiation therapy or surgery are recommended for patients where the cancer has manifested and grown to affect the organ.

For cancer of the 2nd and 3rd stage, systemic radiotherapy is the usual course of action. Radiation therapy destroys existing cancer cells and reduce or stop the cancerous cells from multiplying.

A surgery to remove the prostate gland to stem the growth of cancer is recommended based on how wide and how fast the cancer is spreading.

At our hospital, we have fully equipped theatres to offer both open or laparoscopic surgeries.

The systemic therapies for prostate cancer used by the best prostate cancer doctors are testosterone suppression therapy and androgen axis inhibitors, targeted therapy, chemotherapy and radiopharmaceuticals.

Best Prostate Cancer Doctors

Rajiv Gandhi Cancer Institute and Research Centre has some of the most experienced and  best prostate cancer doctors. Aided by teams of experts, the specialists offer curative and palliative prostate cancer treatment. What makes our teams stand apart is their dedication to research less intrusive and better methods for cancer treatments.

Since we are a research center, your doctor may recommend participation in clinical trials where a new form of treatment is showing positive results. The decision to join the

Know more about Prostate Cancer Symptoms, Signs, Causes,  Diagnosis, Risk Factors, Stages

FEATURED DOCTOR

MBBS, MS, M.Ch, D.N.B (Urology)

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Dr. (Prof) Sudhir Kumar Rawal Uro Oncology

DM (Medical Oncology), FRCP (U.K), DNB (Medicine), FICP, FIMSA, MNAMS

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Dr. Vineet Talwar Medical Oncology

M.B.B.S, M.D, D.N.B (Medical Oncology), ECMO (Europe), MRCP- UK (Medical Oncology)

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Dr. Varun Goel Medical Oncology

M.S., M.Ch. (Urology)

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Dr. Amitabh Singh Uro Oncology