Prostate problems are becoming a major concern as the number of elderly people is increasing day by day but people are unaware of the seriousness of the condition and believe that prostate is just a natural phenomenon that occurs with age. It is the second leading cause of prostate cancer in men in big Indian cities like Delhi, Kolkata, Pune and Thiruvananthapuram, the third leading cause of cancer in cities like Bangalore and Mumbai and is among the top ten leading causes of cancer in the rest. Of population.
Despite significant advances in healthcare, about 60-65% of prostate cancers that doctors regularly encounter occur in stage 4 because they are detected at a later stage. If we do regular checkups, health professionals can diagnose it at an early stage and men can be expected to recover.
Prostate cancer is on the rise, and symptoms make it difficult to tell if it’s prostate cancer or a benign prostate condition. In an interview with HT Lifestyle, Dr. Ramesh K. Juvekar, a urologist, andrologist, reconstructive and transplant surgeon at Wockhardt Hospital in Mumbai Central, revealed that it is more common in patients with symptoms of prostatic obstruction:
Frequent and immediate urination is required
Difficulty in starting to urinate
Slow (prolonged) urination
Increased frequency of urination at night
किने Stop urinating and start again
भावना Feeling you can’t clear your head completely
Urinary tract infections
हुनु Blood in the urine.
Myths and facts:
Dr. Abhay Kumar, Head – Urology, Surgical Oncology, Robotic Surgery at Medica Superspeciality Hospital lists various myths when talking about the prostate:
– It is often believed that it is natural to have prostate problems and decreased flow of urine with age, but this is not the case.
– It is a common misconception that prostate problems always require surgery; However, the fact remains that many times prostate problems can be treated with medication.
– A spike in the PSA (blood test) is thought to represent prostate cancer, but in reality, a patient’s PSA may be higher for a variety of reasons that may not be cancer.
– Normal PSA is sometimes called rejection of prostate cancer, but about 25% of prostate cancers have normal PSA.
– It is widely believed that once a person is diagnosed with prostate cancer, there is no cure. However, it can be cured very easily, and even patients with stage four cancer can lead meaningful lives. However, if detected early, it can be completely cured using various new techniques and robotic surgery.
“As a doctor, we advise our patients to have regular prostate check-ups for their health and consciousness, and to have any problems healed,” he said. Dr. Ramesh K. Juvekar shared some facts about prostate problems that cannot be ignored:
1. Enlarged prostate – An enlarged prostate is common in men over 50 years of age. This condition causes the prostate to get bigger as you get older. This is sometimes called benign prostatic hyperplasia (BPH) or benign prostatic enlargement (BPE). It is not cancer and there are ways to treat it. BPH CA may co-exist with the prostate. An enlarged prostate gland can cause symptoms of uncomfortable urination, such as blocking the flow of urine from the bladder.
2. Prostatitis – Prostate Inflammation – This is a type of urinary tract infection in men. This infection is rarely serious but it is important to consult a urologist.
3. Prostate Cancer – Prostate cancer is most common in men, accounting for about one-third of all male cancers (context). The growth of cells in the body is controlled. Dead cells are systematically replaced. If the cells grow uncontrollably inside the prostate, it can cause cancer.
Bringing his expertise to the fore, Dr. Balaji Ramani, Senior Consultant, Department of Surgical Oncology, MGM Healthcare, elaborated on other myths and facts about prostate cancer:
Myth 1: Prostate cancer is for older men
Actually: As most men diagnosed with prostate cancer get older, it can affect young men as well. In fact in the western world it occurs in 40% of men with cancer
Myth 2: My father had prostate cancer, so I do too
Actually: Not everyone with a family history of prostate cancer gets it. Generally, a positive family history doubles the risk compared to the general population, but it is still lower overall. Such patients and individuals may need genetic testing and proper screening and we can easily detect and treat prostate cancer in them.
Myth 3: Treatment of prostate cancer always leads to incontinence / sexual dysfunction
Actually: While radical surgical treatment can lead to minor incontinence / impotence; Many men with current advances in laparoscopic and robotic surgery and better technology of radiation are essentially normal after therapy.
Myth 4: Increased serum PSA is always prostate cancer
Actually: An increase in serum PSA can occur in a variety of conditions ranging from a simple physical test to prostate infection and surgery to prostate cancer. Increasing levels should be triggered for prostate cancer to be detected but it is usually caused by benign enlargement of the gland. Serum PSA is currently used as a screening tool to identify early prostate cancer after discussing the risks and benefits of early prostate cancer treatment.
Myth 5: Prostate cancer always requires surgery and radiation for treatment
Actually: The management of prostate cancer is multi-disciplinary and often involves minimally invasive surgeries such as robotic or laparoscopic surgery and / or radiation therapy. Advanced cases may require different types of chemotherapy, immunotherapy, etc. That said, there are many low-grade prostate cancers that can be kept very safe under active supervision. In fact, many patients die from prostate cancer instead of prostate cancer because it is usually one of the most unexpected human cancers.
Dr. Muruganandam K, Senior Advisor and Head, Department of Urology and Kidney Transplantation at Gleneagles Global Health City, Chennai, added to the list:
Myth 1: All the symptoms of urination are caused by the prostate in men
Actually: Bladder problems, urinary tract infections, urinary stones and other medical conditions can also cause urinary symptoms.
Myth 2: Prostate enlargement is a symptom of urination
Actually: While this may seem logical, it is not true. In some cases, significant swelling can cause minimal symptoms, while minor swelling can lead to serious complications.
Myth 3: Normal enlargement of the prostate can lead to cancer in the long run
Actually: Its early symptoms are similar to those of prostate cancer, but BPH itself is a non-cancerous condition.
Myth 4: BPH only affects men in the 70’s and 80’s
Actually: Age is a risk factor, but not a demarcation line. Men over the age of 50 can also get BPH
Myth 5: There is a strong link between sexual function and prostate enlargement
Actually: Neither rare sexual activity nor repeated sexual activity has shown any effect on the rate of BPH or prostate cancer.
Myth 6: BPH is part of old age, and you can’t do much about it
Actually: Lifestyle changes and safe medications help improve the quality of life of prostate patients.
Myth 7: All BPH patients need treatment
Actually: Prostate enlargement alone does not guarantee any medical treatment. Further clinical evaluation by a urologist is needed to rule out prostate cancer and decide on treatment.
Myth 8: If you have symptoms of urination, drink plenty of water
Actually: Drinking too much water does not help many prostate-related symptoms and can sometimes exacerbate existing symptoms or put life at risk.
Myth 9: I don’t have any symptoms … so I don’t have prostate cancer
Actually: Prostate cancer can be completely asymptomatic in the early stages
Myth 10: Surgical treatment for the prostate is very risky
Actually: Minimally invasive surgical procedures are safe and effective in reducing symptoms and improving quality of life.
According to Dr. Ramesh K. Juvekar, routing screening of PSA along with symptoms of prostatic obstruction and biopsy in suspected cases can diagnose prostate cancer, so PSA screening is mandatory in elderly patients every year. PSA screening with regular sonography. If the PSA is above the prescribed level, a prosthetic biopsy is performed under sonography instruction. If the biopsy is positive, further research is needed to detect the spread of prostate cancer. Every patient with prostatic symptoms should report to a urologist, not a doctor, to check for their prosthetic symptoms.