Prostate Cancer Diagnosis
Along with age related benign enlargement the incidence of prostate cancer also increases with age. A small percentage of patients presenting with
symptoms of prostate enlargement may have cancer in the prostate.
Early diagnosis and judging the stage of cancer accurately holds the key to curative treatment and best plan of management. This is achieved by a
special blood test (PSA), clinical examination, a special (transrectal) ultrasound and accurate biopsies.
Prostate Cancer Treatment
Along with age related benign enlargement and incidents of prostate cancer increases. A small percentage of patients
presenting with symptoms of prostate enlargement may have cancer in the prostate.
1. Laparoscopic Radical Prostatectomy/Open R P
This is an effective and usually curative treatment for early Prostate Cancer. The entire prostate and some surrounding
structures are removed and urinary passage re-established.
Laparoscopy provides similar cancer clearance related outcomes to open radical prostatectomy but is more patient friendly, less invasive and has
shorter hospitalisation and early recovery. The high magnification and clear visualisation helps in reducing bleeding and achieving better continence
and potency results.
2. Radiotherapy and Brachytherapy
In selected cases of early prostate cancer, these are alternative modalities to surgery especially in medically unfit
Working as a part of multidisciplinary team for urological cancer, Dr. Paruliya has gained good experience in the finer technical aspects and
3. Screening Programme (Urological / Cancer)
Just like USA and Scandinavian countries, we provide screening programmes for early detection of prostate cancer and
comprehensive urological check-up for individuals and company executives.
Medical Treatment of Prostate Cancer
Treatment of prostate cancer depends upon the stage of the disease and patient's age and overall health. Elderly patients with minor symptoms, early
stage of cancer, or coexisting illnesses may be treated conservatively.
Watchful waiting is a reasonable course of action for patients who are elderly, in poor health, or in early cancer stage. Untreated prostate cancer
may take years to become problematic. During this time, the physician monitors the patient's condition for any marked or sudden progression of the
disease, which may signal the need for more aggressive treatment.
Surgical Treatment of Prostate Cancer
Preparing for Prostate Cancer Treatment
Radical prostatectomy is the surgical removal of the prostate gland and surrounding tissues including seminal vesicles and
pelvic lymph nodes. Surgeons use one of two surgical techniques, retropubic prostatectomy or perineal prostatectomy. General
anesthesia is used in both procedures. In retropubic prostatectomy, an incision is made in the lower abdomen. This gives the
surgeon access to prostate gland, seminal vesicles, and pelvic lymph nodes. In perineal prostatectomy, the incision is made in
the perineum (space between scrotum and rectum). With perineal prostatectomy, a second procedure is required to remove the
pelvic lymph nodes, lymphadenectomy.