Prostate diseases are very common, usually with advancing age.
The good news is that, nowadays, there are already many diagnostic and treatment solutions, which seek to restore the patient’s quality of life. However, for this to be possible, it is first necessary to recognize the signs that something is not right, to know when to act and seek help from urologist in Ghaziabad. Today we are going to show you the first warning signs for you to be active in preserving a good state of health. How to know that there is a problem in the Prostate? When the prostate undergoes some change, its normal functioning is conditioned. From there, it is quite common that some signs begin to be noticeable that, as a rule, tend to condition the lives of patients and are a source of discomfort and embarrassment. Therefore, you should be aware of the following symptoms:
What is at the basis of this symptomatology? When talking about prostate problems, it is common to think of cancer first. Despite being a pathology that affects many men throughout their lives – it ranks among the most diagnosed oncological diseases in the world, it is not the only cause of this type of symptoms. In fact, someone who is diagnosed with Prostate Cancer may not even show any of the signs described above. Thus, there are three main prostate diseases with similar warning signs: Benign Prostate Hyperplasia (BPH): is characterized by an increase in the volume of the prostate, causing compression of the urethra and consequent conditioning of the urinary system. It is very common from the age of 50, and the risk increases with advancing age; Prostatitis: Causes inflammation of the prostate gland and the area around it. It can have various origins, such as a bacterial infection, but in some situations the cause is not known. It can be temporary or become chronic. It is the only one on the list that is more common in younger men, under 50; Prostate Cancer: More common in men over 50, black, with a family history of disease, or with unhealthy eating habits. Despite sometimes presenting symptoms, in some situations they are only noticeable in more advanced stages of the disease. Although cancer is the most serious pathology and can represent a real risk to life, none of the others should be ignored, in order to prevent them from becoming more serious health situations. For example, BPH can cause serious infections, bladder stones, blood in the urine, urinary retention and, more seriously, kidney failure (“kidney failure”). What are the solutions for each pathology? Regardless of the pathology, they all have one aspect in common: they are more easily treatable, and their effects are reversed when diagnosed at an early stage. Therefore, you should be aware of the symptoms that may arise. In addition, you should regularly perform the recommended exams. Furthermore, all conditions – Benign Prostate Hyperplasia, Prostatitis or Prostate Cancer – have treatment or, at least, methods that allow to mitigate their effects and symptoms. In cases of Benign Prostate Hyperplasia, if the symptoms do not affect the patient’s daily life too much, this disease can only be actively monitored over time. On the other hand, if necessary, surgical techniques, minimally invasive methods or drugs can be used. In the case of Prostatitis, if the origin is bacterial, antibiotics and other medicines are recommended that alleviate the symptoms of the disease. Regarding Prostate Cancer, the procedures can be surgical or other techniques, such as brachytherapy or radiotherapy. Do you recognize the symptoms? Consult a doctor as soon as possible! The best advice in cases where patients identify some of the characteristic symptoms of prostate problems is always to ask for medical help, so that the best urologist in Noida is able to make an accurate diagnosis through clinical evaluation and the necessary tests, followed by an effective treatment. If you let the signs evolve into more serious situations, the recovery of a normal life can be more difficult and time consuming. So don’t delay the decision to see a urologist in Noida – book a diagnostic appointment and enjoy the experience and care of Dr Shailendra Kumar Goel.
0 Comments
What is kidney cancer?
Kidney cancer, hypernephroma or renal adenocarcinoma is a malignant tumour that affects kidney cells and can be restricted to that organ or spread to other parts of the body, explains the best urologist in Noida. What are the causes of kidney cancer? The causes of kidney cancer are not entirely clear. It is only known that it begins when some kidney cells undergo mutations in their DNA, which start to grow and multiply in a fast and disordered way, forming a tumour that can expand to other parts of the body (metastases) and cause serious complications, says the urologist in Noida. Although the causes of kidney cancer are not yet known, some factors seem to contribute to it, such as advanced age, treatment for kidney failure such as dialysis, von Hippel-Lindau disease (an inherited condition that affects the blood vessels of the brain, eyes and other body parts). In addition, smoking, high blood pressure and obesity also interfere negatively. Also, some rare genetic syndromes can increase the risk of developing kidney cancer, states the urologist in Noida. What is the pathophysiology of kidney cancer? The kidneys are two organs about the size of a fist, located in the back and upper part of the abdomen, behind the abdominal organs, juxtaposed to the spine, one on each side. The kidneys are responsible for the balance of water and salts in the body and eliminate harmful substances metabolized by the body. Each kidney is made up of a million tiny filtering structures called nephrons. The most common kidney cancer results from the transformation of the cells of the tubules that form the nephrons, which begin to proliferate abnormally and can invade the organ and even, in some cases, circulate through the body and produce tumours in other parts of the body. (metastases). There is usually a single tumour, but two or more tumours can arise within one or both kidneys simultaneously. One of the first consequences of the kidney tumour is the breakdown of kidney functions, says the urologist in Greater Noida. What are the main clinical features of kidney cancer? Kidney cancer is usually silent or only produces very mild and nonspecific symptoms. It can cause bleeding in the urine and pain in the side of the belly. More intense symptoms and the possibility of palpation of the tumour only occur when the disease is more advanced. At this stage, persistent back pain, abdominal pain, weight loss, fatigue, and intermittent fever may be present. In many cases, the first overt symptoms may result from metastasis rather than from the primitive tumour, explains the urologist in Ghaziabad. How does a doctor diagnose kidney cancer? The first tests and procedures used to diagnose kidney cancer include blood and urine tests, ultrasound, CT scan, and MRI. Lastly, a biopsy may be performed, to remove a sample of kidney tissue, to be sent for examination in a pathology laboratory. The earlier the diagnosis, the greater the chances of cure because it allows identifying the tumour in its early stages, still located in the kidneys and not spread to other parts of the body. Often the discovery of the tumour is accidental, during exams by urologist in Ghaziabad for other purposes or even in routine exams. How do doctors treat kidney cancer? Kidney Cancer Treatment in Noida depends on the size of the tumour and whether or not it has metastasized, but surgery is the only definitive treatment. Removal of the kidney, adrenal gland, and regional lymph nodes is the most commonly indicated treatment. When the disease has already produced metastases, the goal of treatment becomes to stop or slow down its progress. For this, the treatment must be with medications that block the fundamental biological processes for the proliferation and survival of cancer cells, especially chemotherapy, explains the urologist in Vaishali. How does kidney cancer evolve? In general, the patient’s recovery depends on how severe the cancer has reached. In about a third of cases, the cancer has already spread throughout the body and the patient, at the time of diagnosis, has already developed metastases. For these patients, the chances of cure are considerably reduced, says the urologist in Vaishali. How to prevent kidney cancer? There is no absolute way to prevent kidney cancer. However, some measures seem to reduce the incidence: not smoking, maintaining a healthy weight and eating properly, suggests the best urologist in Noida. Chronic kidney disease (CKD) is nicknamed the silent killer because it usually does not cause any symptoms until it is in an advanced stage and is already irreversible. “It is a forgotten pathology, even by health policies, and it is only treated when there is no cure and the only thing that can be done is to alleviate the symptoms,” explains the best urologist in Noida.
In the terminal phase of this disease, the kidneys stop performing their function and survival is only possible with renal replacement therapy: dialysis or a kidney transplant. However, if it is detected when it is still very early, it is possible to stop its development by treating the pathologies that cause this renal deterioration (diabetes and hypertension, above all) and with a healthy lifestyle, explains the urologist in Noida. Warning Signs “There really isn’t a clear symptom because normally there is no pain,” says the urologist in Greater Noida. These are some of the warning signs that can warn of the existence of a kidney disease. But beware! These signs usually appear when the problem is already advanced, that is, in the first three phases of the 5 with which the progression of the disease is described:
Blood and urine tests Blood tests that are routinely performed on the healthy population both in health centers and in company medical check-ups usually include a marker of kidney function, creatinine, which is an enzyme that is eliminated in the kidney and is produced by the metabolism of the muscles. “It has to be around 0.9 and 1.1, that is, around 1”, indicates the president of Alcer. “If it is a little higher, there is a kidney problem”, says the best urologist in Ghaziabad. Despite the fact that it is a very good marker and “if you have it altered it is a sure indicator of kidney failure”, it only detects the existence of problems of a certain severity (from stages 3-4 of kidney disease), since in the incipient phases the creatinine levels are usually fine. To evaluate the functioning of the kidneys in these early stages, it is necessary to resort to the gromerular filtration rate, which measures what the kidney is capable of filtering. It is calculated using a mathematical formula that compares a person’s height, age, gender, and race to their serum creatinine levels. “If both the glomerular filtration rate and the 24-hour urine sample were included in the analyzes carried out in primary care, many more cases of chronic kidney disease would be detected and early detection would be made,” urologist in Vaishali highlights. Prevention before it’s too late But since it is not possible to carry out systematic tests on all people and against all pathologies, those that should pay more attention to their kidney function are those that present a higher risk of chronic kidney disease, which are:
As for the rest of the population, the essential thing is to keep in mind that advanced age, obesity, a diet with excess sodium, the abuse of medications, a sedentary lifestyle, the consumption of tobacco, alcohol and other drugs… factors that increase the probability of suffering kidney diseases. Therefore, the best way to prevent chronic kidney disease is a healthy lifestyle. It is advisable not to lower our guard because it is a very common problem: it is estimated that approximately 10% of the population suffers from some type of kidney disease. How many times have you consulted with a urologist?
It is recommended to carry out, from the beginning of sexual life, routine consultations with the best urologist in Noida once a year. This care makes it possible to identify diseases early, before they can cause complications. But, in addition to routine consultations, there may be situations where urgent care is needed, either because of the pain caused by the disease or even the risk of serious complications and even death. Diseases that require urgent consultation with the urologist Acute urinary retention The urinary retention can be defined as the inability to urinate, the bladder is full, but the patient can not empty it. This can occur when there is obstruction of the urine channel, most commonly related to benign prostatic hyperplasia (enlarged prostate) or even failure of the bladder muscles to contract, which can occur from medication use or nervous system injuries. The patient should be submitted, as soon as possible, to the placement of a probe in the urine channel, in order to avoid complications such as loss of kidney function. Renal colic (kidney stone) When the stones are located inside the kidneys, they do not usually cause pain. But when the stones travel through the urinary stream and reach the ureter, the canal that connects the kidney to the bladder, they cause obstruction of the drainage of urine, which accumulates, causing the ureter and kidney to dilate. This dilation is responsible for intense low back pain, known as renal colic l. Kidney stone is a sharp, intense pain that cyclically increases and decreases, starting in the lower back and radiating (walking) to the lower abdomen. It may be accompanied by sweating, nausea and vomiting. Acute scrotum (sharp pain in the testicle) There are several causes of testicular pain, but one in particular requires urgent care, testicular torsion. Some patients have a failure to attach the testicle to the inner part of the scrotum, and there may be twisting of the testicle. This condition prevents the arrival of blood with oxygen to the testicle, causing very intense pain. The condition must be corrected through surgery as soon as possible, in order to avoid the loss of this organ. Urinary tract infection is also treated by the urologist in Noida Urinary tract infection can occur in both women and men. In females, the most commonly affected organ is the bladder, causing local inflammation, which we call cystitis. When this occurs, symptoms such as burning when urinating, the urge to go to the bathroom very often, cloudy and foul-smelling urine appear. In males, the most commonly affected organ is the prostate. Infection of the prostate causes symptoms similar to those described above, in addition to pelvic pain. Although the diagnosis and treatment of urinary tract infection is relatively simple, proper evaluation by a urologist in Ghaziabad is necessary, who should examine the patient in addition to ordering urine and blood tests. If not treated properly, a urinary tract infection can cause serious complications. Cystitis, for example, can progress to kidney infection, which we call pyelonephritis. Some of the most common symptoms associated with this condition are fever, chills and lower back pain. There are many other conditions that also require prompt care, including trauma, penile fracture, Fournier’s paraphimosis gangrene. Therefore, if you have symptoms of any of these diseases, urgently seek the best urologist in Ghaziabad. The urinary incontinence in female is a common problem, especially in young women and may have an impact significant and important in the quality of life of the patient. Female urinary incontinence involves an involuntary leakage of urine, which can lead to a number of symptoms, which include urinary urgency (sudden need to urinate and the difficulty or inability to avoid it), urinary frequency (urinating more than 8 times during a 24-hour period) and nocturia, explains the urologist in Noida.
Female urinary incontinence can be classified in different ways. Depending on what causes it, it can be:
It is estimated that female urinary incontinence affects 20-30% of young women, 30-40% of middle-aged women, and 30-50% of elderly women. What is the treatment for female urinary incontinence? Currently there are multiple ways to manage and treat female urinary incontinence. The treatment to be used will largely depend on the type of urinary incontinence that the patient presents:
In cases of severe urinary incontinence, it is advisable to use surgery as the first-line treatment, unlike mild or moderate cases. Treatment of conditions that may cause or accentuate female urinary incontinence is widely recommended by the urologist in Greater Noida and necessary to minimize symptoms of urinary incontinence. Absorbent devices as a treatment for female urinary incontinence Absorbent devices are products (pads or garments) designed to absorb urine and thereby protect both the patient’s skin and clothing. Because they reduce the odour and moisture of absorbed urine, they help maintain a certain comfort and facilitate the performance of daily activities, says the urologist in Ghaziabad. While absorbent devices help control the symptoms of urinary incontinence, they are not a cure for the problem. Patients who benefit from the use of these devices are those who meet the following criteria:
Surgical treatment for urinary incontinence is offered by the urologist in Vaishali when patients have already undergone drug treatment as well as pelvic floor exercises and there is no improvement. There are different types of surgeries that can be performed as treatment; however, it will depend on what type of urinary incontinence is present, states the best urologist in Greater Noida. For patients with stress urinary incontinence, surgeries are recommended to strengthen the urethral sphincter (suspension of the bladder neck, among others). For patients with urge urinary incontinence, surgeries are recommended by the best urologist in Ghaziabad that increase the elongation of the bladder, as well as the amount of urine it can retain (sacral nerve modulation, injection of neurotoxins such as botulinum toxin, bladder enlargement). Pharmacological treatment for female urinary incontinence The purpose of drug treatment is to reduce the frequency of symptoms of urinary incontinence. The medications used are anticholinergics, antispasmodics, and tricyclic antidepressants. Depending on the type of urinary incontinence that the patient presents, the drugs that are going to be administered will be administered. It has been observed that when drug treatment is combined with pelvic floor exercises the results are even better and the symptoms decrease is greater. If you or any of your family members have symptoms such as those mentioned, do not hesitate to contact urologist in Delhi to treat these types of problems. Urinary tract infection can affect three parts of our body: the urethra, the bladder, and the kidneys. When the problem occurs in the urethra, the infection is called urethritis. In the bladder and kidneys, it is called cystitis and pyelonephritis, respectively, explains the Urologist in Noida. Usually, the urinary tract infection is caused by bacteria that live peacefully in our intestines. E. Coli is part of the intestinal microbiota and only becomes pathological when it leaves its natural habitat. According to the Best Urologist in Noida, in women, the chance of an infection settling in the urethra is much greater than in men. This is because the woman’s urethra is short, that is, the path that the bacteria travel to the internal environment is shorter. The female urethra measures about 5 cm and is completely internal, while the male urethra can measure up to 20 cm and has a large part of its extension outside the body. In addition, the urethral orifice in women is located in the vagina, which is very close to the anus. The short distance facilitates contamination, especially after incorrect intimate hygiene. The most common symptoms are pain and burning when urinating, constant urge to go to the bathroom, bad smell in the urine, feeling of heaviness in the bladder and urgency to urinate. Low back pain and fever will more severe symptoms and is indicative of pyelonephritis – as the kidneys are organs later, says the Urologist in Noida. Find out what are the main causes of urinary tract infection and change your habits! 1. Drink little water According to the Urologist in Greater Noida, when we drink little water, little urine is formed. The formation of urine depends on the work of filtering blood through the kidney. If the kidney detects that there is little fluid in the body, the rate of water reabsorption is increased. Thus, the urine is concentrated, and the body maintains acceptable levels of fluids. This mechanism is important for maintaining stable blood pressure. However, when the flow of urine is small, bacteria have the free path for longer and can reach organs such as the bladder. This is because the continuous flow of urine clears the walls of the bladder, ureters, and urethra. The ideal is to drink about 2 liters of water during the day, suggests the best urologist in Greater Noida. 2. Do an incorrect intimate cleaning Our gut has a microbiota formed by several bacteria. There, they do not cause disease and are important for the balance of the body. However, several bacteria come out in the stool and can reach the urethra when intimate hygiene is done incorrectly. The correct thing is to pass the toilet paper from front to back, thus avoiding the contact of feces with the vagina, suggests the Urologist in Ghaziabad. 3. Do not urinate after sex During sex, the body comes into contact with various bacteria. Eliminating urine after intercourse helps to eliminate pathogens that clumped in the urinary tract during the act, says the Sexologist in Noida. 4. Holding urine in the bladder Some people have a bad habit of holding pee for a long time. Whether due to lack of time at work or out of habit, this attitude damages the health of your urinary system. The accumulation of urine inside the bladder favors the growth of bacteria, since the urinary tract is not cleaned regularly. In addition, as the urine reaches the bladder, it expands to accommodate all the fluid. When urinating, the bladder cannot contract completely and there may be some fluid left inside, which also causes infection. 5. Do not change absorbents frequently During the menstrual period, the body eliminates various residues that can serve as a culture medium for bacteria. When a woman stays with a dirty pad for a long time, these microorganisms can reproduce there and ascend to the urethra. The ideal is to change the pad every 4 hours – or whenever you notice a decrease in menstrual flow, suggests the Urologist in Vaishali. 6. Wear tight underwear Underwear stuck to the body increases the temperature of the region, favoring the proliferation of bacteria. In addition, other microorganisms can benefit from the increase in temperature, such as fungi. To prevent one of the causes of urinary tract infection, the ideal is to wear comfortable underwear and sleep without panties to ventilate the area, advices the urologist in Noida. If you have recently experienced the above symptoms or have infections repeatedly, seek medical help and schedule an appointment with a urologist in Delhi. One of the main reasons for the concern of patients is the appearance of a renal cyst in some imaging exam due to unspecific pain or check-up. And then the question arises: is kidney cyst serious? This problem tends to affect people of both sexes as they age and most of the time it is harmless. However, in some cases it can be associated with kidney disorders with potential severity, says the urologist in Noida. Let’s learn more about kidney cyst symptoms and characteristics, causes and forms of treatment. What is a renal cyst? The cysts are filled with water round bags formed within the kidney. Usually asymptomatic, they are detected during some type of image exam requested by the best urologist in Noida. According to data from Harvard Medical School, the chances of a simple kidney cyst appearing with age: at 30, the probability is 5%, at 70, the percentage of chances rises to 36%. For the occurrence of renal cysts, the causes have not yet been fully defined. Renal cyst may appear on the left or renal cyst on the right with different sizes, from subcentimeter to large 20 cm structures. The definition of medical conduct will depend on some factors, which we will discuss below. Simple renal cyst A simple kidney cyst is a benign clinical condition and does not usually cause symptoms. Its main characteristics are thin walls, with a rounded and regular shape, with clear and crystalline content, states the urologist in Greater Noida. However, when the kidney cyst grows in size, the symptoms can be:
This type of cyst has solid parts or other changes, such as irregular contours, septa or fibrosis. To determine the complexity, it is necessary to perform more specific exams, such as tomography or MRI of the abdomen, says the best urologist in Greater Noida. Unlike simple cysts, in this case we may be facing a kidney tumor but with characteristics of a cyst. The Bosniak Classification will determine the degree according to the aspect of the images obtained in the exam and, with that, guide the best treatment conduct.
According to the urologist in Ghaziabad, many patients do not understand the terms used in the examination reports and arrive with many doubts. The term “cortical cyst” refers to the anatomical location. When talking about cortical cyst it is because the lesion is in the most superficial region of the kidney, which is called the cortex. Parapelic cysts are close to the renal pelvis. Polycystic kidney disease This disease has nothing to do with simple sporadic kidney cysts. The appearance of cysts can be started at a young age and needs to be monitored by nephrologists and best urologist in Ghaziabad, because the disease can lead to chronic renal failure. This disease is associated with hereditary factors. Renal cyst treatment Most kidney cysts do not require treatment. The definition of medical follow-up will be based on the results of exams and characteristics of the cysts, explains the urologist in Noida. A more invasive treatment will only be necessary in 2 situations:
In cases of large simple cysts, puncture with a needle through the skin can be an interesting alternative, says the urologist in Vaishali. There is no hard data to speak of cysts prevention. Still, moderate eating habits, adequate water intake, physical activities, controlling blood pressure and avoiding smoking (proven cause of bladder and kidney cancer) are beneficial to the body, suggests the urologist in Delhi. Prostate cancer is the most common among males. According to a study, more than 1,30,000 new cases appear worldwide. It is also the third in mortality, behind lung and colorectal cancer, with some 5,841 deaths, in 2018. The positive thing is that the survival rate is high: it is estimated to be 90%. That is why prevention and early diagnosis is very important, says the urologist in Noida. But there is an essential issue that usually occurs when a man suffers from this type of cancer that is usually irrelevant to many oncologists, not for those who suffer from it: erectile dysfunction. WHAT IS PROSTATE CANCER? The prostate is a gland in the male reproductive system, located under the bladder and in front of the rectum. It is the size of a walnut and surrounds a part of the urethra (the tube that conducts urine to the outside from the bladder). It is in charge of semen production. Prostate cancer originates when the cells in this organ begin to grow out of control. Although there are different types of prostate cancers, the most common is adenocarcinoma. It occurs mainly in older males: 90% of cases appear in people over 65 years of age. Prostate cancer should not be confused with benign prostate hyperplasia, which is a noncancerous enlargement of prostate hyperplasia, and occurs as men age, when the prostate can enlarge and block the urethra or bladder, which can lead to difficulty urinating or interfering with sexual function, explains the sexologist in Noida. While the causes of prostate cancer are unknown, there are risk factors such as advanced age, genetics, family history, obesity, tobacco, and high testosterone levels that could increase the risk. At first, prostate cancer has no obvious symptoms, but in more advanced stages some such as the frequent need to urinate (feeling not emptying the bladder well), involuntary loss of urine, pain and stinging when urinating, difficulty starting to urinate, and urinary retention if the urethra becomes clogged by the tumor, states the best urologist in Noida. HOW CAN IT AFFECT MY SEX LIFE? Once prostate cancer is diagnosed through a rectal touch, a PSA (PSA) test — a protein that is produced in the prostate and increases in various diseases — and a biopsy of prostate tissues, your oncologist will recommend the treatments to follow. What you need to know is that prostate cancer treatment in Delhi, such as surgery, radiation therapy, chemotherapy, and hormone-decreasing medications) can cause side effects on your sexual function. Although these are not necessarily the only culprits: anxiety and depression can also contribute negatively. The most common (and most feared) sexual problem in prostate cancer patients is erectile dysfunction, which is the inability to get or maintain an erection to maintain a satisfactory sexual relationship, but there are others such as difficulty ejaculating, retrograde ejaculation (ejaculating “inward”) or urinary incontinence during intercourse, explains the best sexologist in Noida. In the case of surgery, if the nerves near this gland, which control blood flow to the penis, were damaged when the prostate is removed (radical prostatectomy), erectile dysfunction may occur. Currently, laparoscopic surgery and robotics have reduced this problem, although it is estimated that there is a possibility of more than 60% postoperative erectile dysfunction. If you have radiation therapy, you may also have erection problems. The higher the radiation dose and the wider the irradiated area, the greater your chances of suffering them. Radiation damages the arteries that supply blood to the penis. For chemotherapy, chances are you’ll retain your normal erection capacity. However, you may experience problems after receiving a session, although you’ll recover right away. Chemotherapy can sometimes affect sexual desire and erection ability by slowing down testosterone production, explains the sexologist in Ghaziabad. CAN ERECTILE FUNCTION BE RECOVERED? It will depend on several factors such as the type of treatment, the patient’s age and erectile function before cancer. Generally, recovery time is around 18 to 24 months. The main treatment to recover erections aims to improve blood flow to the penis. But psychological therapy can also help. Anxiety and stress can be the most harmful elements when it comes to an erection, says the sexologist in Greater Noida. Treatments include:
Although we strive to detect prostate cancer early, we do not always succeed. Thus, in up to 20% of cases, the diagnosis is made with prostate cancer in advanced stages. In addition, we would like to list some more data:
However, what do we consider to be advanced stages?
Does advanced stage prostate cancer have treatment? Once prostate cancer is diagnosed in advanced stages, we must treat it according to your condition. For this, we also have an arsenal to keep the problem under control. What are the treatment options for Prostate Cancer in advanced stages? First, urologist in Noida points out that prostate cancer has the male hormone testosterone as its main “food”. In this sense, the central androgenic block for testosterone reduction, with subcutaneous / intramuscular injections or surgery, is the initial treatment of choice for advanced or metastatic prostate cancer. It is effective in 90% of cases. However, there are situations in which the tumor cells become resistant to androgenic blockage. Then we can indicate a new line of hormonal treatment orally: drugs like Abiraterone and Enzalutamide. Chemotherapy is also a prostate treatment in Noida in this situation. Certainly, Docetaxel is the most used chemotherapy in the first line. In addition, for patients with bone metastases, there are specific medications that help prevent bone fractures and nerve compression. To this end, zoledronic acid is the most widely used. When do I consider that the Tumor returned, after treatment with a curative intention? Second, best urologist in Noida explains what a recurrence of Prostatic Cancer is: “We consider a recurrence or biochemical relapse of prostate cancer when the PSA starts to rise after initial treatment: radical prostatectomy or radiotherapy”. In order to be more specific, urologist in Ghaziabad comments that the biochemical recurrence, after a radical prostatectomy, occurs when the PSA is greater than or equal to 0.2ng / ml, confirmed after two collections. Similarly, after radiotherapy, it is defined as an increase in PSA greater than or equal to 2ng / ml after reaching its nadir (lowest PSA value after treatment). Another criterion, used by ASTRO (American Society of Radiology Oncology), is defined as three consecutive increases in PSA, after it reaches its lowest point. The staging for these cases, however, has no defined pattern, according to urologist in Greater Noida. So, it can be done with digital rectal examination, transrectal ultrasound and / or prostate magnetic resonance. Bone scintigraphy is indicated in a patient with PSA greater than or equal to 10 ng / ml or when there is bone pain regardless of the PSA level. A new exam has emerged in recent years and can also be used in this situation is PET / CT with PSMA How is the treatment when Prostate Cancer returns? Biochemical recurrence is usually treated with hormonal therapy, under the same point of view mentioned by urologist in Noida: testosterone as a “food” for the tumor. In short, prostate cancer treatment in Delhi for the patients with biochemical recurrence after prostatectomy, we usually use radiotherapy with or without associated hormonal therapy. For patients treated primarily with external radiation therapy, we normally use hormonal therapy. However, best urologist in Noida highlights, the choice of the most appropriate treatment must be individualized. |
AuthorDr Shailendra Goel is consultant urologist at Max Hospital, Noida. He is one of the leading urologist in Noida. He performs all type of uro-onco surgery including kidney cancer, kidney transplant in Delhi, Noida. Archives
November 2020
Categories |