Prostate Cancer Surgery

Prostate Cancer Surgery in Ludhiana

Prostate cancer develops in the prostate gland and is one of the common cancers affecting men. Many prostate cancers grow slowly, while some can be more aggressive and require active treatment.

Treatment depends on the cancer's grade and stage, PSA level, imaging findings, overall health and individual treatment preferences.

Symptoms of Prostate Cancer

Early prostate cancer may not cause noticeable symptoms. Symptoms, when present, may include:

  • Difficulty starting urination
  • Weak or interrupted urine stream
  • Frequent urination
  • Increased urination at night
  • Blood in the urine or semen
  • Difficulty with sexual function
  • Bone or back pain in advanced disease

Diagnosis of Prostate Cancer

Evaluation may involve several tests depending on the individual's symptoms and clinical findings.

  • PSA blood test
  • Digital rectal examination when appropriate
  • Multiparametric MRI of the prostate
  • Prostate biopsy
  • Imaging for staging when indicated
  • Assessment of tumour grade and stage

When Is Prostate Cancer Surgery Recommended?

Surgery may be considered for selected patients with prostate cancer, particularly when the cancer is localized and the patient is medically suitable for surgery.

The decision is based on cancer stage, grade, PSA level, imaging findings, patient's age, general health and other individual factors.

Radical Prostatectomy

Radical prostatectomy is a surgical procedure in which the prostate gland is removed to treat selected cases of localized prostate cancer. Depending on the individual case, nearby tissues and lymph nodes may also be evaluated or removed.

The aim of surgery is to completely remove the cancer when the disease is considered suitable for a surgical approach.

Robotic-Assisted Prostate Cancer Surgery

Robotic-assisted radical prostatectomy is a minimally invasive surgical approach used in selected patients with localized prostate cancer.

The surgeon controls specialized robotic instruments through small incisions. The system provides magnified visualization and allows precise instrument movements during surgery.

Not every patient is a candidate for robotic surgery. The appropriate treatment approach is determined after detailed assessment of the cancer and the patient's overall health.

Other Prostate Cancer Treatment Options

Surgery is not required for every patient with prostate cancer. Depending on the cancer characteristics, other treatment approaches may be considered.

  • Active surveillance for selected low-risk cancers
  • Radiation therapy
  • Hormonal therapy
  • Systemic treatment for advanced disease
  • Combination treatment in selected cases

Recovery After Prostate Cancer Surgery

Recovery after radical prostatectomy varies between patients. A urinary catheter is generally required temporarily after surgery and is removed according to the treating team's instructions.

Patients require follow-up to monitor recovery and PSA levels after treatment.

  • Follow prescribed medications
  • Attend postoperative follow-up appointments
  • Follow activity restrictions during recovery
  • Complete recommended PSA monitoring
  • Discuss urinary and sexual recovery with the treating team

Possible Risks and Complications

As with any major operation, prostate cancer surgery has potential risks. These vary between patients.

  • Bleeding
  • Infection
  • Urinary leakage or incontinence
  • Urinary narrowing
  • Erectile dysfunction
  • Changes in ejaculation and fertility
  • Need for additional cancer treatment in selected cases

Follow-Up After Prostate Cancer Treatment

Regular follow-up is an important part of prostate cancer care. PSA testing is commonly used after radical prostatectomy to monitor for evidence of persistent or recurrent disease.

Additional evaluation or treatment may be recommended depending on follow-up results.

Looking for Prostate Cancer Surgery in Ludhiana?

Consult Dr. Jaspreet Singh Chhabra for specialist evaluation and advanced surgical management of prostate cancer.

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