What treatment options are available?

Options include surgery, radiation therapy, hormone treatment, active surveillance, and combined therapy.

How long is recovery?

The recovery timeline includes a hospital stay of 3-5 days, basic recovery of 2-3 weeks, full recovery of 8-12 weeks, and gradual function return.

Prostate Cancer Treatment in Lucknow

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Introduction

Prostate cancer is one of the most common cancers in men, particularly affecting older adults. It arises from the prostate gland, which plays a role in male reproductive function. Prostate cancer can range from slow-growing (low-risk) to aggressive forms that spread rapidly.

Most cases are adenocarcinomas, originating from glandular cells. Early-stage prostate cancer often remains asymptomatic, making screening (PSA test & DRE) important for early detection.

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Types of Prostate Cancer

Adenocarcinoma (Most Common, >90%)
Other Rare Types
- Neuroendocrine (Small Cell) Carcinoma – Highly aggressive
- Mucinous & Signet Ring Cell Carcinoma – Rare variants with poor prognosis

Risk Factors

Age > 50 years (Risk increases with age)
Family history (Genetic predisposition, BRCA1/BRCA2 mutations)
African ethnicity (Higher risk and aggressive disease)
Diet (High-fat, processed foods)
Obesity & Sedentary lifestyle

Signs and Symptoms

Early-stage prostate cancer is often silent. Symptoms appear when the disease progresses:

Urinary Issues

Frequent urination (especially at night)
Weak urine stream, difficulty starting/stopping
Blood in urine (hematuria)

Advanced Disease Symptoms

Bone pain (spine, hips, ribs – metastasis)
Weight loss, fatigue
Erectile dysfunction

Diagnosis

PSA Test (Prostate-Specific Antigen)
- Elevated PSA (>4 ng/mL) may indicate cancer but can also be due to BPH or prostatitis
- PSA Velocity & PSA Density improve accuracy
Digital Rectal Exam (DRE)
- Hard, irregular prostate suggests malignancy
Imaging Tests
- Multiparametric MRI (mpMRI) – Helps detect suspicious lesions
- Bone Scan, CT, or PET-PSMA – For staging advanced cases
Prostate Biopsy
- TRUS-guided biopsy (Gold standard for diagnosis)
- MRI-targeted fusion biopsy improves accuracy

Treatment Options

1. Localized Prostate Cancer (Low-Risk)

Active Surveillance (For slow-growing tumors, monitoring PSA & MRI).
Surgery (Radical Prostatectomy) – Preferred in younger, fit patients.
Radiotherapy (External Beam or Brachytherapy).

2. Locally Advanced Prostate Cancer

Radiotherapy + Hormonal Therapy (Androgen Deprivation Therapy, ADT).
Surgery in selected cases (High-risk, node-negative).

3. Metastatic Prostate Cancer (mPCa)

Hormonal Therapy (ADT - LHRH agonists like Leuprolide, GnRH antagonists).
Chemotherapy (Docetaxel, Cabazitaxel – for castration-resistant cases).
Targeted Therapy (PARP inhibitors for BRCA-mutated cases).
Radioligand Therapy (Lutetium-177 PSMA for mCRPC).

Prognosis and Follow-Up

Localized cancer (5-year survival ~99%).
Locally advanced cancer (5-year survival ~70–80%).
Metastatic cancer (5-year survival ~30%).

Follow-up

PSA monitoring every 3–6 months after treatment.
Bone & imaging scans for high-risk cases.

Comprehensive FAQs

A: No. Most prostate cancers are slow-growing. Many men die with it, not from it.

A: Yes, if you are over 50 or have risk factors (family history, BRCA mutations).

A: Not necessarily. BPH, prostatitis, and infections can also raise PSA.

A: Yes, treatments like surgery and radiation can cause erectile dysfunction, but options like nerve-sparing surgery exist.

A: Healthy diet (Mediterranean diet), regular exercise, weight management.

Schedule Your Consultation

Book your appointment with Dr. Harshit Srivastava for expert breast cancer treatment.

Contact: +91-8104598623

Email: dr.harshit.02@gmail.com

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Introduction

Types of Prostate Cancer

Risk Factors

Signs and Symptoms

Urinary Issues

Advanced Disease Symptoms

Diagnosis

Treatment Options

1. Localized Prostate Cancer (Low-Risk)

2. Locally Advanced Prostate Cancer

3. Metastatic Prostate Cancer (mPCa)

Prognosis and Follow-Up

Follow-up

Comprehensive FAQs

Schedule Your Consultation

Quick Links

Contact Us

Prostate Cancer

Introduction

Types of Prostate Cancer

Risk Factors

Signs and Symptoms

Urinary Issues

Advanced Disease Symptoms

Diagnosis

Treatment Options

1. Localized Prostate Cancer (Low-Risk)

2. Locally Advanced Prostate Cancer

3. Metastatic Prostate Cancer (mPCa)

Prognosis and Follow-Up

Follow-up

Comprehensive FAQs

Q: Is prostate cancer always fatal?

Q: Should I get screened for prostate cancer?

Q: Does high PSA mean I have cancer?

Q: Can prostate cancer affect sexual function?

Q: What lifestyle changes help lower the risk?

Schedule Your Consultation

Quick Links

Contact Us