8
Monday
August 2022
7:19 PM IST
News Headlines
Next Vice President: EC issues certificate of election to Dhankhar        Take prompt action to prevent disasters during monsoons: Kerala HC to state govt        Maruti Suzuki aims to produce 20 lakh units this fiscal: Chairman RC Bhargava        Active Covid cases in country increase to 1,34,933        US, Australia, Japan urge China to immediately cease military exercises        Israeli airstrike kills 2nd top Islamic Jihad commander        Stage set for Amit Shah's maiden Odisha visit after becoming home minister        Boxers Nikhat, Amit Panghal, Sagar storm into finals        India's 2nd monkeypox patient tested negative: Veena George        UCO Bank clocks over 21 pc growth in Q1 FY 2023        CWG: Bajrang Punia clinches gold in men's 65kg        CWG: Sindhu, Srikanth ease into quarterfinals        Death toll after Israeli airstrike in Gaza strip rises to 7        Thai nightclub fire kills at least 14, injures dozens        Union Minister calls Rahul 'fake Gandhi'        Democracy being killed: Rahul as Cong leaders are detained        RBI hikes repo rate by 50 bps, retains FY23 growth forecast at 7.2 pc        Credit to Rohit and Dravid for ensuring increased security and freedom for players: Hardik        Govt cuts windfall tax on diesel, ATF export; raises levy on domestic crude oil        Pelosi says US will not abandon Taiwan as China protests        
Home   | Main News   | Kerala  | National   | International  | Business   | Sports   | Entertainment   | Columns   | Offbeat   | Health   | About Deepika 
Health News
Prostate cancer
 
What and where is the prostate?

The prostate is a walnut-sized gland located between the bladder and the penis. The prostate sits just in front of the rectum ( the lower end of the bowel ). The urethra ( urine tube ) runs through the center of the prostate, from the bladder to the penis, letting urine flow out of the body. The prostate secretes fluid that nourishes and protects sperm. During ejaculation, the prostate squeezes this fluid into the urethra, and it’s expelled with sperm as semen.

The Indian context

Prostate cancer is not the first health condition that would come to mind in the Indian health context given the competing health a?ictions that are encountered in our population. However, if we narrow down to late middle age to elderly male population it is certainly assumes relevance and only likely to become more of a health concern for the society over the coming years as the average age of the population increases with increasing life expectancy along with the ongoing lifestyle and societal changes. With regards to prostate cancer statistics in India, although it is slightly patchy, still there is evidence that the incidence rates are roughly 10 times less than some of the western nations where they have robust data capture systems in place. This however needs to be looked at in perspective in that the relative diagnosis of early-stage prostate cancers are much higher in these countries as opposed to India where relative proportion of advanced prostate cancer cases are higher. This is related to the general higher level of social awareness of prostate cancer and hence individuals seeking medical consultation to discuss their concerns at much earlier stage.

In this article I would like to present some information regards Prostate cancer. which is essentially a cancer that occurs in Men and arises from the prostate gland.

What and where is the prostate?

The prostate is a walnut-sized gland located between the bladder and the penis. The prostate sits just in front of the rectum ( the lower end of the bowel ). The urethra ( urine tube ) runs through the center of the prostate, from the bladder to the penis, letting urine flow out of the body. The prostate secretes fluid that nourishes and protects sperm. During ejaculation, the prostate squeezes this fluid into the urethra, and it’s expelled with sperm as semen.

The Indian context

Prostate cancer is not the first health condition that would come to mind in the Indian health context given the competing health a?ictions that are encountered in our population. However, if we narrow down to late middle age to elderly male population it is certainly assumes relevance and only likely to become more of a health concern for the society over the coming years as the average age of the population increases with increasing life expectancy along with the ongoing lifestyle and societal changes. With regards to prostate cancer statistics in India, although it is slightly patchy, still there is evidence that the incidence rates are roughly 10 times less than some of the western nations where they have robust data capture systems in place. This however needs to be looked at in perspective in that the relative diagnosis of early-stage prostate cancers are much higher in these countries as opposed to India where relative proportion of advanced prostate cancer cases are higher. This is related to the general higher level of social awareness of prostate cancer and hence individuals seeking medical consultation to discuss their concerns at much earlier stage.

Prostate cancers diagnosed early are highly curable with surgery or radiotherapy, with both modalities of treatment considered equally effective at getting rid of the cancer. However not all early prostate cancers may need treatment as some of them can be indolent and be monitored for a variable period of time before needing treatment. Countries like the United Kingdom where they have a very equitable healthcare system in place, do not routinely screen for prostate cancer, but offer it to Men over the age of 50 years who after discussing with their health care provider are willing to go through with the diagnostic process seeing through the pros and cons of early diagnosis. This type of a selective approach would hopefully give us the opportunity to reduce the proportion of of patients being diagnosed with advanced stages of prostate cancer which is more challenging to treat. As it stands currently this would seem a very prudent approach whereby men over the age of 50 years have a consultation with either their urologist or a radiation oncologist to discuss the pros and cons of screening for prostate cancer and come to a joint decision regard to proceeding or not.

What are the risk factors?

The most clear-cut risk factors for prostate cancer are advancing age and genetic makeup of the individual. There is other often quoted risk factors with a rather tenuous link if any and studies proving rather inconclusive such as obesity, smoking and diet.

What are the symptoms?

Possible symptoms of prostate cancer include frequent urination particularly at night, weak urinary flow, a sudden urge to urinate, pain or discomfort on passing urine or blood in urine. These symptoms are not specific for cancer though and can be caused by other benign conditions that can affect the prostate gland as well. In more advanced cancer symptoms can include bone pain from the back or pelvic area, reduced energy levels, unexplained weight loss etc.

How do we manage prostate cancer?

In patients seeking medical attention, the usual tests done are a PSA blood test, a physical examination including feeling the prostate through the back passage for any abnormalities, a MRI scan of the prostate and if required a prostate biopsy. If the results confirm a cancer, then management options are discussed based on the stage of the cancer, fitness of the individual and their preferences. As mentioned previously localized cancers are highly curable with either surgery to remove the prostate or radiotherapy to the prostate alongside hormone treatment. The hormone treatment is meant to suppress the testosterone in the body which is known to fuel the growth of prostate cancers.

If it happens to be an advanced cancer at presentation, then even though a complete cure may not be possible there are still very effective treatment options to keep the cancer under control for several years. On a positive note, prostate cancer treatments are constantly evolving and we do have today several treatment options that weren’t available in our arsenal against prostate cancers few years back and with the exponential growth in understanding of the biology and genetic basis of these cancers the future treatment options are likely to get more effective and more targeted.

Dr Dhanasekaran Kittappa
Consultant Radiation Oncology
KIMSHEALTH Cancer Centre


Warning symptoms in a newborn : What Parents must know ?
PAIN MEDICINE
CHANGE IN BLOOD GROUP-IS IT POSSIBLE?
The role of geriatric psychiatry in an ageing Kerala
Asthma and Air pollution
Let’s be aware and informed about Rheumatological diseases….
PAIN MEDICINE
Heart attack: Causes,treatment and prevention
HOLEP (Holmium Laser Enucleation of Prostate)
Warning symptoms in a newborn : What Parents must know ?
Heart attack: Causes,treatment and prevention
Use of second arterial grafts in coronary artery bypass grafting surgery (CABG)
Thyroid cancer-The Basics- What we need to know
TREMOR
Covid and Diabetes in children
International Day of Radiology
Breast Cancer Awareness
Orthopaedic problems in growing children
Importance of Trauma Awareness
HOW TO BOOST YOUR IMMUNE SYSTEM
KERALA NEWS
Take prompt action to prevent disasters during monsoons: Kerala HC to state govt
 Kochi, Aug 7 (PTI) The Kerala High Court has said the state government has to "take proper and promp  
India's 2nd monkeypox patient tested negative: Veena George
‘Flood tourism’ will not be permitted: Minister
Fifth case of monkeypox reported from Kerala
INTERNATIONAL NEWS
US, Australia, Japan urge China to immediately cease military exercises
 Washington, Aug 7 (PTI) The United States, Australia and Japan have urged China to immediately cease
Israeli airstrike kills 2nd top Islamic Jihad commander
Death toll after Israeli airstrike in Gaza strip rises to 7
Thai nightclub fire kills at least 14, injures dozens
NATIONAL NEWS
Next Vice President: EC issues certificate of election to Dhankhar
 New Delhi, Aug 7 (PTI) The Election Commission on Sunday issued a certificate announcing the electio
Active Covid cases in country increase to 1,34,933
Union Minister calls Rahul 'fake Gandhi'
Democracy being killed: Rahul as Cong leaders are detained
Untitled Page
Rashtra Deepika LTD
Copyright @ 2021 , Rashtra Deepika Ltd.