Radical Prostatectomy Surgery in India

A radical prostatectomy is a common operation for treating prostate cancer. It used to be called total prostatectomy. This means using surgery to remove all of the prostate gland through a cut in your abdomen or the area between the testicles and the back passage (perineum). The aim of this type of surgery is to cure the cancer. Your surgeon may suggest radical prostatectomy if

·     Your cancer has not spread outside your prostate

·     You are younger, rather than older, and have a high grade tumour

How radical prostatectomy is done

A radical prostatectomy is carried out by specialist surgeons. They take out the whole prostate gland with the aim of getting rid of all the cancer. The surgeon makes a cut in the abdomen (retropubic) or between the testicles and the back passage (perineal). This operation is called open prostatectomy. As well as the prostate gland, the surgeon also removes the surrounding tissues and the tubes that carry semen (seminal vesicles). They then close the wound.

Laparoscopic prostatectomy (keyhole surgery)

Often, a radical prostatectomy is done using keyhole (laparoscopic) surgery. The surgeon uses a tube with a light and eyepiece to look inside the body. They fill the abdomen with carbon dioxide gas so they can see the prostate clearly. A tiny video camera gives a magnified view of the prostate gland on a video screen. The surgeon cuts away the prostate gland from the surrounding tissues and puts it in a small bag before removing it through one of the cuts in the abdomen. The main difference with this surgery is that you won't have a big wound in your abdomen afterwards. Instead you have several small cuts.

 laparoscopic surgery is as good at treating prostate cancer as open surgery. Men also lose less blood, have less pain, and spend less time in hospital. Most men also recover and go back to normal activities more quickly than with open radical prostatectomy surgery. Two of the most common side effects of prostatectomy are problems with control over when to pass urine (urinary incontinence) and inability to have an erection (impotence). There doesn’t seem to be any difference in the number of men who have these side effects after open prostatectomy or after laparoscopic prostatectomy.

What are the Benefits and Risks of Radical prostatectomy?

If you're young and in good health, the short-term risks of this surgery are low. The hospital stay is usually 2 to 3 days, with the catheter left in place for 2 to 3 weeks. You're usually able to go back to work in about 1 month. You shouldn't have severe pain with this surgery. Most men regain bladder control a few weeks to several months after the surgery. The main advantage of surgery is that it offers the most certain treatment. That is, if all of the cancer is removed during surgery, you are probably cured. Also, the surgery provides your doctor with accurate information about how advanced your cancer is, since the nearby lymph nodes are taken out along with the tumor. Surgery does have risks. The main risks of radical prostatectomy are incontinence (loss of bladder control) and impotence (loss of the ability to get or keep an erection long enough to have sex). Most bladder and impotence problems improve with time. For more information visit:          http://www.medworldindia.com                                                                  https://www.facebook.com/medworld.india   Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors. Call Us : +91-9811058159 Mail Us : care@medworldindia.com

Laser Enlarged Prostate Surgery in India

What is Prostate Enlargement or Benign Prostate Hyperplasia (BPH)

It’s common for the prostate gland to enlarge as men get older. The condition is known as benign prostatic hyperplasia (BPH). This is benign and there is no evidence that it leads to cancer. In some cases, it becomes large enough to put pressure on the urethra (the tube that carries urine out of the penis). This can cause problems with urination, such as frequent trips to the toilet, including having to get up several times in the night, and dribbling of urine.

What treatments are available for BPH

• Watchful waiting
• Medication
• Microwave and heat therapies
• Conventional surgery - TURP or Transurethral Resection of the Prostate
• Laser surgery - e.g. Holmium laser  enucleation (HoLEP) or Green Light laser

Minimally invasive and surgical procedures are available to treat moderate-to-severe enlarged prostate symptoms that are bothersome. These procedures are also used if tests show that urinary function is seriously affected. Each treatment has benefits and risks, and some treatments can help certain patients more than others.

MinimallyInvasive Procedures for an Enlarged Prostate

Minimally invasive procedures for an enlarged prostate are often performed in a doctor's office. Overall these procedures are better than drugs at relieving symptoms, but they are less effective than surgery. 

•  Transurethral microwave therapy (TUMT). This procedure uses a microwave antenna attached to a flexible tube that is inserted into the bladder. The microwave heat destroys excess prostate tissue.
•  Transurethral needle ablation (TUNA). This procedure uses a heated needle inserted into the prostate through the urethra to destroy excess prostate tissue.

Surgeryfor an Enlarged Prostate

Most men have tried medications for their enlarged prostate before discussing surgery. However, some men may wish to move directly to surgery if their symptoms are particularly bothersome. As with any treatment decision, it's important to fully discuss the risks and benefits with your doctor.

Surgery is often considered the best long-term solution for relief of BPH symptoms. Most surgical procedures involve removing the enlarged part of the prostate.  

Surgery is usually recommended in treating BPH-related complications, such as:

• Urinary retention (inability to urinate)
• Failure to respond to medical or minimally invasive treatments
• Blood in the urine that is not getting better
• Bladder stones
• Frequent urinary tract infections
• Kidney damage

The surgical procedures include:

TURP

A transurethral resection of the prostate, or TURP for short, involves a thin, tube-like telescope called a resectoscope, which is put into the opening of your penis and passed up the urethra towards the prostate. An attachment at the end of the resectoscope is used to cut away part of the prostate using electrical energy. There are no stitches or dressings after this operation. The operation lasts for about an hour. Afterwards, a catheter is inserted to allow urine to flow freely. This is a thin, sterile tube that is inserted through the urethra and into your bladder. TURP usually involves a hospital stay of up to five days. Your surgeon will explain the benefits and risks of having TURP and will also discuss the alternatives to the procedure. 
TURP is a commonly performed and generally safe operation. However, all surgery carries risks as well as benefits. Most men find that a lasting side-effect of a TURP is dry orgasm (retrograde ejaculation), which happens because semen can travel back up into the bladder rather than out through the penis. This should not interfere with sex and after recovery from the operation, most men return to the same level of sexual activity as before the treatment.

What is laser prostate surgery?
Laser prostate surgery is a treatment using high powered laser energy (eg: HoLEP Holmium laser or GreenLight laser) to remove or enucleate obstructive prostatic tissue or vaporise tissue with the aim of leaving a wide channel and restoring normal urinary function. Under anaesthesia a small flexible fibre-optic is inserted into the urethra. Light pulses are then sent through this fibre, to cut away the obstructing prostatic tissue which is removed from the bladder with a morcellator.  There is minimal bleeding or pain after the procedure.
The procedure takes around 60-90 minutes and is performed under general or spinal anaesthesia. You may be allowed to return home on the same day, but sometimes an overnight stay will be required. You can generally be discharged once you are emptying your bladder satisfactorily.Strenuous activity should be avoided for two weeks and patients generally return to work about five days after surgery.

Benefits of laser prostate surgery?
The two most widely reported benefits of laser surgery are reduced risk of bleeding (compared to TURP) and shorter hospital stay. Most patients can expect a rapid improvement in their urinary flow rate, and a quick return to normal activities following the procedure. Laser surgery is also associated with lower risks of sexual and other side-effects common with TURP.

Call Us : +91-9811058159
Mail Us : care@medworldindia.com

Liver Cancer Treatment at World Best Cancer Hospitals in India

Liver cancer or Hepatocellular carcinoma (HCC) is one of the commonest cancers in the world which have a high incidence of Hepatitis B infection. Apart from Hepatitis B, it may be caused by other diseases that lead to cirrhosis of the liver such as Hepatitis C infection, and alcohol abuse. 

Unfortunately, like many other cancers, liver cancer may go undetected until a late stage. It is often brought to attention by an ultrasound or CT scan done for pain in the upper abdomen or another unrelated symptom. Liver cancers are malignant tumors that grow on the surface or inside the liver. 

Typers of liver cancer are HepatocellularCarcinoma , Cholangiocarcinoma , 

Hepatoblastoma andAngiosarcoma or Hemangiosarcoma

The liver cancer symptoms are often indistinct Following are some indications of Liver cancer. The major symptoms are :

• Abdominal pain or tenderness, especially in the upper-right part
• Weight loss and poor appetite
• Fever, Fatigue and Nausea
• Easy bruising or bleeding
• Enlarged abdomen
• Yellow skin or eyes (jaundice)
• Ascites - an accumulation of fluid around the liver and intestine

To make the diagnosis, a thorough medical history must be taken, followed by a physical examination. Your doctor may then recommend some of the following tests:

• blood tests to check liver enzyme levels

• abdominal ultrasound to check liver size and to look for any tumours or abnormalities

• magnetic resonance imaging (MRI) of the abdomen

• computed tomography (CT) scan of the abdomen

• laparoscopy - through a small incision, the doctor inserts a small, thin tube called a laparoscope, which allows viewing of the liver and surrounding organs

• biopsy - using a laparoscope, a small piece of tissue is taken from the liver for microscopic examination

• angiography - a dye is injected into the veins and its progress through the liver is tracked by X-ray

• chest X-rays to see if the cancer has spread

Liver Cancer Treatment Options at World Best Cancer Hospital in India

The treatment options are dictated by the stage of Liver Cancer and the overall condition of the patient. The treatment to be given depends mainly on the size, number, and site of tumors in the liver. Before planning the appropriate treatment the functioning of the Liver is checked as also the spread of the cancer within and outside the liver is to be tested. The Various treatment options available are as follows:

• Surgery : Surgery is the removal of the tumor and surrounding tissue during an operation. It is likely to be the most successful disease-directed treatment, particularly for patients with small tumors (smaller than 5 cm). A surgical oncologist is a doctor who specializes in treating cancer using surgery.
• Hepatectomy : When a portion of the liver is removed, the surgery is called a Hepatectomy. A Hepatectomy can be done only if the cancer is in one part of the liver, and the liver is working well. The remaining section of liver takes over the functions of the entire liver and may regrow to its normal size within a few weeks
• Liver Transplantation :Liver transplant may be the best option for some people with small liver cancers. At this time, liver transplants are reserved for those with small tumors (either 1 tumor smaller than 5 cm across or 2 to 3 tumors no larger than 3 cm) that have not invaded nearby blood vessels. In most cases, transplant is used for tumors that cannot be totally removed, either because of the location of the tumors or because the liver is too diseased for the patient to withstand removing part of it.
• Chemoembolization:This is a type of chemotherapy treatment in which drugs are injected into the hepatic artery and then the flow of blood through the artery is blocked for a short time so the chemotherapy stays in the tumor longer. Blocking the blood supply to the tumor also kills cancer cells.
• Radiation Therapy :Radiation therapy is the use of high-energy x-rays or other particles to kill cancer cells. A doctor who specializes in giving radiation therapy to treat cancer is called a radiation oncologist. A radiation therapy regimen (schedule) usually consists of a specific number of treatments given over a set period of time. External-beam radiation therapy is radiation given from a machine outside the body. External-beam radiation therapy is not often used for HCC.
• Targeted Therapy :Targeted therapy is a treatment that targets the cancer’s specific genes, proteins, or the tissue environment that contributes to cancer growth and survival. This type of treatment blocks the growth and spread of cancer cells while limiting damage to normal cells. Recent studies show that not all tumors have the same targets. To find the most effective treatment, your doctor may run tests to identify the genes, proteins, and other factors in your tumor.

MedWorld India Affiliated Best Prostate Cancer Hospitals in India

Medworld India offers comprehensive care for patients with Prostate Cancer, including advanced diagnosis, best treatment options . A team of Surgical Oncologists, Radiation Oncologists, Medical Oncologists, Urologists, Rehabilitation team and other medical specialties work together to treat each Prostate Cancer patient We consider each patient's type and extent of Prostate Cancer to recommend the most appropriate treatment plan. They also carefully consider and select the treatment option that will allow the patient to maintain quality of life with good survival rate.

Why should you choose to get Indian hospitals offer the Best Prostate Cancer Treatment in India at affordable prices. MedWorld india associated Best Prostate Cancer Treatment Hospitals in India have the latest technology and infrastructure to offer the Most Advanced Cancer Treatment at low cost.;

At MedWorld India Affiliated Best Prostate Cancer Hospitals are to deliver highest quality and advanced oncology care in a supportive and compassionate environment to all our patients, and to advance the treatment and prevention of cancers through innovative research.

http://www.medworldindia.com/CancerTreatment/ProstateCancerTreatment.htm

Minimally Invasive Laser Prostate Surgery for Prostate Cancer Green Light Laser PVP :

Green Light Laser Therapy is a minimally invasive treatment option that combines the effectiveness of the traditional surgical procedure known as transurethral resection of the prostate (TURP). The GreenLight laser system delivers the ultimate BPH solution GreenLight is suitable for most patients with an enlarged prostate, the GreenLight procedure is creating a new standard of care — a standard that offers freedom from enlarged prostate / Prostate cancer symptoms .Most patients return home a few short hours after the GreenLight procedure and can return to normal, non-strenuous activities within days. The advantages of this approach over the traditional TURP (transurethral resection of the prostate) are many: Rapid urine flow improvement,Quick return to normal activities ,Virtually bloodless procedure , Outpatient procedure in otherwise healthy patients.

• Surgical Treatment for Enlarged Prostate Cancer :
  
  
  • Radical Prostatectomy Surgery : Radical prostatectomy surgery aims to remove the whole prostate gland and the nearby lymph nodes. After the prostate gland is taken out through an incision, a catheter (a narrow rubber tube) is put in the bladder to carry urine out of the body until the area heals.
  
  
  • Laparoscopic Radical Prostatectomy : The surgeon deploys a Laproscope a thin tube with a tiny camera . Its a minimally invasive procedure where small cuts are made near the tumor site, and thin tools are used to remove the tumor and surrounding tissue. Usually patient are given general anaesthesia or an epidural or spinal anaesthesia that blocks nerve routes from the spine and numbs the area. If the cancer spreads outside the esophagus, it often goes to the lymph nodes first. (Lymph nodes are small, bean-shaped structures that are part of the body's immune system.) Esophageal cancer can also spread to almost any other part of the body, including the liver, lungs, brain, and bones.

MedWorld India Affiliated Best  Cancer Hospitals in India offer:

• World Class equipment for investigations, radiotherapy and surgery
• Cancer specialists with great qualifications and experience
• India has many super specialists ( specialization in one particular area: Breast Cancers, Stomach Cancers, Prostate Cancers, etc)
• Low cost of cancer treatment
• India offers the perfect combination of expertise and economical costs