Tag Archives: Prostate Cancer

sex and prostate cancer

Does Sex Reduce A Man’s Risk Of Prostate Cancer?

Sexologist in Delhi suggests that certain aspects of sex, such as number of sexual partners, age at first intercourse and frequency of ejaculation, can affect the risk of prostate cancer. However, more research is needed before doctors can “prescribe” sex as a definitive way to reduce risk.

In an article in the August 2018 Journal of Sexual Medicine, scientists reported their review of 22 studies on the topic. Overall, the studies involved more than 55,000 men.

Number of sexual partners

Men who had fewer sexual partners during their lifetime appeared to be at lower risk for prostate cancer. The risk increased 1.10 times for every 10 female partners a man had.

Age at first intercourse

Men who had their first experience with sexual intercourse at older ages also had a lower risk of prostate cancer. For every five years of delay, the risk decreased by 4%. In other words, a man who had sex for the first time at age 16 would be at greater risk than a man whose first experience was at age 21.

It is possible that men with fewer partners and those who expect more to have sex may have less exposure to sexually transmitted infections and risky sexual behaviors, which may play a role in cancer risk, according to the best sexologist in Delhi.

Ejaculation frequency

Sexologist doctor in Delhi also suggests that ejaculating more often – whether through partnered sex or through masturbation – may reduce your chances of developing low-risk prostate cancer, but scientists are not 100% sure.

The authors of the 2018 review noted that ejaculating two to four times a week can protect men to some degree. Ejaculation is believed to reduce the amount of cancer-causing substances in prostate fluids.

Further research is needed to confirm all the conclusions of the review, however.

Some prostate cancer risk factors, such as age, ethnicity and genetics, are beyond a man’s control. But maintaining healthy habits can go a long way in reducing the risk of cancer and other serious health conditions. Sex specialist in Delhi advises men to:

  • Follow a sensible diet
  • Lose excess weight
  • Get enough exercise
  • Quit smoking
  • Practice safe sex

Men who are concerned about their risk of cancer should speak to their doctor.

Prostate Cancer


Prostate cancer is the second most common cancer in the male population. More than 1 million new cases are diagnosed each year. Therefore, it is important to be attentive to the symptoms of prostate cancer and how to prevent its appearance.

The best way to prevent this oncological pathology from affecting a man is to periodically go to the best urologist in Dwarka for urological check-ups. Once a year from the age of 45, it is necessary to monitor the male urological system. Only in this way can this disease be diagnosed early to treat it appropriately in time.

What can be the causes of this pathology?

As in any other oncological pathology, it is not easy to determine the cause that originates the appearance of a malignant tumor. Today we can only talk about risk factors that can influence its possible appearance. Thus, among these factors are:

  • The genetic. As in all cancer processes, it is considered a very common risk factor that there is another person in the family who has suffered from this cancer.
  • Age. Normally it is a pathology that appears more frequently after the age of 45 and even more frequently in men over 60 years of age.
  • Genetic changes Genes such as HPC1, HPC2, HPCX and CAPB, ATM, and FANCA have been shown to increase the likelihood of prostate cancer in men.
  • Environmental factors such as pollution, exposure to toxic agents or food or other harmful lifestyle habits such as smoking or obesity.

Symptoms of prostate cancer

The prostate cancer may have symptoms very late, i.e. when the disease is already well advanced. In its initial stages, in fact, it can become asymptomatic or present very mild signs of obstruction, explains the urologist in Dwarka.

There is also a tendency to differentiate the symptoms of a local tumor from those of an advanced prostate tumor, although in general terms the warning signs can be such as:

  • Hematuria: appearance of blood in the urine.
  • Increased urination frequency.
  • Urge incontinence or urge to urinate urgently.
  • Post-void drip, that is, an intermittent drip when the bladder has already been emptied.
  • Pain and burning during urination which is known as dysuria.
  • It takes a long time to start urination and the stream is weak.
  • Feeling of not having completely emptied the bladder.
  • Urinary retention if the urethra has become obstructed.
  • Pain in the lower back
  • Difficulties in sexual relations, that is, the appearance of erectile dysfunction.

However, it is important to note that these symptoms are not exclusive to prostate cancer and may refer to another urological pathology. In fact, almost all obstructive symptoms usually appear in cases of benign prostatic hyperplasia, explains the urologist in Janakpuri.

How is this tumor diagnosed?

The diagnosis of prostate cancer should always be in the hands of a specialist in Urology who has performed the relevant tests to detect it. Thus, traditionally, when a patient had symptoms of this possible pathology, a rectal examination and a urological ultrasound were performed in addition to a urinalysis and a prostate specific antigen (PSA) analysis.

These types of tests are basic in a consultation with the urologist in Uttam Nagar and, on occasions, are increased to the indication of a flowmetry or a transrectal ultrasound. However, when the specialist suspects that there may be a malignant tumor, he or she tells the patient to perform a prostate biopsy.

Traditionally, an invasive intervention was performed to effectively detect this tumor. However, nowadays medical advances have allowed the prostate fusion biopsy to be performed, a novel diagnostic test that improves the reliability of the diagnosis and facilitates the recovery of the patient.

How is prostate cancer treated?

There are many types of prostate cancer treatment available today, each with specific benefits and side effects. Only a careful analysis of the patient’s characteristics (age, life expectancy, etc.) and of the disease (low, intermediate or high risk) will allow the urologist specialist to recommend the most suitable and personalized strategy and to agree on the therapy also based on preferences of who has to undergo prostate cancer treatment.

Prostate Cancer

Prostate Cancer: Diagnosis and Treatment

Many men still ignore the importance of prostate examination for the prevention or early diagnosis of cancer. The main reason is the prejudice against digital rectal examination, which allows the doctor to check the size and shape of the prostate, investigating the existence of other abnormalities.

It is worth mentioning that the diagnosis of early prostate cancer significantly increases the chances of cure, says the best urologist in West Delhi.

Prostate: after all, what is its function?

The prostate is a gland and is located in front of the rectum, below the bladder. Its main function is to produce prostatic fluid, which grants more mobility to sperm when a man ejaculates, in addition to protecting them from the acidity of the vagina. During ejaculation, contraction of the prostate prevents urine from passing from the bladder to the urethra, leaving the pathway free for the sperm to drain.

In this context, the diseases that most affect the prostate are benign hyperplasia (enlarged prostate), prostatitis (bacterial infection) and the referred prostate cancer. Although it is not a vital gland for men, its surgical removal can bring two significant complications: urinary incontinence and sexual impotence. For this reason, it is crucial to have an annual prostate check-up, says the urologist in West Delhi.

Symptoms of prostate cancer

Prostate cancer, in the early stage, has no symptoms. Difficulty passing urine may be due to benign hyperplasia (natural enlargement of the prostate, which blocks the passage of urine) or the growth of a tumor, explains the urologist in Janakpuri.

In fact, when symptoms appear, it is because prostate cancer is already advanced, even presenting a great risk of reaching the ureters and bones. Once again, the data corroborate the importance of preventive exams by the urologist in Hari Nagar, every year, to detect possible abnormalities.

Check out the main signs of this type of cancer below:

  • Increase in urinary frequency;
  • Feeling that the bladder is always full;
  • Reduction of the urinary stream;
  • Pain when urinating.

Diagnosis: 4 main exams

  1. Digital rectal examination: This test allows the urologist in Dwarka to probe the prostate to check if the shape and size are normal or if there is a suspicious nodule.
  2. PSA: Through the blood test, it is possible to assess any changes in the PSA level. The increase in this enzyme indicates abnormality in the prostate, which can occur due to prostatitis or even prostate cancer.
  3. Ultrasound of the prostate: The ideal is to make the image examination through the rectum, since in this way a more detailed and effective analysis of the prostate is obtained.
  4. Biopsy: This test is performed only when prostate cancer is suspected. The collection of material is performed through the rectum.

Some men, because they feel ashamed and / or prejudiced against the digital rectal exam, believe that it is sufficient to take the PSA test. However, it is important to know that a PSA result within the standard does not exclude the possibility of a tumor. So, the ideal thing is to do both exams: digital rectal examination and PSA.

Prostate Cancer Treatment in Delhi

A prostatectomy is the surgical treatment indicated to remove the prostate and seminal vesicles in cancer patients. It all depends on the stage of the disease, general health and the age of the patient. Chemotherapy and radiotherapy are other treatments that can be recommended by the urologist in Delhi, in order to reduce the size of the cancer, before surgery, and eliminate cancer cells in other parts of the body, if the disease has been detected in an advanced stage.

urological oncology

Oncological Urology: The Types of Cancers Treated By The Urologist

Recently, penile cancer has made headlines in major Indian newspapers. Data on organ amputations and the growth of the disease in the country worried many people, including the government. So, in order to highlight the types of cancers treated in oncology urology, I write this text. First of all, I emphasize that penile cancer is one of the tumours treated by oncological urology. In this, especially, I highlight the cancers treated by this speciality. Want to know more? Read on!

What is oncological urology?

Like other medical specialities, this area deals with a specific cause. In other words, it is the field of urology dedicated to neoplasms that develop in the urogenital system. The best urologist in Pitampura has the responsibility to prevent, diagnose, investigate and treat malignant tumours. Usually, urological cancers are treated by surgical intervention, which, in most cases, are less invasive.

What are the types of cancers treated in oncology urology?

As I mentioned, penis cancer is included in the list of cancers treated by the urologist in Pitampura. The pathology, which represents 2% of the types of cancers, causes the death of more than 4000 men annually, in India alone. Generally, the lack of hygiene, the narrowing of the foreskin, as well as the manifestation of the human papillomavirus (HPV), are directly related to the disease. But, it doesn’t stop there, because there are other malignant neoplasms that integrate the attention of the speciality.

Diseases treated by oncological urology

Bladder cancer

Most of the time, white and older men tend to be the most affected by this problem. It is worth mentioning that smoking increases the risk of tumour manifestation up to 70%. In addition, certain chemical substances, such as pesticides, aluminium, drugs and oil contribute to the onset of the disease.

Kidney cancer

Wilms’ tumour, as it is also called, is of unknown cause. However, some genetic syndromes, such as WAGR, Beckwith-Wiedemann, and genitourinary abnormalities are commonly associated with its appearance. In this case, early diagnosis is essential for successful kidney cancer treatment in Delhi.

Prostate cancer

Unfortunately, this is the second type that kills the most Indian men, and, generally, old age is one of the risk factors for the appearance of the problem. However, there are other characteristics that increase the likelihood of the disease manifesting. In this sense, a urologist in Rohini highlights the excess of body fat, genetic factors and continuous exposure to certain chemical substances.

Testicular cancer

This type has low mortality when identified early. Therefore, it is always good to pay attention to risk factors, in this case, family history, exposure to pesticides, lesions in the scrotum and cryptorchidism, which is the absence of testicles (1 or 2).

Urinary tract cancer

Tumours of the excretory pathways are usually rare and are often associated with the histology of bladder cancer and smoking.

Oncological urology is a speciality dedicated to the treatment of tumours. That is, the professional in this segment is able to treat cancers related to the penis, bladder and prostate. So, if you are male, you are over 40 years old and have never been to the urologist in Delhi, make an appointment as soon as possible, because prevention is still the best option. Want to know more? I am available to answer any questions you may have, and I will be very happy to answer your comments on this matter.

Prostate Problems: Signs and Tips

Prevention and well-being

Often, when prostate cancer is detected early, it is not necessary to proceed to aggressive prostate cancer treatment by opting only for close surveillance.

The prostate is a small gland in man, the size and shape of a walnut. It is located below the bladder and in front of the rectum and surrounds the urethra (the tube that carries urine from the bladder to the outside). Its function is to produce a white fluid that is part of the sperm. With advancing age, the prostate tends to increase in size (it is not known exactly why) and, when it becomes too big, it can cause health problems, explains the urologist in Dwarka.

Talk to your doctor if you notice …

If you notice any of the following symptoms, you should consult your urologist in Janakpuri to assess the presence of a prostate problem.

  1. Willingness to urinate frequently
  2. Waking up several times during the night to urinate
  3. Blood in urine or semen
  4. Pain or burning when urinating
  5. Pain on ejaculation
  6. Frequent pain or stiffness in the lower back, hips, pelvic, rectal or thighs
  7. Involuntary loss of urine

The most common prostate problems

Consult your urologist in Hari Nagar to see if your symptoms are due to any of the following problems:

Benign prostatic hyperplasia

Very common in men over 55, it occurs when the prostate enlarges. Annual check-up by the urologist in Uttam Nagar may be sufficient; if treatment is needed, it may include the prescription of medications that help to reduce the size of the gland or to relax the muscles that are close to it, or even surgery.

Acute bacterial prostatitis

It has its origin in a bacterial infection and appears suddenly. If you develop fever, chills or pain in conjunction with the above symptoms, especially difficulty passing urine, consult your attending physician. Most of these cases are treated with antibiotics and medications to relieve pain or discomfort.

Chronic bacterial prostatitis

This infection is recurrent: it is always appearing and disappearing and can be difficult to treat; prolonged antibiotic use may be indicated.

Chronic prostatitis

It can cause pain in the lower back, groin or penis. Its treatment may involve a combination of drugs, surgery and lifestyle changes.

Prostate cancer

The likelihood of developing prostate cancer can be influenced by several factors:

  • age (men over 50 are at higher risk)
  • ethnicity
  • family history (if the father or brother has it, the risk is higher)
  • diet, which when rich in fat increases the likelihood of its development

Through a prostate exam, your urologist in West Delhi will be able to assess whether your symptoms are due to possible cancer and prostate cancer treatment will be decided on a case-by-case basis.

Tips to prevent prostate problems

To some extent, prostate problems are naturally associated with aging. There are, however, some strategies that urologist in Palam suggests that you can adopt to keep this gland healthier, such as:

  • Follow a diet rich in fruits and vegetables. Eat fatty fish rich in omega-3s and foods rich in good fats, such as avocado, nuts and olives.
  • Avoid processed foods high in sugar and saturated fat.
  • Stay well hydrated by drinking water.
  • Drink tea, namely green and hibiscus tea, both rich in antioxidants. It is important, however, to prefer teas without caffeine, which can irritate the prostate and bladder.
  • Have good intimate hygiene, keeping the genitals clean.
  • Exercise (moderate or vigorous) and control weight.
  • Do good stress management: stress can lead to unconscious and persistent contraction of the pelvic muscles, which, in the long run, can cause problems in the prostate. Try therapy, meditation or exercises like yoga.
Prostate Cancer

Prostate Cancer: Symptoms, Diagnosis and Treatment Options

Understanding the prostate

The prostate is a gland and is part of the human reproductive system. It is below the bladder and above the rectum, encompassing the entire back of the first portion of the urethra. The prostate contributes to the production of seminal fluid that helps to load sperm during ejaculation. One of the most common prostate problems is its benign growth, which, over time, can compress the urethra and cause difficulty urinating, explains the best urologist in Delhi.

Prostate cancer

No one knows exactly what causes prostate cancer. However, it is known that it is not a contagious disease and that some risk factors make certain men more likely than others to develop it.

Prostate cancer is the most common malignant tumor in men and it is estimated that on average one in six men will develop the disease, says the urologist in Delhi.

Age – Age is the most important factor, being uncommon before age 45 and most common after age 60.

Family history – If a first-degree relative (father or brother) has already developed the disease, the risk is greater.

Race – It is believed that the racial issue may be important in the development of prostate cancer. In the United States, the disease is more common among blacks. But this is not necessarily repeated in other countries, in which there are groups descended from African tribes of different ethnicities. In the East, in general, it is less frequent. However, this low incidence may not have exclusively the racial factor as a justification, since Orientals who migrate to the West and acquire local habits, present a progressively higher risk of prostate cancer in subsequent generations.

Diet – Some studies suggest that prostate cancer is related to a diet rich in meat and animal fat, while a diet rich in fruits and vegetables could be a protective factor. Conditions such as benign prostate growth, obesity, smoking, having undergone a vasectomy, a viral infection of the prostate and a lack of physical exercise are not considered risk factors, explains the urologist in Rohini.

Early detection– Since localized or early stage prostate cancer usually does not cause symptoms, you should try to discover the disease before the symptoms appear. For that, it is recommended to perform the examination of the prostate by digital rectal examination. The collection of a blood test, PSA (acronym in English for prostate specific antigen) is a controversial topic in the medical field, although the dosage of this substance is an important marker for prostate cancer. On the one hand, the risk of false positives may be associated with invasive and unnecessary interventions. But, on the other hand, early detection is linked to a better prospect of total tumor elimination. American guidelines suggest that men as young as 50 years of age go to the urologist in Pitampura to investigate the health of the gland.

  • Touch examination – Also known as digital examination of the prostate by the rectum, it is performed by the doctor to identify hardened areas in the prostate and other changes that may lead you to suspect cancer. It lasts a few seconds and is painless.
  • PSA – It is measured in the blood and used as a marker of prostate cancer, suggesting the presence of the disease mainly when the total value is greater than 2.5 ng/ml. However, it can increase in other prostate diseases, such as benign growth and prostatitis (infection and inflammation of the prostate). There are other fractions of the PSA (free and linked to other molecules) and other parameters that can help the doctor to suspect an eventual prostate cancer, such as the speed of growth of the PSA (how much it increases from year to year), the density of the PSA (ratio of the test result to the size of the prostate) and the expected PSA for age.

Symptoms – Mostly prostate cancer have no symptoms. The discomfort to urinate or the presence of blood in the urine or sperm are more related to the benign growth of the prostate or prostatitis. A urological evaluation is often necessary to clarify the real source of these symptoms, says the best urologist in Pitampura.

Diagnosis – Localized prostate cancer does not appear in most imaging tests such as ultrasound, tomography, MRI and PET-SCAN. Therefore, the diagnosis is made through biopsy (removal of small fragments by a fine needle inserted through the rectum) guided by ultrasound and made with sedation. The removed fragments are analyzed by a pathologist who evidences the existence or not of the problem.

This exam has become standardized and routinely performed in the best institutions, with a low risk of serious complications and with a quick return of the individual to his normal activities. A biopsy exam performed does not completely exclude the presence of the disease and other biopsies may be necessary depending on the analysis of several risk factors.

Disease stages – When the diagnosis is confirmed by biopsy, it is necessary to perform a series of tests that will determine whether the disease is located in the prostate, whether it is just beyond the limits of the prostate, or whether malignant cells have already spread to other organs. .

Treatment Options

  • Localized disease – It is the stage that can offer the greatest chances of cure. There are some options for Prostate Cancer Treatment for managing the disease to be discussed:
  • Surgery – It is called radical prostatectomy. It consists of the complete removal of the prostate, seminal vesicles and eventually lymph nodes that may be compromised. After removal of the gland, the bladder is connected to the urethra using stitches and a probe is left that goes out through the hole in the penis. This probe drains the urine, protects the stitches and remains after surgery for a time ranging from five to 14 days. In surgery, it is possible or not to preserve the nerves responsible for the erection that pass very close to the prostate and this depends mainly on the local conditions, mainly on the suspicion of invasion of the nerves by the tumor. Surgery can be done through three different routes: the conventional open route, the laparoscopic route or the perineal route.
    • The open route consists of an abdominal incision made below the umbilical scar until close to the bone above the base of the penis.
    • The laparoscopic approach consists of an abdominal access through four or five incisions from 5 mm to 10 mm, with gas insufflation and a view of the surgical field through a monitor connected to a microcamera inserted in the abdomen through one of these holes. This technique can also be performed with the aid of a robot (called Da Vinci).
    • The perineal route consists of an incision between the scrotum and anus with direct access to the prostate. This way, there is a limitation on the possibility of removing the nodes. There is no consensus on the best access route to perform radical prostatectomy and some surgeons have more experience and / or preference for one technique or another. The advantages and disadvantages of each should be discussed with the urologist in Delhi.
  • Radiotherapy – It consists of the application of radiation directed to the prostate. It can be done by external radiation (3-D conformational and with modulated intensity – IMRT Intensity Modulated Radiation Therapy) or by implanting radioactive seeds (brachytherapy) in the prostate, which is done under anesthesia.
  • Locally advanced disease – When the tumor exceeds the limits of the gland, there are some possibilities for prostate cancer treatment to be considered and discussed, such as blocking the male hormone for a period prior to, concomitant with or after surgery or radiotherapy.
  • Metastatic disease – When identifying sites for the spread of the tumor to other organs, such as bones, for example, the prostate cancer treatment may be blocking the male hormone (testosterone). Malignant cells in the prostate grow stimulated by testosterone and blocking this hormone can cause the tumor anywhere in the body to regress and become latent. There are several ways to block the hormone and the procedure to be adopted, as well as its possible side effects, should be discussed with the urologist in Delhi. When the disease no longer responds to hormone therapy, current chemotherapy is effective in treating symptoms and increasing the life expectancy of patients with prostate cancer.
What is Prostate Cancer And It’s Treatment Options

What is Prostate Cancer And It’s Treatment Options


Prostate cancer is the most common non-skin cancer in India. It is estimated that approximately 1 in 6 men suffers from it, and it is more frequent at older ages.

Even though prostate cancer can be slow-growing cancer, thousands of men die from prostate cancer each year. Internationally, prostate cancer is the second most common cause of cancer death in men.

The marked variation in the rates of presentation of prostate cancer in different parts of the world suggests that certain genetic factors are present. Family predisposition also occurs. Environmental factors, especially diet, are also of importance, explains urologist in Delhi.

Currently, due to technological advances in medical practice, most prostate cancers are identified in patients who are asymptomatic. Diagnosis in such situations is based on the detection of abnormal levels of prostate-specific antigen (PSA) or on the findings at the time of digital rectal examination on physical examination.


There are many known causes of prostate cancer today. The marked variation in the rates of presentation of prostate cancer throughout the world suggests the participation of genetic factors within the probable causes of prostate cancer.

  • Genetics: Studies of different populations have identified several variants in the 8q24 region on chromosome 8, which is associated with an increased risk of developing prostate cancer. Variations in chromosomes 1, 17 and the “X” chromosome have also been found. ”In some patients with a family history of prostate cancer. The HPC1 gene (hereditary prostate cancer 1) and the PCAP gene (which predisposes to prostate cancer) are found on chromosome 1, while the human prostate cancer gene is on the “X” chromosome. Several genetic studies suggest that there is a strong family predisposition when presenting with prostate cancer, with 10-15% of prostate cancers having one or more cases of the prostate in the family.
  • Diet: Healthy and beneficial diets for the cardiovascular system seem to have some efficacy in preventing prostate cancer or other cancers. An example of this type of diet is the Mediterranean diet, which consists mainly of fruits and vegetables, nuts, grains, olive oil, chicken and seafood (non-fat protein sources).
  • Hormonal: The hormonal causes of prostate cancer have also been discussed because it has been observed that the decrease in androgens causes regression of prostate cancer. Also, as indirect evidence of prostate cancer, eunuchs do not develop prostate adenocarcinoma.

What is Prostate Cancer And It’s Treatment Options


There are many symptoms of prostate cancer that a patient can present, however, in most cases, patients with prostate cancer remain asymptomatic. The diagnosis of prostate cancer in patients who are asymptomatic is carried out by research when carrying out control studies and observing that there are abnormalities in the results, specifically in the levels of the specific prostate antigen and on other occasions when performing Physical examination of the prostate by digital rectal examination may reveal abnormalities, explains the best urologist in Delhi.

When the symptoms of prostate cancer appear and the appropriate studies are not available to make the diagnosis, they can be confused with some other disease, for example, increased urinary frequency, urinary urgency and decreased urine flow, can be symptoms of benign prostatic hypertrophy or hyperplasia.

The symptoms of prostate cancer in advanced stages are manifested in the bones frequently, because prostate cancer has a great predilection for metastasizing to the bone.

Some of the symptoms of advanced prostate cancer are as follows:

  • Decreased weight and loss of appetite.
  • Anaemia.
  • Bone pain, which may or may not be accompanied by pathological fractures due to weakening of the bone.
  • Neuronal deficit due to compression of the spinal cord.
  • Pain and volume increase in the lower extremities due to obstruction of the venous and lymphatic system due to metastatic nodules.
  • Cachexia (malnutrition and a significant weakening of the body).
  • Decreased bone density.
  • Edema of the lower extremities or deep vein thrombosis.
  • Over-distended bladder as a consequence of obstruction secondary to metastasis.


The best urologist in Pitampura recommends that the selection of prostate cancer treatment should consider the following points:

  • Cancer severity (a stage in which it is found).
  • Patient preferences.
  • Life expectancy.
  • Functional prior treatment and genitourinary symptoms present.
  • The expectation of functional status after treatment used.

Standard treatments for clinically localized prostate cancer include the following points:

  • Active surveillance.
  • Wait watchful.
  • Radical prostatectomy.
  • Radiation therapy.
  • Hormone therapy.

Treatment for locally advanced prostate cancer, radiation therapy is generally recommended by urologist in Pitampura in conjunction with androgen ablation, although radical prostatectomy may be the appropriate alternative to radiation therapy in some cases. A combination of external radiation, brachytherapy, and hormonal therapy is also being used as a prostate cancer treatment, however, it remains unclear whether it offers any advantage over hormonal therapy and external radiation alone, and if it increases complications.

Unfortunately, despite any prostate cancer treatment that may be used, it can rarely be cured in cases where there is already metastasis. The management of these cases usually includes therapy directly related to the relief of symptoms (palliative treatment for pain) and attempts to slow the progression of the disease.

When we choose the best option as a prostate cancer treatment, it is done to create long-term survival in less than 10% of patients.

Most patients undergoing treatment for prostate cancer are cured either because the treatment was effective or because they had a non-fatal tumour and treatment was not entirely necessary. The rest of the patients are not cured, either because there were unsuspected micrometastases in them or because local therapy did not eradicate all the malignant cells.

Watchful waiting as a treatment for prostate cancer is normally recommended by a urologist in Rohini for patients who are elderly and for those who have significant comorbidities that limit their life expectancy or a life expectancy of less than 10 years. It is possible and very likely that these patients will have a poorer quality of life if their cancer is treated than if it allows the disease to run its course. They have a high chance of dying from any of the added comorbidities, and treatment for prostate cancer could worsen your condition and thus hasten death, warns the best urologist in Rohini.

As for radiation therapy, we have two possibilities:

  • External-beam radiation therapy: A radiation therapy study for the treatment of localized prostate cancer showed that those patients who received radiation therapy had fewer gastrointestinal complications and fewer hip fractures, as well as less chance of undergoing additional cancer treatments. Prostate, however, were more prone to erectile dysfunction.
  • Brachytherapy: It consists of the insertion of radioactive seeds inside the prostate gland.

Radical prostatectomy usually achieves good results in patients with localized prostate cancer, however, in patients who already have metastases and undergo radical prostatectomy, they do not obtain many benefits in terms of cure, despite that In many cases, it is advisable to use a surgical treatment such as transurethral resection of the prostate because patients suffer obstruction of the urinary tract due to tumour growth, says urologist in Delhi.

The first-line treatment for prostate cancer in patients in whom metastasis has been identified is the suppression of male hormones, however, this may cause some side effects such as anaemia, erectile dysfunction, decreased libido. , fatigue, decreased muscle strength, decreased bone density, among others, says sexologist in Rohini.

weakness & infertility

Impotence And Recovery After Prostate Surgery

Prostate cancer affects about 1 in 7 men.

The prostate is a gland of the male reproductive system that produces the fluid from which sperm is produced. This is below the man’s bladder and surrounds the upper part of the urethra.

Prostate cancer is a tumor that grows slowly and does not cause symptoms until it reaches an advanced stage. Fortunately, it is easy to treat, especially if diagnosed early. Early diagnosis remains the main method that helps lower mortality for this type of cancer.

Prostate cancer treatment can save lives, but can also cause severe side effects.

Among the treatment options in the case of the early stage of prostate cancer are:
– surgical intervention;
– radiotherapy ;
– careful and active supervision by the urologist in Delhi.

Adverse reactions may include factors that affect the lifestyle of people with prostate cancer. For example, one of the most common side effects is impotence, also known as erectile dysfunction. Another side effect is urinary incontinence.

What is Erectile Dysfunction?

Erection occurs when the brain transmits signals of sexual arousal to the nerves of the penis. Then the nerves signal the blood vessels in the penis to expand. The blood flow increases in the penis and makes it firmer and swollen. Thus, the penis becomes erect.

According to sexologist in Rohini, Erectile dysfunction is a condition that occurs when a man is unable to achieve an erection or maintains an erection long enough to have sex or achieve an orgasm.

It has nothing to do with the lack of sexual interest or the occasional difficulty in reaching or maintaining an erection, which affects most men at certain times in their lives.

Erectile dysfunction can be caused mainly by psychological factors, such as emotions or problems with the nervous system but also by physical factors related to blood vessels, nerves and hormones.

Surgery for prostate cancer and erectile dysfunction

Prostate cancer tends to be slow-growing cancer. Surgery may be a good option if your urologist in Pitampura considers that the location of the cancer is in the prostate gland. Also, the decision of surgery is dependent on age, general health, and other factors.

Radical prostatectomy is the most common surgical procedure and involves surgical removal of the prostate gland. The prostate gland is a donut-shaped gland that surrounds the urethra just below the bladder.

The urethra transports urine and semen from the body through the penis. This procedure eliminates the prostate, surrounding tissue and seminal vesicles

However, there are some risks associated with surgery. Two small bundles of nerves on both sides of the prostate are vulnerable to injury during surgery. This depends on the size and location of cancer.

The surgical procedure may require the removal of some nerves if there is a risk that this cancer may have invaded one or both sets of nerves. If both sets of nerves are removed, you may not be able to maintain an erection without the help of medical devices.


After the operation is completed, you may be suffering from erectile dysfunction for several weeks, a year or more. This is caused by the fact that the surgery can hurt certain nerves, muscles and blood vessels involved in getting an erection.

There are other factors that affect erectile dysfunction during recovery and, therefore, it is difficult to say what the duration of recovery is. If nerve tissue injury occurs during a radical prostatectomy, it may cause a longer recovery. If you have suffered from erectile dysfunction before the surgery, it will not be resolved after the surgical procedure.

Improving prostate surgery techniques has led to much better results for many men. People with better erectile function prior to surgery may have a better outcome. It was found that about half of the men undergoing this surgical procedure will regain their pre-surgical function in the first year after the surgery, says urologist in Delhi.

In addition, other factors that may affect sexual health may be:

• older age;
• cardiovascular disease ;
• diabetes;
• smoking;
• obesity;
• excessive alcohol consumption ;
• sedentary lifestyle.

A healthy lifestyle can lead to a better recovery of erectile function and general well-being.

Treatment of erectile dysfunction

Medications or medical devices may help to recover from erectile dysfunction after surgery.

Popular medicines for erectile dysfunction treatment in Delhi can be very effective. About 75% of men suffering from this condition can successfully achieve erections with these drugs.

If you have a heart condition, your sexologist in Pitampura may recommend that you do not use erectile dysfunction drugs because of the risk of severe complications.

Men who cannot or do not want to take erectile dysfunction medications may consider a medical device, also known as a penis pump.

This device consists of a cylinder through which the penis is inserted, with an electric motor to create the aspiration and produce a vacuum environment around the penis. It causes blood to rise, helping to cause an erection.

The device is efficient for most users, being well tolerated by them.

Understanding the options for erectile dysfunction treatment in Delhi prior to surgery can help reduce pre-surgical anxiety. A consultation with your best sexologist in Delhi can ease you.

You may also want to talk to other men who have prostate cancer.

Talk to your doctor

Surgical removal of the prostate can be a lifesaver. Talk to your urologist in Pitampura about all treatment options if you have been diagnosed with prostate cancer.

Also, consider getting another opinion that can either confirm your doctor’s recommendation or provide you with other information and other solutions. Surely, the best urologist in Delhi will understand your interest in gathering more facts and perspectives.

Removal of cancer cells is the most important thing for maintaining the health of the body. However, you should consult with your sexologist in Delhi about returning to sexual activity after completion of treatment.

Erectile Dysfunction and Cancer

Erectile dysfunction that occurs in a patient with cancer or other severe disease, often has both physical and psychological causes.

Probably the patient will have anxiety related to the disease and why he holds his future and anxiety often contributes to the development of erectile dysfunction. Revealing anxieties and discussing them is part of the erectile dysfunction treatment in Rohini in the cancer patient.

Two types of cancer are more likely to be associated with erectile dysfunction:

  • prostate cancer;
  • rectal cancer.

Most commonly the treatments for this type of cancer cause erectile dysfunction, and not the cancer itself, says sexologist in Rohini.

Prostate cancer

The prostate is located under the bladder, and its function is to produce a fluid that enters the sperm composition.

Through the middle of the prostate passes the urethra from the bladder outwards. This means that the conditions of the prostate also cause disorders of the bladder.

Prostate cancer is now the most common cancer of the man, and its incidence is increasing. Partly this is because men now live longer, and prostate cancer has always been more common in older men.

There are many types of prostate cancer treatment. The type used in a particular patient depends on the stage of the disease.

Radical prostatectomy

A treatment with curative potential, radical prostatectomy is the operation of removal of the prostate gland performed by urologist in Pitampura.

However, the intervention has a high risk of affecting the nerves that serve the functioning of the penis, thus leading to the appearance of erectile dysfunction.

It is difficult to assess the percentage of men suffering from erectile dysfunction as a result of this operation because the results published in the medical literature vary widely – from under 10% to over 90%.

The risk of erectile dysfunction is reduced if a nerve salvage technique is used during the operation. In the case of this technique, the best urologist in Pitampura makes a special effort to identify the nerve threads that serve the penis and are found in the prostate. Erectile dysfunction treatment in Pitampura may be effective in men who have undergone radical prostatectomy.

Oral therapy (tablets) appears to be less effective in men who have not benefited from nerve sparing during surgery. It may be necessary to try several treatments until the most suitable one is found, suggests sexologist in Pitampura.

Transurethral resection of the prostate

Some patients with poorer health or more advanced cancer will undergo less destructive surgery, called transurethral resection of the prostate (RTU).

The goal is to improve the symptoms of bladder and improve urinary flow, and less “cure” cancer by complete removal of the prostate, says urologist in Delhi.

In the case of this intervention, the nerves are rarely affected and the standard erectile dysfunction treatment in Delhi work very well. (Note that RTP is a common and effective form of treatment for enlargement of the prostate due to non-cancerous causes. This increase in benign prostate volume occurs frequently in men from middle age.)

Non-surgical treatments for prostate cancer

Some non-surgical treatments for prostate cancer can cause erectile dysfunction and decreased libido, warns sexologist in Delhi.

Leuprorelin and goserelin are injections used to suppress prostate cancer by interfering with testosterone production.

Casodex is a tablet that cancels the effects of testosterone on different tissues. All have the potential to cause erectile dysfunction and loss of sexual desire, and the least affecting is Casodex.

Colon Cancer

Colon cancer is another common form of cancer. If diagnosed early it can have a very good evolution.

The gut is very long. It is usually possible to remove the section that was affected by cancer and then suture the two ends to restore the intestinal lumen. This avoids the use of a pouch or a “stoma” in the intestinal wall.

The main exception is when the cancer appears in the lower part of the intestine – a few centimeters from the anus. In this case, there may not be enough healthy bowel below the cancer level to allow the surgeon to suture the two ends. Thus stoma is necessary.

Lower colon cancer means that it is almost impossible for the surgeon to avoid damaging nerves to be found in this region – nerves that serve the penis are included in this category. Erectile dysfunction may be a consequence of this surgery.

However, as with prostate cancer, standard treatment for erectile dysfunction can be effective once it has been chosen according to the individual, says sexologist in Delhi.

General Problems

Although there are hundreds of different cancers, and major steps have been taken to treat their majority, most people are afraid of this diagnosis.

Once the diagnosis and therapeutic behavior have been established, many patients find that the situation is not as bad as it initially seemed. Even so, the impact of the disease on the individual and his family cannot be denied.

The situation is frequent when cancer patients channel all their concerns to investigations and treatment of such intensity that everything else becomes secondary.

Studies show that after the diagnosis of cancer, things like sexual functioning do not get much attention at all – sometimes the patient is no longer paying attention to the appearance, sometimes it comes from the medical staff involved in the treatment.

This is not due to the notion that sexual activity is not considered important, but because the aspect is omitted among other things that become priority.

Cancer can be a scary disease until it is fully understood the effect it will have on the patient’s life. During this initial period of anxiety, the patient will have little desire for sexual activity. Other people may respond differently, finding that the intimacy offered by the sexual activity gives them the necessary comfort in such a difficult period. It is possible that once the treatment is instituted, the desire for sexual activity to return, says the best urologist in Delhi.

Couple problems

Any serious illness can cause anxiety and insecurity.

Regarding sexual activity, there may be fears that:

  • sexual activity may cause physical injury;
  • sexual activity can cause the disease to reappear;
  • cancer it can be contagious or sexually transmitted.

These concerns are without real basis, but can lead to couple problems.

It is vital for couples who are experiencing such difficulties to discuss these concerns with each other, and with the best sexologist in Delhi.

Usually a reassurance that everything will be fine is enough, but sometimes the couple can benefit from consulting a psychotherapist who specializes in psychosexual medicine.

Can sexual activity be dangerous in the cancer patient? Almost never. Except in situations where cancer affects the genital area, there is usually no reason for the patient not to have sexual activity, but even when the cancer is located genital it should not be a problem. Above should be checked with the urologist in Delhi, there are very few people for whom sexual activity can lead to health damage.

Cancer and fertility

It is important for patients to be informed about the disease and its short- and long-term consequences, including the possible impact on sexual life and fertility.

In recent years there are patients who are cancer patients who have chosen to freeze eggs or sperm as an insurance against the conception difficulties that could result from cancer treatment. This raises a lot of discussion, especially regarding its ethical issues, but it may become an increasingly common practice.

Prostate Cancer. Overcoming Prejudice can Save Lives.

What is the prostate?

The prostate is a gland located near the rectum that weighs about 20 grams. It’s part of the male reproductive system and looks like a chestnut. It is below the bladder and its main function is to produce seminal fluid. 70% of semen is produced in the prostate, making it an indispensable fertility gland.

Because the prostate gland is between the bladder and the pelvis of the man and is in front of the rectum, which is the final portion of the intestine, the urologist in Delhi can easily palpate it with a rectal examination.

How is prostate cancer diagnosed?

Prostate cancer diagnosis is usually made through 2 simple exams:

  1. Rectal Touch Exam

It is a quick (almost a few seconds) and virtually painless exam done by the urologist in Delhi in the office itself. This exam allows the doctor to analyze the consistency of the prostate, its size and whether there are palpable lesions across the rectum.

  1. PSA (Specific Prostatic Antigen) measurement

It is obtained with a simple blood test and may indicate prostate changes. It is important to keep in mind that this is not a conclusive test for the presence of cancer and does not rule out the need for rectal touch.

Both tests together (touch and PSA) can diagnose 80% of prostate cancer cases.

About 20% of prostate cancer patients are diagnosed by rectal examination alone. If prostate cancer is suspected other tests may be ordered, such as biopsies.

Benign Prostatic Hyperplasia and Prostate Cancer. What is the relationship?

The prostate is a gland that continues to grow throughout man’s life. From age 45, the enlarged prostate can begin to press the urethra, reducing urine jet pressure. With this, the bladder does not empty completely and the man feels the need to urinate more often. This is a fairly common picture, especially from the age of 60.

When asked about this and the need to urinate so often, the answer to many men is simply “I drink a lot of water, you know.” But this is a dangerous thought.

Benign prostatic hyperplasia is not cancer. But considering that difficulty urinating is a common symptom of both diseases, there is no way to differentiate them without proper examination by the urologist.

This underscores the importance of men over the age of 45 regularly approaching their urologist for tests that may detect not only Benign Prostatic Hyperplasia, but also the presence of prostate cancer.

What are the risk factors for prostate cancer?

Maintaining physical activity and eating a healthy, vegetable-rich, low-fat diet, maintaining weight control, lowering alcohol and smoking (tobacco) help prevent cancer.

Below are some of the risk factors that increase the propensity to develop prostate cancer.

Prostate Cancer – Risk Factors

– family history of prostate cancer: father, brothers and uncles

– obesity

– hormonal dysfunctions

What are the symptoms of possible prostate cancer?

Prostate cancer is a disease that has no symptoms in the early stages, in most cases. The apparent absence of symptoms does not guarantee that everything is fine in the man’s prostate. Therefore, prevention is fundamental.

Most tumors grow so slowly that it takes about 15 years to reach 1cm³. Usually when the first evidence begins to appear, the tumors may already be at an advanced stage, making healing difficult.

Prostate Cancer Symptoms

– constant urge to urinate and difficulty emptying the bladder

– difficulty in starting and stopping urine flow

– urine in successive drops or jets

– painful urination

– bone pain

– presence of blood in the urine and / or semen

– lower back pain (low back pain) or pelvis (below the testicles)

– pain when ejaculating

– renal insufficiency

How is the treatment of prostate cancer?

Treatment for early-stage prostate cancer has good success rates and cure is achieved in many cases.

Once prostate cancer is diagnosed, it can be treated with surgery to remove the tumor (in some cases total prostate removal is required). Other forms of treatment may also be employed in conjunction with surgery, such as radiation therapy, hormone treatment, and the use of drugs to shrink the tumor and reduce the risk of the disease returning.

The treatment is defined by the urologist always according to each case, taking into account the age of the patient, the severity of the disease, associated diseases and life expectancy.

Considering these factors is important because, after all, treatments may have some complications, which in some cases may be reversed at the end of treatment, such as urinary incontinence, erectile dysfunction or infertility.

Overcoming prejudice and machismo is the best prevention.

Prejudice and chauvinism are probably the biggest enemies in preventing prostate cancer. A survey conducted in seven Brazilian state capitals by the Brazilian Society of Urology (SBU), the Oncoguia Institute and the Bayer pharmaceutical company found that 21% of the male population considered that the rectal exam “is not a man’s thing”.

Of the total respondents, 76% say they know that digital rectal examination is an important diagnostic test and 48% say they believe machismo is the main reason why men do not have the exam.

Among men at higher risk, over 60 years, 27% never underwent the exam. And more than 1/3 of respondents say they know no symptoms of prostate cancer.

It is important to keep in mind that the best way to promote prostate cancer cure is early diagnosis. Even in the absence of symptoms, men over 45 with risk factors, or 50 years without these factors, should go to the urologist regularly.

Masculinity has nothing to do with simple, painless and quick exams. It’s a few seconds that can extend life for years. If you are over 45, visit your urologist or encourage your relative, brother or friend to do so. Health is too important to be neglected by mere prejudice.