Prostate cancer is one of the most common cancers in men, especially after the age of 50. It starts when cells in the prostate grow abnormally, often without any early symptoms. Because early prostate cancer can be silent, regular PSA testing and prostate health check-ups are important.

Some early prostate cancer symptoms may feel similar to prostate enlargement. Men may experience weak urine flow, frequent urination at night, burning during urination, blood in urine or semen, pelvic discomfort, or lower back pain. In more advanced stages, there may be weight loss, bone pain, or difficulty with erections. Understanding the difference between prostate enlargement and prostate cancer can help men seek timely medical advice.

Diagnostic Tests for Prostate Cancer
Diagnosis begins with a PSA test, which measures prostate-specific antigen levels in the blood. A rising or high PSA level may indicate the need for further evaluation. A Digital Rectal Examination (DRE) helps assess the prostate for any nodules or irregularities.

A multiparametric prostate MRI (mpMRI) provides detailed imaging and helps identify suspicious areas using the PI-RADS scoring system. When a biopsy is required, an MRI-fusion targeted biopsy allows precise sampling of abnormal regions, improving accuracy while avoiding unnecessary tissue removal. Advanced methods like genomic testing can further guide treatment decisions.

Treatment Options for Prostate Cancer
Treatment depends on the cancer stage, PSA level, Gleason score, MRI findings, and overall health. For low-risk or slow-growing cancers, active surveillance may be recommended.

For early-stage disease, robotic prostatectomy is a highly effective and minimally invasive option. Robotic prostate surgery using the Da Vinci system offers excellent cancer control, faster recovery, less pain, and better functional outcomes such as continence and sexual function.

Radiation therapy, including IMRT, IGRT, SBRT, and brachytherapy, is another strong treatment option for localized disease. Patients with advanced or metastatic prostate cancer may benefit from hormone therapy (ADT), chemotherapy, targeted therapy, or immunotherapy, depending on the disease stage.

Prostate Cancer Management

Frequently asked questions

Q: What are the early signs of prostate cancer?

A: Weak urine stream, frequent urination, blood in urine or semen, and pelvic discomfort. Many early cases have no symptoms.

Q: What PSA level should I be concerned about?

A: A PSA value above the normal age-specific range or a quickly rising PSA level needs further evaluation with MRI and a urologist’s assessment.

Q: Is prostate cancer curable?

A: Yes. Localized prostate cancer can be completely cured with treatments like robotic surgery or advanced radiation techniques.

Q: Does a high PSA always mean cancer?

A: No. PSA can rise due to prostate enlargement, infection, or inflammation. A prostate MRI helps determine whether a biopsy is needed.

Q: How can I contact you?

You can reach us by phone on +91-7703903478 and by email on ritesh.urology@gmail.com. We are always happy to answer your questions.

Q: What is the best treatment for early prostate cancer?

A: Robotic prostatectomy and radiation therapy both offer excellent outcomes. The choice depends on age, cancer risk, lifestyle, and personal preference.