Find numerous Oncologists in India from the comfort of your home on Lybrate.com. You will find Oncologists with more than 41 years of experience on Lybrate.com. You can find Oncologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Prithvi
Submit a review for Dr. PrithviYour feedback matters!
The problem of an enlarged prostate or benign prostate hyperplasia is a very common occurrence as you grow older. It's known to strike men above the age of 50, with more than 50% of men after the age of 60, having this complaint.
Causes of enlarged prostate
A non-cancerous condition, enlarged prostate makes the passing of urine from the bladder through the urethra difficult. The multiplication of the prostate cells causes an enlargement of the gland, leading to a buildup of pressure on the urethra, affecting the discharge of urine from the body. The narrowing of the urethra, due to this benign condition, forces the bladder to contract more vigorously so as to push urine out of the body.
As time passes, the muscles of the bladder get significantly affected, causing them to become extremely sensitive, thicker and stronger. As a consequence, the bladder begins to contract, even if the amount of urine in the organ is negligible, causing episodes of frequent urination. Gradually, the bladder fails to completely empty itself of urine due to the constriction of the urethra. This can give rise to a number of health problems including the formation of bladder stones, urinary tract infections, blood in the urine and so on.
How can you identify the signs of the condition?
Signs of enlarged prostate are very easy to identify and include:
- A slow or weak urine flow
- Difficulty in initiating urination
- Instances of frequent urination
- A feeling of not completely emptying one's bladder
- Frequent urination during the night
- Exerting a lot to urinate
- Instances of dribbling
- Urgency to pass urine
- A feeling of urinating again minutes after doing so
- Urination that starts and stops
In case you have a concern or query you can always consult an expert & get answers to your questions!
1. Problems When You Pee
Many men have some problems peeing as they get older, like:
A need to pee more often, especially at night
Dribbling, leaking, or an urgent need to go
Trouble starting to pee, or a weak stream
An enlarged prostate gland usually causes these symptoms, but so can prostate cancer. See your doctor to check on the cause of the problem. He?ll give you an exam to look for an enlarged prostate, and he may talk to you about a blood test (called a PSA test) for prostate cancer.
2. Changes in Your Testicles
"If you notice a lump, heaviness, or any other change in your testicle, never delay having it looked at.
"Unlike prostate cancer, which grows slowly, testicular cancer can take off overnight" Your doctor will look for any problems with a physical exam, blood tests, and an ultrasound of your scrotum.
3. Blood in Your Pee or Stool
These can be among the first signs of cancer of the bladder, kidneys, or colon. It's a good idea to see your doctor for any bleeding that?s not normal, even if you don't have other symptoms,
Although you're more likely to have a problem that's not cancer, like haemorrhoids or a urinary infection, it's important to find and treat the cause.
4) Breast Changes
"Men tend to ignore breast lumps because breast cancer isn't on their radar"
"But 1% of all breast cancers occur in men, although they're usually diagnosed much later" Don?t take any chances. If you find a lump, tell your doctor and have it checked.
One of the most common problems faced by ageing men is benign prostatic hypertrophy. Prostate is the gland at the base of the urethra near the bladder and when it enlarges it can lead to symptoms, mostly related to urination.
1. Frequent urge to pass urine
2. Prolonged urination
3. Frequent nocturnal visits to the toilet
4. Intermittent urination
5. Difficulty to start urinating
6. Inability to completely empty the bladder
7. Urinary tract infections
There are medications available to manage this, but offer only temporary relief. Many men therefore prefer to have the surgery undergone to manage these bothersome symptoms. However, like any surgery, the risks and benefits need to be considered along with other conditions like age, overall health status, other comorbid conditions, etc.
Surgical removal of the enlarged prostate gland is a more definitive approach to manage these symptoms. In addition to providing a quick cure, it also is used in the following cases:
1. Patients who do not respond to medications
2. Presence of blood in the urine
3. Associated bladder stones
4. Frequent infections of the urinary tract
5. Associated damage to the kidneys
Procedure of Surgery
During the procedure, a tube is passed through the tip of the penis into the urethra towards the bladder neck. Once it is in the desired position, laser is passed through it to deliver energy that acts on the prostate to either completely or partially destroy it. There are two methods by which laser acts on the enlarged prostate and making way for free flow of the urine.
1. Ablation: Excess prostate tissue is melted away by the laser by using photosensitive vaporization of the prostate. This is also known as Greenlight laser therapy or KTP laser vaporization. Alternately, Holmium can be used as the source of laser energy to ablate the prostate tissue.
2. Enucleation: Excess prostate tissue is cut and teased out through the urethra. Holmium laser is used to resect the prostate into smaller pieces, which are then removed out through a resectoscope. Another technique uses a tissue morcellator which grinds the enlarged prostate into smaller pieces to enable easy retrieval.
More men now opt for laser prostate removal as it has the following advantages:
1. Reduced risk of bleeding: This becomes essentially important in patients who are on blood thinners.
3. Immediate symptom relief: As compared to medications, the relief is felt almost immediately after the surgery
4. No catheter: With laser surgery, a catheter may be required for less than 24 hours unlike in open surgical cases.
As noted above, as with any surgery, once enlarged prostate symptoms set in, have a detailed discussion with your doctor to identify if you are a suitable candidate for laser surgery. If you wish to discuss about any specific problem, you can consult a Urologist.
Dear Dr. My sister complained about severe pain in the lower right portion of her right breast. What it might be? Is it something to worry about? And what diagnosis we are needed to perform? She is 17.
Cervical cancer occurs when abnormal cells on the cervix grow out of control. The cervix is the lower part of the uterus that opens into the vagina. Cervical Cancer is one of the most common ailments that women suffer from, making it only more important to be taken seriously and treated immediately.
Most cervical cancer is caused by a virus called human papillomavirus, or HPV. You can get HPV by having sexual contact with someone who has it. There are many types of the HPV virus. Not all types of HPV cause cervical cancer. Some of them cause genital warts, but other types may not cause any symptoms.
Most adults have been infected with HPV at some time. An infection may go away on its own. But sometimes it can lead to cervical cancer. That's why it's important for women to have regular screening. A screening can find changes in cervical cells before they turn into cancer. If you treat these cell changes, you may prevent cervical cancer.
Symptoms of Cervical Cancer may include:
- Bleeding from the vagina that is not normal, such as bleeding between menstrual periods, after sex, or after menopause.
- Persistent abnormal discharge.
Cervical cancer is the easiest gynecologic cancer to prevent, with regular screening tests and follow-up. Two screening tests can help prevent cervical cancer or find it early:
- The Pap test (or Pap smear) looks for precancers, cell changes on the cervix that might become cervical cancer if they are not treated appropriately.
- The HPV test looks for the virus (human papillomavirus) that can cause these cell changes.
When to Get Screened
You should start getting regular Pap tests at age 21. The Pap test, which screens for cervical cancer, is one of the most reliable and effective cancer screening tests available. The Pap test is the best way to find cervical cell changes that can lead to cervical cancer. Regular Pap tests almost always show these cell changes before they turn into cancer. It's important to follow up with your doctor after any abnormal Pap test result so you can treat abnormal cell changes. This may help prevent cervical cancer.
In spite of being a fatal ailment, over the years various treatments have evolved that deal with this problem effectively. Some of them are:
1. Surgery: One of the effective and oft availed treatment to cure cervical cancer is surgery. Depending on the stage on which the disease is detected, doctors may suggest for a hysterectomy or removing the pelvic nymph nodes.
2. Chemotherapy: This has emerged as the most sought after way of treating any form of cancer. The abnormal growth of cells that triggers cancer in the first place is deterred in this method by administering drugs to destroy them.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The lungs are amongst the hardest working organs in the body. They expand and contract upto 20 times a minute to supply oxygen which is distributed to tissues all across the body and expel carbon di oxide which is created through out the body. Cancer in the lungs is common and people who smoke are at the highest risk of contracting lung cancer. The risk of lung cancer increases with the duration of smoking period and the number of cigarettes smoked. The silver lining through is that if one quits this habit even after several years, one can significantly reduce the chances of developing lung cancer. A new cough persisting for many weeks, coughing blood even small amounts, shortness of breath, chest pain, wheezing, hoarseness, unexpected weight loss, bone pain and headache were some of the symptoms in advanced stage of the disease.