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Prostatic Fraction Health Feed

Prostate Cancer - Know The Misconceptions About It!

Urologist, Delhi
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Cancer is the most dangerous disease noticeable throughout the world. The most common type of cancer that affects men is prostate cancer. Prostate is a small exocrine gland situated directly below the bladder and in front of the rectum. This is gland is approximately in size of a walnut and plays an important role in production of a milky fluid during orgasm of sex in which the semen travels. During the climax stage of the prostate gland is forced to push the fluid and remove the semen out of the reproductive structures.
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My usg report showed enlarged liver and hepatomegaly. What are the remedies for the ailment and how bad will it effect me?

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Kanpur
My usg report showed enlarged liver and hepatomegaly. What are the remedies for the ailment and how bad will it effec...
Hepatomegally = enlarged liver (same thing) sootshekhar ras 125 mg twice a day pittari avleh 10 gm twice a day relief in 5-6 days and for complete cure take it for 60 days only avoid oily and spicy food.
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Prostate Cancer Screening!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, MCh - Urology, Fellowship in Minimal Access Surgery.
Urologist, Ernakulam
Prostate cancer screening should be done for all males after 45 yrs of age.

I have a 24 gm prostate. Dr. gives me silofast 8 mg and plans for surgery, is it necessary for surgery?

MCh(Minimally Invasive & Robotic Surgery), MS - Surgical, MBBS
General Surgeon, Guwahati
I have a 24 gm prostate. Dr. gives me silofast 8 mg and plans for surgery, is it necessary for surgery?
requirement of medicine or surgery does not depends upon the size of the prostate . It depends upon the symptoms of prostatism. so in my opinion, try with the medication, if not relieved, better to go for surgery considering your advancing age.
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Benign Prostrate Hyperplasia - How To Identify It?

MBBS, MS - Urology, MCh - Urology
Urologist, Kolkata
Benign Prostrate Hyperplasia - How To Identify It?
Benign Prostrate Hyperplasia (BPH) is a condition which results in the enlargement of the prostrate gland. The prostate gland is situated near the Urethra (a tube which helps flush out the urine from the bladder). Generally, the chances of developing BPH increase after one crosses the age of 50. But it is yet not known, why some men experience more severe symptoms than others.

Causes of BPH

This condition generally occurs because of old age and affects almost all men above the age of 75. It occurs because of the various hormonal changes and changes in cell growth that the body goes through, as one becomes old. Sometimes BPH can set in due to genetics. If BPH sets in due to genetically reasons, it usually is quite severe and affects men before they reach 60.

Symptoms of BPH

Quite a few men who develop BPH, experience no symptoms at all. But when symptoms of BPH, known as lower urinary tract symptoms (LUT) start, they can be either mild or very severe. The severity of the symptoms is not related to the extent of the enlargement. Many a times men with only a mild enlargement complain about severe symptoms, while men with a highly enlarge prostate gland may do not complain of any discomfort.

Symptoms of BPH tend to worsen due to cold weather and also because of physical and emotional overexertion.

There are certain medicines which should be avoided if you suffer from BPH, as they have a tendency to worsen your symptoms, for example- diphenhydramine, pseudoephedrine, oxymetazoline spray and other antidepressants.

The symptoms of BPH are related to issues with bladder emptying and issues with bladder storage. Symptoms related to the urine drainage from the bladder are

1. Strain while urinating
2. Weak urine flow
3. Some dribbling after urination
4. Sudden urge to urinate
5. Pain while urinating

Symptoms related to storage of urine in the bladder are
1. Waking during the night to urinate
2. Urinating frequently during the day and at night
3. Sudden urge to urinate, which may be hard to control

It, however, has to be kept in mind that these symptoms may not primarily occur due to prostate enlargement, but may be the result of other conditions like urinary tract infections, prostatitis, prostate cancer, neurological disorders and even diabetes. Thus it is essential that you visit a doctor and get the cause for these symptoms diagnosed properly.

Bones and body have done scanning, the cancer cells not spread to bones. Now psa level is 1.08 after taking 3 lupredox 11.25 once in 3 months. Dr. Has prescribed zometa 4 mg. Now daily I am taking shelcal xt tab after break fast. Now can you advise me whether to take or not (zometa inj).

MBBS, MD - General Medicine, DM - Medical Oncology
Oncologist, Mumbai
As per the history disease seems to be either localized to the prostate or the reference is involvement of nodes if not spread to the bones and if on leuprolide then might consider zometa 6 monthly if there is a concern for osteoporosis.
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5 Most Common Urology Ailments You Should Know About!

DNB - Urology, MS - General Surgery
Urologist, Jaipur
5 Most Common Urology Ailments You Should Know About!
The urologic system includes all problems related to the urinary system including the kidneys, bladder, ureters, urethra, and the prostate. These problems could range from trauma, injury, inflammation, infections, and muscular problems like overactive bladder, prostate hypertrophy, sexual disorders (candidiasis, erectile dysfunction, etc.), tumors or overgrowths, infections of any part along the entire tract, and even erectile dysfunction.

Let us quickly look at the most common ones kidney stones, urinary tract infections, prostate enlargement, erectile dysfunction, and vaginal candidiasis.

Kidney stones: These are calcium deposits, which can seat themselves in any part of the kidney and sometimes even in the ureter. These can cause significant sharp, shooting pain in the back of the abdomen. The pain is almost diagnostic, and while small stones may pass on their own, others may require shock wave lithotripsy to break the bigger ones into smaller ones, which can then pass on their own through urine. Dietary modifications may also be required to prevent the formation of stones, as most people tend to have recurrence of stones.
Prostate hypertrophy: One of the most common problems faced by ageing men is benign prostatic enlargement (BPH). There would be a constant urge to urinate, simultaneous difficulty initiating a stream and a feeling of incomplete emptying. These happen more at night, and diagnosis is very easy, any elderly male who shows these symptoms is almost diagnostic of BPH. This requires a standard surgical procedure known as transurethral resection of the prostate, which is a same-day surgery and quite non-complicated.
Urinary tract infections: This is one of the most common infections, which can be acquired from the use of public bathrooms and unhygienic bathroom practices. There is chance for infection of the entire tract starting from the urethra to the ureter, the bladder, and the kidney. These run the course of any infection. Treatment is usually with a course of oral antibiotics along with symptomatic treatment of the other symptoms like fever, muscle ache, etc. In very rare cases, systemic antibiotics may be required.
Erectile dysfunction: One of the most common, but undisclosed male sexual problem is erectile dysfunction. There is inability of the male to achieve and/or sustain an erection, sufficient to have a satisfactory sexual intercourse. This has both physical and psychological reasons, and may also be due to hormonal imbalance. Very often, a discussion with a counselor would be required to treat the couple, as involving the partner is very important.
Vaginal candidiasis: The normal vaginal flora is very rich with the fungi Candida, and when immunity is low, candidiasis develops. There could be symptoms like foul-smelling discharge, itching, and redness. A course of topical antifungal agents is usually effective in treating this condition.

Hi, In june, 2017 I was diagnosed with metastic prostatic adenocarcinoma. My gleason score was 8 and psa 465. I was taken as a participant for clinical trial of firmagon (degarelix) under Dr. Sujoy gupta at tata medical centre, kolkata. I was administrated primary dose of degarelix 240 mg and subsequently 17 doses of 80 mg after every 28 days during the period 03.07.17 to 19.11.18. Psa gradually came down and after 12th dose it was 0.510. But afterwards, it began to rise and stood at 2.33 on 17.09.18. As per doctor advice, underwent bilateral orchiectomy on 29.11.18. Even then, psa kept on rising and stood at 46.85 on 08.01.19. For further treatment, I was referred to Dr. (radiotherapy, frcr (clinical oncology) at tata medical centre, kolkata. As per him, I have become castrate resistant and as advised I am on abiraterone acetate (abirapro 250 mg) 4 tablets at a time along with omnacortil 5 in empty stomach since 11.01.19. But psa is on the rise and last test results of 27.03.19 shows the level at 97.83. He has suggested me to continue the medicine for another month and review with him with fresh psa reports at the end of this month. I beseech to advise whether I am on the right treatment, suggest the best of the treatment or refer a doctor with whom we should consult?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
you are on right track. abiraterone takes a little time around 4-5months to decrease psa. but evafter 6months psa does not come down then you might need another drug.
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I am a prostate cancer patient I have taken lupride 11.25 inj 3 once in 3 months. Now psa is now 1.08, previously it is 60. Now Dr. Has prescribed zometa 4 mg 6 injs once in a month. I came to know that this inj has lot of side affects. Is it ok to take. Pl advise me.

MCh [Urology & Kidney Transplant], MS - Surgical, MBBS
Urologist, Gurgaon
Mr. lybrate-user, inj zometa can be safely given if calcium and creatinine is normal. Even if some side effects are there they can be taken care of by doctors all medicines for that matter can have side effects.
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All About Prostate Cancer

MBBS, MS - General Surgery, MCh - Urology
Urologist, Zirakpur
All About Prostate Cancer
Prostate Cancer is a form of cancer that affects men. The prostate is basically a small gland that sits in the male pelvic cavity and is responsible for producing seminal fluid or semen, from its position under the bladder, surrounding the urethra. The testosterone hormone controls this gland. Prostate cancer refers to the growth of a malignant mass of cells which can also be called a tumour.

More about this cancer:

Risk Factors: The various risk factors involved in this kind of cancer are many. Advanced age, a family history of the same disease, obesity as well as genetic changes can lead to the development of this kind of tumour.

Types: There are basically two types of prostate cancer, including fast growing or aggressive, and slow growing or non-aggressive. Yet, it is also important to remember that not every abnormal growth in this gland can be termed as a tumour, or is a sign of prostate cancer. A malignant growth signifies prostate cancer. This tumour can grow at a fast pace for aggressive prostate cancer, while it can grow and spread slowly for the non-aggressive type.

Symptoms: It is possible to not have any kind of obvious symptoms when suffering from this kind of cancer. The symptoms usually begin to show up when the cancer has reached a more advanced stage. These include urinary problems, most significantly. The patient may go through pain and difficulty when it comes to urinating. This pain may also occur during ejaculation. The patient may also find blood discharge in the semen upon ejaculation and suffer from sexual dysfunction as well. Pain in the chest, pelvic area and back are also common symptoms of prostate cancer, which may gradually turn into numbness in the said areas as well.

Diagnosis: The diagnosis of the issue will be done by a specialist from the urology department. After a physical examination where a diagnosis of the symptoms and other check-ups will happen, the doctor may conduct lab tests to check the blood, urine and other samples. Further, imaging tests like MRI and CT scans will also be conducted. A digital rectal exam and prostate biopsy will also help in effective diagnosis.

Treatment: The treatment of this kind of cancer usually depends on the severity of the symptoms and the spread of the tumour. Besides active observation, the doctor may also recommend radiation, chemotherapy and surgery based on the age and health condition of the patient. If you happen to find even subtle symptoms which could point towards this disease, do not hesitate to get in touch with the doctor.