How Serious Is Prostate Cancer
Prostate Cancer may not be life-threatening, sometimes it does not even need active treatment.
You have time to get all the information you need before deciding on treatment. You should be comfortable that the treatment is right for you before you go ahead.
Get other opinions if necessary.
Prostate Cancer is quite common these days. Since we have been doing community screening with PSA we have found more cases than previously. This means that some of the men we find today having Prostate Cancer would never have been diagnosed in years gone by. They may never have known that they had Prostate Cancer and would ultimately have passed on with some unrelated problems. Today we make these diagnoses. For at least some of the cases we find, it would be better if they were never treated, as the Cancer is not serious enough to warrant treatment.
On the other hand some cases definitely should be treated, some are definitely life-threatening.
An important advance in treatment of Prostate Cancer is that today Urologists are much better at working out which cases need to be treated and which can be observed. There are several important factors in this decision, these include the PSA level , biopsy results, MRI scans and the general health and life expectancy of the patient.
Medicare Supplement Plans For Cancer Treatment
Original Medicare coverage for cancer treatment does come with costs you need to pay, such as the coinsurance and deductibles mentioned above. If youre enrolled in Medicare Part A and Part B, you may be able to sign up for a Medicare Supplement plan to help pay for Original Medicares out-of-pocket costs associated with your cancer treatment. Different Medigap plans pay for different amounts of those costs, such as copayments, coinsurance, and deductibles.
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Side Effects Of Prostate Surgery
The major possible side effects of radical prostatectomy are urinary incontinence and erectile dysfunction . These side effects can also occur with other forms of prostate cancer treatment.
Urinary incontinence: You may not be able to control your urine or you may have leakage or dribbling. Being incontinent can affect you not only physically but emotionally and socially as well. These are the major types of incontinence:
- Men with stress incontinence might leak urine when they cough, laugh, sneeze, or exercise. Stress incontinence is the most common type after prostate surgery. It’s usually caused by problems with the valve that keeps urine in the bladder . Prostate cancer treatments can damage this valve or the nerves that keep the valve working.
- Men with overflow incontinence have trouble emptying their bladder. They take a long time to urinate and have a dribbling stream with little force. Overflow incontinence is usually caused by blockage or narrowing of the bladder outlet by scar tissue.
- Men with urge incontinencehave a sudden need to urinate. This happens when the bladder becomes too sensitive to stretching as it fills with urine.
- Rarely after surgery, men lose all ability to control their urine. This is called continuous incontinence.
After surgery for prostate cancer, normal bladder control usually returns within several weeks or months. This recovery usually occurs slowly over time.
There are several options for treating erectile dysfunction:
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What Happens After Robotic Prostate Surgery
- Robotic prostate surgery operative time is typically 2-4 hours
- Hospital stay is typically 1-2 days
- Our team will be seeing you on a daily basis during your stay in the hospital and will give you detailed after-surgery instructions prior to your discharge home.
- Foley Catheter typically comes out on day 5 after a cystogram
- Jackson Pratt drain comes out around the time of Foley catheter removal depending on your individual circumstances
- No driving for 7 days after prostate surgery
- No other restrictions in physically activities after surgery – just do what you can tolerate
- Aspirin can be restarted when you are back to eating regular meals
- You will be given Viagra upon the removal of the foley catheter. Typically 50mg a night, increasing to 100mg if no response. This is not given to necessarily induce erections, but to help improve the blood supply to your penis. If you have any heart conditions, your internal medicine doctor needs to clear you before taking Viagra.
- The first PSA check after prostate surgery is at 1 month and then 3-6 months thereafter.
Open Or Laparoscopic Radical Prostatectomy
In the more traditional approach to prostatectomy, called anopen prostatectomy, the surgeon operates through a single long skin incision to remove the prostate and nearby tissues. This type of surgery is done less often than in the past.
In a laparoscopic prostatectomy, the surgeon makes several smaller incisions and uses special long surgical tools to remove the prostate. The surgeon either holds the tools directly, or uses a control panel to precisely move robotic arms that hold the tools. This approach to prostatectomy has become more common in recent years. If done by experienced surgeons, the laparoscopic radical prostatectomy can give results similar to the open approach.
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What Is Robot Assisted Surgery
Robotic surgery, or robot-assisted surgery, is an advancement in surgical techniques where a surgeon uses a computerized robotic arm with small tools attached to it to carry out complex surgeries.
Robotic surgical system provides the surgeon a high-definition, magnified , 3-D view of the surgical site.
The surgical instruments are controlled by the surgeon using the console, to direct special surgical instruments which are smaller in size, and more flexible than the human hand.
The robot does not perform the surgery on its own. The movement of the surgeons hand just mimicked by the instruments attached to the robotic arms, while this is completely controlled by the surgeon. Robot assisted surgeries offer precise action that is devoid of hand tremors, enabling the surgeon to perform the most complex procedures with enhanced precision, dexterity and control
What is robotic prostatectomy or Robotic prostate cancer surgery
Transurethral Resection Of The Prostate
This operation is more often used to treat men with non-cancerous enlargement of the prostate called benign prostatic hyperplasia . But it is also sometimes used in men with advanced prostate cancer to help relieve symptoms, such as trouble urinating.
During this operation, the surgeon removes the inner part of the prostate gland that surrounds the urethra . The skin is not cut with this surgery. An instrument called a resectoscope is passed through the tip of the penis into the urethra to the level of the prostate. Once it is in place, either electricity is passed through a wire to heat it or a laser is used to cut or vaporize the tissue. Spinal anesthesia or general anesthesia is used.
The operation usually takes about an hour. After surgery, a catheter is inserted through the penis and into the bladder. It remains in place for about a day to help urine drain while the prostate heals. You can usually leave the hospital after 1 to 2 days and return to normal activities in 1 to 2 weeks.
You will probably have some blood in your urine after surgery.
Other possible side effects from TURP include infection and any risks that come with the type of anesthesia used.
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What Is The Price Of Laser Prostate Surgery For Bph In Pace Hospitals
At Pace Hospitals, we offer world-class treatment for benign prostatic hyperplasia to the patients. The price of laser prostate surgery or holep surgery for bph ranges vary from Rs. 1,60,000 to Rs. 1,85,000 and it depends upon the room selection for hospital stay, services availed during treatment apart from the surgery package and approvals in case of cashless treatment such as central government health scheme , health insurance, employees and journalists health scheme , employees state insurance etc.
What Food To Avoid For Prostate Enlargement
There is no direct relation of food to prostate gland enlargement, and simultaneously there is no literature to support any food relation with the prostate enlargement. But low physical activity, central obesity and sedentary lifestyle are likely to increase the risk and the prostate enlargement symptoms.
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Does Medicare Cover Immunotherapy For Cancer Treatment
The immune system is made up of white blood cells and organs and tissues of the lymph system, according to the National Institute of Health. Immunotherapy helps your immune system fight cancer. Immunotherapy includes medications that cause an immune response which kills cancer cells. Immunotherapy also includes treatment vaccines which boost the immune systems response to cancer cells. Medicare may cover immunotherapy cancer treatment if it determined to be medically necessary.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/co-insurance may change on January 1 of each year.
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The Evidence Behind Robots Effectiveness
In general, robotic-assisted laparoscopic surgery is safe and feasible, says Christopher Schabowsky, a program manager at the ECRI Institute, an American non-profit that evaluates new health care technologies. Overall, if your surgeon and surgical team are adequately trained, it is as safe as open surgery and laparoscopic surgery.
But robotic surgerys benefits are procedure specific, says Schabowsky. For many surgeries, especially those that are traditionally done in a minimally invasive way, it appears to be equal. For some mostly those that are difficult or impossible to do minimally invasively without the robot robotic surgery results in less blood loss, shorter hospital stays and faster recovery times.
An example is radical prostatectomy, which is difficult to do in a minimally invasive way without the robot. Before the Ottawa hospital got its da Vinci robot, it did most of its procedures openly. Only about 5% of radical prostatectomies were performed laparoscopically before we got the robot, and now its 95%, says Breau.
A 2014 review from HQO looked at results for Ontario patients. It found that people who had robot-assisted radical prostatectomies were significantly less likely to require blood transfusions and had shorter hospital stays.
Advanced Enlarged Prostate Benign Prostate Enlargement Treatment Hospital In India
Pace Hospitals offer the best treatment for enlarged prostate, benign prostate enlargement. Our latest Holmium laser technology offers the patient faster recovery time and advanced care for quicker recovery.
We are one of the advanced enlarged prostate, benign prostate enlargement treatment hospital in India backed up with team of best enlarged prostate specialist doctors, prostate cancer specialists, laser and laparoscopic urologist, paramedical staff, dietitian and physiotherapist in India.
We are also equipped withThe Worlds First Universal Surgical Robotic System, State-of-the-art facility, world-class laser treatment equipment offering comprehensive treatment for enlarged prostate, benign prostate enlargement and its complications. Our team is having expertise in performing robotic prostate surgery in Hyderabad.
Medicare Part B And Cancer Coverage
Additional expenses related to many outpatient services are also covered under Medicare Part B . For instance, Medicare covers certain cancer prevention and screening services. The American Cancer Society says that this includes coverage related to the following:
- The Welcome to Medicare visit you have with your doctor within the first year of being enrolled in Medicare Part B
- Your wellness visit every 12 months
- Annual lung cancer screening
- Testing for colorectal cancer, if youre at average risk for the disease.
For women specifically, cancer prevention and screening services covered by Medicare include one mammogram every 12 months and a Pap test and pelvic exam every 24 months if youre at risk of cervical cancer. For men over 50, a prostate cancer screening is covered every 12 months. Medicare Part B also provides benefits related to tests commonly used to diagnose cancer, such as x-rays and CT scans. If cancer is found, Medicare Part B provides coverage for a variety of different outpatient treatment options. This includes:
- Oral or vein-administered chemotherapy
- Some costs associated with clinical research studies
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If any portion of that policy is unclear, follow up with your policys administrator so you know what is covered and what isnt.
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The Studys Other Findings
- 70 of the 100 hospitals surveyed provided some pricing. Of that number, nearly half said theyd discount the procedure, to as much as 80 percent, for pre-pay or promptly paying patients.
- Academic medical centers charged 52 percent more, on average, than nonacademic centers
- Hospitals in the northeast US charged most , while hospitals in the South charged the least .
- Hospitals in the Midwest were the most likely to provide estimates and to offer discounts.
- There was little price difference at centers either when city population is factored or rankings as compiled by US News and World Report.
Does Enlarged Prostate Cause Kidney Failure
In a long term prostate gland enlargement with a lot of obstructive symptoms will lead to back pressure changes in the kidney and if not attended early stage may get into irreversible changes of the kidney and become a chronic kidney disease and end up into a kidney replacement therapy in the form of either dialysis or maybe a kidney transplant in the late situation.
Best Doctors For Robotic Radical Prostatectomy In India
The availability of the best RR prostatectomy surgeons in India is yet another reason why prostate cancer patients prefer to come to the country for this procedure. They are renowned globally for their extensive experience, great educational background, and expertise in the field of robotic surgery. They keep themselves abreast as per the latest advancements in the field of robotic surgery. They attend conferences, seminars, and workshops around the world to make sure that they are at par, if not behind, with other surgeons in the world.
How Can I Reduce Enlarged Prostate Without Surgery
It’s based on the symptoms, either irritative or the obstructive symptoms, we can categorize patients as surgical candidates or to continue with the medical management.Those who predominate with irritative and mild obstructive symptoms, they are the better candidates to be on medical line of management, whereas those who are predominantly with features of obstructive symptoms, they are the best candidates for surgical treatmentbecause the satisfaction post-surgery is better with those who have more of obstructive features and for that reason we even classify patients based on the IPSS score that is mild, moderate and severe category, so moderate to severe persons are those who are the candidates who respond better to surgical kind of treatment and amongst medical treatment we have mainly two groups of medications. One is the alpha receptor blockers and the second is the anti-androgen or 5-Alpha reductase inhibitors.
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What Is A Da Vinci Robotic System
The da Vinci robotic system is powered by a highly advanced and sophisticated robotic technology used for performing different types of surgeries with great precision. This system is most commonly used for conducting prostatectomy and hysterectomy but now it is also used for cardiac valve repair and gynecological surgeries as well.
The da Vinci robotic surgical system is now being used worldwide due to its safety and efficacy. This system provides the surgeon the ability to perform the surgery by précised incision of 1 to 2 cm with dexterity and full control. The da Vinci robotic system consists of:
- A surgeons console which is designed ergonomically
- A patient-side cart
- Four interactive robotic arms
- Endowrist instruments that have the ability to bend and rotate
- A high-performance vision system which provides 3D HD view of the patients body to the surgeon
Risks Of Prostate Surgery
The risks with any type of radical prostatectomy are much like those of any major surgery. Problems during or shortly after the operation can include:
- Reactions to anesthesia
- Blood clots in the legs or lungs
- Damage to nearby organs
- Infections at the surgery site.
Rarely, part of the intestine might be injured during surgery, which could lead to infections in the abdomen and might require more surgery to fix. Injuries to the intestines are more common with laparoscopic and robotic surgeries than with the open approach.
If lymph nodes are removed, a collection of lymph fluid can form and may need to be drained.
In extremely rare cases, a man can die because of complications of this operation. Your risk depends, in part, on your overall health, your age, and the skill of your surgical team.
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Paul Jenkins’s Story: One Patient’s Experience Of Robotic Prostatectomy With Circle Health Group
The room was comfortable and spacious. The food menu was brilliant! I had no idea there would be so many options, it was like being in a hotel with a three-course food menu at my fingertips. Im upset I didnt have the stomach to order everything after surgery…
Paul felt that Ben showed great compassion and kindness, even while performing complex surgery. He made a point to call Pauls mother-in-law and his wife to assure them that, although the procedure was taking longer than usual, it was nothing to worry about, and that Paul was okay. He was just amazing, keeping them in the loop like that. They really appreciated it, says Paul.It wasnt just Mr Sherwood who helped make Pauls experience at The Park Hospital that little bit less daunting. Paul had a team of nurses that supported him throughout the five days he spent in hospital recovering after surgery. He says: They were so kind and helpful. It felt odd discussing such intimate things about myself with the team at first, but they made me feel so comfortable and open.
The surgery eliminated Paul’s cancer. He is now back at work full-time and fills his weekends with trips to the local golf course and family outings.
Read the full story of Paul’s treatment and recovery journey.