Prostate disease What is prostate enlargement and its symptoms? Prostate enlargement is a condition that causes urinary problems in nearly half of all men over 50 years, and this percentage increases with age. By the age of eighty years, 80 % of men have enlarged prostate. Although not life threatening, it is painful, embarrassing and does effect the quality of life. The growth of prostate, known as BPH, puts pressure on urethra, which leads to the following symptoms: Feeling of incomplete emptying of the bladder, even after urinating Frequent or painful urination Waking up frequently during the night to urinate Weak or interrupted urine stream Urinary incontinence (dribbling) Difficulty in starting or stopping the flow of urine A sudden urge to urinate immediately
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The surgery can be watched by the patient and relative on the monitor. Then patient is shifted from operation theatre in about average 45-50 minutes Then paient is mobilised and made ambulatory with catheter and starts taking orally in next 2 hours. Then paient is mobilised and made ambulatory with catheter and starts taking orally in next 2 hours. Same patient takes more of liquids and semisolid diet and then has to come after 2 days, for the catheter removal
What is PSA? PSA (prostate-specific antigen) is a protein produced by the cells of the prostate. Its concentration rises in malignancy. The concentration of PSA in the blood provides an estimate of the risk of having prostate cancer.
Yes, the cancer develops in outer part of prostate which is not removed in surgery of BPH. That's why, PSA estimation is still important once a year.
How is cancer finally confirmed? Once suspected, a transrectal prostatic biopsy is performed by the urologist. This can be done under ultrasound guidance.The procedure is done under local anesthesia and under an antibiotic cover. What is a radical prostatectomy?
Radical prostatectomy is the surgical removal of the prostate, seminal vesicles, tips of the vas deferens with the aim of eradicating the disease completely when it is still within the prostate.It is the first-line treatment for prostate cancer.   
What are the chances of survival after radical prostatectomy?
This depends on the severity of the prostate cancer(grade), assessment of completion of procedure by a pathologist and PSA response. A 60-year old man whose specimen shows a moderate-grade, organ-confined cancer has a 97% chance of being alive or dying of other causes in the first 10 years after his radical prostatectomy.
Is additional treatment required after radical prostatectomy? Patients may need radiation or hormone treatment depending upon the location of the residual disease.
What is an LRP?
Laparoscopic Radical Prostatectomy (LRP) is a minimal access method for radical prostatectomy.
LRP removes the prostate, seminal vesicles, ends of the vas deferens, and lymph nodes, if required. Cancer control is the same as in open surgery.
What are the benefits of LRP?Two great advantages besides a small cut, less pain and early recovery. 1) Very little blood loss (usually 200-300 ml). 2) More precise anastomosis. In contrast, the conventional radical prostatectomy is typically associated with a blood loss approaching one liter. Less blood loss reduces the chances of transfusion and intra-operative blood 3) Better and magnified view to preserve the neurovascular bundle to achieve better continence and early return of potency. How many LRP performed till date? Till date we have performed 70 cases of laparoscopic radical prostatectomy with better results. We are offering this operation to patients with localized carcinoma prostate and few selected cases of metastatic carcinoma prostate. - | 
