Dr. Amit Goel

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PROSTATE HEALTH

Understanding the Prostate

The prostate is a small walnut shaped gland located below the bladder in men, surrounding the Urethra from all sides, playing a crucial role in urinary and reproductive health. As men age, the prostate can undergo changes that may lead to enlargement, inflammation, or cancer.

At Dr. Amit Goel – Best Urologist in Gurugram, we focus on early detection, advanced treatment, and long-term management of prostate conditions to ensure optimal health.

  •  Benign Prostatic Hyperplasia (BPH): Age-related physiological prostate enlargement causing urinary difficulties.usually present after age of 50 years. Causes symptoms in 85% of males by age of 85 years.
  • Prostatitis: Inflammation or infection of the prostate, often causing pelvic pain.Can present at all ages.
  • Prostate Cancer: One of the most common and fully treatable cancers in men; early detection is vital for successful treatment.
  •  Frequent urination, especially at night
  • Difficulty starting or stopping urination
  • Weak urine stream or dribbling
  • Leakage of urine 
  • Incomplete passing of Urine
  • Painful or burning urination
  • Blood in urine or semen
  • Pelvic, lower back, or genital discomfort
  • Erectile dysfunction

Early consultation is key to prevent complications and maintain quality of life.

We provide comprehensive diagnostic evaluation, including:

  • Total serum Prostate Specific Antigen (PSA) Test
  • Digital Rectal Examination (DRE)
  • Ultrasound or MRI Imaging.
  • Whole body PSMA PET Studies.
  • Pressure flow Studies.
  • Biopsy, if required, for accurate diagnosis.

Important Note- Prostate Biopsy is the standard of care worldwide before treatment of Prostate cancer  and it does not lead to increased aggressiveness or spread of cancer.

Prostate Treatment Options

Our approach is personalized, depending on the type and severity of the condition:

1. Medications
  • Alpha-blockers and 5-alpha-reductase inhibitors for BPH
  • Antibiotics or anti-inflammatory medications for prostatitis
  •  Transurethral Resection of the Prostate (TURP). Done endoscopically (telescopically) without any need of cuts on the body. In this process the Obstructive (Central) part of the Prostate is removed telescopically  and the passage is opened from inside like a funnel to improve flow of Urine.

  • Laser treatments for BPH, HoLEP, Holmium Laser Enucleation of Prostate. Done endoscopically (telescopically) with no need of cuts on body. Laser surgery, HoLEP is very effective and can be done for patient with Kidney failure, heart disease on blood thinners, large size prostates, liver problems as blood loss is minimized by the use of laser.

  • Minimally invasive Treatment of Prostate: UROLIFT, REZUM, iTind, Prostate Artery embolization,  are minimally invasive treatment which can now be offered to patients who cannot tolerate spinal /general anesthesia due to comorbidities due to very weak heart function, Post Stroke condition, moribund status.

  • These procedures can be done in 15-20 minutes duration in the Operation Theatre under Local Anesthesia with mild sedation.These procedures offer a new hope to patients who are chronically catheter bound due to highly comorbid conditions and refused treatment . These patients can now be made free of urinary catheter.
  • Important Note: Benign Prostate Hyperplasia (BPH) Treatment happens in the Central part of Prostate Gland and Cancer Prostate usually happens in the Peripheral (Outside) part of the Prostate gland and Endoscopic Treatment of BPH in no way increases chances of Prostate cancer occurence to a patient, or increased spread of cancer in future.
Surgery
  • Robotic-assisted Radical Prostatectomy for Prostate cancer: Gold standard treatment for Organ confined prostate Cancer. Offers the best chance of cure for Prostate Cancer.
  • Continence Preserving and Potency preserving Robotic Surgery done now in expert hands.
  • Reconstructive surgery for complex urinary issues.
  • Robotic Simple Prostatectomy (Milin’s/ Frayer’s Prostatectomy) can be done in very large sized benign prostate hyperplasia more than 150gms in size.

Hormone Therapy : As Prostate Cancer is a hormone sensitive Cancer which grows due to male hormone Testosterone. Stopping the effect of Testosterone (Androgen Deprivation) controls the growth of Prostate cancer.

  • Chemotherapy

  • Immunotherapy 

  • Radiotherapy

  • HIFU

  • Diet and exercise guidance
  • Regular screening and monitoring with Ultrasonography(KUB),  serum PSA Total , Kidney Function test, and Urine Test annually .
  • Pelvic floor exercises to improve urinary control

Maintaining prostate health includes:

  • Routine check-ups, especially after age 50 or earlier if at risk
  • Healthy diet rich in fruits, vegetables, and omega-3 fatty acids
  • Regular exercise and maintaining a healthy weight
  • Limiting alcohol and avoiding smoking
  • Staying hydrated
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