Prostate Cancer

Prostate cancer is a widely prevalent type of cancer, which usually does not produce severe symptoms in the initial stages. Problems in urination, blood in urine and semen, sudden loss of weight, erectile dysfunction, pain in the bone, and decreased force in the urine stream are the signs of prostate cancer. Age, obesity, and family history increases the risk. It can be prevented by a healthy diet, regular exercise, and maintaining an ideal body weight.

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My father has a third-degree prostatomegaly with a decreased PSA. What to do?

Query: Hello doctor, This query is regarding my father. He is 65 years old. He suffers from BPH from the last five years and takes Alfusin-D for the same. Five years back, when he was diagnosed, his PSA was 2.8 ng. Last year, we repeated his test and the PSA was 0.9 ng/ml with normal DRE. An ultrasound of ...  Read Full »

Dr. Devendra

Answer: Hello, Welcome to The PSA (prostate-specific antigen) has decreased due to Dutasteride component of Alfusin-D. I suggest he get the screening done yearly for a year or two. Then, a two-yearly screening of PSA and DRE (digital rectal examination) is alright as his PSA is low in spite of...  Read Full »

My father is 85-year-old and has been diagnosed with prostatic adenocarcinoma. What could be done?

Query: Hello doctor, My father is diagnosed with prostatic adenocarcinoma. His biopsy reports show Gleason's grade 3+4 (% of 4 is 30%), tumor involves 60 % of submitted biopsy. No perineural invasion is seen. His PSA level is 107.69 ng/mL. He has triple vessel heart disease, and the echo result showed EP...  Read Full »

Dr. Bharat Patodiya

Answer: Hello,Welcome to can get a staging workup with PSMA (prostate-specific membrane antigen) scan or bone scan and MRI pelvis. His high PSA (prostate-specific antigen) does make him high risk, but considering his age, I will not suggest a very aggressive approach to the case.If the prost...  Read Full »

Why are there drops of blood in my urine?

Query: Hello doctor, I am a 79-year-old male in good health. But, for the past few days, I have had a few drops of blood in my urine. About seven years ago, I had an operation on my prostate to ease urination. For nearly a year or more, there was blood in the urine occasionally. But, it eventually stopp...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hi, Welcome to Painless blood in the urine has two possible causes. The first is cancer in the bladder, and the second is prostate cancer or hyperplasia. What is the nature of the operation you did on the prostate? Was it benign prostate hyperplasia? Is there any painful urination o...  Read Full »

Is the drug Finasteride linked with high-grade prostate cancer?

Query: Hello doctor, I want to take Finasteride for my hair loss. My father had high-grade prostate cancer. Some older studies showed that Finasteride is linked to an increased risk of prostate cancer, but the newer studies indicate no link between Finasteride and prostate cancer. So I wanted to ask a doc...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to The family history of prostate cancer is proved if two of your relatives develop prostate cancer below 50 years. So if your father had prostate cancer, it does not mean that you are at risk of prostate cancer. Recent studies found that Finasteride or Dutasteride doe...  Read Full »

What to eat for good prostate and testicular health and how to prevent cancer in these areas?

Query: Hi doctor, I need few clarifications on how to protect the testicle and the right foods to eat for good testicle as well as for prostate and scrotum health. Also, provide how one can I prevent cancer in these areas like prostate, testicle, and scrotum.  Read Full »

Dr. Ankush Jairath

Answer: Hi, Welcome to Diet or things to avoid: Excess of anything (broadly saying). Too much oily or spicy food. Avoid smoking, and you can have alcohol occasionally. Avoid too much porn or too much masturbation. Avoid fast foods, chocolate, cold drinks, etc. Things to eat more: ...  Read Full »

What are the survival rates in case of prostate cancer?

Query: Hello doctor, My father started having some pain or pressure in his lower abdomen over the past month. These past few weeks, he had some blood while peeing. This week he got tested for it, and there were cancer cells. The doctor said either bladder, urethra, or kidney. The only other symptoms prior...  Read Full »

Dr. Ankush Jairath

Answer: Hi, Welcome to The treatment and the survival rate are based on the type of organ and stage of the tumor. Get serum PSA (prostate-specific antigen), ultrasound abdomen to know the organ involved. CT scan is required for proper staging. Thanks. Regards. Feel free to ask anything e...  Read Full »

Please provide a second opinion on my father's scan reports.

Query: Hello doctor, I need a second opinion on the results that came back from the doctor's report. Can you explain the report and the steps that we need to take further on this matter?  Read Full »

Dr. Shahil Khant

Answer: Hi, Welcome to Relax and do not worry. I have gone through the reports (attachment removed to protect patient identity) and I will explain you in detail. This is a gallium PSMA (prostate-specific membrane antigen) scan done for the whole body. The patient in the scan had undergone rad...  Read Full »

Is surgery needed for my prostate cancer?

Query: Hi doctor, I am on active surveillance for the last 2 years. My initial prostate biopsy was 2 years ago and showed 1 out of 10 needles cancerous, Gleason 6, slow growing and Prolaris test showing a medium growth rate. I had second biopsy 6 months ago. Before the second biopsy, my PSA was 5 and four ...  Read Full »

Dr. Shahil Khant

Answer: Hi, Welcome to I have gone through your details. My main concern is the rise of PSA (prostate-specific antigen) from 5 to 16. Though it might be due to infection, since three months you are taking treatment of infections. So, your PSA should have reduced if the rise was due to infection...  Read Full »

Can anorectal pain with prostate tenderness occur due to prostate cancer?

Query: Hello doctor, I am 35 years old. I developed sudden pain in my anorectal area around two years ago, and I also felt some tenderness on the prostate. However, they did not do anything as I did not have any urinary symptoms. The semen culture was fine. However, I developed urinary symptoms about one ...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to MRI (magnetic resonance imaging) showed about 2.5 cm lesion in prostate PI-RADS (Prostate Imaging Reporting And Data System) 5. You had PSA (Prostate-specific antigen) last year, which showed 0.6 ng/ dl. Follow-up PSA and prostate biopsy are two important things to do n...  Read Full »

Can BPE lead to prostate cancer?

Query: Hi doctor, I am a 74-year-old male with BPE. I am in good health for my age. I take blood pressure and cholesterol medicines along with Tamsulosin (Flomax) for my BPE. Is it true that sexual activity (ejaculation) is good for the prostate? Can it help prevent prostate cancer?  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to Thanks for consulting with us. BPE (Benign prostate enlargement) is a problem of people after the age of 50 years. Obstruction depends on the prostate shape rather than size; that is, which part of the prostate is enlarging rather than the prostate's total size. Some ...  Read Full »

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