Understanding Prostate Cancer

Prostate Cancer: Symptoms, Causes, Diagnosis & Treatment diagnosis and treatment

Prostate cancer develops in the prostate gland and is one of the most common cancers affecting men. It may grow slowly and cause few or no symptoms in its early stages, making awareness, screening and timely evaluation important.

Overview

What Is Prostate Cancer?

Prostate cancer occurs when abnormal cells in the prostate gland grow uncontrollably and form a tumour. The prostate is a small gland located below the bladder and in front of the rectum. It surrounds part of the urethra and contributes fluid to semen.

Many prostate cancers grow slowly and may not cause noticeable symptoms initially. Others can be more aggressive and may grow beyond the prostate or spread to other parts of the body. The grade and stage of the cancer help doctors determine the appropriate treatment approach.

Prostate cancer occurs when abnormal cells in the prostate gland begin to grow uncontrollably. The cancer can vary in its behaviour, from slow-growing tumours that may require monitoring to more aggressive cancers that can spread beyond the prostate.

Diagnosis may involve a combination of medical history, physical examination, prostate-specific antigen (PSA) testing, imaging and, when indicated, a biopsy. Treatment is determined by factors such as the stage and grade of the cancer, overall health and individual circumstances. Depending on these factors, treatment options may include active surveillance, surgery, radiation therapy, hormone therapy or other systemic treatments.

At SSO Hospitals, patients receive comprehensive prostate cancer care, from accurate diagnosis and staging to personalised treatment planning, prostate cancer surgery and long-term follow-up.

Prostate cancer begins when cells within the prostate develop changes that cause them to grow and divide abnormally. Over time, these cells can form a tumour. Some prostate cancers remain confined to the prostate, while others can invade nearby tissues or spread to lymph nodes, bones or other organs.

Symptoms

Prostate Cancer Symptoms

Early prostate cancer often does not cause symptoms. When symptoms occur, they may be related to changes in urination or more advanced disease. Possible prostate cancer symptoms include:

Clinical picture

Stages, types and how we diagnose

Prostate cancer staging helps determine whether the cancer is confined to the prostate or has spread to nearby tissues, lymph nodes or distant organs.

IStage

Stage I

The cancer is confined to the prostate and is generally small or detected through testing rather than symptoms.

Stage and Gleason grade together decide whether surveillance, surgery, radiation or systemic therapy leads your treatment.

Most prostate cancers are adenocarcinomas, which develop from gland cells within the prostate. Less common types include:

01

Acinar Adenocarcinoma

The most common form of prostate adenocarcinoma.

02

Ductal Adenocarcinoma

A less common form that develops in the ducts of the prostate and may behave differently from typical acinar adenocarcinoma.

03

Other Rare Prostate Tumours

These may include neuroendocrine tumours, small-cell carcinoma and sarcomas. Their treatment depends on the specific pathology and biological characteristics.

Prostate cancer diagnosis involves assessing symptoms and risk factors and may include blood testing, physical examination, imaging and prostate biopsy. No single test is sufficient to diagnose every case.

Prostate-specific antigen (PSA) blood test

Digital rectal examination (DRE), when appropriate

Multiparametric MRI of the prostate

Prostate biopsy

Pathology and Gleason Grade Group assessment

CT or bone imaging in selected patients

PSMA PET-CT for staging in selected patients

PSA Test

PSA is a protein produced by prostate cells. A raised PSA level can occur because of prostate cancer, but also because of conditions such as benign prostate enlargement or inflammation. PSA results therefore need to be interpreted alongside other clinical findings.

Prostate Biopsy

A prostate biopsy involves taking small tissue samples from the prostate for examination under a microscope. The pathology report helps determine whether cancer is present and provides information about its grade and aggressiveness.

MRI & Advanced Imaging

Multiparametric MRI can help identify suspicious areas within the prostate and assist with biopsy planning and local staging. Additional imaging, including PSMA PET-CT, may be used in selected patients to assess whether cancer has spread beyond the prostate.

Prostate cancer diagnosis involves assessing symptoms and risk factors and may include blood testing, physical examination, imaging and prostate biopsy. No single test is sufficient to diagnose every case.

Risk & treatment

Prostate Cancer Causes & Risk Factors

The exact cause of prostate cancer is not always known. Certain factors are associated with a higher risk of developing the disease. Having a risk factor does not mean that a person will develop prostate cancer. Some men develop prostate cancer without any identifiable risk factor.

01

Increasing age

02

Family history of prostate cancer

03

Certain inherited genetic changes

including BRCA1 and BRCA2 alterations

04

Personal or family history of certain cancers

05

Certain demographic and genetic factors

06

Lifestyle and metabolic factors may also influence overall risk

Prostate Cancer Treatment

Prostate cancer treatment depends on the cancer's grade and stage, PSA level, risk category, overall health, life expectancy and individual preferences. Treatment options may include active surveillance, surgery, radiation therapy, hormone therapy, chemotherapy, targeted therapy and other systemic treatments.

The operation, a radical prostatectomy, removes the entire prostate with surrounding tissue and, where indicated, the pelvic lymph nodes. We use minimally invasive and nerve-sparing techniques wherever the tumour allows, to protect continence and sexual function. Age, general health, stage, Gleason score and your own priorities all feed the decision, and in some cases surgery is one part of a plan that continues with radiation based on the final pathology.

Prostate Cancer Treatment

01

Active Surveillance

Some localised prostate cancers grow slowly and may not require immediate treatment. Active surveillance involves regular monitoring through PSA testing, clinical assessment, imaging and, when appropriate, repeat biopsy. Treatment can be started if there are signs that the cancer is progressing.

02

Prostate Cancer Surgery

For selected men with localised or locally advanced prostate cancer, surgery may be recommended to remove the prostate gland and surrounding tissues. The procedure is known as a radical prostatectomy.

03

Robotic-Assisted Radical Prostatectomy

A minimally invasive approach that uses robotic surgical technology to assist the surgeon in removing the prostate. Suitability depends on the cancer's characteristics, anatomy and the surgeon's assessment.

04

Laparoscopic Radical Prostatectomy

A minimally invasive surgical approach performed through small abdominal incisions in selected patients.

05

Radiation Therapy

Radiation therapy uses high-energy radiation to destroy cancer cells. It may be used as a primary treatment for selected localised cancers or alongside hormone therapy in certain higher-risk or locally advanced cancers.

06

Hormone Therapy

Prostate cancer cells often depend on male hormones called androgens for growth. Androgen deprivation therapy reduces the effect or production of these hormones and may be used alone or alongside other treatments, depending on the stage and risk of disease.

07

Chemotherapy

Chemotherapy may be recommended for selected patients with advanced or metastatic prostate cancer. It may be combined with hormone therapy or other systemic treatments depending on the individual's disease characteristics.

08

Targeted Therapy & Immunotherapy

Molecular and genetic testing may identify specific characteristics that can guide treatment in selected patients with advanced prostate cancer. Targeted therapies and other precision treatments may be considered when appropriate.

09

Treatment for Advanced Prostate Cancer

When prostate cancer spreads beyond the prostate, treatment generally focuses on controlling the cancer, slowing its progression and managing symptoms. Depending on the individual case, treatment may involve hormone therapy, chemotherapy, targeted treatment, radiation therapy or other systemic therapies.

10

Multidisciplinary Prostate Cancer Care

Prostate cancer care may involve uro-oncology, medical oncology, radiation oncology, radiology, pathology and other specialists. A multidisciplinary approach helps coordinate diagnosis, staging and treatment decisions according to the patient's individual needs.

Where cancer has already reached lymph nodes or bone, we lead with radiation, hormone or systemic therapy instead.

Why SSO?

Why Choose SSO Hospitals for Prostate Cancer Care?

Prostate cancer treatment can involve multiple approaches depending on the cancer's risk category and stage. SSO Hospitals brings together urologic oncology and multidisciplinary cancer expertise to support patients through diagnosis, treatment planning, surgery and follow-up care.

  • Specialised uro-oncology expertise
  • Robotic and minimally invasive surgical options when appropriate
  • Comprehensive cancer diagnosis and staging
  • Multidisciplinary treatment planning
  • Individualised treatment pathways
  • Coordination across surgical, medical and radiation oncology

Our approach treats the cancer effectively while protecting the functions that shape daily life.

Meet all our doctors
A doctor visiting a patient recovering with family at bedside
Our specialists

Our Prostate Cancer Specialists

Meet our specialists involved in the diagnosis and treatment of prostate and other urological cancers.

Dr. Kant Shah18+ Yrs

Dr. Kant Shah

Paediatric Cancer Surgery · Paediatric Robotic Surgery · Advanced Laparoscopic Surgery · Paediatric Hepatobiliary Surgery · Paediatric Urology · Minimally Invasive Paediatric Surgery

SRCC, Mumbai

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Dr. Shrikant Atluri14+ Yrs

Dr. Shrikant Atluri

Uro-Oncology · Robotic Urologic Surgery · Kidney Cancer · Bladder Cancer · Prostate Cancer · Genitourinary Cancers

SSO Cancer Hospital, Ghatkopar West

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Dr. Veeresh Kumar Ireddy8+ Yrs

Dr. Veeresh Kumar Ireddy

Robotic Surgery · Minimally Invasive Cancer Surgery · GI & HPB Oncology · Breast Oncology · Thoracic Oncology · Gynaecological Oncology · Cytoreductive Surgery & HIPEC

SSO Cancer Hospital, Belagavi

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FAQs

Frequently Asked Questions About Prostate Cancer

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IMIrshad MulllajiGoogle review

“My wife is under treatment of Dr Chetan Anchan… large bone pathological fracture curettage and reconstruction, successfully done. He is a great man, great doctor, always there for patients.”

PSPriti ShahGoogle review

“Dr. Sanket Mehta is a life saving doctor, he treated my father and cured his colon cancer. Ms. Rida from Charni Road branch helped throughout the follow up.”

IMIrshad MulllajiGoogle review

“My wife is under treatment of Dr Chetan Anchan… large bone pathological fracture curettage and reconstruction, successfully done. He is a great man, great doctor, always there for patients.”

PSPriti ShahGoogle review

“Dr. Sanket Mehta is a life saving doctor, he treated my father and cured his colon cancer. Ms. Rida from Charni Road branch helped throughout the follow up.”

NDNikit DoshiGoogle review

“We are truly thankful to Dr. Jay Anam sir, an excellent onco surgeon. The hospital was clean and well-maintained, and staff were professional yet empathetic.”

MWManasi WaghmareGoogle review

“My mother is treated under Dr. Nilesh Chordiya and his team for breast cancer. SSO supported us financially via CM fund approval.”

NDNikit DoshiGoogle review

“We are truly thankful to Dr. Jay Anam sir, an excellent onco surgeon. The hospital was clean and well-maintained, and staff were professional yet empathetic.”

MWManasi WaghmareGoogle review

“My mother is treated under Dr. Nilesh Chordiya and his team for breast cancer. SSO supported us financially via CM fund approval.”

IMIrshad MulllajiGoogle review

“My wife is under treatment of Dr Chetan Anchan… large bone pathological fracture curettage and reconstruction, successfully done. He is a great man, great doctor, always there for patients.”

NDNikit DoshiGoogle review

“We are truly thankful to Dr. Jay Anam sir, an excellent onco surgeon. The hospital was clean and well-maintained, and staff were professional yet empathetic.”

PSPriti ShahGoogle review

“Dr. Sanket Mehta is a life saving doctor, he treated my father and cured his colon cancer. Ms. Rida from Charni Road branch helped throughout the follow up.”

MWManasi WaghmareGoogle review

“My mother is treated under Dr. Nilesh Chordiya and his team for breast cancer. SSO supported us financially via CM fund approval.”

IMIrshad MulllajiGoogle review

“My wife is under treatment of Dr Chetan Anchan… large bone pathological fracture curettage and reconstruction, successfully done. He is a great man, great doctor, always there for patients.”

NDNikit DoshiGoogle review

“We are truly thankful to Dr. Jay Anam sir, an excellent onco surgeon. The hospital was clean and well-maintained, and staff were professional yet empathetic.”

PSPriti ShahGoogle review

“Dr. Sanket Mehta is a life saving doctor, he treated my father and cured his colon cancer. Ms. Rida from Charni Road branch helped throughout the follow up.”

MWManasi WaghmareGoogle review

“My mother is treated under Dr. Nilesh Chordiya and his team for breast cancer. SSO supported us financially via CM fund approval.”

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SSO Ghatkopar

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