Prostate Cancer – Causes, symptoms, diagnosis, treatment and much more in words of Dr. Ravi K Arora

Dr. Ravi K Arora shares his views on prostate cancer. Dr. Ravi emphasizes its early diagnosis. He also talks about its different stages and their available treatment

Do you know 1 in 8 men are being diagnosed with prostate cancer in their lifetime? Prostate cancer is a severe disease for many adult men. It’s the second most common cancer in men worldwide, and the risk of developing it increases in elderly men. The disease starts when cells begin to grow out of control in the prostate gland. The 5-year survival rate for prostate cancer in India is 64%. Old age, obesity, improper diet, and genetic alterations have been identified as some of the main contributing factors towards an increased cause of prostate cancer. We at Medicircle are conducting the National Prostate Cancer Month Awareness Series to be aware of this problem of prostate cancer which will help you deal with it.

Dr. Ravi K Arora is a Senior Consultant Oncosurgeon at Fortis Hospital, Faridabad. He is an Onco Surgeon with more than 25 yrs. of experience working and being associated with some of the best-dedicated cancer centers in India and abroad. He has been instrumental in setting up surgical oncology in some major centers, which are now vibrant cancer Centres of excellence, like Metro Cancer Centre and Hospital, Preet Vihar Delhi, Nayati Medicity, and Superspeciality hospitals Mathura, Agra, Delhi. He has the credit of performing cancer surgeries on more than 7000 cancer patients.

Dr. Ravi explains, “Prostate cancer is cancer of the prostate. Prostate cancer can be genetic. It has also been observed that 2–3% of patients have prostate cancer in their blood relatives. Some specific genes are associated with prostate cancer. If anyone is having a family history of prostate cancer, they should go for regular testing/screening for the same.

Prostate-Specific Antigen value (PSA Value)

Dr. Ravi mentions, “PSA is a kind of protein that gets secreted from prostate glands. Normal PSA level is 0-4 ng/ml. If this level starts rising, it means tissues are secreting more of this antigen which is an abnormal condition. Patients with a higher level of PSA need to be screened, investigated for the exact cause. Generally, it has been seen that people with high PSA levels are often diagnosed with cancer.

Excessive urination and prostate cancer

Dr. Ravi adds, “Excessive urination can be because of the urinary bladder or prostate glands. So, first, the right evaluation is needed. To overcome this, the patient should not drink water before bedtime and should consult a specialist. There are medicines available that control the hyperactivity of the bladder. Getting up 1-2 times at night for urine is normal but if it is more frequent than this or if the frequency starts obstructing the sleep, then it is a matter of concern. This can be seen in young men also. Men with cystitis, UTI, or prostatitis often face this problem of excessive urination. But normally it is seen in the elderly population.”

Prostate cancer - Dos and Don’ts

Dr. Ravi emphasizes, "We cannot stop prostate cancer but we can surely screen the patient for early diagnosis. An inactive lifestyle is one of the main contributing factors to prostate cancer. It is seen that people who are obese, smoke, drink alcohol, or follow a sedentary lifestyle are at higher risk of developing prostate cancer. So, people should have control on their weight and should follow an active lifestyle. Apart from this, green tea, soya, tomatoes, and calcium intake help decrease the incidences of cancer to some extent.

Secondly, screening is very much important. After the age of 40-45, all men should take annual PSA screening. If there is a family history of prostate cancer, screening should be started at a much early age. By this, we can keep an eye on the changes that are occurring in the prostate gland.”


Dr. Ravi says, “The symptoms include frequent urination, nocturia (increased urination at night), difficulty starting and maintaining a steady stream of urine, haematuria (blood in the urine), dysuria (painful urination).”

Categorization of Stages

Talking about its stages, Dr. Ravi categorizes the disease as,

Stage I (Early stage)– Difficulty in passing urine, PSA marginally raised
Stage II (Locally advanced stage) – Haematuria, difficulty in maintaining a steady stream of urine
Stage III (Advanced stage) – Blood in the rectum, difficulty in passing stools
Stage IV (Metastatic stage) – Pain in spine, weak bladder


Dr. Ravi explains, “Diagnosis of prostate cancer is done by PSA, PET Scan. In an early stage, where there are no symptoms but the PSA level is marginally raised, we just perform the biopsy and keep the patient under observation. Prostate cancer can be of two types – aggressive and dormant. The second stage of prostate cancer can be treated with radiation or surgery or cryotherapy. For the third stage of prostate cancer patients, we can use hormonal manipulation. Prostate glands regulate through testosterone. If all this fails, the option left is chemotherapy. So, we can treat this condition using radiation, surgery, hormonal therapy, cryotherapy, chemotherapy, and immunotherapy depending on at what stage the patient comes."

(Edited by Renu Gupta)


Contributed By: Dr. Ravi K Arora, Senior Consultant Oncosurgeon, Fortis Hospital
Tags : #National-Prostate-Cancer-Month-Awareness-Series #DrRaviKArora #FortisHospital #Prostatecancer #Prostateglandscancer #Symptomsofprostatecancer #Diagnosisandtreatmentofprostatecancer #Prostatecancerstages #PSATest #PSAValue #Medicircle #SmitaKumar

About the Author

Renu Gupta

With a background in Pharmacy which is the clinical health science that links medical science with chemistry, I had the desire to mix creativity to these fields. Medicircle provides me an avenue to apply my training in science and interest in creativity together.

Related Stories

Loading Please wait...

Trending Now

PM addresses the Nation today, announces free vaccinesJune 07, 2021
Why inhalers are best for treating asthma, well illustrated by Dr. Anil SingalMay 12, 2021
Dr. Rohan Palshetkar shares his invaluable insights about the Maternal Mortality Rate causes and improvements in India April 29, 2021
It is important to adopt a non-judgmental attitude towards any teenage girl seeking contraceptive advise suggests Dr. Teena Trivedi, Obstetrician and GynecologistApril 16, 2021
80% of the diseases are psychosomatic which means they have roots in the mind and this is where homeopathy steps in - It resolves physical ailments by finding the cause in the mind – Dr. Sanket Dhuri, Consultant Homeopath April 14, 2021
A futuristic Vision of a Healthcare Entrepreneur: Shyatto Raha, CEO, and Founder of MyHealthcareApril 12, 2021
Saher Mehdi, Founder and Chief Scientist at wellOwise talks about aspects making healthcare more equitable and reachableApril 10, 2021
Wide variety of therapies to address autism in children explained by Dr. Shilpa Jasubhai, Clinical PsychologistApril 09, 2021
Allopathic and Homeopathic medicines should not be taken together says Dr. Sunil Mehra, Homeopath ConsultantApril 08, 2021
The charm of homeopathic medicine is that it can be taken with conventional medicines – Dr. Shruthi Shridhar, Consulting Homeopath April 08, 2021
Dissociative Identity Disorder and associated concepts explained by Dr. Vinod Kumar, Psychiatrist and Head of Mpower - The Centre (Bangalore) April 07, 2021
Dissociative Identity Disorder explained by Dr. Shilpa Jasubhai, Clinical PsychologistApril 05, 2021
Sehat Ki Baat, Karishma Ke Saath- Episode 6 Healthy Diet For Boosting Metabolism Which Can Help Thyroid Patients April 03, 2021
Significant Pointers on Kidney Health by Dr. Santosh Waigankar, Consultant Urooncologist and Robotic Surgeon at Kokilaben Dhirubhai Ambani HospitalApril 01, 2021
Dr. Vaishal Kenia, Ophthalmologist Talks About the Different Possibilities Available for the Treatment of Glaucoma Depending Upon Their Type and SeverityMarch 30, 2021
No Definitive Role of Diet in Treatment of Lymphedema but Intake of Calories, Salt and Long Chain Fatty Acids should be controlled says Dr. Ramani CVMarch 30, 2021
Dr. Kiran Chandra Patro, Senior Nephrologist Talks About Dialysis as the Temporary Process and Not a Permanent Cure for the Patients of Renal DysfunctionMarch 30, 2021
Two out of three new chronic kidney disease patients are found to have diabetes or hypertension informs Dr. Sreeharsha HarinathaMarch 30, 2021
Glaucoma Treatment: Medications or Surgery? A valuable piece of advice from Dr. Pranay Kapdia, Chairman and Medical Director of Kapadia Eye CareMarch 25, 2021
Dr. Shraddha Satav, Consultant Ophthalmologist Recommends that Everybody After 40, Should Go for the Complete Eye Checkup at Regular IntervalMarch 25, 2021