Dr Prabhudev Salanki's Center for Urology

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Dr Prabhudev Salanki's Center for Urology

Dr. Prabhudev M Salanki is one of the Best-Known Urologist in Bangalore, Specialists in the field of

02/05/2020

Bilateral orchiectomy, or surgical castration, is a surgery to remove both testicles. It is a treatment option for locally-advanced and metastatic prostate cancer and aims to stop the production of androgens.

The surgery can be done under local anaesthesia. If you have a history of cardiovascular disease, your doctor may advise you to see a cardiologist before starting with hormonal drug therapy.

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01/05/2020

Reasons for an Orchiectomy
An orchiectomy is performed for many different reasons including:

Prostate cancer (procedure prevents it from spreading)
Testicular cancer and breast cancer in men
A medical condition of the male reproductive organs (such as testicular torsion)
Cancer prevention
Treatment of an undescended testicle after puberty
Severe trauma (to the testicle)
Male-to-female gender reassignment surgery
An orchiectomy may be performed to treat various types of cancer, such as prostate or male breast cancer. This is because the testicles produce testosterone, which is a hormone that can cause some types of cancer to metastasize (spread) faster. An orchiectomy is also considered a mandatory procedure for conditions that result in necrosis (death) to the tissues of the testicles, such as testicular torsion.

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30/04/2020

is an operation to remove the prostate gland and tissues surrounding it. This usually includes the seminal vesicles and some nearby lymph nodes. Radical prostatectomy can cure prostate cancer in men whose cancer is limited to the prostate.

Who Should Undergo Radical Prostatectomy?
Men younger than age 75 with limited prostate cancer who are expected to live at least 10 more years tend to get the most benefit from radical prostatectomy.

Before performing radical prostatectomy, doctors first try to establish that the prostate cancer has not spread beyond the prostate. The statistical risk of spread can be determined from tables comparing the results of a biopsy and PSA levels. Further testing for spread, if needed, can include CT scans, bone scans, MRI scans, and ultrasound.

If it appears that the prostate cancer has not spread, a surgeon (urologist) may first offer other options besides surgery. These can include radiation therapy, hormone therapy, or simply observing the prostate cancer over time, since many prostate cancers grow slowly. Depending on how high the risk of cancer spread, pelvic lymph node dissection may be considered, as well.

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26/04/2020

A is a surgical procedure for the partial or complete removal of the prostate. It may be performed to treat prostate cancer or benign prostatic hyperplasia.

A common surgical approach to prostatectomy includes making a surgical incision and removing the prostate gland (or part of it). This may be accomplished with either of two methods, the retropubic or suprapubic incision (lower abdomen), or a perineum incision (through the skin between the sc***um and the re**um).

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25/04/2020

Symptoms
Prostate cancer may cause no signs or symptoms in its early stages.

Prostate cancer that's more advanced may cause signs and symptoms such as:

Trouble urinating
Decreased force in the stream of urine
Blood in semen
Discomfort in the pelvic area
Bone pain
Erectile dysfunction
When to see a doctor
Make an appointment with your doctor if you have any signs or symptoms that worry you.

Debate continues regarding the risks and benefits of prostate cancer screening, and medical organizations differ on their recommendations. Discuss prostate cancer screening with your doctor. Together, you can decide what's best for you.

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24/04/2020

Stages
There are different ways of staging cancers, including prostate cancer. Staging is when a doctor decides how far cancer cells has progressed and how much they may have spread.

Cancer spread
The simplest way to stage cancer is to look at how far it has spread from its original site.

Localized cancer: Cancer cells remain in the area where they started. In this case, within the prostate gland.

Regional cancer: Cancer has spread to nearby tissues and possibly nearby lymph glands, but not to other parts of the body.

Distant cancer: Cancer has spread throughout the body and affects other organs, such as the lungs or liver.
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23/04/2020

Prostate cancer is the most common cancer in men after skin cancer. Risk factors include age, family history, ethnicity, and diet. Prostate cancer is diagnosed by digital re**al exam, prostate specific antigen (PSA) test, and prostate biopsy.

Symptoms may include frequent need to urinate, incontinence, pain, blood in the urine, fatigue, and more. Prognosis and treatment depend on cancer staging. Watchful waiting, surgery, radiation, cryotherapy, and other management strategies are available. Research and clinical trials strive to find new and better treatments for prostate cancer.

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19/04/2020

Partial nephrectomy is also referred to as "nephron-sparing surgery" or "kidney-sparing surgery." During partial nephrectomy the surgeon removes the tumor and saves the kidney. This is a delicate procedure that requires an experienced surgeon and surgical team.

Not all partial nephrectomy procedures are the same. For example, surgeon may cut half the kidney for a very small 1 cm tumor while another may be able to save 90 percent of the kidney—a significant difference for your kidney health. Additionally, partial nephrectomy can be performed via open or robotic-assisted laparoscopic surgery and a surgeon trained and experienced in both techniques is ideal. There are many other critical variables involved that are best handled by an experienced team.

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18/04/2020

Radical nephrectomy. In a radical nephrectomy, the surgeon removes the whole kidney, the fatty tissues surrounding the kidney and a portion of the tube connecting the kidney to the bladder (ureter). The surgeon may remove the adrenal gland that sits atop the kidney if a tumor is close to or involves the adrenal gland.

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17/04/2020

Nephrectomy (nephro = kidney, ectomy = removal) is the surgical removal of a kidney. The procedure is done to treat kidney cancer as well as other kidney diseases and injuries. Nephrectomy is also done to remove a healthy kidney from a donor (either living or deceased) for transplantation. Thousands of nephrectomies are performed every year in the India.

Types of nephrectomy
There are two types of nephrectomy for a diseased kidney: partial and radical. In partial nephrectomy, only the diseased or injured portion of the kidney is removed. Radical nephrectomy involves removing the entire kidney, along with a section of the tube leading to the bladder (ureter), the gland that sits atop the kidney (adrenal gland), and the fatty tissue surrounding the kidney. When both kidneys are removed at the same time, the procedure is called bilateral nephrectomy.

The procedure used to remove a healthy kidney from a donor for the purpose of transplantation is called donor nephrectomy.

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16/04/2020

Four main stages
Stage 1 – The cancer is only within the kidney, has not spread and is less than seven centimetres in size. If the cancer can be removed it is most likely to be cured with surgery. Five years after an operation, nine out of ten people will be alive and free of the cancer.

Stage 2 – The cancer is larger than seven centimetres but is still confined to the kidney and has not spread outside of the kidney. Surgery is a good treatment option. After surgery, the five-year survival rate is still very high for this stage of kidney cancer.

Stage 3 – The cancer has moved nearby outside the kidney, but has not spread to distant organs. For example, the cancer might have spread into the fat around the kidney, into the blood vessel coming out of the kidney, or into lymph nodes near the kidney. Surgery is often the right treatment. The chance of being cured by surgery is lower, but not zero.

Stage 4 – The kidney cancer has spread widely outside the kidney, to the abdominal cavity, the adrenal glands, distant lymph nodes or to other organs, such as the lungs, liver, bones or brain. This stage of cancer is very unlikely to be cured, but various treatments can help.

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12/04/2020

Kidney, or renal, cancer refers to any cancer that involves the kidney. Older age, obesity, smoking, and high blood pressure increase the risk of developing kidney cancer.

The kidneys are part of the urinary system, which removes waste and excess fluid and electrolytes from the blood. These organs also produce hormones that aid the production of red blood cells and help regulate blood pressure.

Kidney cancers are those that start in the kidney. Cancer that develops elsewhere in the body and then spreads to the kidney is not kidney cancer. If it starts in the bladder, for example, it will be bladder cancer.

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