Prostate cancer (PCa) is the second most common cause of cancer and the sixth leading cause of cancer death among men worldwide. It has become a major health problem in industrialized world during the last decades. In India also situation is very alarming that needs adequate attention.
In India, it is the second most common cancer in Indian males as per ICMR and various state cancer registries.The incidence rate in India is 9-10/100000 population which is higher than other parts of Asia and Africa but lower than USA and Europe.
Prostate is the second leading site of cancer among males in large Indian cities. Even in rural areas incidence is quite high. Now the government has made it mandatory to get the prostate-specific antigen (PSA) examination which highlights the seriousness towards the disease. Medical treatment for PCa requires money but screening and treatment at central government hospitals like RML, AIIMS and Safdarjung is free of cost.
In view of creating awareness, healthcare stakeholders are observing September/October as Prostrate Health Month across the country. Talking to reporters in New Delhi Prof(Dr) Anup Kumar, Head of Department, Department of Urology and Renal Transplant, VMMC and Safdarjang Hospital said, “Over 85 percent of the cancer can be cured by medicine while10-15 percent can be cured by surgery. Benign Prostatic enlargement is a normal physiological process in which prostate size grows with age, commonly after 40 years, and may cause symptoms of LUTS (Lower Urinary Tract Symptoms).”
Prof(Dr) P N Dogra, Head of Department, Urology, AIIMS said, “Sedentary life style with obesity can trigger the chances of getting prostate cancer although it is mainly genetically driven. Presently, we cannot prevent the prostate cancer practically. However, a vigil on prostrate health can help.If detected early in localized stage and definitive treatment is given, the patient can be cured.”
Experts advise all male patients more than 50 years of age presenting with symptoms of LUTS to go far annual PSA testing. In case of positive family history, screening starts at age of 40 years annually.
“The cancer registries are reporting some new information and we can see that we are going to face a major increase in cancer incidences in the coming years,” Dr Kumar said.
“Correct and complete knowledge of epidemiology is very important in helping policy makers’ and concerned authorities to plan and formulate sound prostrate health strategies based on scientific and empirical bases,” he added.
Awareness about available screening, testing, medicine, therapies, treatment and new surgeries like Robot is the key in checking the PCa. For overall prostate health, people need to be made aware as early as possible. So not await to cross the age of 50, keep an alert eye on prostrate health as well.