Urologic Oncology | Max Hospital
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Urologic Oncology Disease Management Group
Urologic Oncology Disease Management Group
Research And Publication
Research And Publication
Health Tips
Health Tips
What We Do
What We Do
Meeting And Events
Meeting And Events

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Max Super Speciality Hospital, Saket
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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555
Home >> Our Specialities >> Urologic Oncology

Prostate cancer

Prostate cancer is one of the most common types of cancer that is developed in the prostate gland of a male reproductive system. In most of the cases prostate cancers grow slowly; however, some grow relatively quick, it might be possible that cancer cells may spread from the prostate to other parts of the body, majorly in the bones and nodes. As it develops slowly so initially it may cause no symptoms for many years but later it may lead to difficulties such as problem while urinating. Mostly this type of cancer occurs in men older than age 65.

The Prostate is a small gland that is located in a male’s lower abdomen; it is under the bladder that surrounds the urethra. This gland is regulated by the testosterone and produces seminal fluid, also known as semen.

If prostate cancer is detected early and is still confined to the prostate gland has better chances of a successful procedure.

Prostate cancer can affect millions of men, one of the most common prostate cancers is known as adenocarcinoma. This is a type of cancer that that grows in the tissue of a gland, like the prostate gland, it starts within the cells lining the ducts and tubes of the prostate gland. As cancer starts, the cells grow and multiply abnormally and they interfere with the normal functioning of the tissue.

Other than adenocarcinoma, there can be transitional cell carcinoma, small cell carcinoma, neuroendocrine carcinoma, large cell carcinoma, squamous cell carcinoma, signet ring cell carcinoma, and basal cell prostate cancer. These types are less common than adenocarcinoma but are usually more aggressive.

Prostate cancer is categorized by how fast it grows; there are two types of growth in prostate cancer that includes:

  • Aggressive growing
    In aggressive prostate cancer, the tumor may grow quickly and there are possibilities that it can spread to other body parts such as bones
  • Nonaggressive growing
    In case of nonaggressive prostate cancer, the tumor either doesn’t grow or grows very little over time.

Symptoms of prostate cancer are initially not different from non-cancerous enlargement of the prostate (BPH). However, when it becomes advanced additional symptoms can occur. Usual symptoms are:

  • Frequent urination

  • Facing difficulties in starting or stopping when trying to urinate or urinating

  • The constant need for urination, especially at night

  • A burning sensation while urinating

  • Blood in urine or semen

  • Erectile dysfunction

  • Change in bowel habits

  • Unexplained weight loss

  • Fatigue

  • Back pain, hip pain or pelvic pain

  • Bone pain

  • Discomfort in the pelvic area

Symptoms of prostate cancer may include pain, numbness, urinary and sexual problems. If you notice any of the following symptoms, don’t hesitate to call your doctor. Few symptoms of prostate cancer may include other conditions, so examination will be needed to sure that you receive the correct diagnosis and treatment.

If the patient is suspected with prostate cancer, a thorough evaluation is done in a systematic manner for making a particular diagnosis. Your doctor may recommend certain tests that will be depending on the above symptoms:

  • Biopsy :
    A prostate biopsy is a procedure in which a doctor removes small samples of tissue from the prostate to test for cancer.

  • Bone scan :
    If the patient is experiencing any bone pain, the blood tests reveal an elevated calcium level also your radiation oncologist may perform a bone scan to detect if prostate cancer has spread to the bone.

  • CT scan (computed tomography) :
    If in case of prostate cancer has come back after the treatment, CT scan may often tell if the cancer is growing into other organs or structures in the pelvis.

  • Digital rectal exam :
    The digital rectal exam is also known as (DRE) it is relatively a simple test to check the prostate. As prostate is an internal organ so, the doctor cannot look at it directly, but prostate is located in the front of the rectum, so the doctor can feel it by inserting finger into the rectum.

  • Liver function test :
    Liver function test is also known as LFT, it helps to measure various chemicals produced by the liver

  • MRI scan (magnetic resonance imaging) :
    Your doctor might ask for MRI before a biopsy as it helps the doctor to see the extent of the prostate cancer and determine whether it has spread in the other parts of the body.

  • PET CT scan :
    PET stands for positron emission tomography, this scan can detect the location and extent of cancer that has reappeared after initial treatment. Prostate PET/CT scans can detect cancer earlier than CT scans alone or MRI scans.

  • Renal arteriography :
    A renal angiogram is a type of an X-ray picture to look at the blood vessels in the kidneys.

  • Ultrasound

  • Urine test

There are many different treatment options available for prostate cancer which might be used at different times depending on the cancer stage and current health state of the patient.

  • • Watchful Waiting or Active Surveillance :
    In many cases, prostate cancer grows slowly, and therefore, immediate medical intervention may not be required. Watchful waiting or active surveillance approach is applicable for low- grade prostate cancers. It means that the cancer is monitored closely by keeping a tab on the changing symptoms and doing regular testing to decide the need for further treatment.

  • Surgery :
    If cancer has not spread outside the prostate gland, radical prostatectomy is performed, in which a surgeon removes the entire prostate gland along with the tissues around it. Such surgery can be carried out by laparoscopic approach or by robotic approach leading to less patient discomfort and faster recovery.

  • Radiation Therapy :
    Radiation uses high-energy x-rays, gamma rays or particles to destroy cancer cells. Radiation therapy can be divided into external beam radiation and brachytherapy (internal radiation). In external radiation therapy, high-energy x-ray beams are directed at a tumour from outside the body. In case of internal radiation, doctors place a radioactive source directly inside or near a tumour.

  • Hormone Therapy :
    This therapy is used for reducing the level of male hormones (androgens) as well as restrains them from affecting the prostate cancer cells. It is also called Androgen Deprivation Therapy (ADT) and Androgen Suppression Therapy. Lower androgen levels lead to shrinkage in the size of the prostate cancer and restrict their growth.

  • Chemotherapy :
    In this, the drugs are given by injection in the vein or orally to kill cancer cells and reduce tumor size. This approach is finding increasing use in prostate cancer, especially high grade.

  • Vaccination :
    Sipuleucel-T (Provenge) is a cancer vaccination given to boost the body’s immunity system to attack the prostate cancer cells. This vaccine is specifically made for every patient with the help of their white blood cells.

Urologic Oncology

Urologic Oncology At

Team That Cares

Dr. A. K. Anand - Max Hospital
Senior Director - Radiation Oncology
Cancer Care / Oncology
Dr Meenu Walia - Max Hospital
Director-Medical Oncology & Haematology
Breast Cancer
Dr. Rudra Prasad Acharya - Max Hospital
Associate Director & Head – GI Surgical Oncology
Cancer Care / Oncology
Dr. Sandeep Batra - Max Saket
Associate Director
Cancer Care / Oncology
Dr Vineeta Goel - Max Hospital
Associate Director - Radiation Oncology
Breast Cancer
Dr. Gagan Gautam
Head - Urologic Oncology & Robotic Surgery
Cancer Care / Oncology
Dr Gopal Sharma (onco) - Max Hospital
Principal Consultant – Medical Oncology
Breast Cancer
Gagan Saini - Max Hospital
Principal Consultant – Radiation Oncology
Radiation Oncology
Puneet Ahluwalia
Senior Consultant - Urology Oncology & Robotic Surgery (Max Smart)
Urology Oncology
Dr. Anirudh Punnakal - Max Hospital
Consultant- Radiation Oncology
Cancer Care / Oncology
doc-default_1 - Max Hospital
Consultant - Medical Oncology
Cancer Care / Oncology
Dr. Vineet Govinda Gupta
Associate Consultant
Breast Cancer

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WHAT WE DO

  • The management of urologic cancers have transformed over the years with technical innovations in surgery and radiation, advancements in targeted therapy, hormonal therapy, chemotherapy and immunotherapy.
  • The team aims to deliver state-of-the-art disease management by integrating the latest medical technologies, minimally invasive therapies and research.

  • The diseases treated include malignancies of Prostate, adrenal, kidney, upper urinary tracts, Urinary bladder, Testis, Penile and urethral cancers

  • In early stage cancer different surgical modalities are employed to treat these cancers, often in a multi-disciplinary team approach with the integration of expertise by medical oncology and/or radiation oncology.
  • In advanced/metastatic stage urological cancers, systemic therapy approach comprising chemotherapy, hormonal therapy, targeted therapy and immunotherapy, alone or in combinations is employed to achieve maximum patient benefit.

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