Prostate Cancer: Diagnosis and Management
Director and Head of Unit - Renal Transplant, Uro-oncology, Urology & Robotic Surgery
Max Hospital, Gurgaon
April 20, 2025
In this Jivo Masterclass, Dr. Amit Goel walked through the full clinical pathway for prostate cancer, from PSA screening and biopsy technique through Gleason grading and PSMA PET staging to robotic surgical treatment and hormone therapy for advanced disease.
Questions Doctors Asked Dr. Amit Goel
Real questions from the live masterclass, answered by Dr. Amit Goel, Director and Head of Unit - Renal Transplant, Uro-oncology, Urology & Robotic Surgery.
What is the average cost of robotic surgery for prostate cancer?
Asked by Dr. Navala Gabriel
Approximately 8,700 US dollars, which is the total cost of the robotic surgery.
Answered by Dr. Amit Goel
What is the management of metastatic prostate cancer?
Asked by Moderator
It depends on where the metastasis is. Bilateral orchidectomy is still a valid option for patients who don't want to spend money on ongoing hormone injections, and it works about as well as hormone therapy. For bone metastasis with pain or fracture risk, bone-strengthening injections and radiotherapy to the affected bone are added. Once the disease becomes castration-resistant, treatment moves to stronger anti-androgens such as abiraterone or enzalutamide, chemotherapy for visceral metastasis, and increasingly immunotherapy.
Answered by Dr. Amit Goel
What are the survival chances after surgical treatment for a patient with prostate adenocarcinoma, and is there a possibility of recurrence?
Asked by Dr. Yanik
Surgery is offered specifically in patients where the goal is cure. But every patient needs lifelong follow-up, with PSA testing every three to six months, because recurrence can and does happen. Nobody can promise a patient that surgery guarantees no recurrence. That possibility is exactly what the word cancer is telling us.
Answered by Dr. Amit Goel