Prostate Cancer Awareness, Detect Before It’s Gone

Prostate Cancer Awareness, Detect Before It’s Gone

Most men with early stage prostate cancer do not have any signs or symptoms. Usually, this is because the cancer is growing outside the prostate, so it is not pressing on the urethra and causing symptoms.

In fact, prostate cancer is one of the 5 most common cancers in men. In fact, the 6th president of the Republic of Indonesia, Susilo Bambang Yudhoyono or known as SBY, was diagnosed with prostate cancer.

The prostate is a small, walnut-shaped gland in men that produces fluid that nourishes the sperm, located below the bladder. In addition to abnormal prostate growth due to aging, the prostate can also become malignant.

At first, prostate cancer grows slowly and is limited to the prostate gland and does not cause serious damage. In the advanced stage, this disease can grow strongly and can spread quickly to the surrounding organs and other organs far from its origin.

Prostate cancer that is detected early, when it is confined to the prostate gland, has a high probability of cure.

Prostate cancer symptoms

In its early stages, prostate cancer does not cause symptoms or signs. While prostate cancer in the advanced stage can cause many signs and symptoms, such as:

  • Difficulty urinating.
  • Decreased urine output.
  • Blood in the urine.
  • Blood in the semen.
  • Bone pain.
  • Impotence.
  • Weight loss for no reason.


Currently, several factors have been identified that have been shown to increase the risk of prostate cancer. These factors include:

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Your risk of developing prostate cancer increases with age. Generally after 50 years.

Blacks and African Americans have a higher risk of prostate cancer than other races. In black men, prostate cancer also tends to be more aggressive.

The risk increases in blood relatives, such as parents, siblings or children with prostate cancer.

Men who are overweight may have an increased risk of prostate cancer.


In addition to causing very distressing symptoms, prostate cancer can cause a variety of health complications. Prostate cancers and their treatments include:

  • Urinary retention or inability to urinate / urinate.
  • Cancer that spreads (metastases).

Prostate cancer can spread to nearby organs, such as the seminal vesicles, bladder, nearby lymph nodes, or through the blood/lymphatic system to the bones, liver, lungs, and brain.

In general, the cause of cancer, including prostate cancer, is unknown. But we need to raise awareness about prostate cancer by:

  • Early detection / assessment of prostate and urinary tract health.
  • Consult your doctor if you have a high risk of prostate cancer.

Prostate Biopsy

Biopsy is the most common diagnostic test (gold for example) in determining malignancy of the prostate or other organs. Prostate biopsy is the process of taking tissue samples from the prostate gland to confirm the presence or absence of abnormalities.

A prostate biopsy is performed by a urologist. This procedure is best done in a hospital operating room to reduce the patient’s pain and prevent complications.

A biopsy may be performed one day carewhich means the patient is allowed to go home the same day after recovering from the effects of anesthesia.

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A man needs a biopsy of the prostate gland if:

  • High PSA levels were found during laboratory tests (early detection).
  • DRE physical examinationdigital rectal examination) performed by patients.
  • The discrepancy between the MRI results and the PIRADS score was more than three.
  • The previous gene was negative but she had a history of elevated PSA levels.

Method of Treatment

To prevent the cancer from spreading and reducing the quality of life, medical attention is needed. Of course, the treatment is adjusted to the stage of the prostate cancer that belongs to it and the general condition of the patient.

1. Conventional biopsy procedure

This method uses a transrectal ultrasound (TRUS) guide.

2. Methods’Robotic Targeted MRI-US Fusion Biopsy‘ or robotic prostate biopsy

A minimally invasive method of modeling defects in prostate tissue. This method has the highest accuracy in detecting prostate cancer because it uses the latest technology, namely robots.

This method combines MRI and Ultrasonography / USG imaging at the same time to reduce the risk of failure, repeated biopsy tests, pain, and infection.

3. Pathological Procedures for Prostate Biopsy

  1. Consultation and physical examination with a urologist.
  2. MRI scan to determine the location of the suspected lesion


In the field of urology or related to the urinary tract, laparoscopy can also be performed for cyst surgery. This is done by reconstructing the urinary tract, especially kidney, prostate and bladder cancer surgery.

A specialist at Mayapada Hospital in South Jakarta, Dr. Syamsu Hudaya, Sp.U (K), said that the study on urological surgery confirmed this. carry on laparoscope, the clinical outcome for the patient is also better.

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Regarding the removal of the prostate gland using a 3D laparoscope, compared to 2D, the operation time is shorter. In addition, the patient loses less blood and regains the ability to BAK quickly.

“In prostate and kidney cancer, which are very common in Indonesia, we have experience in surgery a little rough with 3D/4K laparoscopy,” he said as quoted from an official statement, Wednesday (14/9).

Mayapada Hospital uses Laparoscopy with the latest technology, which is 3-dimensional with 4K (ultraHD). Assisted by highly skilled professionals and well equipped facilities, patients are expected to get the best benefits and treatment at Mayapada Hospital.

Not only that, Tahir Uro-nephrology Center and Mayapada Oncology Center Mayapada Hospital provide comprehensive services to treat prostate, kidney, urinary tract and other cancers.

With new equipment, and the collaboration of specialized doctors, from early detection, diagnosis, surgery, chemotherapy, immunotherapy and radiotherapy, to medical treatment during the healing process.

For those of you who feel that you have one of the causes of prostate cancer, you can contact the Mayapada hospital’s medical team from different disciplines at this link.