Prostate Cancer Treatment in Bhubaneswar

Expert diagnosis, robotic surgery and personalised long-term care by Dr. Rahul Pradhan — Consultant Urologist & Uro-Oncologist, Bhubaneswar.

300+

Robotic Surgeries

MCh

Urology Degree

FMAS

Minimal Access

45+

Years Experience

———- About the condition

Prostate Cancer Treatment in Bhubaneswar

Prostate cancer is one of the most common cancers in men over 50 affecting 1 in eight men— and one of the most curable when caught early. The prostate is a small gland responsible for producing seminal fluid which helps in reproduction. In 14% of Men,  the prostate enlargement can silently grow into cancer without any symptoms or warning signs,and if left undetected, may spread to the bones and other organs. More than 50% of Prostate cancers detected in India are detected in the 4th stage, but are also one of the preventable cancers.

Dr. Rahul Pradhan has completed his Post Doctral Fellowship  in Uro-Oncology at Sri Shankara Cancer Foundation, Bengaluru a 540 bedded tertiary referral cancer center equipped with state of art technologies. The Department of Urologic Oncology at Sri Shankara Hospital is a high volume center with a foot fall of 6000 OPD patients and performing over 800 Uro-Oncological procedures annually. It is one of the top 5 centres in India for Prostate cancer surgeries in terms of numbers.

He brings his wealth of expertise and experience in offering complete prostate cancer care — from PSA screening, Prostate Biopsy to Laparoscopic and robotic surgery and Radiotherapy through multidisciplinary oncology teams. Men across Odisha no longer need to travel to distant cities for world-class urological oncology care.

Did You Know?

The second most frequently diagnosed cancer among men worldwide is prostate cancer. The disease continues to increase in India but people still lack proper understanding about it and screening tests for early detection remain infrequent. A disease detection test exists which uses a basic PSA blood test to identify cancer at its initial treatable stage. Men above 50 — or 45 with a family history — should consider annual screening.

Types of Prostate Cancer

The necessary treatment method should be initiated based on the specific type and grade of prostate cancer that needs to be treated.

Adenocarcinoma

the most common type, accounting for nearly 95% of cases. The disease begins in gland cells, which doctors usually discover through PSA tests and MRI-guided biopsy procedures. The disease presents an excellent prognosis when it is discovered during its initial stage.

Small Cell Carcinoma

The disease represents a rare but highly dangerous form of cancer which does not produce PSA thus making its detection more challenging. The disease spreads through the body at an accelerated pace which necessitates treatment with both chemotherapy and radiation therapy.

Transitional Cell Carcinoma

 The disease begins in the cellular tissue which lines the urethra and bladder and has the ability to invade prostate tissue. Prostatic transitional cell carcinoma represents an uncommon cancer type which requires distinct treatment methods from conventional adenocarcinoma therapies.

The Gleason Score (which ranges between 6 and 10) and Grade Groups (which extend from 1 to 5) function as the two grading systems that determine prostate cancer classification. The system assigns lower scores to tumors which experience slow growth while the higher scores indicate tumors which develop into aggressive cancers. The treatment schedule will receive determination through the grading system.

—– About the condition —–

What Are the Symptoms of Prostate Cancer?

Early-stage prostate cancer often causes no symptoms — which is exactly why routine screening matters. As the disease progresses, the following signs may appear:

Frequent or urgent need to urinate, especially at night

Weak or interrupted urine flow
Blood in urine or semen
Pain or burning sensation during urination
Erectile dysfunction
Persistent pain in the lower back, hips, or pelvis
Unexplained weight loss or fatigue

Important Note

Many of these symptoms also occur with benign prostate enlargement (BPH) or infections. Only a proper clinical evaluation can confirm the cause. Early-stage disease often has no symptoms at all — by the time they appear, the cancer may have already progressed. Dr. Pradhan recommends routine PSA screening for all men aged 50 and above, or 45 if there is a family history. If you notice any of the above, do not delay.

Causes of Prostate Cancer

The exact cause is not fully known, but several well-established risk factors can help you assess your personal risk.

Age

Risk rises significantly after 50. Most diagnoses occur in men between 60 and 70.

Family History

Having a father or brother with prostate cancer roughly doubles your risk. BRCA1 and BRCA2 gene mutations also increase susceptibility.

Diet and Lifestyle

High red meat intake, obesity, and low physical activity are linked to higher risk and more aggressive forms of the disease.

Hormonal Factors

 Testosterone and other androgens directly fuel prostate cancer cell growth — which is why hormone therapy is key for advanced cases.

If you have two or more of these risk factors, speak to Dr. Pradhan about starting PSA screening earlier than the standard recommended age

How to Diagnose Prostate Cancer ?

A step-by-step approach ensures accurate diagnosis without unnecessary procedures or delays.

Step 1
PSA Blood Test

The Prostate-Specific Antigen (PSA) test is the starting point. Elevated levels may suggest cancer but can also result from BPH or inflammation. Dr. Pradhan interprets PSA alongside age, velocity, and density for a more accurate assessment.

Step 2
Digital Rectal Examination (DRE)

A brief physical check of the prostate to feel for firmness, lumps, or irregular texture — useful even when PSA appears normal.

Step 3
Expanded
Multiparametric MRI (mpMRI)

When results raise concern, an mpMRI provides detailed imaging of the prostate. Suspicious areas are scored using the PI-RADS system, guiding biopsy decisions precisely.

Step 4
Expanded
MRI-Fusion Targeted Biopsy

Dr. Pradhan uses MRI-fusion guided biopsy to precisely target suspicious areas identified on imaging, significantly improving diagnostic accuracy over a random biopsy.

Step 5
Expanded
Staging Scans

A bone scan, CT scan, or PSMA PET scan determines whether cancer has spread beyond the prostate and directly informs the treatment plan.

Step 1
PSA Blood Test

The Prostate-Specific Antigen (PSA) test is the starting point. Elevated levels may suggest cancer but can also result from BPH or inflammation. Dr. Pradhan interprets PSA alongside age, velocity, and density for a more accurate assessment.

Step 2
Digital Rectal Examination (DRE)

A brief physical check of the prostate to feel for firmness, lumps, or irregular texture — useful even when PSA appears normal.

Step 3
Expanded
Multiparametric MRI (mpMRI)

When results raise concern, an mpMRI provides detailed imaging of the prostate. Suspicious areas are scored using the PI-RADS system, guiding biopsy decisions precisely.

Step 4
Expanded
MRI-Fusion Targeted Biopsy

Dr. Pradhan uses MRI-fusion guided biopsy to precisely target suspicious areas identified on imaging, significantly improving diagnostic accuracy over a random biopsy.

Step 5
Expanded
Staging Scans

A bone scan, CT scan, or PSMA PET scan determines whether cancer has spread beyond the prostate and directly informs the treatment plan.

Treatment Options Available for Prostate Cancer

The treatment approach depends on cancer stage and cancer grade and patient age and the complete health condition of the patient. Dr. Pradhan explains all available treatment choices to his patients before he selects the most suitable treatment option.

Active Surveillance

The method of active surveillance with periodic PSA tests and MRI scans and biopsy procedures constitutes a secure and proven method to monitor slow-developing low-risk tumors. The medical team will begin treatment when they observe the cancer advancing to a new phase.

Robotic Radical Prostatectomy

Although radical Prostatectomy is not very routinely performed surgery in most centres in Odisha, Dr Pradhan is trained at one of the top 5 highest performing radical Prostatectomy centres in the country. Oncological Results and surgical outcomes are better in the hands of experienced cancer surgeons.

Radiation Therapy

External beam radiotherapy (EBRT) and brachytherapy represent effective non-surgical treatment options. Radiation treatment can occur after surgery if a patient’s PSA levels increase or it can be used together with hormone treatment for advanced disease cases.

Hormone Therapy (ADT)

Androgen Deprivation Therapy reduces testosterone levels which results in decreased cancer progression. The treatment applies to both advanced and recurring diseases while it is usually combined with radiation and chemotherapy.

Chemotherapy

The treatment becomes necessary when cancer has spread and the patient no longer responds to hormone therapy for castration-resistant prostate cancer. Docetaxel remains the most established agent in this setting.

—– Your Specialist

Why Choose Dr. Rahul Pradhan for Prostate Cancer Treatment?

His approach is straightforward — he explains your diagnosis clearly, walks you through every treatment option honestly, and helps you decide without pressure. Whether the right plan is active surveillance, robotic surgery, or a combination of therapies, it is always built around your specific situation.

For patients across Bhubaneswar and Odisha, this means access to MRI-fusion biopsy, nerve-sparing robotic prostatectomy, and complete post-treatment follow-up — without the stress of travelling out of state.

MBBS, MS, MCh (Urology) — Comprehensive surgical and urological training

oncology icon

300+ Major Robotic Surgeries — Including robot-assisted radical prostatectomy

surgical icon

Fellowship in Minimal Access Surgery (FMAS)

reproductive system icon

Subspecialty in Uro-Oncology — Prostate, kidney, bladder and testicular cancers

Conclusion

Prostate cancer is serious — but with early detection and the right specialist, it is also very treatable. Whether you are coming in for a routine PSA check, following up on an abnormal result, or seeking a second opinion after a diagnosis, Dr. Rahul Pradhan is here to guide you with clarity and expertise.

Do not wait for symptoms to worsen. Book a consultation today and take the first step toward the right diagnosis and the right treatment — right here in Bhubaneswar.

—– Common Questions —–

FAQs

What is the best age to start prostate cancer screening?

Men above 50 should get a PSA test annually. If your father or brother has had prostate cancer, screening should begin at 45. It is a simple blood test that could be life-saving.

Is robotic prostatectomy available in Bhubaneswar?

Dr. Rahul Pradhan a Intuitive USA certified Da Vinci Robotic Surgeon  with over 300 robotic surgeries completed. As on March 2026, none of the Private hospitals in Bhubaneswar has a Surgical robot. It is expected to start at Bagchi Sri Shankara cancer centre Bhubaneswar in the later half of 2026.

Does a high PSA always mean cancer?

No. Elevated PSA can result from benign prostate enlargement, prostatitis, or recent physical activity. Dr. Pradhan assesses PSA alongside other clinical findings before recommending next steps.

How long is recovery after robotic prostate surgery?

Most patients are discharged within 2 to 3 days. Light activity resumes in about 2 weeks, and most patients return to normal work within 3 to 4 weeks.