Late diagnosis of prostate cancer reduces survival chances: Experts | Lucknow News
Lucknow: Nearly 60-70% of prostate cancer cases in Uttar Pradesh are detected at an advanced stage, reducing survival chances compared to Western countries.Experts raised the concern during Prostate Cancer Awareness Month, stressing that late diagnosis remains the biggest hurdle in treatment. Prof Harminder Pahwa, uro-surgeon at King George’s Medical University (KGMU), said lack of awareness is the main reason for late diagnosis. “Age is the biggest risk factor. After 50, the chances rise sharply. Prostate cancer is the third most common cancer after lung and oral cancers, accounting for 7–8% of male cancers. Yet many men dismiss symptoms as normal aging,” he explained. Social stigma and hesitation in discussing urinary or reproductive issues add to the problem. Prof Apul Goel, urologist at KGMU, pointed out that men with a family history face greater risk, especially those with sedentary lifestyles, obesity, stress, substance abuse, or poor diets. He noted that while Western countries have improved outcomes through routine PSA tests after 45, UP still lacks widespread screening. High costs of PSA tests, biopsy, and MRI in smaller cities further delay diagnosis. Experts said that survivorship improves with modern medicines, but awareness is poor. They urged govt-led awareness campaigns, affordable screening programs, and integration of prostate checks into health camps. Common warning signs include weak or interrupted urine flow, frequent urination at night, blood in urine or semen, pain during urination or ejaculation, persistent pelvic or back pain, and erectile dysfunction. While these may also occur in benign conditions, timely consultation is critical. Prof Iswar Dayal of RMLIMS advised preventive steps such as exercise, stress management, healthy diet, and avoiding smoking and alcohol. He added that men with family history should consider screening after 50. India has no formal guidelines, and most cases are still caught through opportunistic screening during other tests. “Early detection saves lives. Men should not ignore symptoms or feel embarrassed about seeking help,” they concluded, pointing to facilities at KGMU, SGPGI, and RMLIMS.
