Prostate Cancer Treatment Cost in India

What is Prostate Cancer?

Understanding prostate cancer is the first step toward making informed decisions about treatment and costs. Prostate cancer starts in the prostate, a tiny walnut-shaped 20–25 grams light gland located below the bladder in men. The prostate gland produces seminal fluid, a liquid that nourishes and transports sperm. While prostate cancer can grow slowly and stay confined to the prostate, it can also be aggressive and spread to other parts of the body.

Prostate cancer can be classified into stages based on its growth and spread. Doctors use a combination of the Gleason score and TNM stage to identify the nature of prostate cancer.

Gleason Score: This system grades the aggressiveness of the cancer cells based on their appearance under a microscope. Gleason scores is between 6 to 10, with higher scores indicating more aggressive cancer.

TNM System: This system describes the extent of the cancer:

• T (Tumor): Tells about the size and extent of the tumor in the prostate.
• N (Nodes): Describes whether the prostate cancer has spread to nearby lymph nodes.
• M (Metastasis): Shows if the prostate cancer has spread to distant organs.

Stages of Prostate Cancer

• Early Stages
  • Stage I: The cancer is small and confined to the prostate. It's not detectable by imaging or physical exam. The Gleason score is usually low (6 or less).
  • Stage II: Prostate cancer is still limited to the gland but is more advanced than Stage I. It might be large enough to be felt during a digital rectal exam or seen on imaging.
• Intermediate Stages
  • Stage III: The tumor has spread beyond the gland to nearby tissues, such as the lymph nodes and seminal vesicles.
• Advanced Stages
  • Stage IV: Prostate cancer has reached distant organs, such as bones, lymph nodes, or other parts of the body. This stage often involves higher Gleason scores, indicating more aggressive cancer.

Note: There can be subcategories within these stages (e.g., IIA, IIB) that provide more specific information about the extent of the cancer. The information provided here is a simplified overview. Apart from the Gleason score and TNM stage, doctors also use other factors (like PSA levels) to determine the best course of treatment.

What are the Signs and Symptoms of Prostate Cancer?

In the early stages, prostate cancer often doesn't show any symptoms, which is why regular screening is important. However, as the condition progresses, men may experience:

• Difficulty starting or stopping urination.
• Weak or interrupted urine flow.
• Frequent urination, especially at night.
• A feeling of incomplete emptying of the bladder.
• Blood in the urine or semen.
• Pain or burning during urination (less common).
• Pain in the lower back or hips that doesn't go away.

These symptoms aren't exclusive to prostate cancer; they can also be a result of benign prostatic hyperplasia (BPH) or infections. If you notice any of these signs, consult your doctor promptly for evaluation.

What are the Causes of Prostate Cancer?

The exact cause of prostate cancer isn't fully understood. However, several factors can increase your risk, such as:

• Age: The probability of prostate cancer increases with age, especially after 50. Most cases are diagnosed in men over 65.
• Family History: If close relatives, such as your father or brother, had prostate cancer, your chances are higher.
• Genetics: Certain inherited genetic mutations, like BRCA1 or BRCA2, may increase prostate cancer chances.
• Race: African-American men are more prone to developing prostate cancer and often face more aggressive ones.
• Diet: A diet high in red meat and fatty foods, combined with low fruit and vegetable intake, may contribute to increased risk.
• Lifestyle Factors: Lack of exercise and obesity are also linked to a higher risk.

While these factors can increase your risk, they don't guarantee that you will develop prostate cancer. Leading a healthy lifestyle and regular cancer screenings can help mitigate some risks.

How is Prostate Cancer Diagnosed?

Early detection of prostate cancer is important because it can make treatment more effective and affordable. Doctors recommend regular screenings as it can save lives and lower treatment costs. There are different methods to diagnose prostate cancer. Commonly used diagnostic tests are:

• Digital Rectal Exam (DRE): The doctor inserts a gloved finger into the rectum to feel for abnormalities in the prostate gland. While this test might feel uncomfortable, it's quick and can help identify lumps or irregularities.
• Prostate-Specific Antigen (PSA) Test: A blood test measures the level of PSA, a protein that the prostate gland produces. High PSA levels can indicate cancer, but other conditions like BPH or infections can also raise PSA levels.
• Imaging Tests: MRI or ultrasound scans provide detailed images of the prostate to identify suspicious areas. MRI fusion biopsies are becoming more common for precise targeting.
• Transrectal Ultrasound (TRUS): TRUS, aka endorectal ultrasound or prostate sonogram, is a diagnostic procedure that utilizes sound waves to generate an image of the prostate and surrounding tissues. It is used to diagnose prostate cancer, guide a needle biopsy to collect prostate tissue samples and deliver treatments for prostate conditions.
• Biopsy: If imaging or tests suggest cancer, the doctor will extract a tiny tissue sample from the prostate for microscopic examination. This is the definitive way to diagnose prostate cancer.
• Bone or CT Scans: Used to check if cancer has spread to other parts of the body, especially in advanced cases.

How is Prostate Cancer Treated?

Oncologists decide prostate cancer treatment based on factors like the stage of cancer and overall patient health. Here are the most common treatment options:

• Active Surveillance is suitable for slow-growing and localized cancers. It involves regular PSA tests, DREs, and biopsies. It has the added advantage of avoiding the side effects of aggressive treatments. The cost is minimal, covering only routine tests.
• Surgery: Radical prostatectomy is the recommended procedure for prostate cancer. It involves removing the entire prostate gland, often along with surrounding tissues. Robotic prostatectomy is a minimally invasive option in which surgeons use advanced robotic technology. Prostatectomy has a high success rate for localized cancer.
• Radiotherapy: In external beam radiation therapy (EBRT), high-energy rays target the prostate. Brachytherapy is another kind of radiation therapy in which radioactive seeds are implanted directly into the prostate. These techniques are effective for both early and advanced stages.
• Hormone Therapy: Hormone therapy reduces testosterone levels to slow cancer growth. It is often combined with radiation for better results. 
• Chemotherapy: Cancer-killing drugs are administered via intravenous routes. Chemo is used for advanced or resistant cancers. The treatment regimen includes several cycles of chemotherapeutic agents given at regular intervals.
• Targeted Therapy and Immunotherapy: Targeted therapy focuses on specific genes and proteins that help cancer grow, while immunotherapy boosts the immune system to fight cancer.

Your treating uro-oncologist will discuss the benefits, risks, and costs of each option, helping you make the best decision.

What is the Cost of Prostate Cancer Treatment?

The cost of prostate cancer treatment in India lies between USD 4,000 to USD 9,000. It depends on the type of treatment, hospital, and city where you receive care. Here's a detailed overview:

• Active Surveillance: Minimal costs as it requires only regular check-ups and tests. The average price is INR 10,000 - 50,000 (USD 120 - 600).
• Surgery: The cost of prostate cancer surgery in India varies according to the technique used. Laparoscopic prostatectomy can be availed for INR 2,00,000 - 3,00,000 (USD 2,400 - 3,600), while traditional open surgery costs only INR 1,50,000 - 2,50,000 (USD 1,800 - 3,000). New age treatments like robotic prostatectomy in India costs about  INR 3,00,000 - 5,00,000 (USD 3,600 - 6,000)
• Radiotherapy: The cost of external beam radiation therapy in India starts from INR 1,50,000 or USD 1,800 and can go up to INR 2,50,000 or USD 3,000). Brachytherapy: costs around INR 2,00,000 - 4,00,000 (USD 2,400 - 4,800)
• Hormone Therapy: The cost of hormone therapy in India depends on the type of drugs used and is in the range of  INR 50,000 to INR 1,50,000 or USD 600 to USD 2,400 (per cycle).
• Chemotherapy: Like hormone therapy, the cost of chemotherapy in India depends on the drugs used and the number of cycles. In general, one cycle of chemotherapy costs INR 20,000 - 1,00,000 (USD 240 - 1,200) in India.
• Targeted Therapy/Immunotherapy: These are slightly expensive but highly precise treatment modalities for prostate cancer. The cost averages around INR 3,00,000 to INR 5,00,000 (USD 3,500 - 6,000).

It is important to remember that the cost of prostate cancer treatment in India varies widely depending on the combination of therapies the doctor plans for you. Hence, always discuss cost estimates with your doctor.

Cost of Prostate Cancer Treatment in Different Cities

In India, treatment costs can also vary by city. Major metro cities tend to be more expensive due to advanced facilities and specialized doctors, while smaller cities may offer more affordable care. Depending on the city, the prostate cancer treatment cost in India is as follows.

• Mumbai: INR 3,50,000 to INR 7,00,000 (USD 4,000 - 8,000)
• Delhi: INR 3,00,000 to INR 6,50,000 (USD 3,500 - 7,500)
• Bangalore: INR 2,00,000 to INR 5,00,000 (USD 2,400 - 5,800)
• Chennai: INR 2,00,000 to INR 5,00,000 (USD 2,400 - 5,800)
• Kolkata: INR 2,50,000 to INR 4,50,000 (USD 3,000 - 5,200)

Doctor's Fees and Diagnostic Costs Related to Prostate Cancer Treatment in India

The consultation charges with a prostate cancer treatment doctor in India range from INR 1,500 to INR 3,000 (USD 20 - 35). Virtual consultations are also available for international patients to help them understand their treatment better.

The cost of various diagnostic tests used for detecting and staging prostate cancer are: 

• PSA Test: INR 1,000 - 2,500 (USD 12 - 30)
• MRI: INR 15,000 - 25,000 (USD 180 - 300)
• Biopsy: INR 20,000 - 50,000 (USD 240 - 600)
• Transrectal Ultrasound (TRUS): INR 2,000 - 5,000 (USD 25 - 60)

What is Included in the Cost of Prostate Cancer Treatment?

Prostate cancer treatment cost in India includes a range of medical and supportive services.

• It covers pre-treatment tests such as biopsies, imaging scans, and blood tests, as well as all consultations with doctors during treatment. 
• The cost of surgery, hospital stay, room charges, routine medicines, and consumable items are also included. 
• The package includes meals provided during the hospital stay and post-treatment care, such as physiotherapy, medications, and follow-up visits.

Choosing MediJourney for prostate cancer treatment in India adds several additional benefits. These include a free SIM card for communication, airport pick-up and drop services, complimentary transfers between the hotel and hospital, and assistance with visa applications (including e-visas and MED 1 visas). 

MediJourney offers a shopping tour (excluding shopping expenses), medicine delivery to the hotel, and a complimentary post-surgery video consultation if required. Additionally, we provide pre-treatment medical counseling and a 10% discount on specific laboratory tests. This comprehensive package is designed to make the treatment journey seamless and stress-free.

Why Should You Choose India for Prostate Cancer Treatment?

India has emerged as a favored medical tourism destination for prostate cancer treatment due to its affordability, quality care, advanced technology, and patient-centric services. 

• Affordable Costs: One of the most compelling reasons is the significantly lower cost of prostate cancer treatment in India compared to Western countries. Patients can access world-class therapies at a fraction of the price they would pay elsewhere, making India an economical yet highly effective option.
• Highly Skilled Doctors: The country is home to highly skilled oncologists who are globally recognized for their expertise in treating prostate cancer. Many of these doctors have trained or practiced internationally and bring much experience to their practice. They are supported by multidisciplinary teams that ensure comprehensive care tailored to each patient's needs.
• Advanced Hospitals and Cancer Clinics: Hospitals in India, especially in major metropolitan areas, are equipped with state-of-the-art technology. From advanced imaging techniques like MRI and PET scans to cutting-edge surgical procedures such as robotic-assisted surgery, Indian healthcare facilities provide treatments that are on par with the best in the world. This access to the latest medical advancements ensures that patients receive effective and precise care.
• No Long Wait Times: Unlike many other countries where patients may face long wait times for consultations or surgeries, India offers prompt treatment. It is particularly important for conditions like prostate cancer, where timely intervention can significantly impact outcomes. Indian hospitals understand the urgency of the situation and work efficiently to provide immediate care to patients.
• Support for International Patients: India's healthcare system offers robust support to make the treatment journey as smooth as possible for international patients. Organizations like MediJourney assist with obtaining medical visas, planning travel arrangements, and securing comfortable accommodations near the treatment facility. Many hospitals have dedicated international patient departments that cater to the needs of foreign patients, ensuring they feel supported every step of the way. Besides medical care, India offers a culturally rich and welcoming environment for international visitors.

What Are the Facilities Provided By Indian Hospitals for Prostate Cancer Treatment?

Indian hospitals are committed to providing high-quality medical care and a holistic, patient-centric experience. They ensure a smooth treatment experience with the following:

• Multilingual Support For International Patients: Indian hospitals provide various services/facilities to ensure a smooth and comfortable treatment experience for prostate cancer patients, particularly international patients. One key feature is multilingual support, which ensures that language barriers do not affect communication between patients, their families, and the medical team. Hospitals often have interpreters or staff fluent in multiple languages to assist international visitors.
• Dedicated Coordinators: To streamline the treatment process, hospitals assign dedicated coordinators who assist patients with scheduling appointments, managing follow-ups, and navigating the healthcare system. These coordinators act as single points of contact, simplifying the process and addressing any concerns that may arise during treatment.
• Comfortable Rooms and Nutritious Meals: The hospitals also provide comfortable rooms and nutritious meals, ensuring patients have a pleasant stay and receive meals tailored to their dietary needs.
• Support For Family Members: Family members accompanying the patient are not overlooked. Hospitals often provide accommodation support and counseling services to help them cope with the emotional and logistical aspects of the treatment journey.
• Telemedicine: Post-treatment care is equally prioritized, with many hospitals offering telemedicine options for follow-up consultations. Video consultations allow patients to stay in touch with their doctors and receive continued care without traveling back to the hospital.

Taking charge of your health and understanding your options can make a significant difference. Prostate cancer is manageable and often treatable, especially when diagnosed early. India's advanced healthcare system ensures world-class care without breaking the bank. If you have more questions, don't hesitate to ask your doctor or contact a trusted hospital.

FAQs

Is prostate cancer hereditary? 

Yes, having a family history of prostate cancer can increase your risk. Genetic testing can help if you're concerned.

Who is at risk of developing prostate cancer? 

Older men, those with a family history, African-American men, and individuals with unhealthy diets are at higher risk.

Can prostate cancer be prevented? 

While it can't always be prevented, maintaining a healthy diet, exercising, and regular screenings can reduce risk.

Is prostate cancer fatal? 

Most prostate cancers are treatable, especially when detected early. However, advanced cases can be life-threatening.

Can stage 4 prostate cancer be treated in India? 

Yes, India offers advanced treatments like targeted therapy, brachytherapy, immunotherapy, and palliative care for stage 4 prostate cancer.

How long can you live with prostate cancer? 

Many men live for years, even decades, after a prostate cancer diagnosis, especially with early treatment.

What is the prognosis of prostate cancer? 

The prognosis depends on the stage and aggressiveness of the prostate cancer. When the tumor is localized to the prostate or has just spread to nearby lymph nodes, the 5-year survival rate is over 99%.

Is it worth getting cancer treatment in India? 

Absolutely! India offers high-quality, cost-effective treatment with excellent success rates.

What is the success rate of prostate cancer treatment in India? 

Success rates for prostate cancer treatment in India are very high, ranging from 90% to 99%.

What are the side effects of prostate cancer treatment? 

Common side effects of the treatment include cystitis, fatigue, sleep disorders, urinary incontinence, and erectile dysfunction.