Urologist Dr. Shivraj Barathkumar Exclusive Interview | Virunthinar Pakkam | Jaya Tv

[00:00:00]cancer treat but smoking affects at a cellular level.

[00:00:13]It affects the wall of the vessels. So it is not always necessary until it grows big enough.

[00:00:31]That is what is kidney cancer. Bladder cancer.

[00:00:35]Whereas prostate cancer, breast cancer for women, prostate cancer is exclusively for men.

[00:00:47]Tumor thrombos without discussion full removal is the dictable cancer.

[00:01:10]Firstly, faster lifestyles, junk food, homecooked food is one major factor for all types of cancers. Second, investigation modalities have improved.

[00:01:41]So third media relative I have been diagnosed with so and so and sole investigation.

[00:02:08]social media. Okay. That is why there is so much talk about cancer. Cancer basically general patient.

[00:02:29]they won't obey the rules.

[00:02:38]It's exactly the medical version of common version of cancer.

[00:02:42]>> Cancer basically when cells defy the cell deaths it becomes cancer.

[00:02:56]Then blood orans in general school of cancer type of cancer treat cancer.

[00:03:27]treat for example cancligible very very small conditions we give socific we can discuss cancer should be treated at the earliest blood cancer Blood cancer, bone cancerology.

[00:04:05]Eurooncology basically it is with respect to kidneys, bladder and prostate urology. We subize and look at only cancers in these organs. for kidney cancers, ur tube cancers, urinary bladder cancer, prostate cancer, adrenal cancers, retroparitinal cancers.

[00:04:27]We call it a sub specialy known ascology dedicated substate cancer drug treatment bilateral architecttomy with channel TRP that is such a life-changing treatment stage of the disease It is a gross medical negligence. So that evolution has happened over 10 15 years and people have to sub specialize and focus on that and that is what is eurocology.

[00:05:08]>> So Dr. smoking, drinking and lifestyle changes in general definitely derogatory for the body lungs but smoking affects at a cellular level.

[00:05:25]It affects the wall of the vessels. So with respect to cancer and neurology, it will increase the risk of kidney cancer.

[00:05:40]It will increase the risk of bladder cancer. Cancer patients who are smokers have a much higher risk of developing it than a non-smoking patient. Likewise alcohol it does not particularly increase the risk of any cancer but overall health it is found to be having a negative impact.

[00:06:00]Likewise diet diet large but in general they have a negative impact. So direct correlation is with smoking only patients.

[00:06:29]How do they know that? So many times patients patient stage stage 2 bodily symptoms they land up with some other reason PSA 500 body full it is possible like that very much uh that is the main reason that many of the cancers internal organs infection and women are able to pick up and testicular cancer men pick up because they often self-examine and some knowledge but internal organs prostate bladder kidney sizable tumor.

[00:07:26]So no other option but or frequent once in two years or once in 3 years master health checkup from the age of 50 breast cancer for female testicular cancer for male definers and relative factor getting it is 3 is to2 occurrence it is three times women it's two times almost one is 1.5 is to one >> it is one and a half times more common in men than in women but it happens in both the sexes >> okay women that is what is kidney cancer bladder cancer whereas prostate cancer breast cancer for women prostate cancer is exclusively for men you cannot have it in a woman penile canc organs for both the sexes. Dr. Prostate cancer related cancer commonality related cancer. See prostate just a word about prostate gland organ. It is part of the urinary system.

[00:08:52]It is required for men to produce babies. Sperm order storage and release that is a very important part of the body. So it is very vital for life. All men are born with it. Male baby and the male baby 15 years when adulthood kicks in it starts working and when the man crosses about 55 by nature prostate will start increasing in size.

[00:09:19]>> It is unavoidable. It happens in 8 out of 10 men. If you live up to 65, 75, 9 out of 10. If you live up to 85, it is almost 10 out of 10 men have prostate enlargement.

[00:09:31]Nature in the nature cancer. Obviously, it happens in this time frame and it is more common as the man ages. In fact there is a study which says that when thousand autopopsies of men at 100 years was done almost 90%age of men had some small focus of prostate cancer. So it is a disease of age.

[00:09:57]>> Okay. Obviously Africanameans and some people who have family prostate cancer >> that entire family is we start screening much earlier from the age 45.

[00:10:20]>> Yeah.

[00:10:21]>> That is known as hereditary. It is not >> otherwise.

[00:10:25]>> Okay. Heditary prostate cancer will have only two factors. It presents early uh it doesn't have to wait till 5560. So it can even present at 45 >> and it can be sometimes a little more aggressive.

[00:10:51]most common.

[00:10:58]Okay. First is alarming sign. Second cancer.

[00:11:09]Okay. some blood cancer pat very very less they first assume it is cancer they ask Dr. Charge GPT diagnosis unnecessary investigations. There are patients monthly at least for a urinary infection. No one is to blame other than curiosity.

[00:11:50]It is not always necessary until it grows big enough.

[00:12:12]young lady pregnant.

[00:12:15]She had a 12 cm kidney cancer.

[00:12:17]Absolutely.

[00:12:25]She got young female got married got pregnant gynecologist ultrounder three times bigger.

[00:12:37]So kidney silent bladder luckily sometimes blood prostate cancer it is now rising to be the second most common cancer in men in India. Lung cancer it is absolutely silent and that is given the definition silent threat.

[00:12:59]completely silent.

[00:13:05]It is completely curable and it is a very very obedient disease.

[00:13:11]It's a ticking time bomb waiting to take its own course by the time it presents it will be a stage four disease.

[00:13:22]>> At that stage cure is not possible.

[00:13:26]Cancer doctor is it dangerous?

[00:13:31]>> It is not always cancer. Uh cancer is one of the probabilities. But when you sit in an OPD and see patients, I will put it as the third or the fourth probability. Number one, when you see a mass population of about a number of patients a day, the first thinking urinary tract infection, kidney infection, bladder, prostate, it can be for a man or for a woman.

[00:13:59]Second stones those small stones can scratch one trickle of blood void will become bloody. So that is the second most common. Third I will say is some tumor.

[00:14:29]Okay. So it is not always cancer first like pregnant lady how dangerous it is and pregnancy although it is viewed as a very holy divine thing. Basically it is uh more than symbiosis it is parasetism.

[00:14:48]The baby is growing on the mother. The mother is only providing for the baby.

[00:14:52]So until the baby is grown enough, mother is our main life to be treated.

[00:14:59]First kidney cancer, urine, bladder cancer, kidney cancer patient because kidney cancer grows at 2 cm per year. We allowed her to complete pregnancy. Oh, >> she completed the pregnancy and uh while delivering the baby, it was a multi-disiplinary tumor discussion and we said it is better you undergo cesarian for medical reasons >> not for any other reasons. Cesarian po baby Allah deliver on a v in the same controlled environment of the operation theta. We went ahead and did surgery for the kidney.

[00:15:34]>> Surgery for the kidney is curative >> and the baby is born. So she's cured of the disease and now has a baby.

[00:15:41]>> Okay, great.

[00:15:43]>> For the bladder tumor, uh that patient was even younger. She was hardly 22. Uh that is a very aggressive disease. You cannot wait for 9 months. So there is a sweet spot in pregnancy. Second trimester we got access for anesthesia certain drugs and then we let her continue the pregnancy. In both cases pregnancy was continued but in one we did not touch until pregnancy was over. Whereas bladder cancer was so aggressive we had to find an window and then go in and >> and Dr. prostate cancer, kidney cancer, bladder cancer treatments treatments.

[00:16:33]So in general canc, you take it tongue, skin, liver, anywhere, kidney, it is always the same.

[00:16:47]associated treatment modalities.

[00:16:51]Kidney cancer grows literally like wetness and the treatment strategy is only based on the size treat.

[00:17:08]So 4 cm just 3 cm 3 and half cm with just one cell margin is enough to cure the cancer in that particular patient.

[00:17:35]Whereas prostate if it is early prostate cancer it may be shocking to hear we don't even touch the patient. It is known as active surveillance.

[00:17:44]>> We have diagnosed patient as cancer. We tell the patient they have cancer but the probability that cancer will kill him is so less that we say we don't have to treat it for 5 to 10 years but you have to visit us every 3 to 6 months.

[00:17:58]>> Okay. periodical examination PS once in 18 months then we do a biopsy >> and the facts we club it together and stage it. If there is a stage migration upwards then we say we have to treat early prostate cancer unlike kidney cancer is just followed up with active surveillance that that is a worldwide accepted clinical term where we don't treat at allstate treat.

[00:18:36]Okay. Okay.

[00:18:42]Robotic surgery.

[00:18:51]So robotic surgery 2013 14. So it is widely available now and you would be noticing in the mass media now for the last one two years. So it is there in every other street, every other area.

[00:19:05]>> Uh robotic surgery is just a tool to do surgery. It is not something that uh finishes the job by itself.

[00:19:18]structure angle we understand what it can deliver but by way of communication it gets different and patient okay which is totally meaningless robot was specifically designed for deep placed organs or surgery inside the abdomen or the chest cavity robot is actually helpful and it is a mission which is nothing but a master slave mission when we operate on the mission scaling 1 is to 1 to2 or 1 is to three is different size than your hand it comes with height and weight my hand will take about 10 12 cm to take this turn prostate Mhm.

[00:20:27]12 cm the same action I can do in about 1 and a half cm because it's a miniatureized instrument.

[00:20:34]>> Okay.

[00:20:37]>> Yeah.

[00:20:37]>> Otherwise robot is fancy because it is from the west. Nothing else treat is not advanced. Now it is being understood by many people.

[00:20:57]Latest treatment what has come into cancer treatment it is imunotherapy.

[00:21:02]Imotherapy is where you use medicines with very very less side effects which target the Yeah, >> it is the latest in the field of medical oncology. It is very less symptoms but yes, it comes with additional cost.

[00:21:24]Urinary tract infection infection is not at all related to urine cancer.

[00:21:39]enlargement multiple pregnancies can be source of infection. Okay.

[00:22:01]immune system infection can be treated. Cancer is an entirely different pathway. It is either innate cancer that cell decides to be wrong or it is due to influence across life. Smoking, drinking, bad diet, lack of exercise, lack of adequate sleeping can precipitate cancer growth.

[00:22:25]Whole kidney cancer the treatment is surgical extation first line of treatment.

[00:22:41]Okay.

[00:22:42]>> Less than 4 cm small mass accepted treatment comfort max.

[00:23:11]cancer. Okay.

[00:23:26]First preference definitely surgery [snorts] is the best way to treat patient waiting for heart transplant.

[00:23:36]not fit for anesthesia.

[00:23:40]option we can pass small probes in metal probe pass into the skin or ultround we'll apply energy >> okay >> either kioablation or focal ablation we can destroy the cancer cells okay >> so in effect cancer although it is not disciplined it is also a form of life that is also a way of curing cancer.

[00:24:11]>> Okay, >> but that requires a more stringent followup and we usually keep it for very elderly above 85 or unfit patients or very insistent patients. In general, kidney cancer removing it is the dictim when the cancer is more than 4 cm.

[00:24:30]Yes, but now we are pushing the extremes. We are trying to retain kidney even for a 6 7 cm tumor based on where it is located.

[00:24:52]portions we can do proper good quality CT imaging plan it pre-operatively patient aim you be prepared for all this we will definitely remove only the tumor max okay >> that is definitely beneficial for the patients Yeah, without discussion full removal is the dictapy hormone.

[00:25:34]So hormone therapy we use it for breast cancer in women and for prostate cancer in women. Prostate cancer is a hormone dependent cancer.

[00:25:44]Basically testosterone that cancer grows. So test to cut off the hormone supply was the standard of treatment 20 years back.

[00:25:56]That is very wrong. Now hormone is the vitality of life.

[00:26:02]Women happens much earlier because women hormone gets cut off by age 45. For men it is goes on till 60 65. that that is the main difference.

[00:26:11]>> So when you cut off hormone by doing architecttomy and you give a reason that cancer a treatment it is wrong.

[00:26:18]>> Uh earlier we used to do that now we do that only when the disease is progress to that stage. Now we do that only when it is a stage four disease.

[00:26:28]>> Okay. And simple medications biopsy by prostate biopsy.

[00:27:04]We want to know what type of cancer it is, what grade of cancer it is. Same bladder. We want to know what type of cancer, what grade of cancer first chemotherapy. So universal yes adrenal we don't want to do biopsy. We directly want to go ahead with surgery. So but in general biopsy in many cases yes with a certain percentage of 1 to 4 percentage it should be discussed prior with the patient but prostate cancer it does not spread bladder cancer it does not spread penile cancer it does not spread. So it is not universal truth and sexual connections with different women and lot of women prostate cancer prostate cancer what you're asking is true will lead to penile cancer. Okay.

[00:28:11]>> Uh it they will be exposed to multiple viral infections mainly human papilloma virus and they'll be at a very high risk of first getting sexually transmitted infection sexually transmitted disease and other penile cancers. This is definitely possible. Kidney stones it's a separate topic but still kidney stones almost exactly the same we see inside the kidney. What is different than the chemical composition is more harder minerals all calcium based carbonate stones little more softer they clump together and form a 1 mm bit and then they have a magnetic property chemotaxis they start clumping together and form a 5 6 mm stone. Kidney out of fate is nothing but causing infection, growing in size and stopping the functioning of that kidney.

[00:29:28]But a longstanding stone it doesn't directly lead to cancer that is operation in general that is true.

[00:29:49]Obviously no treatment options just again for example prostate the overall dictim on that is life extending therapy the core principle you try to extend the life of the patient by maintaining quality of life as much as possible patient quality of life effect then we start decreasing the treatment burden >> okay >> that is what we do but in general cancer treat the main purpose is So have a good quantity and quality of life again.

[00:30:33]So particularly getting I would say sugar is the main killer for everything.

[00:30:38]So it affects like smoking at a cellular level.

[00:30:42]>> Uh it damages the cells. uh it makes the blood vessels lose their active elasticity and all tissues become redundant. Sugar killer I would say is one step higher than cancer. Cancer sugar.

[00:31:01]The answer is no. Not even pancreatic cancer.

[00:31:05][snorts] But sugarctal cancer. You put on too much weight and you get cholesterol and you get liver failure and liver cancer. You get renal failure.

[00:31:24]complications overall quality of life there is no benefit to a man or a woman.

[00:31:31]Okay, but not directly related to cancer and prostate cancer.

[00:31:41]Prostate generally grows for men above 55 years in feature night multiple times.

[00:31:54]Okay.

[00:31:55]>> Part of age related prostate growth and if you take a proper screening and evaluation and simple medication they don't get up even once in the night time.

[00:32:05]>> Okay.

[00:32:05]>> That is why we say if you have trouble you consult. Most of the time it is age related and can be easily managed with medication.

[00:32:13]>> Renal cancer, urinary bladder cancer, safer, happier doctor. Lifestyle modifications.

[00:32:21]>> So yes, there is lifestyle modifications to keep you to some extent scientifically proven.

[00:32:29]>> Avoid a lot of red meat. Avoid processed food. Stick on to green healthy vegetable diet daily at least 30 to 40 minutes of walking bare minimum. You don't have to do any dramatic aerobic exercises. At least 30 40 minutes of walking. Keep yourself well hydrated so that the kidney is flushed.

[00:32:46]>> Yeah.

[00:32:47]>> And have a good day sleep. This is what I would say is necessary for keeping any body away from common cancers.

[00:33:10]So [clears throat] it is impossible to tell.

[00:33:20]So water is required for every cell of the body.

[00:33:25]If you dry him up last drop of water he'll be only 40 kg.

[00:33:31]So for a man 60% is water that is there in the skin and the muscle in blood the cerebral spinal fluid and body differentiates. Last priority it gives to sweat and urine. So how much water do you need? It depends on the height, depends on the weight, depends on what job you are doing, which part of the world you're living in.

[00:33:58]And what is your activity that day? Are you doing more strenuous exercises?

[00:34:06]How can we give one justified answer?

[00:34:08]You wash the color of your urine. It should be white or pale yellow.

[00:34:13]>> If you achieve that, then you are well hydrated. Okay. So that is the best indicator to identify how much water is required. It differs from person to personid good for the kidney, for the liver, for the heart. It's good for your entire body. That is a universal statement.

[00:34:45]non-diabetic we have no qualms about it.

[00:34:53]Uh there is only one thing scientifically proven to prevent cancer growth uh which is known as starvation apoptosis the more the chance that cancer cells will die in that starvation period. They are the cells which have maximum hunger.

[00:35:20]It can happen by itself.

[00:35:26]Cancer is energy dependent. Okay.

[00:35:31]So that itself will prevent the growth of that cancer.

[00:35:49]again universal statement in general.

[00:35:58]Try to stick to homecooked food.

[00:36:07]Let it be a biscuit mixture packet pagod that will have some form of preservative to keep it fresh. Try to avoid that.

[00:36:15]Whatever comes from your house kitchen, have it in good quantity.

[00:36:19]>> Okay?

[00:36:19]>> Don't go overboard. Whatever comes in a packet, you can taste until you're 40 and then stop it.

[00:36:25]>> Super doctor. Sooncology related.

[00:36:33]Thank you for your time.

[00:36:35]Thank you. Thank you.