ARAB TIMES, MONDAY, FEBRUARY 11, 2013 28 Annual screening for men at age of 50 recommended Prostate carcinoma 2nd most prevalent cancer in men By Valiya S. Sajjad Arab Times Staff KUWAIT CITY, Feb 10: Prostate carcinoma is the second most prevalent cancer in men worldwide, usually affecting men above 50 years. Dr. Ehab Elmallah, Consultant and Head of Urology and Andrology Department, Taiba Hospital, Kuwait, was talking to the Arab Times in a recent interview on prostate related diseases. Before dwelling on the disease aspects, Dr Ehab explained that prostate is a glandular organ in men located below the urinary bladder and surrounding the bladder neck. The posterior urethra and two ejaculatory ducts pass through it. The prostate secretes many of the enzymes and nutrients of the seminal fluid and shares by 30% of the semen. Many disorders might affect the prostate including prostatitis, benign enlargement and cancer. On the subject of prostate cancer, Dr Ehab said the American and European Urologic Associations recommend annual screening of prostate cancer for all men from the age of 50. For men with a positive family history of prostate cancer annual evaluation should begin from 40 onwards. Detection Screening of prostate cancer is the cornerstone of early detection of the prostate cancer. Annual Screening includes digital rectal examination and total and free prostate specific antigen (PSA). Any suspicion rising after a digital examination of the prostate or elevation in PSA might need transrectal ultrasound (TRUS) with anatomically oriented prostatic core biopsies and histopathology, Dr Ehab noted. Many investigations are required for the accurate staging of the tumor such as Pelvic MRI, Bone isotope scan, Ultrasound or CT of the Abdomen and Chest CT scan. Prostate cancer is classified according to many parameters to locally confined or metastatic tumor. Treatment of prostate cancer depends on many factors and ranges from watchful waiting, radical prostatectomy, radiation therapy, hormonal ablation therapy and many recently introduced therapies. Treatment and cure depends on detection of the locally confined prostate cancer in early stages and grade. Another common prostate-related disease is Prostatitis, which is an inflammatory process that affects men of all ages, but more commonly seen in young men. Prostatitis can be acute or chronic, chronic prostatitis being either bacterial or non bacterial. Acute prostatitis might be presented by severe burning micturition, increased urine frequency, pain in the tip of the genital, perineal pain, suprapubic pain and urethral pain. Fever and difficult voiding is usually associated with the ill- watchful waiting up to open prostatectomy. ness, while urinary retention is the worst complication of acute prostatitis. Management of acute prostatitis should start once it is clinically established and in certain situations patient might need hospitalization with intravenous antibiotics and good analgesics with antipyretics. Chronic bacterial prostatitis is a disease that might be hidden for months or years and could present with mild or moderate pain of the tip of the genital, urethra, perineum, suprapubic area, testes and low back. Complications Treatment It could also have symptoms like frequent voiding, urine or sex related abnormalities. Prostatic or seminal fluid should be investigated to isolate possible organism. Treatment includes proper antibiotic according to the culture and sensitivity test for a proper time which should not be less than 28 days; some patients need analgesics and or anticholinergic drugs. Benign Prostate Hypertrophy (BPH) affects men above 50 years but could not be symptomatic. BPH is a benign condition and is related to age and there is no other definite cause. Patient may complain of nocturia (waking from sleep to void), increased urine frequency during day time, hesitancy, weak urine stream and force, interruption, dribbling of the urine, incomplete emptying of the bladder, urgency, urge incontinence or retention of urine. Dr Ehab Elmallah XPS Green Laser Some patients with neglected BPH might develop repeated urinary tract infection, hematuria, stone bladder, retention of urine or impairment of the kidney function. Any patient suffering from BPH should be evaluated through detailed history, international prostate symptoms score and quality of life score, general examination, focal neurologic examination of the saddle shape area and digital rectal examination. Investigations which should be done include urinalysis, total and free prostate specific antigen (PSA). Other investigations that include fasting blood sugar, kidney function tests, urine culture and sensitivity, Uroflowmetry (computerized assessment of the urine stream and strength) and abdominal and pelvic ultrasound with measurement of the post void urine residue are helpful to categorize the severity of the condition. Treatment modalities are many and depend on the degree of obstruction and ranges from Talking of the treatment methodologies, Dr Ehab spoke about the Green Laser Vaporization of the prostate which has been in use for some time. It is a less invasive treatment procedure with no serious complications. Advances in the technology of the Green LASER is regularly introduced for better results and is equal to the open prostatectomy and TURP; however of minimal side effects. The most recent advances are increased power of the LASER beam to reach 180 Watt which gives the maximum vaporization effect of the prostate adenoma in conjunction with the best coagulation results with minimal bleeding and no TUR-syndrome. XPS Green LASER is the most advanced machine in the world manufactured by AMS-USA and introduced in the American hospitals in 2010. Dr Ehab said that this technology is now available in Taiba Hospital. Also, this treatment entails short hospital stay, minimal or nil side effects, rapid convalescence and no serious complications. Due to its high safety it is the only definitive treatment option for high risk patients with cardiac, hypertensive, diabetic and geriatric problems and who are receiving anticoagulants. IDF IDF members and guests during health guide launch. Childhood obesity on the rise GIS IDF issues health guide ‘Globesity’ By Valiya S. Sajjad Arab Times Staff KUWAIT CITY, Feb 10: The Indian Doctors Forum (IDF) distributed the recently released Health Guide, Volume 9, at a special ceremony held at Kuwait Medical Association, Jabriya, Friday, in the presence of Vidhu Nair, Charge D’Affairs, Embassy of India. Leaders of around 50 Indian organizations registered with the Indian Embassy also took part in the event and received copies of the Health Guide, creatively titled “Globesity.” Vidhu Nair praised the activities of IDF carried out either towards its members or the community at large. He said that he was fascinated to see so much of talent displayed by the Indian Doctors Forum in carrying out any activity they undertake, be it cultural or quiz or community service. He further endorsed IDF as one of the leading associations in Kuwait which has set an example for other like minded associations to follow. Lifestyle Gulf Indian School organized a workshop for all its Pre-Primary and Primary teachers on Sunday, Jan 27, 2013 from 9:00 am to 4:00 pm in the school auditorium. The main resource person for the workshop was the renowned educationist Mrs Manjushree Patil. She was assisted by Mrs Shilpa Vaidya, a spe99616965, 65095345. http://goablog100.blogspot.com/2013/02/ moje-dhuvenchem-kazar.html click Latest Continued from Page 27 known actor and writer, Sylvester Vaz – Hitman of Konkani stage, besides a few prominent well established actors and singers from the tiatrist fraternity in Kuwait. The proceeds of this drama will be sent to Old Goa Retreat Centre. Please make note in your diary to attend this must-to-see by all parents and children, and support this noble cause. Await for more details how to obtain your entry passes or email: [email protected] Tel: +965 66698257, April 12 Konkani drama: Comedian Agostinho will present in Kuwait his new Konkani drama ‘Corruption Kabar?’ on Friday, April 12, 2013 at 4:30 pm at the Kuwait Medical Association Hall, Jabriya. The star cast includes veteran Sabina Fernandes, Jessica Gomes, comedian Janet, Jr Nelson, Salu de Loutolim, Jaju Fernandes, Filipe Almeida, Sylvester Vaz, comedian Selvy Correia, comedian Agostinho Temudo and above all the singing sensation Seby de Divar. For more details, contact tel 99923176, 99540232 or e-mail [email protected] cialist in Pre-Primary education. The focus of the workshop was on sensitizing teachers towards the needs of individual children and helping them maintain a happy and healthy classroom atmosphere. The session succeeded in empowering the teachers through sound and thorough theoretical and practical inputs. Sports Football Coaching Course: The next P.G.A. Everton Football Coaching Course at the new location by Abdullah Al-Rujaib High School, Bayan Block 7, Masjed Al-Aqsa Street. Courses are available for boys and girls aged from 3 to 18 years. For further details see http://www.pga-kuwait.com.kw/ or contact academy Director Mike on 99981327 or Executive Director Baker on 66918666. ❑ ❑ ❑ KLL registration: Kuwait Little League (KLL) has kicked off registration for the 2012-2013 baseball and softball season. The various divisions and corresponding age groups are as follows: Tee Ball: Boys and Girls — 5 to 7 years old; Minors: Boys and Girls — 8 to 10 years old; Majors: Boys and Girls — 11 to 12 years old; Juniors: Boys and Girls — 13 to 14 years old; Seniors: Boys and Girls —15 to 18 years old; Softball: Girls only — 11 to 18 years old. Challenger* – Boys and Girls — 7 to 12 years old (for children with special needs). Persons who deem themselves eligible as volunteer baseball coaches, umpires or team parents are also welcome to register. For registration and more information please visit www.Q8LL.ORG. ❑ ❑ ❑ Kwt-Brits football supporters: A new football supporters website for British expats living and working in Prof P.S.N. Menon introduced the Health Guide touching on the seriousness of obesity and the various avoidable damage that it does. He also stressed on the rising incidence of Childhood Obesity that is being seen at an alarming rate not only in Kuwait but also in India and many other parts of the world. He emphasized that healthy lifestyle and eating habits are the two strong pillars that could prevent obesity in most of the cases. Kuwait has been set up by an Everton supporter, Trevor Powell. The Kuwait Brits Football Supporters Association (KBFSA) site aims to provide contact information for supporters of each others’ whereabouts and also in the future hopes to organise social events such as quizzes and even five-a-side matches on a home international teams basis. We need expats to register their support and hence we can then start to cast around for a suitable meeting venue. The site can be accessed at www.kbfsa.co.uk. ❑ ❑ ❑ IBL commences registration: Dr Jaganath R.C., General Secretary of IDF, gave the welcome address. In the Presidential Address given by Dr Amir Ahmed, the activities of IDF were detailed. He referred to the recent recognition that IDF received in the form of the Pravasi Bharatiya Samman Award, which is the highest order to be given by the Government of India to any NRI Association. Dr Amir further stated the award was meant for all the members of IDF and thanked all the Indian Associations for their cooperation in making IDF’s social activities a success, especially the Health Screening Camps, which are very popular in Kuwait. In the interactive session that followed, representatives of various associations were given an opportunity to provide suggestions or ask questions related to any community service activity carried out by IDF. SiddiqueValiykad, Former President of Federation of Indian Muslim Associations, Muriel Alphonso, President of Indian Women’s Association, Dinesh Kamtekar from Maharashtra Mandal and other leaders from different associations hailed the services of IDF, alongside voicing their opinions, comments and suggestions on the health camps. In the vote of thanks delivered by Dr Vinod Grover, IDF’s Vice President, he expressed gratitude to the Indian Embassy and all the Indian associations for their support. The health guide can be accessed on IDF website — www.indiandoctorsforum.org Indian Bowling League (IBL) – Kuwait. Team registration begins for season 2. Kindly email [email protected] for registration forms or contact 99503348 after 6 pm only. ❑ ❑ ❑ Kuwait Cricket for schools: Kuwait Cricket, the apex body of cricket in Kuwait would like to invite school cricket teams to participate in their tournaments which are planned to be held at the turf ground at Sulaibiya. Kuwait Cricket intends to conduct two cricket tournaments for U-15 and U-18 school children Continued on Page 31