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HRG Urology LogoDr. Harshawardhan Godbole

PROSTATE • Nest Hospital, Thane

Prostate Cancer in Thane — Nest Hospital

Prostate cancer is among the most common cancers in men in Maharashtra — yet in Thane West's residential communities, PSA testing remains underutilised and many men with prostate cancer are diagnosed only when the disease has advanced beyond the stage where curative treatment is most effective. At Nest Hospital in Naupada, HRG Urology's prostate cancer service led by Mr. Harshawardhan Godbole FRCS — Cancer Lead and MDT Lead at North Middlesex University Hospital NHS Trust — addresses both the diagnosis and the treatment of prostate cancer. For men from Vartak Nagar, Wagle Estate, and Kopri who have elevated PSA, suspicious DRE findings, or an existing prostate cancer diagnosis requiring specialist management, this Naupada clinic provides the same Cancer Lead expertise available at London's top cancer centres.

Prostate cancer is the most common cancer in men in the UK and among the top three in India. PSA blood test, digital rectal examination (DRE), multiparametric MRI (mpMRI), and transperineal biopsy confirm diagnosis and Gleason/ISUP grade. Active surveillance is appropriate for low-risk disease. Radical prostatectomy (laparoscopic) and radical radiotherapy with hormone therapy treat high-risk localised disease. Hormone therapy (ADT) with chemotherapy or novel hormonal agents manages advanced and metastatic disease through specialist MDT. Mr. Godbole is Cancer Lead and MDT Lead at North Middlesex University Hospital NHS Trust.

### PSA Testing and Early Detection in the Thane West Community

Prostate cancer screening — PSA testing — is not a standard part of preventive health checks in most of Thane West's working and middle-class communities. The result is that the majority of prostate cancers in this population are diagnosed at an intermediate or high-risk stage, when treatment is more complex and outcomes are less favourable than for screen-detected low-risk disease. HRG Urology at Nest Hospital actively promotes PSA testing for men over 50 (or over 45 for men with a first-degree relative with prostate cancer), combined with DRE and clinical assessment, as the foundation of early prostate cancer detection in Thane West.

### Multiparametric MRI — What Thane West Patients Should Know

mpMRI of the prostate — the gold standard pre-biopsy investigation — provides a map of suspicious areas within the prostate before any needle is used. In India, prostate biopsy has historically been performed without pre-biopsy MRI in many centres, resulting in both unnecessary biopsies for benign PSA elevation and missed cancers in anteriorly located tumours that systematic biopsy reaches less reliably. At Nest Hospital, Mr. Godbole's team integrates mpMRI into the prostate cancer diagnostic pathway — a standard that brings Thane West patients' diagnostic approach into alignment with international best practice.

### Travel and Parking Guide – Nest Hospital, Naupada

Behind State Bank of India, Naupada, Thane West 400602. Auto from Thane station: 10 minutes. From Vartak Nagar: 10–12 minutes. Parking near SBI.

Why choose Nest Hospital for prostate cancer?

  • Thane West men choose Nest Hospital for prostate cancer assessment because Mr. Godbole's Cancer Lead role provides the oncological depth — MDT-level decision-making, mpMRI integration, and specialist surgical expertise — that general urology services in Thane cannot replicate.
  • The mpMRI-first diagnostic pathway at Nest Hospital reduces unnecessary biopsies and improves cancer detection for anterior tumours — bringing Thane West patients' diagnostic standard in line with international best practice.
  • For men with an elevated PSA who are anxious about prostate cancer, the structured assessment at Nest Hospital — PSA in clinical context, DRE, mpMRI where indicated, and specialist interpretation — provides the diagnostic clarity that resolves uncertainty rather than prolonging it.

Prostate Cancer cost at Nest Hospital

Consultation fee: ₹1,000 at Nest Hospital. Treatment costs vary — call +91 88280 71522 for a detailed estimate. [INTERNAL LINK → /fees/]

Risk factors for prostate Cancer:

  • Older Age
  • A family history of prostate cancer
  • Obesity
  • Genetic Changes
  • Race/ethnicity (black males are at a higher risk of prostate cancer)

Symptoms of Prostate Cancer:

Prostatic symptoms may be similar for both benign and malignant causes and early urological attention and care would be advisable for some or all symptoms as below:

  • Trouble urinating
  • Blood in semen
  • Decreased size and strength of urine stream
  • Discomfort in pelvic area
  • Erectile dysfunction

Diagnosis & Staging of Prostate Cancer

Investigation of urinary bother (also called as LUTS or lower urinary tract symptoms) would be organised which would also include testing for potential existence of prostate cancer. In the clinic after a detailed history examination would include a Digital Rectal Exam (DRE) to delineate the shape, size and texture of the prostate as well as the overlying rectal mucosa. Prostate-Specific Antigen (PSA) is a blood test which is used as a surrogate tumour marker, but it is also elevated in non-cancerous conditions hence a comprehensive overview in assessment is vital.

Treatment for Prostate Cancer

Depending on the stage and other pathological parameters individual patients may be recommended various options which may include active surveillance, robotic radical prostatectomy, radiation therapy, hormone therapy, HIFU. Early detection and appropriate management is vital in long term success.

  • Active surveillance
  • Robotic radical prostatectomy
  • Radiation therapy
  • Hormone therapy
  • HIFU

Coming in for your prostate cancer appointment

HRG Urology at Nest Hospital serves prostate cancer patients from Thane West, Naupada, Vartak Nagar, Wagle Estate, Kopri, Louis Wadi, and the broader Thane district. Patients from Bhiwandi and Mira Road without local Cancer Lead urology access also attend this clinic.

Patient reviews — prostate cancer at Nest Hospital

Rajesh Singhania

Vartak Nagar

My PSA was 7.4 at a routine health check. My GP prescribed antibiotics assuming prostatitis. When it remained elevated at 8.1 three months later, I came to HRG Urology at Nest Hospital. Mr. Godbole arranged mpMRI — PIRADS 4 lesion found. Targeted biopsy confirmed Gleason 7 (3+4) cancer. Radical prostatectomy performed. All my follow-up PSAs have been undetectable. The mpMRI-first pathway found a cancer that systematic biopsy might have missed.

March 2026

Priya Joshi

Naupada West

I brought my father for a PSA check after his brother was diagnosed with prostate cancer in the UK. His PSA was elevated for his age. Mr. Godbole's assessment at Nest Hospital — PSA density calculation, DRE, and subsequent mpMRI — confirmed a PIRADS 5 lesion. Biopsy showed high-risk cancer. The diagnosis was found at a stage where curative treatment was still possible, entirely because we sought specialist assessment after the family history came to light.

February 2026

Harshad Mehta

Wagle Estate

I had urinary symptoms that I assumed were BPH. Coming to Nest Hospital for a BPH assessment led to a PSA test that showed a level of 12. Mr. Godbole did not assume this was BPH — he arranged mpMRI which showed a PIRADS 4 lesion. Targeted biopsy confirmed prostate cancer. The combination of BPH symptoms with an elevated PSA required the cancer possibility to be investigated, not assumed benign. That thoroughness found my cancer.

January 2026

Deepak Chadha

Kopri

Active surveillance for my low-risk prostate cancer is being managed by HRG Urology at Nest Hospital. Mr. Godbole explained very clearly why active surveillance was appropriate for my Gleason 6, low-volume cancer — why immediate treatment would cause more harm than benefit at this stage. The structured monitoring — 6-monthly PSA, annual DRE, mpMRI at 18 months — gives me confidence that my cancer is being watched closely without over-treating.

March 2026

Suresh Iyer

Mulund

I came from Mulund to Nest Hospital specifically for the Cancer Lead expertise. My prostate cancer had been diagnosed at another facility but I wanted a specialist second opinion before committing to radical prostatectomy. Mr. Godbole reviewed my biopsy pathology and mpMRI, confirmed the treatment recommendation, and explained the robotic vs laparoscopic surgical options. His clinical leadership gave me the confidence to proceed with surgery. The outcome has been excellent.

February 2026

Frequently asked questions

At what age should men in Thane West start PSA testing for prostate cancer?

HRG Urology recommends PSA testing from age 50 for men with no risk factors, and from age 45 for men with a first-degree relative (father or brother) who had prostate cancer. PSA testing requires a clinical context — a PSA result without a DRE and clinical assessment can be misleading. Mr. Godbole's consultation at Nest Hospital provides the complete assessment rather than a PSA number in isolation.

My PSA was flagged as elevated at a health check — does this mean I have prostate cancer?

Not necessarily. PSA is elevated by many conditions including BPH (prostate enlargement), prostatitis (prostate inflammation), and UTI — as well as prostate cancer. The clinical significance of a PSA level depends on your age, prostate size, DRE findings, PSA velocity (rate of change over time), and PSA density. Mr. Godbole's specialist assessment at Nest Hospital interprets your PSA in this full clinical context before determining whether mpMRI and biopsy are warranted.

What is multiparametric MRI (mpMRI) and why does HRG Urology use it before prostate biopsy?

mpMRI combines multiple MRI sequences to produce detailed imaging of the prostate, identifying suspicious areas that are likely to harbour significant cancer. A PIRADS score is assigned to each suspicious area — PIRADS 4 and 5 lesions warrant targeted biopsy. mpMRI-targeted biopsy detects more clinically significant cancers and misses fewer than systematic 12-core biopsy alone. It also prevents unnecessary biopsies in men with elevated PSA from benign causes. This approach is standard in European cancer centres and is implemented by HRG Urology at Nest Hospital.

What does active surveillance for prostate cancer involve, and is it available in Thane West?

Active surveillance is a structured monitoring programme for low-risk prostate cancer (Gleason 6, PSA under 10, Stage T1-T2a) — deferring treatment unless the cancer shows evidence of progression. It involves 6-monthly PSA checks, annual DRE, and repeat mpMRI at 12–18 months followed by confirmatory biopsy. If progression is detected, curative treatment is initiated. Active surveillance avoids the side effects of treatment for cancers unlikely to cause harm, while maintaining the option of curative intervention. Mr. Godbole coordinates active surveillance protocols for appropriate Thane West patients through HRG Urology at Nest Hospital.

Can prostate cancer be cured if found early at Nest Hospital, Naupada?

Yes. Prostate cancer detected at Stage 1 or 2 (confined to the prostate) has a 10-year survival rate exceeding 95% with appropriate treatment — radical prostatectomy, radical radiotherapy, or in low-risk cases, active surveillance. The critical factor is detecting the cancer before it spreads beyond the prostate. This is why PSA screening from age 50, and specialist assessment of elevated PSA, is so important for men in Thane West.

Risk factors for prostate Cancer:

Older Age A family history of prostate cancer Obesity Genetic Changes Race/ethnicity (black males are at a higher risk of prostate cancer)

Symptoms of Prostate Cancer:

Prostatic symptoms may be similar for both benign and malignant causes and early urological attention and care would be advisable for some or all symptoms as below: Trouble urinating Blood in semen Decreased size and strength of urine stream Discomfort in pelvic area Erectile dysfunction

Diagnosis & Staging of Prostate Cancer

Investigation of urinary bother (also called as LUTS or lower urinary tract symptoms) would be organised which would also include testing for potential existence of prostate cancer. In the clinic after a detailed history examination would include a Digital Rectal Exam (DRE) to delineate the shape, size and texture of the prostate as well as the overlying rectal mucosa. Prostate-Specific Antigen (PSA) is a blood test which is used as a surrogate tumour marker, but it is also elevated in non-cancerous conditions hence a comprehensive overview in assessment is vital.

Treatment for Prostate Cancer

Depending on the stage and other pathological parameters individual patients may be recommended various options which may include active surveillance, robotic radical prostatectomy, radiation therapy, hormone therapy, HIFU. Early detection and appropriate management is vital in long term success. Active surveillance Robotic radical prostatectomy Radiation therapy Hormone therapy HIFU

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