Oncology

Urologic Cancers

provider-img1

Learn the signs.

Urologic, or urological, cancer includes cancers of the bladder (including the urethra), kidneys, ureters, adrenal glands, prostate, testicles, and penis. Prostate Cancer is the second leading cause of cancer death in American men. Bladder cancer is the 5th most common cancer overall.

CareMount Medical specializes in the medical and surgical care of all urologic cancers. A number of CareMount urologists are among the most experienced in the region in performing  Advanced Robotic Surgery to treat these cancers.

Diagnosing Urologic Cancers

Screening tests are not available for all urologic cancer types. Your risk of cancer depends on many variables, including family history, lifestyle behavior (e.g. smoking), and general health. CareMount Medical offers comprehensive cancer risk assessments and hereditary cancer genetics evaluation programs to help you identify your risk.

The diagnostic tests recommended at CareMount Medical will depend on your specific symptoms and may include:

  • Blood tests to evaluate hormone levels, kidney function and special tumor markers (such as PSA, AFP, HCG)
  • Bone scan
  • CT scan (computed tomography)
  • Physical exam – Digital rectal exam
  • Liver function test
  • MRI scan (magnetic resonance imaging)
  • PET-CT
  • Pelvic exam
  • Renal arteriography
  • Ultrasound
  • Urine test
  • Biopsy

Early Detection

The key to curing prostate cancer is early diagnosis. Due to improved early detection (by use of the prostate specific antigen (PSA) blood test and digital rectal exam), many men with prostate cancer are being diagnosed early, when the cancer is still contained, known as localized prostate cancer. Consequently, prostate cancer can often be cured with either surgery or radiation. Urine testing may reveal microscopic amounts of blood in the urine, which may lead to the detection of bladder cancer.  Both men and women are encouraged to get annual check-ups, especially if there is a close family member diagnosed or treated with any urologic condition.

Male Specific

Prostate cancer

One of the most common types of cancer in men, and it is usually quite treatable. It is found in the prostate gland, which is a walnut-shaped gland that produces prostate fluid (a part of semen).

Symptoms: Trouble with urination;  weak urine stream or interruption of stream;  pelvic discomfort; bone pain; erectile dysfunction (ED); blood in the urine or in the semen and painful urination or ejaculation.

Testicular cancer

Develops in one or both testicles. Most often, it is confined to one testicle. This type of cancer is more common in younger men, but it can occur at any age. Testicular cancer is a highly treatable.

Symptoms: A lump in the testicle; enlarged testicle/s; heavy feeling in the scrotum; pain in a testicle or in the scrotum;  an achy feeling in the groin or lower abdomen.

Penile cancer

When penile is found early, it is usually curable. Penile cancer is found on the skin or within the tissues of the penis. Most penile cancers are squamous cell cancers that are found on the foreskin or the glans (head) of the penis.

Symptoms: Change in the skin on the penis, such as color, thickness, a sore or lump;  new tissue build up; rash or flat growths that can be reddish, velvety, crusty or blueish-brown; discharge or drainage from the penis that may be accompanied by a foul smell; swelling near the tip of the penis; swollen lymph nodes in the groin

Urologic cancers that occur in either gender

Bladder cancer

Often occurs in older adults, but anyone can get bladder cancer. The most common place for bladder cancer to develop is in the cells that line the bladder. Fortunately, most bladder cancer is found early because it tends to cause blood in the urine. When it is found early, it is highly treatable.

Symptoms: Pain or burning during urination; urinating more often than usual;  strong urge to urinate even when your bladder isn’t full; inability to urinate; lower back pain, especially on one side; loss of appetite, weight loss;  swelling in the feet (edema) and bone pain

Kidney cancer

Can often be detected early, as it tends to cause blood in the urine (known as hematuria). Renal cell carcinoma is the most common type of kidney cancer in adults.

Symptoms: Blood in the urine (discolored urine that is pink, red or brownish may be a sign of blood); continuous back pain just below the ribs; fatigue; weight loss; fever (which may come and go).

Adrenal cancer

Adrenal cancer is cancer of the adrenal glands. The adrenal glands rest on top of the kidneys. There is one adrenal gland on each kidney.

Symptoms: Weight gain; muscle weakness; trouble sleeping; a deep voice and increased hair growth, usually on the face (in women); adrenal cancer can also cause other symptoms that have nothing to do with abnormally high levels of hormones. These may include: pain in the belly, or on the side or lower back; weight loss or loss of appetite.

Urological Cancer Treatments

There are many treatment options available for urological cancers, including chemotherapy, surgery, immunotherapy, and radiation therapy.  Some treatments are specific to the type of cancer, like prostatectomy, or hormone therapy for prostate cancer and segmental cystectomy for bladder cancer. Surgery is often the primary treatment for urologic cancers.

The urologic oncology team at CareMount Medical is a nationally recognized leader in the surgical and medical management of urologic cancers. Our experienced specialists use state-of-the-art technology for faster recovery, less scaring, less pain, and rapid return to normal activities. Our board-certified physicians were among the first to utilize the da Vinci™ Robotics Surgery System and have trained many other physicians in Westchester and Putnam Counties.

All of the following are taken in consideration for treatment:

  • Type of cancer
  • Stage of cancer (how far the cancer has spread) and grade (degree of aggressiveness)
  • Your age
  • Your overall health
  • Your personal preferences

Prevention

CareMount Medical follows the American Cancer Society and the National Cancer Committee Network (NCCN)’s guidelines and offers information and screening for all urologic cancer types. If you are concerned about your cancer risk, contact your primary care physician who can make recommendations for your specific concerns.

Schedule a Consultation

To schedule an appointment or to obtain a second opinion on your diagnosis, please call the CareMount Medical Cancer Center Referral Line at 1-844-484-3292.

Urologic Cancer Providers