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Urologic Oncology

Providing comprehensive diagnosis and treatment for urological cancers

Urologic Oncology

Providing comprehensive diagnosis and treatment for urological cancers

AOI > Centres of Excellence > Urologic oncology > Overview

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    About AOI

    American Oncology Institute (AOI) is one of the best Uro-oncology or urologic cancer hospitals in India. We have our multidisciplinary team of doctors who are experts in treating many forms of cancer, including advanced-stage and complex cases, using various high-end technologies in not only urologic but complete cancer care.

    With a history of over a decade, American Oncology Institute (AOI) has evolved in relation to the healthcare team, skilled physicians from across different specialities and the modern technologies and is now a leader in cancer care, with a wide network of 16 cancer care centres pan India. Each centre is provided with good management expertise and capital resources to bring patient focused, state-of-the art cancer care to new regions. Such high-string facilities, proficient and skilled urologic oncologists, and advanced technology with our caring healthcare staff, altogether bring us above in the list of the best hospitals for urology cancers in India or the best uro oncology hospitals in India.

    About Uro-oncology

    What are urological cancers?

    Urologic cancers are a group of cancers affecting the organs of the urinary tract in both men and women, as well as the male reproductive system such as the testicles, prostate and penis. Urologic Oncology, is a sub-specialty of oncology which is concerned with diagnosis and treatment of cancers of urologic cancers i.e., cancers affecting the urinary system in both genders, as well as those affecting the male sexual organs. Urologic cancers affect the organs and structures of the male and female urinary system and the male reproductive system. This speciality deals with cancers of the kidneys and bladder, as well as the prostate and testes.

    Urologist is a physician who is specialized in treating the diseases of the urinary tract and the male reproductive organs.

    What are the common cancers involved in urologic oncology?

    The common cancers involved in urologic oncology include:

    • Kidney Cancer: Renal cell carcinoma (RCC), Transitional cell carcinoma (TCC)
    • Ureteric cancer
    • Bladder cancer
    • Prostate cancer
    • Penile cancer
    • Seminal vesicle cancer
    • Testicular cancer

    What are the types of urinary cancers?

    Renal (Kidney) Cancer – The cancer that affects kidney (renal) tissue.

    It is of following types based on the origin of cells affected:

    • Renal cell carcinoma (RCC) — Most common type of kidney cancer, developing within small tubules inside the kidneys and affects mainly adults.
    • Transitional cell carcinoma (TCC) — Affects the renal pelvis cells within the kidney or the transitional cells in the ureters. Comprise around 5-10% of renal cancers.
    • Renal sarcoma — Affects the blood vessels in the kidneys and comprises of ~1% of all renal cancers.
    • Wilms tumor — Occurs in children

    Bladder cancer – Includes tumors involving the urinary bladder lining (i.e., the urothelium). The bladder is a hollow organ that stores urine and is located in the pelvic region in the abdomen. Transitional cell carcinoma is the most common type of bladder cancer.

    Ureteric cancer – Affects the ureters i.e., the small tubules which drain urine from both the kidneys.

    Prostate cancer – Prostate cancer, one of the most common cancers in men, when affects shows symptoms like difficulty and/or pain while urinating, sometimes blood in semen, pain in the lower abdomen area. Through clinical digital examination, screening and blood tests it can be detected and diagnosed. Treatment options for early stages are observation, surgery, chemotherapy and/or radiation.

    Testicular cancer – This tumor/cancer affects the testicles in males. It comprises of around 1% of all cancers in men.

    Penile cancer – It affects the penis — the male reproductive organ, which is also a part of the urinary system.

    Urethral cancer – Cancer affecting the urethra which is a tube carrying urine from the bladder to the outside of the body. In men, the urethra is through penis which is a common tube for the passage of urine as well as semen. This cancer is not very common, and occurs more often in men than in women.

    What are the symptoms of urologic cancers?

    The symptoms of urologic cancers depend on the type and location of the tumor. The commonly manifested symptoms of different urologic cancers are:

    • Bladder, kidney and prostate cancer symptoms or symptoms of prostate cancer (common ones) – Blood in the urine (haematuria), pain and/or burning sensation during urination, lower back pain, urge to urinate frequently, especially during night.
    • In case of kidney (renal) cancer, fever, anemia, loss of appetite, long-term tiredness, sudden and unintentional weight loss, pain in the side of abdomen also occur.
    • Prostate cancer affects the flow of urine with difficulty in starting or stopping urination and erection.
    • Testicular cancer may also show testicular swelling, scrotal pain and/or groin, back or lower side of abdomen, lump/mass or any non-healing ulcer in the loin area, lower abdomen or testicles, changes in size or texture of testicles, fluid build-up.
    • Penile cancer may show symptoms like – pain, blood or discharge with/without odor from tip, sores, irregular swelling, thickened skin, skin bumps under the foreskin.
    • Urethral cancer – urethral discharge or bleeding, urinary incontinence type symptoms, lump or mass in the groin region.

    What are the risk factors of urologic cancers?

    There are no exact causes known but avoidance of few common risk factors is considered to have preventive action against the urologic cancers. The risk factors vary with the type of urologic cancer, the common risk factors for respective urologic cancers include:

    • Bladder cancer – Smoking is the commonest risk factor associated with bladder cancers’ occurrence. Other factors are such as age>40 years, male gender, bacterial infections and occupational exposure to chemicals.
    • Kidney cancer – Smoking, hypertension, long-term dialysis and metal (iron, steel) exposure.
    • Prostate cancer – Age, genetics/family history
    • Testicular cancer – Genetic factors/family history, birth defects or structural/function abnormalities in testes, undescended testicles.
    • Penile cancer – Age> 50 years, bad personal hygiene, HPV and/or HIV infection.
    • Urethral cancer – Age > 60 years, female gender, any history of sexually transmitted diseases, frequent UTIs.

    How are urologic cancers diagnosed?

    Sometimes symptoms of urologic cancers are not noticed and may be later diagnosed during routine testing. This is where the role of timely diagnosis plays a vital role in cancer treatment outcome.

    At American Oncology Institute (AOI), we always follow US standard screening, diagnostic as well as treatment protocols and include a detailed description of symptoms, medical history, physical and clinical examination followed by proper screening and diagnostic testing with advanced techniques.

    Urological cancers are diagnosed with by clinical examination followed by the specific blood tests which check for certain hormone levels, biopsy whenever required, pelvic exam, renal arteriography, urine test, imaging tests like ultrasound, CT scan, MRI scan, etc. The diagnostic imaging tests for urological cancers may usually include:

    • CT scan — CT scan provides a 360° view of the body and creates result images in three-dimensional view for better visualisation and diagnosis.
    • MRI scan — MRI machine uses radio waves and magnetic energy aided by computer enhancement to provide cross-sectional pictures.
    • X-ray — Uses electromagnetic radiation.

    At AOI, for example, in cases of suspected localized and locally advanced prostate cancer, we usually advise advanced MRI imaging followed by image-guided biopsy for an accurate diagnosis and better treatment outcome. Our experts assess the clinical condition based on several factors further go with robotic surgery or watchful waiting with intermittent imaging.

    How Urological Oncology can help in the treatment of Urological Cancers?

    Treatment for most of the cancers involves not only medicinal treatment but also surgical and radiation approach as well for a better clinical outcome and patient’s longevity. Treatment options for urologic cancer usually includes surgery, chemotherapy, radiation therapy as a combination of two/more of these modalities.

    Despite the advances in medical and radiation oncology, surgery is one of the preferred modalities with the potential to cure most solid cancers. Surgeons have a pivotal role in cancer treatments and research, leading the diagnostic and treatment pathways for most cancers from counselling patients about their diagnosis through to surgery and aftercare. They have also led many of the great advances in cancer research.

    We, at AOI, follow and offer our patients the premium and unique cancer treatment based on US standard and protocols along with the advanced technologies. Most of the cases, urological cancers require surgical intervention and thus surgery may be the primary treatment. Our Urologic oncology or uro-oncology department at AOI, offers patients with high-string and modern surgical treatment options for urologic cancers.

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