Best Urology Oncologist in Delhi

BEST UROLOGY ONCOLOGIST IN DELHI

Urology Oncologist treat cancers of the kidneys, adrenal glands, ureters, urinary bladder, urethra, and male reproductive systems (testes, epididymis, vas deferens, seminal vesicles, prostate, and penis) are treated by uro-oncologists.

KIDNEY CANCER

What is cancer of the kidney?

When normal cells in the kidney change into abnormal cells and grow out of control, this is called kidney cancer. Each person has two kidneys, one on each side of the middle of the back. The kidneys clean the blood by getting rid of waste and extra salt and water. These are the things that makeup urine.

What do the signs of kidney cancer look like?

Not all smaller kidney tumours cause symptoms. But larger tumours and tumours that have spread outside the kidney can cause signs like:

• Blood in the pee
• Pain in your lower back, side, or stomach on either side
• A bump on your back or in your stomach
• Loss of weight you can’t explain

Cancer is not the only thing that can cause these symptoms. But if you have these signs, a doctor or nurse should check you out.

Does kidney cancer have a test?

Yes. If you have signs of kidney cancer, your doctor or nurse might order a test to check your kidneys. These tests can find tumours or other growths that aren’t normal. They use different methods to make pictures of your kidneys. These methods include:

• MRI (images are made with magnets)
• Ultrasound (images are made with sound waves)

Most people find out they have kidney cancer when they get an imaging test for a sign that has nothing to do with the cancer. For example, if someone has pain in their belly, they might get a CT scan and find out they have a tumour in their kidney.

What is the phase of kidney cancer?

Staging cancer is how doctors find out how far the disease has gone.

How to treat you will depend a lot on how far along your cancer is.

How is cancer of the kidney treated?

People with kidney cancer are often treated with one or both of the following:

• Surgery: When cancer is only in the kidney, it is generally treated with surgery to remove the whole tumour. This can be done by taking out all or part of the kidney that is sick. How much to take out varies on a number of factors, such as how well the other kidney works and how big the tumour is. Even if the cancer has gone to other parts of the body, surgery can sometimes help.

• Medical treatment: Kidney cancer can also be treated with different medicines, especially if it can’t be removed or there are signs that it has spread. These things could be:

Targeted treatment includes medicines that block certain blood vessels or proteins in your body that help the cancer grow.

Immunotherapy is the name doctors give to medicines that stop cancer growth by working with the body’s system for fighting infections (called the “immune system”).

What happens after treatment?

You will be checked every so often to see if the cancer comes back after treatment. Some types of follow-up tests are exams, lab tests, and X-rays.

What will happen if the cancer returns or spreads?

If the cancer comes back or spreads, you might need more surgery or medical care.

PROSTATE CANCER

What is Prostate Cancer?

One of the most common types of cancer that affects men is prostate cancer, which starts in the prostate gland. Most prostate cancers grow slowly, but some of them grow pretty quickly. It is possible that cancer cells could spread from the prostate to other parts of the body, mostly the bones and lymph nodes. As it grows slowly, it may not show any signs for many years, but later it may cause problems, like making it hard to urinate. Most of the time, men over 65 get this kind of cancer.

The prostate is a small gland in a man’s lower belly. It is near the urethra and under the bladder. This gland is controlled by testosterone and makes seminal fluid, which is also called sperm.

If prostate cancer is found early and is still only in the prostate gland, the surgery is more likely to be successful.

BLADDER CANCER

What is cancer of the bladder?

Bladder cancer happens when normal cells in the bladder change into abnormal cells that grow out of control.

What do the signs of bladder cancer look like?

 Bladder cancer causes weak, sometimes-recurring symptoms. Blood in your urine, which makes it look pink or red. Pain on the sides of your back or above your pelvic area. Pain when you urinate, urinate a lot, or leak urine.

There are other things besides bladder cancer that can also cause these symptoms. But you should see a doctor or nurse if you have any of these signs.

Does bladder cancer have a test?

Yes. Different kinds of tests can be used to look for bladder cancer. These things are:

• Urine tests: Urine tests can tell what kind of cells are in the pee.
• X-rays, CT scans, or other imaging tests: These tests make pictures of the kidneys, ureters, and bladder, as well as the rest of the urinary system. They can show tumours or growths that don’t belong.
• Cystoscopy: This is a procedure that lets the doctor look straight inside the bladder. The doctor puts a small tube into the urethral opening, which is where pee leaves the body, to do a cystoscopy. The tube is then pushed up into the bladder. A tiny camera inside the tube shows pictures of the bladder on a screen. If the doctor notices something strange, he or she may take a tissue sample (called a “biopsy”) to look at under a microscope.

How are choices about how to treat bladder cancer made?

Once bladder cancer has been proven, the treatment will depend on the stage and grade of the cancer. The way doctors find out how far a cancer has grown is by “staging” it. Grading is about how the cancer looks when looked at through a microscope. Your age and whether or not you have any other health problems will also affect what treatment is best for you.

Surgery – Surgery is the most common way to treat bladder cancer. Doctors can do one of three things, depending on how big the cancer is and how far it has spread.

• Get rid of the cancer but keep the bladder. Most of the time, this is done with a cystoscope. Most of the time, this process doesn’t change a person’s ability to urinate.
• Have the cancer and part of the bladder taken out. This method is not used very often and depends on how much of the bladder is affected. People can often pee regularly after this procedure.
• Cut out the cancer, the bladder, and any other parts that are close by. People with severe bladder cancer might need to go this route. Since the bladder has been taken out, the surgeon also has to come up with a new way for pee to leave the body (figure 2).

Medical therapy – For people with bladder cancer, medicines are an important part of their care. Depending on how bad the cancer is, doctors use different medicines to treat it.

Radiation therapy: Cancer cells can be killed by radiation. For some people, radiation treatment might be a better choice than surgery. It is usually given at the same time as chemotherapy.

What to expect after treatment?

You will be checked every so often to see if the cancer comes back after treatment. Some types of follow-up tests are X-rays, cystoscopies, and urine tests.

If you have any of the above signs, tell your doctor or nurse. If you have these signs, it could mean that the cancer has come back.

What will happen if the cancer returns or spreads?

 If the cancer comes back or spreads, you might need more surgery, chemotherapy, or radiation.

PENILE CANCER

Penile cancer is a rare type of cancer that can happen on the skin of the penis or inside the penis. Men over the age of 50 are most likely to get it.

CANCER OF THE TESTICS

Testicular cancer is a rare form of cancer that affects the cells (testicles) in men that make hormones and sperm. Surgery, radiation, and medication are all ways to treat cancer.

We treat Urological Cancers

Urologic cancers are treated in different ways now than they were in the past because of improvements in surgery, radiation, targeted therapy, hormonal treatment, chemotherapy, and immunotherapy.

The team’s goal is to provide state-of-the-art disease management by combining study, the latest medical technologies, and therapies that don’t require much surgery.

Cancers of the prostate, adrenal glands, kidneys, upper urinary tracts, urinary bladder, testis, penile, and urethra are handled.

When cancer is in its early stages, different types of surgery are used to treat it. This is often done as part of a multidisciplinary team, with the help of medical oncology and/or radiation oncology.

Urological cancers that have progressed or spread to other parts of the body are treated with a systemic therapy method that includes chemotherapy, hormonal therapy, targeted therapy, and immunotherapy, either alone or in combination.

Uro-oncology surgery and robotics

We often do Robotic/laparoscopic and open partial nephrectomy, Robotic/Laparoscopic/Open radical nephrectomy, Robotic/Open radical nephrectomy with inferior vena cava thrombectomy for advanced kidney cancer, Robotic radical prostatectomy, and Robotic/Open radical cystectomy with intracorporeal/open urinary diversions, among others.

Some people with urologic cancers can get endourological procedures and other less invasive treatments, like active monitoring, when it makes sense.

Our team was one of the first to do complicated surgeries like Robotic radical nephrectomy with IVC thrombectomy and Robotic radical cystectomy with intracorporeal neobladder/ileal conduit formation with the least amount of damage to the body. At the moment, these treatments are only done in a small number of places around the world.

The number of complications is about the same as at the best centres around the world. For all robotic surgeries (except radical cystectomy), the average length of stay after surgery has been less than 48 to 72 hours. This is in line with our motto, “Eager to get you home!” The Center’s clinical work is helped by a team of clinical experts in pathology, imaging, and anaesthesia who are among the best in the world.

Intraop – Dissection of the IVC and the renal veins during a robotic radical nephrectomy with IVC thrombectomy

In order to make a diagnosis, a thorough review is done in a planned way. A patient’s symptoms, medical history (their own and their family’s), a physical check, and screening tests can help figure out what kind of urologic cancer they have. Symptoms of urologic cancer depend on the type of cancer and may include:

• Abdominal pain

• Urine with blood

• Elevated hormone levels

• Prostate grew bigger

Depending on the signs, the doctor may suggest the following tests:

• Biopsy

• Blood tests to check the amounts of hormones

• Bone examination

• A computed tomography (CT) scan

• Digital rectal exam

• Tests for the liver

• MRI scan (magnetic resonance imaging)

• PET CT scan

• Pelvic checkup

• Arterioscopy of the kidney

• Ultrasound

• Urine test

It heals the body, mind, and spirit at its heart, so that patients can get back to doing the things they love.

The health and safety of our patients are our top priorities, and we do everything we can to help them and their families through the treatment process, from the first visit to the hospital to the meeting after surgery.

Stepping up the care for patients

Our team works together on each patient’s case to come up with an exact treatment plan that fits the patient’s physical, mental, and emotional needs the best.

 Patients who have been told they have urological cancer can be sure that they will get the most advanced and best treatment for their disease.