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URO-ONCOLOGY

Urological oncology is concerned with the diagnosis, staging, and treatment of urological cancers that affect the urinary bladder, kidney, ureters, prostate, penis, and testicles.

At Abdali Hospital, we have a multidisciplinary team, led by urological oncology surgeons, who are qualified and trained specifically on urology cancer treatment. They work alongside specialist radiologists, pathologists, oncologists and specialist nurses, to ensure that each patient has the most effective and compassionate treatment.

 

Diagnosis

The most common tests for diagnosis are:

  • Urine test to assess the presence of cancer cells.
  • Imaging tests, using an MRI or CT-scan to see the urinary and reproductive organs clearly to try and detect the presence of cancer.
  • Cystoscopy where a cystoscope (tube) with a lens is inserted into the urethra to look for signs of cancer inside the bladder.
  • Biopsy is where a sample of tissues from the affected organs is taken to be analyzed by pathologists. The sample is sent to the lab for testing to check for the presence of cancer
  • A digital rectal exam to check the prostate for any lumps or abnormalities to detect prostate cancer
  • Bone scan may be needed to determine the extent of cancer and to determine its stage
  • Blood tests are carried out to determine tumor markers

 

Treatment for each type of cancer

At Abdali Hospital uro-oncology unit, we can treat:

 

Kidney cancer

Kidney cancer may show symptoms like pain in the side or back, weight loss, fatigue, blood in urine, or fever. Treatment for kidney cancer is surgery where a part of the kidney (partial nephrectomy) or an entire kidney (radical nephrectomy) is removed. These may be done through open surgery or laparoscopy, including single port radical nephrectomy. The latter allows to intervene with only one small cut through which they insert the instruments needed. Our team has excellent experience and outcomes preserving the kidney.

 

Bladder cancer

Bladder cancer can be treated by surgery, called Cystectomy, to remove cancerous cells. This can be a partial cystectomy where a part of the bladder is removed, or a radical cystectomy where the entire bladder is removed. It can be done either through an incision on the abdomen or through laparoscopic surgery. When the entire bladder is removed, a reconstructive surgery, called neobladder reconstruction or orthotopic neobladder reconstruction carried out to create a channel. Our surgeons are very experienced in this advanced onco-surgery and obtain great outcomes.

 

Prostate cancer

Prostate cancer is one of the most common cancers in men. Some of the symptoms of prostate cancer are trouble while urinating, blood in semen, discomfort in the pelvic region, and pain in the bone. Options for treatment include: Proctectomy (removal of the prostate surgically), radiation therapy, chemotherapy, and immunotherapy.

 

Testicular cancer

Cancer in the testes is a common cancer in young males (usually under the age of 40) and can usually be treated easily. A lump in the testicle, dull ache in the groin, back pain, fluid accumulation in the scrotum, and pain in the testicle are common symptoms of this cancer. The surgical procedure to treat testicular cancer may involve radical inguinal orchiectomy, where the entire testicle may be removed. Retroperitoneal lymph node dissection where the nearby lymph nodes are removed if cancer has spread to the lymph nodes may be needed. Radiotherapy and chemotherapy are other treatments.

Complementary therapies to onco-urology cases may involve chemotherapy, radiotherapy or immunotherapy, all available at Abdali Hospital with Radiotherapy arrangeable through our partners.

 

Kidney Cysts

Kidney cysts are round pouches of fluid that form on or in the kidneys. Kidney cysts can occur with disorders that may impair kidney function. But more often, kidney cysts are a type called simple kidney cysts. Simple kidney cysts aren't cancerous and rarely cause problems.

Cysts are normally diagnosed through an ultrasound, MRI or CT imaging. Treatment may require wither Piercing and draining the cyst, then filling it with a solution. The solution causes scarring and helps prevent the cyst from filling with fluid again. Alternatively, surgery to remove the cyst may be needed.