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Prostate Cancer

Prostate cancer is the third-leading cause of cancer deaths among men in the United States. Yet, when detected in its early stages, prostate cancer can be effectively treated and cured.

There are ways to reduce one's chance of getting prostate cancer. There has been recent data to support the use of a common prostate BPH drug, Finasteride, to reduce the likelihood of getting prostate cancer. Other trials are also underway for use of medications and supplements to reduce prostate cancer risk.

Many nutritional risk factors have been identified to reduce prostate cancer risk including a diet high in antioxidants, soy and fiber. High meat and fat diets should be discouraged. Jamie Leff, M.S., R.D. is an expert at men's health nutrition.

The mainstay of treatment for prostate cancer is early detection. Like any cancer, the earlier it is caught the more options are available. Using various blood tests, urine tests and examination techniques, if performed on a regular basis, prostate cancer can often be detected in time for cure. The death rate from prostate cancer has dramatically reduced for those people who abide by regular screening. SFVUA has a regular screening program.

Please contact us to schedule an appointment.

To learn more about this condition we recommend you visit the following website www.urologyhealth.org


daVinci Robotic Prostatectomy

Referred to by many as robotic surgery for prostate cancer or robotic prostatectomy, da Vinci® Prostatectomy is more accurately a robot-assisted, minimally invasive surgery that is quickly becoming the preferred treatment for removal of the prostate following early diagnosis of prostate cancer. da Vinci Prostatectomy is performed with the assistance of the da Vinci Surgical System, the latest evolution in robotics technology. The da Vinci Surgical System enables surgeons to operate with unmatched precision and control using only a few small incisions. Recent studies suggest that da Vinci Prostatectomy offers excellent cancer control and a faster return to daily activities.

We don't know where robotic prostatectomy stands in comparison to traditional open prostatectomy. Traditional open prostatectomy remains the gold standard upon which all other treatments are compared; it has been practiced for decades and its most recent iteration, the nerve sparring procedure, has been the accepted standard since the mid 1980s.  Since prostate cancer is generally a slow growing cancer, comparisons between different forms of treatment can take 15 years until the difference may become apparent.  Those answers are far away but the data appear promising the da Vinci Prostatectomy provides certain clear benefits.

  • Less pain
  • Less blood loss
  • A shorter hospital stay
  • And a faster return to normal daily activities

While clinical studies support the effectiveness of the da Vinci® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. The pros and cons of the different treatment options for localized prostate cancer require and detailed discussion with your urologist.

To learn more about this we recommend you visit the following website

Click here for a video on prostatectomy

Testicular Cancer

It is important to realize that with timely diagnosis, testicular cancer is highly treatable and usually curable.

Until proven otherwise, any lump or firm area within the testicle should be considered a potential tumor. Of the many men who eventually hear a diagnosis of testicular cancer, 50 percent have complained of painless swelling or enlargement of the testicle. Another 25 percent to 50 percent may have pain or tenderness. Patients may also report a dull ache in association with the lump.

Unfortunately, it is common for men to delay reporting these symptoms (up to an average of 5 months). Since the tumor can spread during that time, it is important to contact a urologist immediately when you have a symptom.

The urologist may call for an ultrasound, a simple non-invasive radiologic procedure, to confirm any suspicious lump. In addition, he/she will probably ask for a blood sample to check for tumor markers, proteins produced by most testicular malignancies that show up if cancer is present.

Please contact us to schedule an appointment.

To learn more about this condition we recommend you visit the following website www.urologyhealth.org

Bladder Cancer

Bladder cancer is the sixth most common cancer in the United States. About 65,000 Americans are diagnosed with bladder cancer each year and 12-14,000 die annually of the disease. In recent decades there has been a steady increase in the incidence of bladder cancer. However, doctors are making progress in treatment and survival rates are improving.

Blood in the urine (hematuria) is the most common symptom. It eventually occurs in nearly all cases of bladder cancer and is generally described as "painless". Although the blood may be visible during urination, in most cases, it is invisible except under a microscope. In these, the blood is usually discovered when analyzing a urine sample as part of a routine examination. Blood in the urine, similar to blood in the stool or coughing up blood, is a potential warning sign of cancer, and should not be ignored.

Hematuria does not by itself indicate or confirm the presence of bladder cancer. Blood in the urine has many possible causes. For example, it may result from a urinary tract infection or kidney stones rather than from cancer. It is important to note that hematuria, particularly microscopic, might be entirely normal for some individuals. A diagnostic investigation is necessary to determine whether bladder cancer is present.

Other symptoms of bladder cancer may include frequent urination and pain upon urination (dysuria). Such "irritative" symptoms are less common. When present in the absence of a urinary infection (which may have similar or identical symptoms) exclusion of a bladder cancer as the possible cause is mandatory.

Please contact us to schedule an appointment.

To learn more about this condition we recommend you visit the following website www.urologyhealth.org

Kidney Cancer

It is important to realize that with timely diagnosis and treatment, kidney cancer can be cured. If found early, the survival rate for patients with kidney cancer ranges from 79 to 100 percent. More than 100,000 survivors of kidney cancer are alive in the United States today.

Many kidney tumors do not produce symptoms, but may be detected incidentally during the evaluation of an unrelated problem or during routine screening for people who are in high-risk categories (e.g. Von Hippel Lindau disease, tuberous sclerosis). Compression, stretching and invasion of structures near the kidney may cause pain (in the flank, abdomen or back), palpable mass, and blood in the urine (microscopic or grossly visible). If cancer spreads (metastasizes) beyond the kidney, symptoms depend upon the involved organ. Shortness of breath or coughing up blood may occur when cancer is in the lung, bone pain or fracture may occur when cancer is in the bone and neurologic symptoms may occur when cancer is in the brain. In some cases, the cancer causes associated clinical or laboratory abnormalities called paraneoplastic syndromes. These syndromes are observed in approximately 20 percent of patients with kidney cancer and can occur in any stage (including cancers confined to the kidney). Symptoms from paraneoplastic syndromes include weight loss, loss of appetite, fever, sweats and high blood pressure. Laboratory findings include elevated red blood cell sedimentation rate, low blood count (anemia), high calcium level in the blood, abnormal liver function tests, elevated alkaline phosphatase in the blood, and high blood count. In many cases, the paraneoplastic syndrome resolves after the cancer is removed.

Please contact us to schedule an appointment.

To learn more about this condition we recommend you visit the following website www.urologyhealth.org


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