Cancer Treatment Services
Dharamshila Narayana Genitourinary Cancer Centre provides effective, technologically advanced treatment services for patients with all types of genitourinary cancers including prostate cancer, bladder cancer, kidney cancer, Penile Cancer, testicular cancer etc. The management of genitourinary cancers depends on the presenting stage of disease and patient fitness. Patients with disease that has not spread in other parts of the body will be considered for surgery or radiotherapy, and chemotherapy. Patients with inoperable or metastatic disease will be considered for chemotherapy and may be radiotherapy. Our highly specialized team of experts collaborates to offer you the latest treatment advances. Options may include Minimally Invasive Surgical Procedures; Radiation Therapy-External Beam and Prostate; Hormonal Therapy and Targeted Chemotherapy.
Our Genitourinary cancer treatment services include:
Surgery for Genitourinary Cancers - Our skilled and experienced Genitourinary Cancer Surgeons are backed by powerful interdisciplinary insights and extensive trainings. Each surgeon practices subspecialty surgery limited to each individual′s area of expertise and interest. Traditional and minimally invasive genitourinary surgery–state-of-the-art fiber optic technology limits the amount of incisions, reduces pain and shortens recovery time for patients who suffer from cancer. The following types of surgery are performed at Dharamshila Narayana Gastrointestinal Cancer Centre :
- Transurethral Resection of Bladder Tumor (TURBT) - This procedure may be suggested for slow-growing cancers that remain confined to the bladder lining. A surgeon uses a cystoscope with a loop cutting tool inserted into the bladder through the urethra, to remove the tumor. If necessary, an electric current may be used to burn away remaining cancer cells (referred to as fulguration). The doctor may also take biopsies of both the tumor and surrounding normal cells.
- Cystectomy - Partial or total (radical) removal of the bladder may be the best option for aggressive cancers. A radical cystectomy removes the entire bladder, nearby lymph nodes, part of the urethra and nearby organs that may contain cancer cells. In men, the prostate gland is usually removed and sometimes the urethra. In women, the lower end of the ureters, the front wall of the vagina, the uterus, fallopian tubes and ovaries are usually removed. In some instances, a segmental (or partial) cystectomy is performed where only the cancer and some of the bladder tissue around the tumor are removed.
- Reconstructive Surgery - If you have a cystectomy, you also will have reconstructive surgery. Once the bladder is removed, it is necessary to create a storage space to take over the bladder functions, and to fashion a structure that will allow you to pass urine. Our Centre offer three ways to achieve this:
- Urostomy : If the urethra was removed as part of the cystectomy, surgeons can create a urinary passageway by forming an ileal conduit or urostomy. A portion of the small intestine (ileum) is used to make a tube through which urine will pass through an opening to the outside of the body, called a stoma. Urine collects in a flat, disposable bag worn on the outside of the body. The bag must be emptied and replaced regularly, and the stoma cleaned and checked.
- Continent Reservoir : This procedure uses the small intestine to create a reservoir or storage pouch to collect urine inside the body. This pouch, also called an Indiana pouch, means an external bag is unnecessary. The stoma is very small and can be covered with a bandage. Inside the pouch is a one-way valve that does not allow urine to escape. Every 4 to 6 hours, you will insert a small catheter (tube) into the stoma to drain the pouch.
- Orthotopic Neobladder : In this procedure, a part of your small intestine can be used to make a new pouch (a neobladder) that is connected directly to your urethra. No stoma or external bag is necessary. Instead, the neobladder empties just as the original bladder did, with urine passing normally, through the urethra. Some people may need to use a small disposable catheter a few times a day to empty the neobladder. The catheter is placed into the bladder through the urethra.