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Most of the urological malignancies are curable when diagnosed and treated early. The Department of urology has a separate division for Urological malignancies. The cancers of kidney, bladder, prostate, ureters, adrenals, testis and penis are taken care by this section. A sub speciality clinic in Uro oncology is a unique venture in India. Uro oncology Out patient department is operated on Fridays between 11 am to 5 pm. Being a research institute with state of the art infrastructure , we have highly focussed team for the care of urological cancers . In cases where multimodality treatment is required, our institution has medical oncologist, radiation oncologists, state of the art radiology, pathology and nuclear medicine departments, all under one roof. There are facilities for brachytherapy, conformal radiotherapy, IMRT and therapeutic nuclear medicine procedures.
The uro oncologists, radiation oncologist , medical oncologists and uro pathologist discuss the cases and take combined decision on the management of all the cases at Tumor board. The follow up and further management are also done as per the current protocols.
Kidney Cancer:
Surgeries like laparoscopic and open radical nephrectomies are the mainstay of treatment in Kidney cancer. Complicated surgeries that require IVC exploration in locally extensive kidney cancers, open and laparoscopic partial nephrectomies (Nephron sparing surgeries ), and immunotherapy for advanced renal cancers are regularly done.
Prostate cancers:
Diagnosis of prostate cancer by TRUSS guided multicore biopsy, and staging by bone scan, PET CT, 1.5 Tesla MRI, MD CT have greatly improved the detection of early disease and improved the outcome. Laparoscopic prostatectomy, conformal radiotherapy, IMRT( Image modulated radiotherapy) and brachytherapy all are routinely performed here.
Bladder cancer:
The gold standard for the treatment of advanced bladder cancer is radical cystectomy with orthotopic neobladder reconstruction. Here after removal of the diseased bladder, the bladder is reconstructed with a loop of intestine in the same sitting so that the patient is able to pass urine via naturalis. The quality of life is greatly improved as he is free from using a pouch to collect urine and the resultant social embarrassments.
In a certain subset of patients, bladder preservation is done with the help of chemoradiation after endoscopic resection of the tumor.
Testicular cancer:
Survival after testicular cancer has recently improved after the use multimodality approach. This requires individualised treatment decision and care involving chemotherapy, radiation, surgery and protocol based follow up. Reconstructions using prosthesis are also available to add to the quality of life.
Adrenal tumours:
Adrenals are situated deep in the abdomen and very difficult to access. Key hole surgery has replaced open adrenelectomy as there is better visualisation and patient will have early recovery. We have the largest series of laparoscopic adrenalectomies in India . Retroperitoneoscopic adrenelectomy is done only in a handful of centers in the world and AIMS is one of it.
Penile cancer:
Partial or total Penectomy and radical lymph node dissection is the standard treatment in carcinoma of penis. Recent advances in the treatments have reduced the treatment morbidity considerably. With the help of plastic surgery team, penis can be reconstructed with fore arm flap which makes the life of this unfortunate people comfortable. They can have a normal sexual life with the help of penile implants.
Laparoscopic surgeries in Uro oncology:
The laparoscopic surgery has changed the surgical concept in Uro oncology. Most of the open surgeries like radical nephrectomy, nephro ureterectomy, radical prostectomy, radical cystectomy etc are now done more and more with minimum morbidity and early return to work.
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