URO ONCOLOGY SERVICES

Overview

Department of Uro-oncology was started in 1996. We started with conventional open surgeries but have evolved into a world class centre capable of doing all textbook Laparoscopic and Robotic Uro-Gynae procedures over the years.

Cancer is a major health hazard in the world. Number of  cancer patients is increasing all over due to various known and unknown factors. India is not unaffected by this change. We  provide not only  curative  and palliative treatment but also address preventive aspect of cancer. Early detection and timely intervention can change outcomes significantly.

What Is Urinary Tract Cancer

Cancer of the urinary tract comprises some of the most common cancers affecting males. With the rising trend of smoking, alcohol consumption, and increased awareness among patients, we see higher number of patients falling under the operable category.

The urinary tract is lined by epithelium extending from renal collecting tubules (part of kidney) proximally to the urethral meatus distally. These epithelial cells are known as urothelial cells or transitional cells. More than 90%  cancers are of transitional cell origin.

Urinary Tract Cancer Includes

Urinary Bladder Cancer

Prostate Cancer

Renal Malignancies

Renal Malignancies

Ureter Malignancies

Ureter Malignancies

Testicular Tumor

Testicular Tumor

Adrenal Tumor

Adrenal Tumor

Penile cancer

Penile cancer

Urethral cancer

Urethral cancer

Symptoms Of Urinary Tract Cancer

Symptoms depend on the site of cancer originating in the urinary tract. Common symptoms including.

  1. Having to urinate more often than usual.
  2. Pain or burning during urination.
  3. Feelings as if you need to go right away, even when your bladder isn’t full.
  4. Having trouble urinating or having a weak stream.
  5. Having to get up to urinate many times during the night.
  6. Blood in urine – obvious blood or detected on urine examination.
  7. Lower backache on one side of the body.
  8. Pain abdomen and flank.
  9. Bone pain or tenderness.
  10. Unintended weight loss and loss of appetite.
  11. Swelling in the feet.
  12. Feeling tired.
  13. Nodes in groin.
  14. Non healing ulcer or growth on penis or urinary or orifice.
  15. Low grade fever.
  16. Asymptomatic. Picked up only on ultrasound or blood investigations.

Diagnosis & Investigations

Treatment Of Urinary Tract Cancer

Focus is on combined modality treatment. Special features of  Tech savvy department are

How is RGCI Different

Modern health care paradigm emphasizes not just on treating the disease, but also on improving the quality of life of patients while minimising the morbidity and stress of the treatment. We take pride in shouldering the responsibility of pioneering the best in surgical craft for our patients. It is our guiding principle that no patient should have any unmet need once he or she visits RGCI&RC and thus, our infrastructure always stays in evolution in sync with latest times. Presently we have 2 Da Vinci Robotic systems and one Indian version installed and have performed more than 4000 robotic surgical procedures. RGCI has been designated as epicentre for robotic surgery training in India in recognition of our high volumes and technical expertise, while maintaining an impeccable track record of surgical safety.

In India, our centre is credited with the highest numbers of neobladder formation after radical cystectomy. Our own innovation “Pitcher Pot Neobladder” has minimal requirement for clean intermittent catheterization, which is main drawback of conventionally described neobladders. Results proving excellent outcomes consistent over more than a decade have been published in international peer reviewed academic journals(https://bjui-journals.onlinelibrary.wiley.com/doi/full/10.1002/bco2.82 

Post prostatectomy urinary incontinence is one of the most dreaded complications of robotic radical prostatectomy. We were the pioneers of the “Retzius sparing technique” in the Indian subcontinent which restores urinary continence early, resulting in better quality of life after prostatectomy. We have the largest published series of some of the most challenging and rare procedures in Uro-oncology such as robotic post chemotherapy retroperitoneal lymph node dissection (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5635672/), and robotic video-endoscopic groin dissection(https://www.sciencedirect.com/science/article/abs/pii/S0022534718300107) in the world. We are ably supported by world class laboratory services and have an in-house molecular lab equipped with latest Next generation sequencing platform – ion torrent S5 with chef. We can also perform Nano string, droplet digital PCR, 10 color flowcytometry, and count circulating tumour cells. We were one of the initial practitioners of HIFU and MRI Fusion biopsy in India and have gained the largest experience in the Indian subcontinent over  years.

Featured Doctors Of Urinary Tract Cancer

               (PROF) SUDHIR KUMAR RAWAL

                              Uro Oncology

                             AMITABH SINGH

                                Uro Oncology

Urinary Tract Cancer : Risk Factors

Urinary Tract Cancer : Prevention

DO’s after Surgery

DON'Ts after Surgery

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Rajiv Gandhi Cancer Institute & Research Centre is today counted amongst Asia’s premier exclusive cancer centres that offer unique advantage of cutting edge technology, put to use by renowned super specialists. This potent combination of man and machine ensures world-class cancer care to not only patients from India, but also from the neighboring SAARC countries and others.

D - 18, Sector - 5, Rohini, Delhi - 110085 | +91-11-47022222
OPD Timings: 09:00 am to 05:00 pm (All weekdays except Sunday and Holiday)
Emergency Services: 24x7 All weekdays

Mahendra Kumar Jain Marg, Niti Bagh, New Delhi - 110049 | Tel: +91-11-45822222 / 2200
OPD Timings: 09:00 am to 05:00 pm (All Weekdays except Sunday and Holiday)
Emergency Services: 24x7 All Weekdays

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