Bladder & Kidney Cancers
Bladder cancer involves any one of the following cell carcinomas in the lining of the bladder: transitional, squamous, or adenocarcinoma. This is most common form of cancer associated with the urinary track. Bladder cancer is rare before the age of 50 and occurs more frequently in men than in women. †
We, in the medical community, believe that this form of cancer takes a while to express itself as the cells in the bladder slowly change in structure and function. Some causes of bladder cancer are:
- Cigarette smoking
- Exposure to toxic chemicals in the work place
- Family history of bladder cancer.
Common symptoms include:
- Blood in the urine
- Pain in the pelvic region
- Back pressure
- Persistent fever
- Problems with urination
If you’re experiencing any of these symptoms, you should come to our office
for a medical examination and evaluation. A cystoscopy—the use of a thin, lighted tube that allows us to see the bladder directly—is a useful diagnostic tool for determining problems with your bladder. In order to get a definitive diagnosis for bladder cancer, we need to take a biopsy of the bladder tissue and examine the cells under a microscope. †
If cancer is diagnosed, then early stage tumors may be removed surgically through the cytoscope. If we believe that the cancer is advanced, then we need to remove the entire bladder. Radiation and chemotherapy may also be used after surgery for medical management reasons. For more challenging operations, we prefer to use the da Vinci Robotic System
, which is the latest in minimally invasive surgery (MIS).
Kidney cancer is the growth of malignant cells in one or both kidneys. The two kidneys, located deep in the body at about the middle of the back, control the fluid balance in the body and filter wastes out of the blood and into the urine. The renal pelvis is the site in the kidney where the urine pools. From there, it moves through a narrow conduit and empties into the bladder. There are three main types of kidney cancer: renal cell carcinoma (RCC), transitional cell cancer (TCC), and Wilms’ tumor—which affects young children. Renal cell carcinoma accounts for 85% of all kidney cancers. Remember, only one kidney is necessary to support life. So if a kidney is cancerous and has to be removed, the other kidney takes over the function of the missing one. †
Like most cancers, there is no single cause for the growth of malignant cells in the kidney. Nevertheless, there are several risk factors:
- Cigarette smoking
- Hereditary considerations
- General health problems
Symptoms include blood in the urine, abdominal pain, fever, loss of appetite, weight loss, and a general feeling of poor health. †
Diagnosis begins with a detailed family history and a complete physical examination. Part of the exam has us press on your abdomen to feel for any unusual solid masses. Urine is tested for blood and the presence of cancer cells. An x-ray of the kidney is taken, as well as ultrasound, CT scans, and an MRI. The point of these imaging tests is to determine the nature of the abnormality of the kidney and to see the extent of the cancer. Chest x-rays and bone scans may be ordered to check for distant cancer sites.
The most effective form of treatment is the surgical removal of the kidney. Radiation and chemotherapy may be used to destroy cancer cells at surgical margins. Immunotherapy may also be used for medical management.
David B. Samadi, M.D
Chairman of Urology, Chief of Robotic Surgery at Lenox Hill Hospital, and Professor of Urology at Hofstra North Shore-LIJ School of Medicine in New York City.
Over 5,600 Prostate Surgeries Performed to Date
Dr. Samadi is one of the very few urologic surgeons in the United States trained in oncology, open, laparoscopic, and robotic surgery. He is also the first surgeon in the United States to successfully perform a robotic surgery redo. To date, Dr. Samadi has performed over 5,600 prostate surgeries. This is more than any other prostate cancer surgeon in all of New York.
Make an appointment: 1-212-365-5000
Little Johnny Rivero, USA
PROSTATE CANCER! How could it be? Iím young and have had annual PSA tests to monitor my prostate cancer risk. I only recently began to experience sharp pain in my lower back but I knew I had to seek treatment.
Several weeks ago I found myself not waking from a nightmare but waking into one. This was after being diagnosed with cancer. My life was spiraling out of control and reaching the epitome of despair. In a true sense of the word, I was experiencing an existential crisis. At moments I even questioned whether my life was worth going forward. How could I get prostate cancer?
V. Sanchez, Spain
After 24 hours of my operation, I was discharged. After 7 days, I removed the catheter and, within 12 days, I returned to my country. On the same day I removed my catheter, I was able to walk for an hour. The incontinence diminishes more each day and, at this rate, I hope that in two or three weeks, it will be one hundred percent under control. Sexual function shows signs of full recovery without any drugs.
הסיפור שלי מתחיל בספטמבר 2010, כשתוצאות בדיקותיי היו: PSA -4.9, גליסון- 6 (3+3). יש לציין שסבלתי שנים ממתן שתן איטי של בן דקה לדקה וחצי, שזהו מדד לערמונית מוגדלת. במהלך החודשים שלאחר מכן ניגשתי לארבע בדיקות PSA נוספות שהצביעו על עליה ברורה, למעט ירידה אחת באמצע .( 5.22, 4.96, 5.76, 6.16 )