Urological Cancers

Urological Cancer Care

Early detection and appropriate treatment of urological cancers dramatically improves outcomes. Dr. Maharajh provides comprehensive cancer care, from screening through diagnosis, treatment planning, and survivorship.

Types of Urological Cancers

Prostate Cancer
  • Most common male cancer
  • Often slow-growing
  • Excellent prognosis when caught early

Bladder Cancer
  • Fourth most common cancer in men
  • Often presents with blood in urine
  • Requires long-term surveillance

Kidney Cancer
  • Often found incidentally
  • Multiple treatment options
  • Good outcomes with early treatment

Testicular Cancer
  • Most common cancer in young men
  • Highly curable
  • Requires prompt treatment

Screening and Early Detection

Risk Assessment
  • Family history evaluation
  • Occupational exposures
  • Lifestyle factors
  • Genetic counselling when appropriate

Screening Programmes
  • PSA testing protocols
  • Imaging surveillance
  • Urine cytology
  • Regular examinations

Diagnostic Services

Advanced Imaging
  • CT scanning
  • MRI imaging
  • PET scans when indicated
  • Ultrasound

Tissue Diagnosis
  • Image-guided biopsies
  • Cystoscopy with biopsy
  • Cytology studies
  • Molecular testing

Staging Evaluation
  • Extent of disease assessment
  • Metastatic workup
  • Risk stratification

Treatment Coordination

Multidisciplinary Approach Dr. Maharajh coordinates with:
  • Oncologists
  • Radiation therapists
  • Pathologists
  • Specialist nurses

Treatment Options
  • Surgery
  • Chemotherapy coordination
  • Radiation therapy referral
  • Immunotherapy
  • Active surveillance

Surgical Expertise
  • Tumour resection
  • Organ-preserving surgery
  • Minimally invasive techniques
  • Reconstructive procedures

Survivorship Care

Long-term Monitoring
  • Regular surveillance
  • Recurrence detection
  • Side effect management
  • Quality of life support

Rehabilitation
  • Continence recovery
  • Sexual function
  • Psychological support
  • Lifestyle counselling
FAQs

Quick Answers to Common Questions

Not necessarily. Blood in urine (haematuria) has many causes including infections, stones, and benign conditions. However, it should always be investigated as it can be the first sign of bladder or kidney cancer. Early evaluation is crucial.

Treatment depends on cancer grade, stage, and your age/health. Options include active surveillance for low-risk cancers, surgery, radiation, hormone therapy, or combinations. Dr. Maharajh will discuss all options and help you make an informed decision.

Bladder cancer has a high recurrence rate, with 50-70% of superficial cancers returning. This is why long-term surveillance with regular cystoscopies is crucial. Most recurrences are caught early and treated successfully.

Testicular cancer has excellent cure rates—over 95% overall and nearly 100% for early-stage disease. Even advanced cases often respond well to treatment. Early detection through self-examination and prompt treatment are key.

Some treatments can impact fertility. Options like sperm banking before treatment can preserve fertility. Dr. Maharajh will discuss fertility preservation options before beginning any treatment that might affect reproductive capacity.

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