Urologic Cancers

On the forefront of urologic cancer care for men and women

Diagnosing prostate cancer is rarely the result from one PSA test or one medical procedure. That's because prostate cancer cells tends to grow slowly over many years. The key is treating this men's health cancer is early detection. Surgical and non-surgical treatment options exist through St. Vincent Cancer Care and the St. Vincent affiliated Urologists.

Bladder Cancer

Michael C. Large, MD, is a board-certified Urologist and Uroncologist and is one of the few physicians with extensive experience treating bladder cancer using minimally invasive robotic surgery techniques. In this interview Dr. Large explains there are many treatment options for bladder cancer patients. His goal is always to preserve the bladder and its function while safely controlling the cancer.

Bladder cancer may be the "elephant in the closet" but it affects both men and women, especially those with a smoking history. If you have three or more days of gross hematuria (blood in your urine) see a urologist. St. Vincent affiliated Michael Large, MD, Uroncologist is a leading cancer doctor for the treatment this disease.

Kidney cancer and specifically renal cell carcinoma (RCC) is linked to a smoking history and extended dialysis treatment. St. Vincent Cancer Care has a multidisciplinary team approach for treating all types of cancer.

Testicular cancer has a 98% survivorship rate if diagnosed early. This "young man's" cancer is very treatable. That is why lumps, swelling or a dull ache in the testes should be checked by an urologist.

For many at high risk for prostate cancer, "Active Surveillance" is part of their cancer prevention treatment plan. At St. Vincent Cancer Care we have a strong and vigilant prostate cancer program. The St. Vincent affiliated Urologists are on the frontline, identifying and treating more urologic cancers than any other group in Indiana. For example, our prostate cancer patients are "Blue Ribbon Survivors" at the time they are diagnosed. The St. Vincent holistic approach to cancer care means we have a dedicated survivorship navigators and provide many support services including monthly Prostate Cancer Support Group meetings and Education Programs for men and their loved ones. There is life after a cancer diagnosis.

"We deliver state-of-the-art care with easy access to board-certified urologists. This approach makes clinical sense to our patients whether it's for early stage cancer care, advanced and complex cases or urologic problems as a factor of other diseases. " -- John C. Ramsey, MD, Urologist and Laparoscopic Surgeon  

More men are diagnosed with prostate cancer than any other type of cancer

1 in 6 men will develop prostate cancer in his lifetime before the age of 85 and the risk greatly increases with age. At age 40 get a baseline PSA and prostate exam and be watchful of signs and symptoms.

Dr. Drew, TV and Radio host talks about the importance of being an informed patient and not ignoring the signs and symptoms of prostate cancer. "My story is a good example of physician's judgment. It was my internist's judgment that I should see a urologist. It was the urologist's judgment that I should have a biospy. Based on current guidelines, they would have taken a more conservative approach." Dr. Drew is a prostate cancer survivor. To read his story in Coping Magazine, 2014 issue, click here.

Most prostate cancers grow very slowly. Dr. Ramsey, a St. Vincent affiliated urologist at Urology of Indiana LLC offers these men's health tips:

  • Know your family history: Has your father or a male relative been diagnosed with prostate cancer or any other type of cancer? 5-10% of prostate cancer cases are linked to genetics. Men with mutations in the BRAC2 gene have an increased risk for prostate cancer.
  • Get a physical and digital rectal exam: Being male doesn't mean you have to be cavalier. Getting up in the middle the night to consistently go to the bathroom is related to different male conditions. Be informed and ask about appropriate treatments.
  • Life is always busy but don't be too busy to pay attention to the signs and symptoms. Talk to a doctor (applies to men and women) if you have trouble urinating, see blood in your urine, or pain in your back, hips, or pelvis that doesn’t go away.

The Urology of Indiana medical group is the largest in Indiana and has been practicing genitourinary medicine since 1887. These physicians are highly experienced urologists and cancer doctors diagnosing and treating prostate, bladder, kidney, testicular, as well as, complex and rarer cancers like metastatic castrate resistant prostate cancer (mCRPC), penile and urethral cancers. This group also has a progressive bone health management strategy that supports patients who experience bone weakness following various types of cancer treatments. Both men and women are benefiting from this world-class urologic care.

Urologic cancer capabilities

Urologic oncology care for St. Vincent patients is a multidisciplinary team approach that includes the urologic surgeon, medical oncologist, radiation oncologist and many cancer care associates. It is holistic at its core – healing the body, mind and spirit -- so that patients are back doing the activities they love. For more information, contact Urology of Indiana LLC (which includes the Centers for Prostate Cancer) at 877-362-2778 or online at www.urologyin.com.

  • Urologic diagnostic work-up including blood tests (ie. PSA), digital rectal exam (DRE), imaging and ultrasound tests, and cystoscopy
  • Genetic (blood) testing to help manage surveillance and identification of high-risk patients
  • Da Vinci® robotic minimally invasive laparoscopic surgery
  • Open surgery
  • Partial surgery
  • Radical prostatectomy
  • Cryosurgery
  • Image-guided radiation therapy ( a highly targeted form of external beam radiation)
  • Brachytherapy -- Prostate Seed Implants
  • Hormonal therapy useful for local and advanced disease progression
  • Hormone resistant immunotherapy
  • Chemotherapy
  • Active surveillance program
  • Adjunctive therapies to improve bone health, urinary bladder problems or sexual dysfunction

Note: These Urologists work closely to with the St. Vincent Uro/Gynecologists providing treatments for female bladder problems before or after the treatment of URO/GYN cancers such as ovarian and endometrial cancer.

When emergencies happen

The St. Vincent ONE CALL system has urology support 24/7/365 days a year. When a patient enters any of the St. Vincent ER locations throughout Indiana and has a urologic problem from kidney stones to pelvic/renal pain, two urologists are always on call via ONE CALL to consult and expedite urgent care. This group also has Urology Clinic offices on the St. Vincent Indianapolis campus (Naab Rd.) and in Carmel, Fishers, Lebanon, Crawfordsville, and Greenfield, IN.

These physicians lead an active St. Vincent Urologic Oncology Multidisciplinary Cancer Committee. Patients with complex and challenging cancer cases directly benefit from the expertise of these cancer care professionals. Committee members are also resources for identifying appropriate cancer patients for relevant cancer clinical trials.