Urologic Oncology

Bladder Cancer
At our clinic, one -stop comprehensive assessment is provided for patients with suspected bladder cancer.  The following tests may be required after your consultation with our urologists:

  1. Ultrasound scan
  2. Urine cytology, urine microscopy and culture
  3. Renal function test, complete blood count, serum albumin
  4. CT imaging of the urinary tract
  5. PET scan whole body

Kidney Cancer
kidney cancerEarly primary kidney cancers are often diagnosed by health checks with ultrasound of the urinary system. If you are suspected to have a renal mass, further tests may be provided after initial consultation with our urologists:

  1. Renal function test, complete blood count, serum albumin
  2. CT imaging of the kidneys
  3. Further CT, MRI or PET scan test depending on initial CT findings
  4. Radionuclide scan to look for separate functioning of the kidney involved

Prostate cancer
prostate cancerThe diagnosis of prostate cancer has been revolutionized in recent years. Instead of directly proceeding to prostate biopsy for some highly suspected cases, we advocate a contemporary approach of prostate cancer diagnosis by providing the following tests and expert advices:

  1. Prostate specific antigen (PSA) and prostate health index (PHI) tests: while PSA is organ-specific but not cancer-specific, PHI test can stratify the risk levels of having prostate cancer individually
  2. Urinalysis and culture: to look for any urinary tract infection that can cause falsely elevated PSA level
  3. Digital rectal examination: there are some occasions prostate cancer is present without an elevated PSA level, palpation of nodule(s) on the prostate by experienced urologists is crucial in detecting these cancers
  4. MRI of the prostate: the new technique of multiparametric MRI of prostate with experienced radiologists allows detection of area(s) in the prostate method.
  5. MRI-ultrasound fusion prostate biopsy: this new technique allows targeted biopsy of the suspicious area in the prostate detected by MRI, enhancing cancer detection accuracy compared with conventional biopsy method.
  6. PSMA PET: this dedicated PET scan allows accurate staging of the prostate cancer and detection of early metastasis.

Testicular cancer
testicular cancerOur clinic provides tests and treatment to treat this uncommon but potentially lethal cancer, mostly occur in relatively young men with sudden onset of scrotal swelling without any pain on one side. After a detailed examination by our urologists, the following tests may be requried:

  1. Blood tests for markers for testicular cancer: alpha-fetal protein (AFP), human chorionic gonadotrophin (HCG), and lactate dehydrogenase (LDH)
  2. CT imaging of thorax, abdomen and pelvis: to look for any spread of the disease
  3. Urgent surgery: removal of the testicular cancer early will help establish the histological diagnosis and planning for subsequent radiotherapy or chemotherapy

Penile Cancer
Our clinic provides an updated approach to penile cancer diagnosis and treatment, according to the clinical stage of the disease at presentation.  Starting with a detailed physical examination and assessment, the extent of the disease can be established. Individualized treatment ranges from penile-preserving surgery to total penectomy and urinary diversion procedures.

 

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