This field is dedicated to the diagnosis and treatments of tumors of urinary systems. Most importantly taking care of patients with prostate cancer, kidney, testicular and bladder cancer. Physicians that are trained in this field are called URO-Oncologists.
Dr. Mayank Mohan Agarwal got initial training of uro-oncology in premier central govt. institute Postgraduate Institute of Medical Education and Research, Chandigarh, India. It is a center of high repute and largest govt. run tertiary and quaternary care health-care organization north of Delhi. He then refined his skill-set and experience in this field through international awarded travel-fellowship in one of the best oncology centers in the world Memorial Sloan Kettering Cancer Center, New York, USA and then in Wake-Forest University Baptist Medical Center, Winston Salem, North Carolina, USA. He worked in PGIMER for 10 years as faculty and practiced and taught comprehensive urology, including uro-oncology. He introduced several minimally invasive uro-oncological procedures in the department namely –
- Laparoscopic radical nephrectomy with or without IVC thrombectomy
- Laparoscopic partial nephrectomy
- Laparoscopic nephroureterectomy with excision of bladder cuff
- Laparoscopic retroperitoneal node dissection
- Laparoscopic pelvic node dissection
- Laparoscopic radical cystoprostatectomy
- Laparoscopic anterior exenteration
- Laparoscopic radical prostatectomy
- Videoendoscopic inguinal lymph node dissection
He also regularized orthotopic neobladder reconstruction, developed a novel technique for continent cutaneous urinary diversion (eponymed PGIMER Pouch) and regularized concept of Enhanced recovery after surgery (ERAS) concept after major oncological and other surgeries.
There are many urological conditions and diseases that may affect a person irrespective of their age and gender. Some of the most common urological cancers are listed below:
It refers to cancer that starts from the tissues of the bladder. There will be uncontrollable growth in the cells and form tumors inside the organ. Most common symptom of bladder cancer is blood while urinating. Others include pain during urination, urgent need to urinate and increased frequency of urination.
Any blood while passing urine must not be ignored. Do contact your urologist for a complete evaluation. It may be caused by stones, infection, tumor, prostate enlargement and some kidney related medical disease.
This type of cancer will begin in kidneys when there is an overproduction of abnormal cells also called renal cancer. Its symptoms may vary from person to person and include loss of appetite, blood in the urine, lump in the abdomen, fatigue, anemia among others. Nowadays, many asymptomatic cancers are picked up early during ultrasound abdomen done for other medical problems. If diagnosed at this stage the cancer is curable and many times kidney can be preserved.
Prostate cancer affects prostate gland which is a small walnut-sized gland present just below bladder in line with urinary tract. It produces seminal fluid and it occurs only in men. Symptoms of prostate cancer may include difficulty in urination, blood in semen, erectile dysfunction, pain in bones, and discomfort in the pelvic region. With advent of screening of prostate cancer using a blood test named Prostate Specific Antigen (PSA) many such cancers can be detected in a early curable stage while they are not causing any symptoms.
Multidisciplinary team led by Dr. Mayank provides state-of-the-art facilities for accurate diagnosis and contemporary treatment of urological cancers.