Prostate & Urologic Cancers
The urologic oncologists at NewYork-Presbyterian Brooklyn Methodist Hospital provide comprehensive care for people with urologic cancers, such as those of the prostate, bladder, kidney, testicles, and ureters. You can receive all the care you need in one location, from diagnosis through treatment and survivorship. We take a minimally invasive approach to urologic cancer surgery, using robotic surgery in many cases that results in smaller incisions, less discomfort after surgery, and a quicker return to your normal activities. We also offer the newest chemotherapy, immunotherapy, and radiation therapy approaches. There's no need to travel into Manhattan to get the most advanced urologic cancer care—it is available right here in your community, in Brooklyn.
A team approach
Our dedicated staff includes highly skilled urologic surgeons, medical and radiation oncologists, pathologists, radiologists, oncology nurses, radiation therapists, and others with experience caring for people with urologic cancers. The team gathers at a monthly Tumor Board meeting to discuss each case and combine their expertise to assemble the most effective treatment plan for each patient. Our staff is experienced in caring for patients from all walks of life. We are sensitive to your personal and cultural preferences and consider you to be a member of the team when planning your care.
Multidisciplinary urology clinic
We appreciate that your time is valuable, and you may have questions and concerns. To that end, we have established Multidisciplinary Urology Clinic appointments. During these appointments, you will meet with a number of specialists at one time, allowing you to engage with your care team and for physicians to work with you towards a comprehensive and collaborative treatment plan. Many of these visits can be conducted virtually, via Video Visits.
Care for all stages of prostate cancer
You may need surgery, chemotherapy, radiation therapy, hormonal therapy, a combination of these treatments—or none at all, with periodic monitoring of early-stage cancer to see if your tumor grows (an approach called active surveillance).
Determining the need for treatment. One of the biggest challenges today is distinguishing slow-growing prostate cancer that may never need treatment from cancers that are more aggressive and require therapy. Our specialists carefully assess your prostate cancer and use tools such as MRI scanning and molecular testing to make an informed decision about whether you need treatment or active surveillance.
Minimally invasive robotic prostate cancer surgery. If you need surgery for prostate cancer, you may be able to have it robotically, which gives the surgeon an enhanced view of the surgical field and allows for more precise surgery. Our urologic surgeons are highly experienced in performing the latest robotic prostate cancer procedures, including nerve-sparing prostatectomy. NewYork-Presbyterian Brooklyn Methodist is home to the most advanced robotic surgery systems.
Localized treatments. Some patients benefit from cryosurgery (the application of freezing temperatures to kill cancer cells) and high-intensity focused ultrasound (HIFU, the use of high-energy sound waves to heat and destroy tumor cells). Our hospital was among the first centers in the country to evaluate HIFU for prostate cancer.
Advanced radiation therapy. We offer image-guided intensity-modulated radiation therapy for prostate cancer, which aims radiation beams of different intensities from many different angles to precisely treat your tumor while sparing nearby healthy tissues and reducing the risk of side effects. In addition, we use brachytherapy (the implantation of radioactive seeds in the prostate) and radiolabeled drugs to treat prostate cancer.
Medical treatments. Some patients with prostate cancer need hormonal therapy, chemotherapy, immunotherapy, or targeted therapies. You can receive intravenous treatments in our comfortable infusion center. Your medical oncologist will work closely with you to choose the medications that are best suited for the biology and stage of your tumor.
Advanced bladder cancer treatment
Your team recognizes that an accurate diagnosis is the first and most important step in getting the most effective treatment. We also perform additional testing to find out not only what kind of cancer you have, but what subtype it may be. There are many types of blood cancer, each with its own biology and behavior. For example, there are more than 70 subtypes of non-Hodgkin lymphoma alone. Your doctor arranges for all the necessary testing to learn all we can about the type and stage of your cancer.
- Advanced care for invasive bladder cancer. Invasive bladder cancer can be very aggressive and has a high risk of spreading, and often requires a combination of treatments. Our team members collaborate to treat patients with invasive bladder cancer. In many cases, we are able to preserve their bladders for some time—and in some instances, permanently.
- Minimally invasive bladder cancer surgery. If you need a partial or radical cystectomy (surgery to remove part or all of your bladder), we have the expertise to perform this procedure in a minimally invasive manner, often using robotic surgery.
- Complex bladder reconstruction. When the bladder cannot be saved, our urologic surgeons perform bladder reconstruction. To replace the bladder, we can create a "neobladder" (an internal bladder made from a portion of the intestine), or a "continent reservoir" (an internal bladder storage reservoir that can be drained by passing a small tube through an opening in the abdomen).
- Chemotherapy and immunotherapy. Our medical oncologists may recommend intravesical therapies (immunotherapy or chemotherapy placed directly into the bladder) or intravenous therapies (given by vein) for bladder cancer. We oversee every aspect of your care to ensure it is as effective and comfortable as possible.
The latest kidney cancer treatments
NewYork-Presbyterian Brooklyn Methodist provides comprehensive care for people with kidney cancer, including renal cell carcinoma and transitional cell carcinoma. We offer:
- Minimally invasive surgery. If you are a candidate for kidney cancer surgery, you will have either your entire kidney removed (radical nephrectomy) or just the part of it containing your tumor (partial nephrectomy). Minimally invasive kidney surgery, including robotic partial nephrectomy, enables us to remove the tumor while preserving as much of your affected kidney—and its function—as possible. Your surgeon will let you know what options are available to you.
- Precision therapies. Many people with kidney cancer benefit from "focal" therapies that are directed right to the tumor to kill cancer cells while sparing nearby healthy tissue. We treat some kidney cancers using cryosurgery or extreme heat (radioablation) applied through a needle into the tumor; focused ultrasound (the application of high-energy sound waves); and radiation therapy.
- Medical treatments. Oral anticancer drugs—such as cabozantinib, lenvatinib, sunitinib, sorafenib, and pazopanib—are options for many patients with renal cell cancers. Immunotherapies, such as nivolumab, are given in our infusion center and harness the power of the immune system to find and destroy kidney cancer cells. Your doctors will match you with the treatments best suited for your type and stage of cancer.
Comprehensive testicular cancer care
The most common treatment for testicular cancer is surgery to remove the tumor — most often, the entire testicle. Our team also offers:
- Active surveillance. After surgery, many patients with stage I testicular cancer only need to be monitored, with additional treatment only if cancer returns.
- Chemotherapy. Some patients who have had surgery then receive chemotherapy to kill any remaining cancer cells in the body and reduce the risk of cancer recurrence. Your doctor will tell you if chemotherapy is recommended for you.
- Radiation therapy. Seminoma cells are extremely sensitive to radiation. Our radiation oncologists frequently use external beam radiation therapy after surgery to destroy any cancer cells that may have spread to nearby lymph nodes.
- Fertility preservation. Testicular cancer and its treatment can adversely affect male fertility. Many patients who develop testicular cancer are in their mid-20s and are understandably concerned about their ability to have children in the future. Our fertility specialists can work with you to address your concerns and discuss your options for fertility preservation.
Clinical trials for urologic cancers
NewYork-Presbyterian Brooklyn Methodist is a site for the NRG Oncology Group, which brings together the National Surgical Adjuvant Breast and Bowel Project, the Radiation Therapy Oncology Group, and the Gynecologic Oncology Group—each recognized internationally as a leader in cancer research. Through our relationship with Weill Cornell Medicine, we are a member of the academically prestigious Alliance for Clinical Trials in Oncology. You may have the opportunity to participate in a clinical trial of a promising new urologic cancer therapy.
Caring for all of you
We understand that a diagnosis of cancer can be challenging for you as well as your loved ones. That's why we offer a full range of psychosocial, nutritional, and other support services for people with urologic cancers. Your team includes doctors who are board-certified in palliative care as well, ensuring that your quality of life is the best it can be from the moment of diagnosis and throughout your treatment. As a major medical center, we can also address your other healthcare needs, such as co-existing conditions like heart disease and diabetes, and connect you with the specialists you need.