What can I do to prevent urological cancers while I’m still young? What are the latest treatments available?
Of all the different urological cancers, bladder cancer is the one that has the proven method of prevention. Based on epidemiological study, smokers have 4 times higher chance of developing bladder cancer than the non-smoker. Smoking cessation, therefore, not only prevents the lung cancer but bladder cancer as well.
The other urological cancers have less clear/definitive prevention methods. Generally speaking, low fat diet with healthy serving of fruits and vegetables are the best way of preventing development of cancer. Although cancer cannot be reliably prevented, it can be detected early.
Newer imaging tests such as CT scans have helped increase detection of some cancers, such as kidney cancer. It has contributed to the rise in the new kidney cancers detection in the U.S. since the 1990s; now, the cancer incidence seems to have tapered off. Death rates have declined slightly since the mid-1990s, due to advancements in early detection and treatment methods.
Death from advanced prostate cancer cases, on the other hand, are on the rise nationally with a 72 percent increase, with men ages 55 to 69 having the highest spike, a 92 percent rise in cases over the past 10 years. Early screening and detection are the key to prevention. Take an annual prostate exam with DRE and PSA blood test from age 50 to 75. Treatments have greatly advanced.
As Hawaii’s only cancer fellowship-trained urologist in private practice, I approach treatment of all types of urological cancers with a combination of specialized skills, experiences, game-changing technologies and innovative treatments strategies. I have been an early advocate of Da Vinci robotic surgery, which now is the standard for prostate and kidney cancers for precision and ability to shorten recovery time. I also advocate the skillful use of multi-modality treatment, combining radiation, chemotherapy, hormonal therapy or the newly available immunotherapy for the best chance of a cure.
I did my medical residency training at the renowned University of Miami/Jackson Memorial Hospital and served my urological cancer fellowship training at New York City’s prestigious Memorial Sloan-Kettering Cancer Center. I am one of four founders of Hawaii Urological Institute (HUI), a team of specialists—each offering individual subspecialty and interest areas—providing patients with the only full range of urological care in private practice in the state with convenient offices in downtown and West Oahu.
I also provide unbiased second-opinion treatment options based on the National Comprehensive Cancer Network (NCCN) guideline for newly diagnosed or recurring urological cancer.
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