Renal Mass and Cancer Diagnosis

Comments:

An MRI has shown a mass that could be renal carcinoma.  The mass is on the renal artery so the surgeon has recommended a partial nephrectomy but said that most likely he will have to remove the entire kidney due to the location of the 3 cm mass.  He says that it is a shame because the mass is so small but he is pretty sure it is cancer.  He says that a biopsy is not a conclusive test and would rather just do the operation.  My question is: How can I be sure that the mass is cancerous? I would hate to remove the kidney and later find out that it was a healthy kidney with a benign mass.  Any suggestions to help me make a decision?”.

Answer:

This is a dilemma we face daily.  A biopsy can be help full in a very few cases. If the mass does not look like cancer it can help diagnose an oncocytoma. This is benign but at the same time if it is cancer it might make the following surgery easier. Other options depending on your age could be close follow up. 

Thank You,

 

The Urology Specialists

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Urinary Symptoms

Comments:

 I have signs of microscopic hematuria: abdominal pain, blood in urine, and frequent urination. Could overdosing on medication cause this? (My doctors never did lab work on me, until now).”

Answer:

No, medication cannot cause this.

You need to be evaluated by a urologist.

Thank You,

The Urology Specialists

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Bladder Tumor and Hematuria

Comments:

“Can a benign bladder tumor cause hematuria?.”

Answer:

Yes, it can but be aware that most bladder masses are malignant.

Thank You,

The Urology Specialists

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Prostatitis and Prostate Cancer

Comments:

“Can asymptomatic inflammatory prostatitis lead to prostate cancer?”.

Answer:

No, it cannot.

Thank You,

The Urology Specialists

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Nocturnal Penile Tumescence

Comments:

” Too many erections in the middle of the night  Having sex regularly so that does not seem to be the issue.”

Answer:

This is normal,  keeps your penis oxygenated and healthy.

Thank You,

The Urology Specialists

 

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