2018 open MIS or robotic 163 185 183 46 MD Anderson Cancer Center UROLOGY Colin P.N. Dinney, M.D. Department chair Adolfo Chavez Division of Surgery | Surgical Outcomes FY18 47 Urology at MD Anderson treats genitourinary cancers with exceptional care, helping to lessen the impact on patients and improve outcomes for cancers like prostate, bladder, kidney, testicular, penile, urethral and adrenal. Our urologists also treat conditions such as: • Erectile dysfunction • Benign prostatic enlargement • Urinary incontinence • Kidney stones • Uro-gynecologic disorders • Benign urologic tumors Urologists primary treatment modalties include: • Complex open surgery • Minimally invasive surgery • Multidisciplinary therapy • Robotic surgery “We provide advanced care to patients, providing active surveillance, treating localized to locally advanced and complex diseases, and successfully performing highrisk surgeries that no one else will do,” says John Davis, M.D., professor and head of the Urosurgical Prostate Program. “Every treatment plan pays careful attention to qualityof-life issues, and consideration of how the normal body functions and approaches to maintain those functions.” Our multidisciplinary programs Urology treats a breadth of tumor types through our specialized cancer programs. Each program works with various disciplines, including medical oncology, radiation oncology, pathology and other surgical specialties, to provide the highest level of care. Urology also has a Urinary Tract and Pelvic Reconstruction Program to manage pelvic conditions that affect genitourinary function, because of cancer treatment or non-urologic cancer therapies. The Kidney Cancer Program in Urology treats patients with unique minimally invasive surgery techniques, such as laparoscopic, robotic, kidneysparing and multi-organ surgery. Collaborating across disciplines, Urology doctors are leaders in setting neoadjuvant and adjuvant standards for the treatment of advanced and metastatic disease. The Bladder Cancer Program’s robust group performs all types of urinary reconstructions, and many include using advanced robotics. With a comprehensive team approach, each patient receives a personalized care plan. Surgeons also use the latest bladder cancer detection techniques. Blue light cystoscopy causes the cancer to fluoresce, and narrow-band imaging improves visibility of critical structures so surgeons can remove tumors without damaging healthy organs, tissue or functions. An individualized approach to treating prostate cancer Urology has one of the most active prostate cancer programs in the country. In Fiscal Year 2018, its team of five doctors saw over 1,800 new patients and consults, performed 700 radical prostatectomies and over 1,200 prostate biopsies in MD Anderson’s Genitourinary Cancer Center. Prostate cancer specialists also see patients at MD Anderson in the League City, West Houston and Sugar Land. Our urologists also treat prostate cancer with exceptional care, helping to lessen the impact of the therapies on patients and improve outcomes. When prostate cancer is discovered, surgery is often the best treatment option. Surgeons in Urology use the latest technologies to treat patients with prosate cancer. In fact, MD Anderson treats the Forever grateful after prostate cancer surgery by Kellie Bramlet Blackburn Billy Brown was having trouble sleeping. At a recent trip to his urologist, the then 57-year-old had learned that his elevated prostate-specific antigen, or PSA, levels, meant that he had prostate cancer. The urologist said there was no need to do anything. They could just keep an eye on things, watch and wait and see. But for Billy, the unease that came with waiting kept him up at night. His wife, a nurse, urged him to do something about it. So Billy talked with his urologist. “What would you do if you were me?” he asked. His urologist told him that if he was considering prostate cancer surgery, he would go to MD Anderson, not far from the Houston suburb, Sugar Land, where Billy lives. So Billy scheduled an appointment. At MD Anderson, Billy met with John Davis, M.D., a urology surgeon. Davis told Billy they could continue to keep an eye on the cancer or they could remove it through surgery. Billy opted for the second option. On Feb. 16, 2015, Davis performed a robot-assisted radical prostatectomy and robot-assisted bilateral pelvic lymph node dissection to remove the cancer and the surrounding lymph nodes, ensuring that it wouldn’t spread. “He did an unbelievable job,” Billy says. “I’m just amazed at the success of it.” Billy spent two days in the hospital before heading home. Each day, the pain decreased a little. In six weeks, he was back at work. Now to raise awareness and funds for prostate cancer research, Billy helps host a golf and clay-shooting tournament followed by a live auction dinner each year. I’m forever grateful to MD Anderson for all that they’ve done for me,” he says. “I’m really thankful MD Anderson is right here in Houston.” 48 MD Anderson Cancer Center highest volume of patients in Houston with robotic-assisted prostectomy and is in the top 10% of robotic prostate surgery nationally. They have also pioneered techniques in extended template pelvic lymph node dissection, a procedure to improve the staging of the tumor and increase curative