Smilow Comprehensive Prostate Cancer Center

Expert Diagnosis Surveillance & Treatment For Prostate Cancer

Always Remain – Smilow Cancer Hospital, Yale Cancer Center

NewYork-Presbyterians cancer centers the National Cancer Institutedesignated Herbert Irving Comprehensive Cancer Center of New York-Presbyterian/Columbia University Irving Medical Center, Weill Cornell Medicine Meyer Cancer Center in partnership with NewYork-Presbyterian and cancer centers at our hospitals in Westchester, Hudson Valley, Brooklyn and Queens offer men with prostate cancer research-based care from leaders in the field. Our urologic oncology teams choose the most effective treatment for each patient, tailored to the aggressiveness of his cancer.

Our Team

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Dr Taneja Discusses Imaging Techniques Used To Detect Metastatic Prostate Cancer

Samir Taneja, MD, James M. Neissa and Janet Riha Neissa professor of urologic oncology, vice chair, Department of Urology, professor, Department of Radiology, co-director, Smilow Comprehensive Prostate Cancer Center, director, Urologic Oncology, Genito-Urologic program leader, NYU Langones Perlmutter Cancer Center, discusses a number of emerging imaging techniques used to stage prostate cancer.

Using MRI, doctors determine whether or not something in the MRI, some quantitative signal, gives a sense of which cancers are at risk for metastasis. There can be quantitative metrics of diffusion that can be measured to help. Taneja predicts the combination of MRI signal with genetic findings in the sampled tissue to create what would be called a radio-genomic that may be able to predict who is at risk. However, this is still in development.

A Team Dedicated To The Highest Standard Of Care

When cancer develops in the prostate, it is usually very slow growing and highly treatable. Some men might never even know they have the disease. Occasionally, prostate cancer will grow more quickly or spread outside the prostate thats when it becomes more life-threatening.

At UT Southwestern, our team of prostate cancer experts works with patients to understand each persons disease, providing personalized, compassionate care to achieve the best possible outcomes.

Many of our specialists are recognized as national leaders in the diagnosis and treatment of prostate cancer. Together, we take a collaborative approach, leveraging the expertise of a wide range of experts, including urologists, medical and radiation oncologists, radiologists, and pathologists, to provide each patient with the highest standard of care.

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Imaging And Interventional Radiology

Our radiologists are experts in magnetic resonance imaging , ultrasound, computed tomography , and fluoroscopy, and combine their clinical expertise with advances in technology including MR-US fusion for prostate imaging, as well as positron emission tomography scans and advanced nuclear medicine scans. In addition, Blue Light Cystoscopy, an advanced endoscopic technology, is employed to improve bladder cancer detection and reduce risk of cancer recurrence.

Dr Stephen Scionti: Welcoming A Globally Recognized Prostate Expert

Over the last 20 years, Dr. Scionti has worked to transform prostate cancer treatments at his Florida-based practice, the Scionti Prostate Center.

Together, we will transform mens health just as breast imaging has for womens health over the last three decades.

His minimally invasive approach includes thermal ablation therapies such as high intensity focused ultrasound , transurethral prostate ablation , prostate laser ablation, and cryoablation. A leading HIFU surgeon in the United States, Dr. Scionti has partnered with medical treatment centers across the globe to refine this technology. He also established the countrys first center of excellence to perform TULSA-Pro.

Previously, Dr. Scionti served as Clinical Associate Professor of Urology and Director of Prostate Cancer Ablation Surgery at the Joel E. Smilow Comprehensive Prostate Cancer at the New York University School of Medicine and Langone Medical Center. He was also the medical director and founder of the Hilton Head International Center for Mens Health.

Ive dedicated my career to transforming prostate cancer treatments and building the best outcomes possible for my patients, Dr. Scionti says. I look forward to joining forces soon with HALO Diagnostics to build out focal therapy programs and innovate this critical area of care further. Collaborating with their clinical team of experts will make this possible.

For Patients & Visitors

Thank you for choosing Englewood Health. We know that you have options on where to receive your care, and we are grateful that you have put your trust in us.

Our commitment to quality, safety, and patient and family engagement guides everything we do. Delivering the best care requires a partnership between our care providers, our patients, and their loved ones. In that spirit of partnership, this website contains important information to help you be an informed and active participant in your healthcare, including:

Billing and insurance information, including financial assistance policies, charity care, insurance plans we accept, pricing, and online bill payment
Information about your hospital stay, including your healthcare team, meals, housekeeping, TV/telephone service, interpreter services, and religious services

Prostate Cancer Treatments May Affect Your Quality Of Life

Prostate cancer affects one in nine U.S. men. While a cancer diagnosis can be scary, prostate cancer has high survivor rates, especially when it is caught and treated early. For many prostate cancer patients, the treatment decision is less about choosing a life-saving option and more about protecting their quality of life after treatment. Certain treatments may cause side effects like frequent urination, pelvic pain or erectile dysfunction. Thats why it is important to turn to oncologists with expertise in diagnosing and treating the disease, so they can help you make informed decisions about your care.

Moffitts Approach To Prostate Cancer Treatment

Having earned the prestigious Comprehensive Cancer Center designation from the National Cancer Institute , Moffitt Cancer Center has distinguished itself as one of the nations premier cancer centers. Through our extensive research, bench-to-bedside approach and robust clinical trials program, our patients have opportunities to be among the first to benefit from promising new prostate cancer treatments that are unavailable elsewhere.

The renowned Urologic Oncology Program at Moffitt features a multispecialty team that includes board-certified surgeons, radiologists, radiation oncologists, nurses, supportive care specialists and other medical professionals. Working together, these diverse experts develop a tailored treatment plan for each patient. Moffitt also holds weekly tumor board meetings to assess and monitor complex cases. These are just some of the ways in which we provide outstanding cancer care.

If you would like more information about prostate cancer, you are welcome to talk with a specialist in the Urologic Oncology Program at Moffitt Cancer Center. To request an appointment, please call or submit a new patient registration form online.

Experience Treating All Stages Of Prostate Cancer

Quality and Safety at Smilow Cancer Hospital

Our prostate care teams include highly experienced urologic surgeons , medical oncologists, radiation oncologists, pathologists, diagnostic and interventional radiologists, fertility preservation experts, nurses, advanced practitioners, oncology social workers, registered dietitians, integrative health practitioners, support providers, and others dedicated to caring for men with all stages of prostate cancer.

OUR APPROACH TO CARE

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Do You Really Need A Prostate Exam

Prostate cancer is the second-leading cause of cancer death in American men, behind only lung cancer. , a urologist at Lawrence + Memorial Hospital and an associate professor of Urology at Yale School of Medicine, sees patients with urologic cancers in collaboration with the Smilow Cancer Hospital Care Center in Waterford and the Prostate and Urologic Cancers Program at Smilow Cancer Hospital. Here he offers advice about the importance of rectal exams, PSA blood tests and screenings for prostate cancer.

Good health should be a year-round concern for men not just in November. This time of the year should be a time for men to reflect on things in their life that they can change to impact their overall health for the better.

Talk to your doctor. If you dont have one, call 833-346-3637 or visit Find a Doctor for a referral to a primary care physician near you.

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The Prostate & Urologic Cancers Program

Patients also have access to caregivers who can help with the physical, emotional, and psychological issues related to these cancers. The extended team includes health educators, social workers, dieticians, and complementary therapists. Our goal is to ensure the highest standard of care to support our patients and their families.

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Proton Therapy Is Our Focus

The New York Proton Center has a singular focusto provide adults and children with cancer the most sophisticated and advanced form of radiation therapy. While we do not provide surgery or chemotherapy, some of our patients do receive these important treatments from other healthcare providers in coordination with proton therapy.

Bill Makley, a freelance copywriter who had recently relocated to Mexico from Florida, had just been diagnosed with elevated PSA levels. On the advice of his urologist, he began a three-year period of PSA monitoring that, in 2019, culminated in a positive biopsy for prostate cancer.

Halo Diagnostics: Building Comprehensive Multi

Scionti will join an experienced roster of focal therapy providers and urologists.

Dr. John Feller serves as the Chief Medical Officer at HALO Diagnostics. He is a board-certified, sub-specialized radiologist with fellowship training from Stanford University. Over the last 12 years, Dr. Feller has led a clinical trial on the efficacy of MRI-guided laser focal therapy in men with low-to-intermediate risk or recurrent prostate cancer.
Dr. Ara Karamanian serves as the prostate programs medical director and is the founder of the Prostate Laser Center powered by HALO Diagnostics. He is board certified in diagnostic, vascular, and interventional radiology.
Dr. Pedram Ilbeigi is a board-certified urologist and medical director of Valley Urology Medical Group in Southern California, which is now powered by HALO Diagnostics and includes six locations, eight urologists, and a CLIA-certified laboratory.

The combined team has treated nearly 3,000 prostate cancer patients using focal ablation with a 100% post-procedure survival rate.

We are thrilled to be bringing Dr. Scionti on board. He will join a team committed to personalized, precision-focused healthcare, Dr. Feller proclaims. He adds, Together, we will transform mens health just as breast imaging has for womens health over the last three decades.

For more information about the prostate program at HALO Diagnostics, please visit .

A Biopsy Is Done To Diagnose Prostate Cancer And Find Out The Grade Of The Cancer

A transrectal biopsy is used to diagnose prostate cancer. A transrectal biopsy is the removal of tissue from the prostate by inserting a thin needle through the rectum and into the prostate. This procedure may be done using transrectal ultrasound or transrectal MRI to help guide where samples of tissue are taken from. A pathologist views the tissue under a microscope to look for cancer cells.

Sometimes a biopsy is done using a sample of tissue that was removed during a transurethral resection of the prostate to treat benign prostatic hyperplasia.

If cancer is found, the pathologist will give the cancer a grade. The grade of the cancer describes how abnormal the cancer cells look under a microscope and how quickly the cancer is likely to grow and spread. The grade of the cancer is called the Gleason score.

To give the cancer a grade, the pathologist checks the prostate tissue samples to see how much the tumor tissue is like the normal prostate tissue and to find the two main cell patterns. The primary pattern describes the most common tissue pattern, and the secondary pattern describes the next most common pattern. Each pattern is given a grade from 3 to 5, with grade 3 looking the most like normal prostate tissue and grade 5 looking the most abnormal. The two grades are then added to get a Gleason score.

Proton Therapy Vs Traditional Radiation

Compared to conventional radiation treatment including Cyberknife/SBRT, proton therapy can deliver high radiation doses to the prostate and pelvic lymph nodes while better sparing the healthy bowel and bladder. For men with prostate cancer, the side effects of conventional radiation treatment can have serious quality of life implicationsparticularly relating to urinary, bowel and erectile function.

Because proton therapy reduces the amount of radiation to healthy organs near the prostate by 80%allowing significantly less unnecessary irradiation to the bladder, bowels, and surrounding healthy tissuesthere is reduced risk of secondary cancers and other long-term effects compared to conventional radiation.

For these reasons, proton therapy is particularly beneficial for men with high-risk prostate cancer that has spread or is at risk of spreading to the lymph nodes and in treating patients with prostate cancer that has returned after previous radiation therapy or prostatectomy.

Proton therapy treatments are delivered on an outpatient basis. Most patients continue their normal activities throughout treatment, without having their quality of life impacted by their proton therapy. Entire treatment courses in only five days with proton SBRT and novel clinical trials are offered to appropriate candidates.

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Memorial Sloan Kettering Cancer Center

Memorial Sloan Kettering Cancer Center is a non-profit hospital located in New York City. It was founded in 1884 as the New York Cancer Hospital by a group of philanthropists and businessmen including John Jacob Astor.

The center treats hundreds of subtypes of cancers each year at its many locations in New York state and New Jersey. These include the Evelyn H. Lauder Breast Center, the Sillerman Center for Rehabilitation, and the Bendheim Integrative Medicine Center.

Treatment Options For Prostate Cancer

What are the Symptoms of Prostate Cancer?

We dont stop after embarking on a treatment plan. For many men with low-risk disease, active surveillance or observation is the most appropriate option. At the Smilow Comprehensive Prostate Cancer Center, we have carefully and safely followed men for more than a decade without any intervention, while ensuring the disease was not progressing.

Men who are candidates for a treatment called focal ablation recover quickly and typically do not develop urinary incontinence or sexual dysfunction. A requirement of this treatment is careful follow up to ensure that the cancer has truly been destroyed and new cancers do not develop in the untreated prostate.

If you choose to have your prostate removed in a procedure known as radical prostatectomy, we follow you closely through recovery and connect you with programs that improve your chances of maintaining sexual potency and avoiding incontinence.

Our team of world-renowned urologic surgeons, radiation oncologists, medical oncologists, radiologists, and naturopathic doctors collaborate to provide comprehensive prostate cancer care. We are intimately familiar with the most up-to-date medical findings, and in many cases we are leading those discoveries right here at NYU Langone.

The Smilow Comprehensive Prostate Cancer Center was established in 2010 with the generous support of Joel E. Smilow, a trustee of New York University and NYU Langone.

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Dr Ernest W Ramsey Manitoba Prostate Centre

The Dr. Ernest W. Ramsey Manitoba Prostate Centre at CancerCare Manitoba is the provincial centre for prostate disease. The centre provides timely access to diagnosis and therapy of both benign and malignant diseases of the prostate. You may be referred to the centre by your urologist or family physician for assessment and diagnosis by our health-care team.

Our multidisciplinary team of urologic surgeons, radiation oncologists, medical oncologists, nurses, a psychosocial clinician and registered dietitian offer assessment, diagnostics and treatment for men with prostate disease.

Patients and their families also receive education and supportive care, as well as co-ordinated access to additional resources as necessary.

If you are diagnosed with prostate disease, there are a number of treatments available and our team will help you to decide which is best for you.

Cancer Risk Factors And Symptoms

Its difficult to determine why one person develops cancer while another doesnt. However, doctors know that certain risk factors, such as your age or genetics, may increase your likelihood of getting cancer. Other risk factors include:

Alcohol and tobacco use
Immunosuppression
Infectious agents, such as certain viruses

Additionally, excessive exposure to radiation or sunlight may increase your risk. Other cancer-causing substances occurring in your environment, such as certain chemicals, pesticides, and even wood dust, may predispose you to cancer.

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Working Together To Deliver Leading

By being part of City of Hope, one of the nation’s top 10 cancer hospitals, were able to combine groundbreaking clinical trials with precision cancer treatment, providing more patients with the comprehensive, personalized care they deserve. This joining of forces unites our shared vision, values and commitment to broaden access to high-quality, compassionate care that puts patients first. Were excited about the opportunity to expand your access to world-class cancer care, leading-edge research, innovations in cancer treatments and side-effect management expertise that prioritizes your quality of life, so you can feel better while getting betterand get back to your life.

These Technologies Could Change Your Life For The Better

The da Vinci® Surgical Robot assists with laparoscopic prostatectomies and represents the most advanced prostate cancer treatment available today. The da Vinci® provides superior 3D visualization, as surgeons use its robotic arms to perform prostate surgeries through keyhole sized incisions. The actual surgical instruments are the size of match heads, ensuring precise control that results in:

Cancer can spread through tissue, the lymph system, and the blood:

Tissue. The cancer spreads from where it began by growing into nearby areas.
Lymph system. The cancer spreads from where it began by getting into the lymph system. The cancer travels through the lymph vessels to other parts of the body.
Blood. The cancer spreads from where it began by getting into the blood. The cancer travels through the blood vessels to other parts of the body.

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