Urologic cancers are a group of cancers that develop in the urinary system of both men and women, as well as in the male reproductive system. These cancers can affect the kidneys, bladder, ureters, and urethra, as well as the prostate, testicles, and the penis in men. Because these organs are responsible for filtering and removing waste, as well as reproductive functions, urologic cancers can have a significant impact on health and quality of life.
Types of urologic cancers
Bladder cancer
Bladder cancer most often begins in the urothelial cells that line the inside of the bladder. Most cases are diagnosed at an early stage, when treatment is highly effective. However, even early-stage bladder cancer can return after successful treatment, making ongoing monitoring important
Kidney cancer
Kidney cancer begins when abnormal cells grow in the kidneys, two bean-shaped organs located on each side of the spine. The kidneys play a vital role in filtering blood and producing urine.
Prostate cancer
Prostate cancer develops in the prostate gland, a small walnut-shaped organ located below the bladder and in front of the rectum in men. The prostate produces fluid that helps nourish and transport sperm. Prostate cancer is one of the most common cancers in men.
Testicular cancer
Testicular cancer occurs when malignant cells form in one or both testicles. While serious, it is among the most treatable and curable types of cancer, especially when detected early.
Penile cancer
Penile cancer is a rare cancer that develops in the tissues of the penis. Because of stigma or embarrassment, patients often delay seeking medical attention, which can make treatment more challenging.
Ureteral cancer
Ureteral cancer is a rare type that arises in the lining of the ureters, the tubes that carry urine from the kidneys to the bladder.
Urethral cancer
Urethral cancer develops in the urethra, the tube that allows urine to exit the body. It is rare, more common in men than women, and most often affects people over the age of 75.
Adrenal gland tumors
Adrenal tumors occur in the adrenal glands, which sit on top of the kidneys. They may be benign or malignant. Even benign adrenal tumors can produce hormones or cause symptoms that affect health.
Common symptoms*
Symptoms of urologic cancers vary depending on the type of cancer, but may include:
Blood in the urine (hematuria): often one of the first signs of bladder, kidney or prostate cancer.
Urinary changes: difficulty urinating, frequent urination, pain during urination, or changes in sexual function may be linked to bladder or urethral cancer.
Visible changes: Growths, sores, or lumps on the penis or testicles may be symptoms of penile or testicular cancer.
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Some urologic cancers affect both men and women, such as bladder and kidney (renal) cancer. Others are specific to men, including prostate, testicular, and penile cancers.
Risk factors include:
Smoking and other tobacco use
Age (risk increases as you get older)
Exposure to workplace chemicals
Gender (some cancers are male-specific)
Previous cancer treatment
Family history of cancer
There is no certain way to prevent urologic cancers, but risk can be reduced by:
Avoiding tobacco products
Eating a healthy diet rich in fruits, vegetables, and whole grains, while limiting highly processed foods and sugary drinks
Limiting exposure to toxic chemicals
Drinking plenty of fluids, especially water
Maintaining a healthy weight
Doctors may use a combination of tests, such as:
Cystoscopy or ureteroscopy to examine the bladder, ureters, and kidneys with a small camera
Treatment depends on cancer type, stage, and patient preference. Options may include:
Surgery
Chemotherapy
Radiation therapy
Immunotherapy to help the body fight cancer
Many people continue working during treatment, but this depends on the type of treatment, its side effects, and overall health.
Yes, cancers such as prostate and bladder cancer can recur after treatment. The likelihood and timing depend on the specific type and stage.
Support is available through:
Local and online support groups
Counseling or therapy
Patient navigators and nonprofit cancer organizations
Friends and family networks
Don’t wait, contact your healthcare provider promptly for evaluation.
*Note: Experiencing these symptoms does not always mean cancer. If you notice any of them, it’s important to speak with a healthcare provider for proper evaluation.