{"id":47492,"date":"2004-02-23T00:00:00","date_gmt":"2004-02-23T06:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2004\/02\/23\/unmc-hospital-begin-states-first-multidisciplinary-genitourinaryoncology-clinic\/"},"modified":"2022-08-29T10:42:25","modified_gmt":"2022-08-29T15:42:25","slug":"unmc-hospital-begin-states-first-multidisciplinary-genitourinaryoncology-clinic","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2004\/02\/23\/unmc-hospital-begin-states-first-multidisciplinary-genitourinaryoncology-clinic\/","title":{"rendered":"UNMC, hospital begin state’s first Multidisciplinary Genitourinary\n\nOncology Clinic"},"content":{"rendered":"

A diagnosis of cancer can be life altering under the best of conditions,<\/p>\n

especially when it comes to the multitude of office visits and appointments<\/p>\n

needed to see a variety of specialists.  But now patients have a unique<\/p>\n

clinic available to save tremendous time and effort in the diagnosis and<\/p>\n

treatment of genitourinary cancers. The Multidisciplinary Genitourinary<\/p>\n

Oncology Clinic (MGOC) is a team of specialists from UNMC and The Nebraska<\/p>\n

Medical Center who will serve patients with urinary tract cancers including<\/p>\n

kidney, bladder, prostate, penile, testicular and other rare pelvic and<\/p>\n

abdominal cancers.<\/p>\n

There is no service available like this clinic in the state of Nebraska,<\/p>\n

said KC Balaji, M.D., associate professor, urologic surgery. Patients<\/p>\n

sometimes may need to see three different specialists a surgeon, radiologist<\/p>\n

and oncologist to discuss management options and decide on the best treatment<\/p>\n

plan for these types of cancers. This means three different appointments,<\/p>\n

at three different locations, extra travel and office time. In addition,<\/p>\n

patients have to wait for all these specialists to confer with each other<\/p>\n

and agree upon a treatment plan and these group consultations can take<\/p>\n

days or even weeks. But all of this inconvenience, loss of time and inefficiency<\/p>\n

ends at our clinic door. We provide a consensus of opinion following discussion<\/p>\n

by all specialists involved, in one visit to our patients.<\/p>\n

The patients diagnosis and pertinent medical information can be reviewed<\/p>\n

and discussed by all members of the clinic prior to seeing the patient,<\/p>\n

said Charles A. Enke, M.D., professor and chair of the department of radiation<\/p>\n

oncology.  The patient is able to ask questions of all the different<\/p>\n

specialists at the same time, which results in improved communications<\/p>\n

between the patient and physicians.  In addition, the physicians constantly<\/p>\n

educate one another on new information pertaining to their specialty <\/p>\n

information that may benefit patients.<\/p>\n

MGOC began serving patients in late November, meeting every other week<\/p>\n

for three hours and seeing four to five patients per clinic.  In March,<\/p>\n

the clinic will be open every Thursday from 8 to 11 a.m. Clinic staff anticipate<\/p>\n

serving up to 15 patients per month, which is a significant patient load<\/p>\n

for genitourinary cancer.<\/p>\n

In addition to Dr. Balaji and Dr. Enke, the clinic team includes George<\/p>\n

P. Hemstreet, M.D., professor and chair of urologic surgery; Ralph Hauke,<\/p>\n

M.D., assistant professor of medicine in the department of internal medicine<\/p>\n

and chief of oncology at the Veterans Administration Medical Center in<\/p>\n

Omaha; Sonny Johansson, M.D., Ph.D., professor, department of pathology<\/p>\n

and microbiology, and Neil Abrahams, M.D., assistant professor, department<\/p>\n

of pathology and microbiology.<\/p>\n

Dr. Hemstreet specializes in prostate and bladder cancer and is internationally<\/p>\n

known for his work in molecular markers for prostate and bladder cancer<\/p>\n

risk assessment and detection via quantitative fluorescence image analysis.<\/p>\n

Dr. Balaji is fellowship trained in urological oncology from one of<\/p>\n

the premier cancer centers in the world Memorial Sloan Kettering Cancer<\/p>\n

Center in New York, N.Y.  He specializes in performing robotic and<\/p>\n

laparoscopic surgery in patients with urological cancers. He has performed<\/p>\n

70 robotic\/laparascopic surgical procedures including the removal of the<\/p>\n

prostate, kidney and bladder, as well as numerous urinary diversion procedures.<\/p>\n

He also is primary investigator on a number of projects involving advanced<\/p>\n

prostate cancer.<\/p>\n

Dr. Enkes expertise is in the treatment of prostate cancer with radiation<\/p>\n

therapy.  He has treated more than 1,400 men for prostate cancer and<\/p>\n

has been using IMRT (Intensity Modulated Radiation Therapy) to treat prostate<\/p>\n

cancer for four years. Higher doses of radiation have been associated with<\/p>\n

an improved success rate, and IMRT is the nations leading technology that<\/p>\n

enables the radiologist to deliver higher doses while decreasing the risk<\/p>\n

of side effects or complications.<\/p>\n

Dr. Hauke specializes in the use of medications for treatment of genitourinary<\/p>\n

malignancies. These treatments include standard chemotherapy agents as<\/p>\n

well as new investigational agents including antibody therapy and vaccines.<\/p>\n

In addition, UNMC and The Nebraska Medical Center offer the only high-dose<\/p>\n

interleukin-2 program in the area for patients with metastatic kidney cancer.<\/p>\n

The accurate diagnosis of all genitourinary cancers depends upon the<\/p>\n

pathologic handling of the specimen, as well as the final analysis of grade<\/p>\n

assignment (measure of cancers aggressiveness) and staging (measure of<\/p>\n

tumor spread). Therefore, it is on the information provided by pathologists<\/p>\n

Drs. Johansson and Abrahams that the other team physicians must plan and<\/p>\n

implement their treatment strategy.  Drs. Johansson and Abrahams bring<\/p>\n

more than 30 years of combined experience and progressive technology to<\/p>\n

the diagnosis and management of patients with urologic disorders.<\/p>\n

Alan Gissler, 54, a native of Osceola, Neb., is one of the MGOCs initial<\/p>\n

patients. Dr. Balaji successfully removed Gisslers prostate cancer and<\/p>\n

associated lymph nodes using the robot.  After the surgery he felt<\/p>\n

great and was in no pain, Gissler said. Dr. Balaji made only make five<\/p>\n

tiny incisions that can barely be seen, Gissler said. Remarkably, Gissler<\/p>\n

lost only a half pint of blood so no transfusions were necessary (in conventional<\/p>\n

open surgeries for removal of prostate cancer, blood loss average is around<\/p>\n

two pints). He continues to receive a form of hormonal therapy for his<\/p>\n

prostate cancer.  In April he will begin radiation<\/p>\n

treatments under Dr. Enke. Even though hell have to drive 180-miles<\/p>\n

round trip to Omaha five days a week for eight weeks, Gissler is expected<\/p>\n

to continue his employment as superintendent of the Ryan Hill Country Club<\/p>\n

while he undergoes his radiation treatments.<\/p>\n

For more information about the Multidisciplinary Genitourinary Oncology<\/p>\n

Clinic, contact 402-559-4292 or visit the MGOC Web site at www.unmc.edu\/urologicsurgery.<\/p>\n

With a history dating back to 1869, The Nebraska Medical Center is known<\/p>\n

for excellence, innovation and quality patient care. As the teaching hospital<\/p>\n

for the University of Nebraska Medical Center, this 735 licensed bed facility<\/p>\n

has an international reputation for providing solid organ and bone marrow<\/p>\n

transplantation services and is well known nationally and regionally for<\/p>\n

its oncology, neurology and cardiology programs.<\/p>\nU ZV sDd mNsYUSncH GRzzZ<\/a><\/div><\/div>","protected":false},"excerpt":{"rendered":"

A diagnosis of cancer can be life altering under the best of conditions, especially when it comes to the multitude of office visits and appointments needed to see a variety of specialists.  But now patients have a unique clinic available to save tremendous time and effort in the diagnosis and treatment of genitourinary cancers. The […]<\/p>\n","protected":false},"author":79,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-47492","post","type-post","status-publish","format-standard","hentry","category-uncategorized","department-press-release"],"yoast_head":"\nUNMC, hospital begin state's first Multidisciplinary Genitourinary Oncology Clinic<\/title>\n<meta name=\"description\" content=\"A diagnosis of cancer can be life altering under the best of conditions, especially when it comes to the 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