Genitourinary Cancer

Comprehensive Genitourinary Cancer Services

At the Lahey Health Cancer Institute (LHCI), our expert team of specialists provide a full range of high-quality, comprehensive genitourinary cancer services. Genitourinary cancer includes prostate cancer, kidney cancer, bladder cancer, testicular cancer, and adrenal cancer.

Our patient-focused care assures you are treated with respect and compassion every step of the way. From the moment you walk in, we want you to feel confident that you are in expert hands and the right place.

Comprehensive, Quality Care

LHCI has successfully united a network of outstanding providers of cancer care in northeastern Massachusetts and southern New Hampshire. Our care delivery is marked by team collaboration and coordination.

Our comprehensive care carries through any and all phases of treatment, assuring you of the seamless, integrated care you need and deserve. We offer an unparalleled breadth and depth of genitourinary cancer services across a broad geographic area. This allows you to receive care from knowledgeable, experienced providers while not having to journey far from home.

As our patient satisfaction surveys support, the Lahey Health Cancer Institute enjoys a regional reputation for providing convenience, quality care focused on clinical excellence, a personal touch, and patient involvement. This success has established LHCI as a regional leader in cancer care.


All of the radiation therapy sites within the Lahey Health system are accredited by the American College of Radiology (ACR), which ensures quality and safety in patient care.

Genitourinary Cancer Services & Treatments

The Lahey Health Cancer Institute (LHCI) has pioneered treatments for genitourinary cancer, which includes prostate cancer, kidney cancer, bladder cancer, testicular cancer, and adrenal cancer. We offer every available diagnostic and treatment option, and we tailor our care depending upon your personal diagnosis and circumstances.

LHCI is committed to bringing our premier services and renowned expertise right to your community. Because dealing with cancer is hard enough without having to travel far for treatment.

Innovative Therapies

Innovative therapies for superficial bladder cancer, bladder reconstruction, low-dose rate and high-dose rate brachytherapy (radioactive seed implantation) for prostate cancer, and an active research agenda are hallmarks of genitourinary cancer care at Lahey Health.

Our prostate cancer specialists are recognized leaders in developing open and minimally invasive treatments for prostate cancer, dramatically improving the quality of life for those who undergo treatment for the disease.

Our experienced, professional, highly trained, and caring providers are here for you, working as a team to beat your cancer.

Survivorship Clinic

Cancer survivors have unique services provided to them in the multidisciplinary survivorship clinic. This visit provides the survivors and families with crucial information about wellness, supportive services, and latest health-related research related to cancer survivorship and prevention of second or recurrent cancers.

In addition to an oncologist, your team includes registered dietician, behavioral oncologist, physical therapist, and nurse navigator. The team provides dedicated services to ensure healthy coping, timely intervention for treatment-related side effects, and risk reduction for cancer recurrence.

You can call the clinic for an appointment at 781-744-9777, or your healthcare provider can make a referral.

Wide Range of Services

Learn more about LHCI’s genitourinary cancer services and treatments:
Screening & Diagnosis

The Lahey Health Cancer Institute (LHCI) offers the latest tools and techniques for screening and diagnosing genitourinary cancer, which includes prostate cancer, kidney cancer, bladder cancer, testicular cancer, and adrenal cancer.

More Options Than Ever Before

A doctor meeting a patient in an exam roomWe offer more weapons than ever before in the fight against genitourinary cancer. At LHCI, people who previously had few – or no – therapeutic options can benefit from a wide range of comprehensive, evidence-based approaches to treat their cancer while preserving their quality of life.

Team of Providers

At LHCI, providers from various disciplines come together to diagnose genitourinary cancer and form a treatment plan, including radiologists, surgical oncologists, genitourinary surgeons, pathologists, and other experts.

Many types of genitourinary cancer are curable when discovered and treated appropriately in their early stages. Our goal is to provide precise diagnosis and staging of a tumor to help guide the most appropriate treatment plan.

If Cancer is Confirmed

If your test results show genitourinary cancer, be assured that you will not be in it alone. We will pair you with a patient navigator to help guide you through treatment decisions and survivorship. We will support you, educate you, and treat you according to best practices and the highest clinical standards.

Individualized Care

Treating prostate cancer requires a truly individualized approach. Older men with slow-growing tumors may choose not to be treated, as it may be many years before the cancer becomes life-threatening. At LHCI, men under age 70 and those with aggressive tumors are given a wide range of treatment options to consider.

Medical Oncology

Medical oncology is where some of the greatest advances in survivorship are happening. Today’s systemic treatment options for genitourinary cancer – which includes prostate cancer, kidney cancer, bladder cancer, testicular cancer, and adrenal cancer – are expanding beyond traditional therapies.

Groundbreaking Research

Groundbreaking research has led to the implementation of new biological and immunotherapies that are helping more patients live longer and better. Our medical oncology physicians and nurses have extensive experience in the use of these new treatments.

Oncology Care Model

Chemotherapy treatment at LHCI reflects the Oncology Care Model (OCM) designed by the Centers for Medicare & Medicaid Services, in which we provide a wide variety of special support services for patients receiving chemotherapy. Learn more about OCM.


Today’s chemotherapy drugs are more effective than ever before. Most chemotherapy regimens have fewer side effects, and if side effects do occur, we have treatments to help manage them.

The chemotherapy units throughout the Lahey Health are designed to enhance patient comfort and ease of treatment. Family members or friends may stay with you while you are receiving chemotherapy. Many of our locations provide free television service and free WiFi.

Molecular-Targeted Therapies

Molecular-targeted cancer therapies are drugs or other substances that block the spread of cancer by interfering with specific molecules involved in tumor growth. It includes drugs that:

  • Interfere with the signals needed for cell growth or the blood vessels that feed a tumor
  • Promote the death of specific cancer cells
  • Stimulate the immune system to destroy specific cancer cells
  • Deliver toxic drugs to cancer cells
  • Targeted drugs can be used to address genitourinary cancer cells with a certain genetic makeup. Because every cancer is unique, we will analyze the genetic makeup of your specific cancer to match you with the most effective targeted treatment for the best possible outcome.

Immunotherapy for cancer involves the use of substances either made in the human body or in a laboratory to boost the body’s immune system. The goal is to stimulate your body’s immune system to fight against your particular type of cancer.

Fertility Counseling and Genetic Testing

If you are concerned about how your treatment might affect future plans to have a child, we offer fertility counseling services. We also offer genetic testing for you and family members, to look for certain markers that could help assess risk as well as guide treatments and decision making.

Radiation Therapy

The Lahey Health Cancer Institute (LHCI) offers a full range of radiation therapy options for genitourinary cancer, which includes prostate cancer, kidney cancer, bladder cancer, testicular cancer, and adrenal cancer. We are focused on not exposing you to unnecessary radiation, so we are particularly skilled at adapting our services to treat you with the least amount of radiation needed.

Stereotactic Radiosurgery

Among our radiation therapy options at Lahey Health is a procedure called stereotactic radiosurgery. This is a form of radiation therapy that focuses high-power energy on a small area of the body. It is used to treat a number of different types of cancer, including prostate cancer and kidney cancer. Stereotactic radiosurgery targets and treats cancerous tissue while minimizing damage to nearby healthy tissue.


Another type of radiation therapy at LHCI is brachytherapy, often used to treat prostate cancer. In this procedure, radioactive pellets that resemble seeds are placed into the prostate gland. These seeds give off radiation to kill prostate cancer cells.

External Radiation

External radiation, also called external beam radiation, is the most common type of radiation therapy to treat cancer. At Lahey, we have the most up-to-date equipment and experienced radiologists to allow for more precise delivery of the high-energy beams used to kill cancer cells while doing less damage to normal tissues.

Quality and Safety Accreditation

Your safety is very important to us. Some of our quality and safety initiatives for radiation therapy include:

  • Lahey uses the XECAN patient care and safety management system, which is technology that helps ensure the correct treatment of cancer patients.
  • We have an overarching safety program called the Radiation Oncology Safety Initiative (ROSI), which focuses on all aspects of radiation oncology that have an effect on safety.
  • We are members of the Clarity Patient Safety Organization (PSO), which operates the national Radiation Oncology Incident Learning System. By belonging to a national incident-learning database, we are able to compare our experience to that of all other participating institutions in the country, enhancing the potential for discovering significant error-prevention opportunities.
  • All of the radiation therapy sites within the Lahey Health system are accredited by the American College of Radiology (ACR), which ensures quality and safety in patient care.

The surgeons at the Lahey Health Cancer Institute (LHCI) who treat genitourinary cancer are second to none. They have extensive experience in cancer treatment and are experts in the very latest techniques, including minimally invasive and robotic surgery procedures.

At the Forefront

For example, Lahey urologists have led the way in developing open and minimally invasive treatments for prostate cancer to improve the quality of life for those who undergo treatment for the disease.

Because of the number of patients we treat at Lahey Health, our physicians are exceptionally proficient in genitourinary cancer surgery for prostate cancer, kidney cancer, bladder cancer, testicular cancer, and adrenal cancer.

Robotic Surgery

One growing option in treating genitourinary cancer is robotic surgery. As with traditional laparoscopic surgery, the surgeon operates through tiny incisions. The robot serves as extensions of the surgeon’s hands, and is designed to translate the surgeon’s hand movements into precise movements of instruments within the surgical site.

The robotic surgery system can improve the surgeon’s visualization of delicate tissues and nerves by providing a magnified, 3D view of the surgical site. It also increases the surgeon’s dexterity by allowing for 360-degree rotation of surgical tools.

Minimally Invasive Options

Lahey provides minimally invasive surgical options for treatment of various types of genitourinary cancers, including laparoscopic prostatectomy and laparoscopic bladder reconstruction.

Robotic and minimally invasive procedures can be used to treat prostate cancer, kidney cancer, bladder cancer, and much more. When compared with traditional open surgery, these procedures can mean a quicker recovery with less pain.

Meet the Genitourinary Cancer Team

At the Lahey Health Cancer Institute (LHCI), you will benefit from an expert genitourinary cancer team with caring and experienced providers. Your care team may include patient navigators, certified oncology nurses, medical oncologists, radiation oncologists, cancer surgeons, technicians, and technologists, all dedicated to your cancer treatment and well-being. Here we introduce you to the physician specialists on our genitourinary cancer care team.

Karl J. D'Silva, MD
Karl J. D'Silva, MD Hematology/Oncology
Krishna S. Gunturu, MD
Krishna S. Gunturu, MD Hematology/Oncology