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We currently have 11 urologists with a variety of interests and specialties in the field of Urology. Choose a physician listed on the right to learn more about that specific physician. You can also call our office or complete the Request a Consultation form on this page to speak directly with one of our staff who can help to schedule you with a physician to meet your needs.
DR. BRIAN
BILLMEYER
Dr. Billmeyer grew up in Omaha, Nebraska. He attended the University of Iowa and graduated with highest distinction with a major in biology and a minor in chemistry. He was selected for membership in the Phi Beta Kappa honor society.
DR. EDWARD “TED”
CAPOCCIA
Dr. Capoccia was born and raised in Kansas City. He attended the University of Kansas for his undergraduate education and majored in human biology. He completed his medical school training at the University of Kansas School of Medicine.
DR. TYLER
EMLEY
Dr. Emley was born in Michigan and grew up in New Hampshire. He graduated magna cum laude from Indiana University/Bloomington in 1995 with degrees in Biology and Sociology. He was selected for the Phi Beta Kappa honor society.
DR. PRIYANKA
KUMAR
Dr. Kumar grew up in Crown Point, IN and graduated from Merrillville High School before pursuing a degree in Biology, with a minor in business administration from the University of Southern Indiana.
DR. KEVIN
PARIKH
Dr. Parikh grew up in Schererville, Indiana. After graduating as valedictorian from Lake Central High School, he went on to Indiana University where he obtained a business degree from the Kelley School of Business and minors in both chemistry and biology.
DR. ADAM
PERLMUTTER
Dr Perlmutter grew up on Long Island, New York. He majored in biology at Emory University in Atlanta, Georgia. He received his medical degree from New York College of Osteopathic Medicine.
DR. MANOJ
RAO
Dr. Rao was born in Chicago and grew up in Olympia Fields, Illinois. He attended Saint Louis University for his undergraduate studies as both a Pre Medical and Presidential Scholar.
DR. RYAN
SWEARINGEN
Dr. Swearingen grew up in Wheaton, Illinois. He attended the University of Illinois at Urbana-Champaign, and graduated with honors, with a major in economics and a minor in chemistry. He was selected in the Phi Beta Kappa honor society.
DR. RAMESH
UNNI
Dr. Unni was born in Maywood, Illinois. He grew up in Crown Point, IN and attended St. Mary’s School and Andrean High School locally before pursuing a degree in economics at Northwestern University.
DR. TED
VELLOS
Dr. Vellos was born and raised in Orland Park, Illinois where he graduated from Carl Sandburg High school. He attended Loyola University Chicago for both undergraduate and medical schools obtaining degrees in Chemistry and Economics and earning Honors in research.
DR. BRUCE
YALOWITZ
Penile cancer is a rare form of cancer that affects the penis and is treatable when caught early. Penile cancer almost always affects men who are not circumcised.
There are various types of penile cancer. About 95 percent of penile cancer cases are squamous cell carcinoma. This cancer often begins underneath the foreskin but can spread to the rest of the penis.
Other types of penile cancer can include sarcoma, melanoma and basal cell carcinoma.
In many cases, men will notice abnormal growth or lumps on the penis. Other symptoms that can indicate penile cancer include:
• Changes in the thickness or color of the skin
• A rash or bumps with the appearance of a scab
• Blue-brown growths on the penis
• A discharge from beneath the foreskin
• A sore on the penis
• Lumps under the skin at the groin
Many of these signs can indicate other conditions, but patients should consult a urologist if any of these issues are noted.
Most cases of penile cancer are diagnosed by physical exam and biopsy. Evaluation of the lymph nodes of the groin by exam and imaging are an important part of the evaluation. Often the lymph node evaluation is done after antibiotic therapy to eliminate false positives caused by infection or inflammation.
Treatment for penile cancer depends on many factors including the extent and area of the cancer. Circumcision is a standard treatment for cancer affecting the foreskin. Removal of the tumor and affected areas determine further treatment. The location of the tumor is important in determining the extent of the initial surgical treatment.
A type of surgery sometimes used in penile cancer treatment is Mohs surgery, in which skin is removed layer by layer until all affected tissues are gone. Cryosurgery is used less commonly. This procedure freezes and kills cancerous. Laser surgery and topical chemotherapies may also be used in select cases.
If the cancer has advanced or is likely to spread, more drastic treatments may be necessary such as partial or total penectomy. Surgery to remove lymph nodes from the groin may be required if the cancer has spread.
Radiation therapy and chemotherapy are both options for some cases of penile cancer. They can be effective in managing recurrent cancer or cancer that has spread. Both carry severe side effects and risks.
Avoiding common risk factors like smoking and other tobacco use can reduce the risk of penile cancer. The condition is also far less prevalent in circumcised men. HIV, genital warts, and other sexually transmitted infections can play a role in penile cancer, so safe sex practices are advisable.
Penile cancer is most common in men over the age of 60. Several conditions can lead to an increased risk including phimosis, where the foreskin is abnormally tight and not reducible. Previous psoriasis treatment using ultraviolet light and the drug psoralen can increase the chance of penile cancer.
The decision to proceed with a vasectomy is a very personal one.
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