The urinary tract is often involved in the development of cancer and the management of this cancer is specific, complex and evolving. Cancers of the kidney, bladder, prostate, and testes are the most common and are seen in the office on a daily basis.

Minimally invasive surgery, laparoscopic nephrectomy and partial nephron sparing nephrectomy is the specialty of this office. We have been privileged to perform over 500 laparoscopic procedures on the upper urinary tract over the past 15 years. This procedure is best left to those surgeons with experience and you have this experience here.

Bladder cancer is the second most common urologic cancer. Associated with cigarette smoking, bladder cancer fortunately is usually “superficial”, growing just in the lining of the bladder. These cancers are more of a nuisance than a threat to life. They do, however, need careful follow up with frequent inspections of the bladder. We also will instill immunologic agents or even chemotherapy into the bladder to decrease the chances of recurrence. Once diagnosed with bladder cancer, there is a lifelong commitment to follow up, checks and further therapy if needed. If the bladder cancer grows into the bladder muscle, this signifies a much more aggressive disease requiring more significant therapy which could include chemotherapy, radiation and further surgery.

Prostate cancer is the most common cancer in men. Nearly one in ten men will develop prostate cancer. Prostate cancer has a wide spectrum of behavior from a clinically insignificant cancer needing only follow up to a very aggressive metastasizing cancer. It can be a silent killer of men. The treatment of prostate cancer is complex, controversial and highly evolved. Depending on your age, medical health, family history, aggressiveness of the cancer, if it is local (in the prostate) or systemic (spread to other parts of the body), the treatment is just as varied as the cancer. We offer all forms of treatment including surgery, referral for robotic prostatectomy, radiation oncology and proton beam therapy. The most common reason for a “second opinion” in our office is recently diagnosed prostate cancer. If you are confused, make an appointment and come in and talk.

To make an appointment with Dr. Golden, in Spokane Valley, submit the contact form on this page, or call us at (509) 921-0099 today!