What is Pelvic Cancer?

Pelvic cancer is a broad term for cancers that develop in the organs of the pelvic region, including the bladder, rectum, uterus, cervix, ovaries, prostate, and surrounding soft tissues. These cancers often present with overlapping symptoms such as pelvic pain, abnormal bleeding, urinary or bowel difficulties, and unexplained weight loss, making early diagnosis crucial. Pelvic cancers may arise from different organs such as gynecological cancers (uterus, cervix, ovary), urological cancers (bladder, prostate, testis), colorectal cancer (rectum and lower intestine), or rare soft tissue and retroperitoneal tumors. Since these conditions frequently affect multiple organ systems, they require the expertise of an experienced surgical oncologist like Dr. Nitin Singhal in Ahmedabad, who provides accurate diagnosis and personalized treatment through a multidisciplinary approach for the best possible outcomes.

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Pelvic Cancer Treatment in Ahmedabad

Dr. Nitin Singhal offers comprehensive treatment plans for pelvic cancers in Ahmedabad, carefully tailored to the type, stage, and overall health of each patient. Surgical options include organ-specific procedures such as hysterectomy, prostatectomy, or bladder tumor removal, as well as pelvic exenteration for advanced cancers involving multiple organs. He also specializes in robotic and minimally invasive surgeries, which provide greater precision, less pain, and faster recovery, along with lymph node dissection to assess and remove cancer spread. In addition to surgery, treatments may involve systemic therapies such as chemotherapy, targeted therapy, and immunotherapy, often combined with radiation therapy (external beam or brachytherapy) for effective local control. For advanced abdominal and pelvic cancers with peritoneal spread, Dr. Singhal also offers HIPEC (Hyperthermic Intraperitoneal Chemotherapy), while young women with gynecologic cancers are provided fertility-preserving options to safeguard their future parenthood.

Q1. What are the common symptoms of pelvic cancer?

👉 The symptoms of pelvic cancer often vary depending on the organ affected but may include persistent pelvic pain, abnormal vaginal bleeding, irregular periods, pain during intercourse, urinary problems such as frequency or difficulty passing urine, constipation, rectal bleeding, changes in bowel habits, unexplained weight loss, or noticeable lumps/swelling in the pelvic area. Because these symptoms overlap with other benign conditions, timely evaluation by an experienced oncologist like Dr. Nitin Singhal is critical for early diagnosis.

Q2. How is pelvic cancer diagnosed?

Diagnosis involves a combination of clinical evaluation, imaging, and biopsy. Tests may include ultrasound, CT scan, MRI, and PET-CT scans to assess tumor location and spread. Blood tests may help detect cancer markers, while endoscopy or colonoscopy is used for suspected colorectal involvement. The gold standard is a biopsy, where tissue samples are examined under a microscope to confirm cancer type and stage. Dr. Nitin Singhal uses a multidisciplinary approach with advanced imaging and pathology to ensure accurate staging and personalized treatment planning.

3. What is pelvic exenteration surgery?

Pelvic exenteration is a complex, advanced surgical procedure performed for locally advanced pelvic cancers that involve multiple organs, such as the bladder, rectum, uterus, or cervix. It may involve the removal of two or more pelvic organs, sometimes followed by reconstruction of urinary or bowel pathways. Although it is a major surgery, it can be life-saving for patients with recurrent or advanced pelvic cancers. Dr. Nitin Singhal, with his expertise in advanced surgical oncology and robotic techniques, performs these surgeries with precision to maximize survival while maintaining patient safety.

4. Can pelvic cancer be treated with minimally invasive surgery?

Yes, in many cases laparoscopic or robotic-assisted surgeries are preferred for pelvic cancers. These approaches allow smaller incisions, less blood loss, quicker healing, reduced pain, and shorter hospital stays compared to traditional open surgery. Minimally invasive surgery is especially effective in early-stage cancers or selected advanced cases where organ preservation is possible. Dr. Nitin Singhal is skilled in robotic cancer surgery, ensuring precision and better functional outcomes for his patients.

Is pelvic cancer curable?

Many pelvic cancers are highly curable if detected in early stages, with survival rates significantly improved through timely surgery and therapy. Even in advanced stages, pelvic cancers can be managed effectively with a combination of surgery, chemotherapy, radiation therapy, HIPEC (Hyperthermic Intraperitoneal Chemotherapy), targeted therapy, and immunotherapy, depending on the case. While cure may not always be possible in Stage IV disease, treatment can control cancer progression, relieve symptoms, and improve quality of life. Long-term follow-up and surveillance are also crucial since pelvic cancers can recur.

Stages of Pelvic Cancer

Stage I

In the earliest stage, cancer is confined to the organ of origin such as the uterus, bladder, prostate, or rectum. At this stage, the tumor is usually small and localized, and patients may have mild or no symptoms. Treatment often involves organ-specific surgery (like hysterectomy, prostatectomy, or TURBT for bladder tumors), and outcomes are generally excellent with high survival rates.

Stage 2

Here, cancer begins to spread into nearby tissues within the pelvis but has not yet reached other organs. Symptoms may include pelvic pain, abnormal bleeding, or urinary/bowel changes. Treatment typically involves surgery combined with radiation or chemotherapy depending on the type of cancer. Minimally invasive and robotic-assisted surgeries are often used for faster recovery and greater precision.

Stage 3

Cancer at this stage becomes more aggressive, extending beyond its organ of origin to invade multiple pelvic organs, nearby structures, or lymph nodes. Patients may experience persistent pelvic discomfort, swelling, difficulty urinating, constipation, or rectal bleeding. Managing Stage III pelvic cancers often requires a multimodal approach that includes extensive surgery (sometimes pelvic exenteration), chemotherapy, and radiation therapy to control the spread.

Stage 4

The most advanced stage, where cancer spreads to distant organs such as the liver, lungs, or bones. Symptoms may become severe, including unexplained weight loss, fatigue, bone pain, or breathing difficulties depending on the site of metastasis. Although cure is difficult, treatments like systemic chemotherapy, targeted therapy, immunotherapy, and HIPEC (for abdominal spread) are used to control the disease and improve quality of life. Supportive and palliative care are also key in managing advanced pelvic cancers

Our Treatments

Robotic Cancer Surgery

HIPEC Cancer Surgery

Ovarian Cancer

Gastrointenstinal Oncology

Urologic Oncology

Gynecological Oncology

Pediatric Oncology

Head & Neck Oncology

Breast Cancer

Dr. Nitin Singhal
Achievements

Dr. Nitin Singhal

Robotic and HIPEC Surgeon

World-Class Training: Trained at Tata Memorial Hospital in Mumbai, one of the world's leading cancer training hospitals.
Gynecologic Oncology: Specializes in gynecologic oncology surgeries, including treatments for ovarian, cervical, and endometrial cancers.
Gastrointestinal Cancers: Expert in colorectal cancer surgeries focused on sphincter preservation, using advanced techniques like robotic surgery and HIPEC.
Urological Cancer Care: Skilled in treating urological cancers, including kidney, bladder, and prostate cancers, with minimally invasive robotic surgery.
Thoracic and Pediatric Oncology: Experienced in thoracic cancers and pediatric solid tumor resections, offering comprehensive care across multiple cancer types.

Why Dr. Nitin Singhal is the Leading Robotic and HIPEC Cancer Surgeon

Expertise

Techniques

Contributions

Collaborative Team

Infrastructure

Trusted Knowledge

Dr. Nitin Singhal is a distinguished cancer surgeon with extensive experience in Ahmedabad. He specializes in complex oncological surgeries, including Robotic and HIPEC procedures, making him a top choice for cancer patients. His medical journey includes MBBS and MS General Surgery from the prestigious Tata Memorial Hospital, Mumbai, followed by advanced training in Surgical Oncology, cementing his status as an expert in his field.

Dr. Nitin Singhal is renowned for his meticulous approach to surgery. Whether it's a challenging Robotic surgery or a sophisticated HIPEC procedure, Dr. Singhal’s precision and attention to detail have significantly improved patient outcomes. His expertise extends across a range of cancers, including gastrointestinal, urological, and gynecological malignancies.

As a pioneer in the field, Dr. Nitin Singhal has introduced and refined advanced surgical techniques, particularly in Robotic and HIPEC cancer surgeries. His contributions have been instrumental in setting new standards for cancer care in Ahmedabad and beyond. Dr. Singhal’s commitment to innovation and excellence makes him a trusted name in oncological surgery.

At his state-of-the-art facility, Dr. Nitin Singhal leads a dedicated team of specialists who share his commitment to providing world-class cancer care. This multidisciplinary team collaborates closely, ensuring comprehensive and personalized treatment plans for each patient. Together, they offer an unparalleled level of care, making the facility a leading destination for cancer treatment.

The hospital is equipped with cutting-edge technology, including the latest robotic systems, HIPEC treatment setups, and advanced imaging equipment. The infrastructure supports a full spectrum of oncological care, from diagnosis to treatment and recovery. With a modern ICU, state-of-the-art operation theaters, and specialized radiology services, the facility is designed to provide the highest standard of care.

Dr. Nitin Singhal is widely respected for his deep understanding of cancer treatment and his compassionate approach to patient care. His patients trust him not only for his surgical skills but also for his ability to guide them through their cancer journey. This trust is a testament to Dr. Singhal’s commitment to his patients’ well-being and his reputation as one of the best cancer surgeons in Ahmedabad.

Pelvic Cancer Doctor in Ahmedabad – Dr. Nitin Singhal