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Conditions treated

Cancers of the urinary tract and male reproductive organs

Each cancer is different. The treatment plan is built around the biology of your tumor, your overall health, and what matters most to you.

Bladder

Bladder cancer

From low-grade non-muscle-invasive disease managed with cystoscopic resection and intravesical therapy, to high-grade and muscle-invasive disease requiring multimodal treatment. Dr. Weiner performs:

  • Transurethral resection of bladder tumor (TURBT) with enhanced imaging when indicated
  • Intravesical BCG and chemotherapy coordination
  • Robotic radical cystectomy with intracorporeal urinary diversion (ileal conduit or neobladder)
  • Bladder-sparing protocols in selected patients (with radiation oncology)
  • Management of upper-tract urothelial carcinoma, including nephroureterectomy
Kidney

Kidney cancer

Most kidney cancers are now caught incidentally on imaging done for unrelated reasons. The right approach depends on tumor size, location, your kidney function, and whether the disease is localized or advanced.

  • Robotic partial nephrectomy (kidney-sparing surgery) for small renal masses
  • Robotic and open radical nephrectomy for larger and complex tumors
  • Active surveillance for select small renal masses in older patients
  • Inferior vena cava (IVC) thrombectomy in advanced cases, with cardiothoracic partners
  • Coordination with medical oncology on adjuvant immunotherapy and targeted therapy
  • Hereditary kidney cancer evaluation (VHL, BHD, hereditary leiomyomatosis)
Testicular

Testicular cancer

Testicular cancer is highly curable when treated correctly from the start. The right plan depends on histology (seminoma vs non-seminoma), stage, and tumor markers.

  • Radical inguinal orchiectomy with sperm-banking coordination
  • Surveillance and survivorship protocols for stage I disease
  • Post-chemotherapy retroperitoneal lymph node dissection (RPLND), including robotic approach for selected patients
  • Primary RPLND for early-stage non-seminomatous tumors
  • Coordination with medical oncology on chemotherapy
Penile

Penile cancer

Penile cancer is rare in the United States but treatable with the right combination of surgical, oncologic, and reconstructive expertise. Dr. Weiner's practice prioritizes oncologic control alongside quality-of-life outcomes.

  • Glans-sparing approaches for early-stage disease
  • Partial and total penectomy when indicated
  • Inguinal lymph node assessment with sentinel-node techniques and dynamic dissection
  • Multimodal coordination with medical and radiation oncology for advanced disease
  • HPV-related counseling and survivorship
Adrenal

Adrenal cancer & adrenal masses

Most adrenal nodules found incidentally on CT or MRI are benign. The work-up determines who needs surgery and who can be safely observed.

  • Endocrine work-up of incidental adrenal masses (cortisol, aldosterone, metanephrines)
  • Robotic and laparoscopic adrenalectomy
  • Open adrenalectomy for large or invasive tumors
  • Surgery for adrenocortical carcinoma, pheochromocytoma, and metastatic disease to the adrenal gland
  • Coordination with endocrinology and medical oncology
Prostate

Prostate cancer

Prostate cancer is the focus of Dr. Weiner's clinical practice and research lab. Robotic prostatectomy, HIFU focal therapy, active surveillance, MRI-targeted biopsy, PSMA PET coordination, and management of advanced disease.

Prostate cancer details →

Diagnostics

Modern work-up before any decision is made

Imaging and biomarker advances have changed how urologic cancers are evaluated. Getting the right diagnosis up front prevents unnecessary surgery and finds aggressive disease earlier.

Cystoscopy & bladder evaluation

Office cystoscopy with enhanced visualization for hematuria, urothelial cancer surveillance, and lower urinary tract symptoms.

Multiphase CT & MRI

Coordinated imaging at Cedars-Sinai for kidney mass characterization, bladder cancer staging, and adrenal nodule evaluation.

PSMA PET imaging

Advanced molecular imaging for prostate cancer staging and recurrence work-up, with rapid scheduling at Cedars-Sinai.

MRI-targeted prostate biopsy

Transperineal and MRI-targeted biopsy for higher diagnostic accuracy and lower infection risk than older transrectal techniques.

Genetic & genomic testing

Germline testing for hereditary cancer syndromes (BRCA, Lynch, VHL, BHD, HLRCC) and tumor genomic profiling to guide treatment selection.

Multidisciplinary tumor board

Complex cases reviewed jointly with medical oncology, radiation oncology, pathology, and radiology so the recommended plan reflects every relevant perspective.

Surgical approach

Minimally invasive whenever it is the right call

The vast majority of urologic cancer surgery in Dr. Weiner's practice is performed using the da Vinci robotic platform. Robotic surgery typically means smaller incisions, less blood loss, shorter hospital stays, and faster return to normal activity than open surgery, without compromising oncologic outcomes when the technique is right for the case.

Open surgery is still the right choice for some complex situations, including very large kidney tumors, IVC thrombus extending into the right atrium, and certain reoperative cases. Dr. Weiner is trained and credentialed in both.

Operations performed

  • Robotic partial nephrectomy
  • Robotic radical nephrectomy
  • Nephroureterectomy
  • Robotic radical cystectomy with neobladder or ileal conduit
  • Robotic and open prostatectomy
  • Robotic and open RPLND
  • Inguinal orchiectomy
  • Glans-sparing surgery, partial / total penectomy
  • Robotic and open adrenalectomy
  • TURBT with enhanced imaging
  • HIFU focal therapy
  • Transperineal & MRI-targeted prostate biopsy
Patient story

Care from start to finish

"My husband was seeing a urologist for a mass on his kidney. Dr. Weiner performed surgery on my husband and we can't thank him enough for his skill, professionalism, kindness and compassion. He is extremely thorough in explaining the condition and surgery. We were extremely confident we were in good hands."
Verified patient review · Kidney cancer surgery

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FAQ

Common questions

What is a urologic oncologist and how is it different from a regular urologist?

A urologic oncologist is a urologist with two extra years of fellowship training devoted entirely to cancers of the urinary tract and male reproductive organs. The training covers complex cancer surgery (robotic prostatectomy, partial nephrectomy, cystectomy with neobladder, RPLND), management of advanced disease, and the science of how these cancers behave. For any patient with a urologic cancer diagnosis, a urologic oncologist offers more focused expertise than a generalist.

Can I see Dr. Weiner for cancers other than prostate?

Yes. Although prostate cancer is Dr. Weiner's clinical and research focus, he is fellowship-trained in the full spectrum of urologic oncology and treats patients with bladder, kidney, testicular, penile, and adrenal cancers at Cedars-Sinai.

Is robotic surgery offered for kidney and bladder cancer too?

Yes. Most kidney cancer surgery (partial and radical nephrectomy) and bladder removal (radical cystectomy) are performed with the da Vinci robot when oncologically appropriate. Robotic surgery typically means smaller incisions, less blood loss, and faster recovery than open surgery.

Do you accept second-opinion patients for non-prostate urologic cancers?

Yes. Many patients come for a second opinion for kidney, bladder, testicular, or other urologic cancer diagnoses. We provide a written summary of recommendations you can take back to your local team if you choose.

What insurance does Dr. Weiner accept?

Plans accepted include Aetna, Aetna HMO, Anthem Blue Cross, Blue Cross Blue Shield, Blue Cross of California HMO, Blue Shield of California, Blue Shield of California HMO, Cigna, Humana, Humana HMO, Kaiser Permanente, Medicare, UnitedHealthcare, and UnitedHealthcare HMO. Our team will verify your benefits before your visit.

Does Dr. Weiner offer telehealth?

Yes. Telehealth visits are available for established patients in California and for select consultations. Some pre-operative and post-operative visits can also be done virtually.

Ready to get a plan in place?

The first conversation is the hardest. Once you have a plan, everything gets easier.