Urological cancers include cancer of the prostate gland, bladder, kidneys, testes and penis.
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The following charities also provide more information and support:
Your will have your tests and investigations at either Crawley Hospital or East Surrey Hospital We have Day Surgery Units on both sites for surgical procedures and our main surgery theatres are based at East Surrey with the facility for cases that require overnight stays.
Your care will be provided by a group of experts called a multidisciplinary team (MDT). This is a group of doctors, nurses and other health professionals with expertise in a specific cancer. This team will discuss and manage your care and plan the treatment that’s best for you. Our team includes:
Consultant urologists
- Mr Shahid Khan – clinical lead for urology (from 1 January 2023)
- Mr James Henderson - chief of surgery
- Prof Abhay Rane
- Mr Michael Wanis - urological cancer lead
- Mr Michael Swinn
- Mr Panos Papikinos
- Mr Jordan Durrant
- Ms Tharani Mahesan
Consultant oncologists
- Dr Chee Goh
- Dr Sheel Mehta
Your first appointment may be a telephone call or a face to face appointment and will last approximately 15 minutes. You may have tests and investigations on the same day or at a later date.
The doctor will ask you about your symptoms and your general health and may wish to examine you. They will then discuss with you the tests/investigations recommended.
We will arrange for you to receive your test results and possible diagnosis, either by phone call, letter or face to face, as appropriate. At this appointment we will discuss with you what happens next, including any other tests you need as well as possible treatments.
If you receive a cancer diagnosis you will be introduced to a clinical nurse specialist (CNS) who will be your key worker during your care. This may happen at your first appointment or at a later date by telephone. They will support you holistically, including helping you understand your diagnosis and treatment options, any financial difficulties you may incur and offer support for your family. You will also be given written information or web page links about the type of cancer you have, your treatment options, and other sources of support, such as Macmillan UK.
For prostate cancer
- Blood tests – PSA – prostate specific antigen
- Multi para metric MRI scan
- Nuclear medicine scans such as a bone scan
- Examination in clinic called a DRE, digital rectal examination
- Local anaesthetic precision point biopsy of prostate.
For bladder cancer
- CT scan with intravenous urogram (IVU), which involves having a dye injected into a vein in your arm. This travels through your bloodstream to your kidneys. The doctor can watch on a screen how the dye passes through your kidneys and see any problems
- Flexi cystoscopy – a camera to look into your bladder under local anaesthetic
- Ultrasound scan of your bladder
- Cytology
- Cystoscopy under general anaesthetic.
For kidney cancer
- CT scans.
For testicular cancer
- Blood tests
- CT scan of your chest, abdomen (tummy) and pelvis
- Examination on clinic.
Your care and treatment depends on the type cancer you have, its size and where it is, how far it has advanced (the stage) and your overall health. The final decision about what treatment you have is yours.
Our team of specialists will review the results of your tests and investigations at a urology cancer meeting. Your care usually includes one or more or a combination of treatments.
For prostate cancer
- Radiotherapy and hormone therapy.
- Active surveillance. This means monitoring the localised cancer rather than treating it straight away, so avoiding treatment unless there are signs your cancer may be growing.
- A type of internal radiotherapy called brachytherapy, RSCH
- Robot-assisted radical prostatectomy surgery at RSCH.
For bladder cancer
- Transurethral resection of bladder tumour (TURBT)
- Intravesical chemotherapy - BCG/MMC
- Radical cystectomy surgery at Royal Surrey County Hospital.
For testicular cancer
- Radical orchidectomy (removal of testicular) surgery
- In some cases, followed by chemotherapy – this will offered either at Royal Surrey in Guildford or at the Royal Marsden in Sutton.
For renal cancer
- Nephrectomy – removal of the entire kidney is performed at East Surrey
- Partial excision of a kidney you will be referred to Frimley Park
- For larger tumours you may be referred to Kings College Hosptial
- Frimley park also offer cryotherapy for smaller lesions.
Non-clinical support
We have a team of patient pathway navigators who can help and support you through your diagnostic journey.
The phone lines are open between 8am and 6.45pm on Monday to Friday and Saturday mornings between 8am to 1pm: 01737 231714
CNS team contact details
01737 768511 ex 6901
Out of hours
Contact your GP, or if you have just come out of hospital, contact the ward for advice, contact number will be given to you with your discharge paper work, or by calling the main switchboard on 01737 768511. In an emergency, go to your nearest Emergency Department (ED).
Cancer care map
Cancer care map is an online resource to help people living with cancer find care and support services in their local area, anywhere in the UK. The website is run by cancer charity, The Richard Dimbleby Cancer Fund.