Urological cancer is the generic term for cancer of the Prostate, Bladder, Kidney, Urethra, Penis or Testes – of these Prostate cancer is the most common.
Patients diagnosed with a urological cancer may have further tests such as bloods, CT scans, MRI scans, Ultrasounds, biopsies and operations at Kingston Hospital. Other scans such as a PET scan or endorectal MRI may be performed at the Royal Marsden Hospital
Some procedures may also take place at St Georges Hospital Tooting.
Some operations such as removal of the kidney (nephrectomy), bladder tumour (Trans Urethral Resection of a Bladder Tumour), testes (orchidectomy) are performed by the urology team at Kingston.
Other operations such as removal of the bladder (cystectomy) prostate (prostatectomy) are performed by the surgical team at the Royal Marsden Hospital in Fulham Rd.
All patients with a cancer of the penis are referred to the specialist team at St Georges Hospital.
Follow up for all patients with testicular cancer is at the Royal Marsden hospital Sutton.
Radiotherapy is given at either Royal Marsden in Sutton or at Fulham Road depending on the type of radiotherapy and where the patient lives.
Chemotherapy is administered in the Medical Day Unit in the Sir William Rous Unit at Kingston or at the Royal Marsden Sutton or Fulham Road.
Oncology outpatients clinics are held in the Sir William Rous Unit for patients who need to see a specialist to discuss treatment options or who are being followed up after treatment.
Within the Urology Team at Kingston Hospital patients may be seen by Consultants, Registrars and Nurse Specialists to receive their diagnosis.
All patients who are newly diagnosed with a urological cancer are discussed at a Multi-Disciplinary team meeting (MDT) to review results and plan treatment options.
This team incorporates Consultants, Oncologists, Specialist radiologists and Histopathologists, responsible for analysing any imagery and biological samples and Clinical Nurse Specialists.
The urology oncology team at Kingston Hospital are:
· Mr Sarb Sandhu, Mrs Nadine Coull, Mr Alan Thompson, Dr Shaista Hafeez and Dr Yae-Eun Suh
· Specialist Nurses Olga Champ, Stefan Anastasescu, Enric Guingona and Jasmina Ajdarpasic
People with cancer often require care, support and information in addition to the management of their cancer or condition.
A holistic needs assessment is a discussion with your doctor or nurse to talk about your physical, emotional and social needs. The focus is on you as a whole – not just your illness. Your doctor or nurse will need information from you. However, you decide how much information you would like to share about your current situation. This is an opportunity for you to talk about any worries or concerns you may have. It will help to clarify your needs and ensure that you are referred to the relevant services.
In order to prepare for this discussion, you may be asked to complete a questionnaire to bring to your next consultation.
This is not compulsory and not having this assessment will not affect your care. However, many patients find having an assessment helpful as it can help to identify what help is available.
It may be offered at certain times during your care, including:
It may be carried out over the phone.
With your agreement the doctor or nurse carrying out your assessment may refer you to other services that may be of help to you. Alternatively, if you prefer, you will be given written information about these services.
· Kingston Hospital Macmillan support
· Emotional /anxiety:
· Maggie’s at The Royal Marsden
Diet and Exercise:
Sex life:
https://prostatecanceruk.org/media/2498793/sex-and-prostate-cancer.pdf
Erectile Dysfunction
https://orchid-cancer.org.uk/prostate-cancer/erectile-dysfunction/
https://sexualadviceassociation.co.uk/erectile-dysfunction/
Fatigue:
https://prostatecanceruk.org/media/2498523/fatigue-and-prostate-cancer-ifm.pdf
Pelvic Floor Exercise
https://prostatecanceruk.org/media/2498794/pelvic_floor_muscle_exercises-ifm.pdf
Kegel Exercises: https://www.bartshealth.nhs.uk/download.cfm?doc=docm93jijm4n7038.pdf&ver=11427
Urinary problems:
https://prostatecanceruk.org/media/2498792/urinary_problems-ifm.pdf
Emotional /anxiety:
https://www.macmillan.org.uk/cancer-information-and-support/impacts-of-cancer/anxiety
https://www.nhs.uk/oneyou/every-mind-matters/anxiety/#watch-video
NHS website home workout video:
Wellbeing you tube various links
https://cancerwellbeinglondon.nhs.uk/health-and-wellbeing-information/affected-by-cancer/
www.sechc.org.uk – Purley Cancer Help Centre – Prostate support group
www.sexualadviceassociation.co.uk
