Urological Cancers

The Urological Cancers team carries out investigations, provides treatment and monitors patients with prostate, kidney, bladder, testicular, penile and adrenal gland cancers. We work closely with the Cancer Services team to look after patients from initial diagnosis and throughout their cancer journey.

The Urological Cancer Team

Urology Consultants
Oncologists
Uro-oncology Cancer Nurse Specialists
  • Debbie Victor
  • Wendy Meyers
  • Melanie Murray

Debbie, Wendy and Mel look after patients with prostate, testicular, penile, advanced bladder and kidney cancers. You can contact them on 01872 253143, 01872 252688 or rch-tr.Uro-OncologyCNS@nhs.net.

Urology Nurse Practitioners
  • Alaina Howard
  • Kathryn McCaffrey

Alaina and Kathryn look after patients who are having investigations for urological cancers and follow up with patients who have superficial bladder cancers. You can contact them at the Urology Clinic on 01872 252220.

Urology Surgical Care Practitioner
  • Tim McEvoy

Tim looks after patients who have had a kidney removed and patients with early kidney cancer or superficial bladder cancer. You can contact Tim on 01872 253143 or 01872 252688.

Prostate Cancer Support Worker
  • Fran Redman

Fran follows up with patients who have had prostate cancer. You can contact her on 01872 252912.

What happens when you are referred to the urological cancers team?

You will most likely have been referred to us by your GP as a two-week-wait referral, but we do also see patients who have been referred by another doctor in the hospital that wants to investigate an incidental finding. Just because you’ve been referred for investigations, it doesn’t mean you have cancer.

For your first appointment, you will either be offered an outpatient appointment with a urology consultant at one of Cornwall’s community hospitals, or be invited to the urology clinic at the Royal Cornwall Hospital in Truro for investigation.

Urology Clinic

At the urology clinic, we see people for investigation and treatment of benign tumours, urinary dysfunction and cancer. Depending on why you’ve been referred, you may be offered scans or biopsies for further investigation. You can find out more about the types of investigations we do on the Macmillan website and the Prostate Cancer UK website.

Directions to the Urology Clinic

The clinic is on the second floor of the tower block at the Royal Cornwall Hospital in Truro. The clinic is signposted, left out of the lifts and right out of the stairs.

What happens if you do have a urological cancer?

If you do have cancer, the results of your tests will be discussed by a Multi-Disciplinary Team (MDT), made up of relevant cancer specialists, such as Cancer Nurse Specialists, urology consultants, oncologists and radiologists. The team will make sure all available treatment options are considered and help you decide on the best course of action.

Urological Cancers we treat

Prostate Cancer

Treatment for prostate cancer will depend on the stage of your cancer.

Active Surveillance or Watchful Waiting

If the cancer isn’t causing you any symptoms or problems, you may not need treatment. Instead you’ll be regularly monitored and have follow up appointments with your consultant at the urology clinic.

Surgery

If you need surgery, we will refer you to one of our partner hospitals; Southmead Hospital in Bristol, Derriford Hospital in Plymouth or the Royal Devon and Exeter Hospital in Exeter. You can be referred to any of these three hospitals and we’re happy to discuss your preference and help you decide which is the best choice for you.

Radiotherapy

If you need radiotherapy, you’ll come to the Sunrise Centre at the Royal Cornwall Hospital in Truro. Patients who need brachytherapy (internal radiotherapy) are referred to the Royal Devon and Exeter Hospital, or for low dose brachytherapy, you may be referred to Derriford Hospital or Royal United Hospital in Bath.

Hormone Therapy

If you are having Hormone Therapy, this will be managed by your GP, but you’ll remain under the care of your urology consultant and come in to the hospital in Truro for follow up clinics. You can find out more about hormone therapy on the Prostate Cancer UK website here, or download a PDF here.

Further support and information on prostate cancer

Bladder Cancer

Patients with bladder cancer will come in for an operation at the Royal Cornwall Hospital in Truro. You’ll either come into the Surgical Admissions Lounge or Eden Ward.

After your operation, you may need direct treatment at the Urology Clinic or at West Cornwall Hospital as a day patient.

For more complex cases, you may be offered chemotherapy or radiotherapy at the Royal Cornwall Hospital, or be referred for surgery at Derriford Hospital in Plymouth or the Royal Devon and Exeter Hospital in Exeter.

Further information on bladder cancer

Kidney Cancer

Most patients with kidney cancer will have surgery at the Royal Cornwall Hospital in Truro. Patients with more complex cases may be referred to one of our partner hospitals; Southmead Hospital in Bristol, Derriford Hospital in Plymouth or the Royal Devon and Exeter Hospital in Exeter – we’re happy to discuss your preference and help you decide which is the best choice for you.

If targeted biological therapy is an option for you, we’ll refer you to the Sunrise Oncology Clinic here at the Royal Cornwall Hospital. You can read more about biological therapies on the Macmillan website here.

Further support for people with kidney cancer

Testicular Cancer

If you need surgery, you’ll have your operation at the Royal Cornwall Hospital in Truro. Your ongoing care will then be transferred to Dr Wheatley. If Chemotherapy or Radiotherapy is necessary, you’ll also have these here at the Royal Cornwall Hospital.

You may only need surveillance, in which case you’ll be regularly monitored by your consultant at the Urology Clinic.

If you need further surgery, we’ll refer you to the Royal Marsden Hospital or Royal Brompton Hospital in London.

Further Support and Information for Testicular Cancer

Penile Cancer

Penile Cancers are rare, in fact, men are more likely to get breast cancer than penile cancer.

Your initial biopsies and any necessary localised surgery will be carried out by the urology team here at the Royal Cornwall Hospital, but every case is discussed with the expert team in Bristol, led by Mr David Dickerson. Further surgery will usually take place in Bristol.

If you need chemotherapy or radiotherapy, you’ll have your treatment at the Royal Cornwall Hospital in Truro.

Further Support and Information

Adrenal Gland Cancers

Adrenal gland cancers are extremely rare.

Most patients will be looked after by Mark Mantle. Mr Mantle carries out keyhole surgery on adrenal gland tumours and any follow ups required. Occasionally patients may be referred to John McGrane.

There is further information on adrenal gland cancers on the Macmillan website here.

The Cove Macmillan Cancer Support Centre – where anyone affected by cancer can find support and information