Urology Unit: for healthcare professionals

The Urology Unit is a multidisciplinary team which focuses on the diagnosis and management of, and research involving, patients with bladder, prostate, renal or testicular cancer.

Referrals

Symptoms of possible urological malignancy of any type are seen in weekly clinics in Chelsea. Tertiary referrals or those requesting a second opinion are welcome from not only London and the South East, but nationally and internationally.

Diagnosis

All new referrals for investigation of urological symptoms are seen in a weekly clinic in Chelsea. Diagnostic and surveillance trans-rectal ultrasound and biopsies of the prostate are carried out in the Rapid Diagnostic and Assessment Centre (RDAC), or in the outpatients department in Chelsea.

The Royal Marsden has a comprehensive range of staging modalities including high resolution CT (including PET CT), MRI (including diffusion sequencing), ultrasound, endoscopy and nuclear medicine imaging. We have a close working relationship with the adjacent Royal Brompton Hospital which enables full specialist assessment of any cardio-thoracic issues related to diagnosis and treatment.

Treatments and follow-up appointments take place at The Royal Marsden’s Chelsea and Sutton hospitals as well as the William Rous Unit at Kingston Hospital.

Treatment

All major urological surgery is carried out at The Royal Marsden in Chelsea which has comprehensive facilities for laparoscopic, robot-assisted, endoscopic and open surgery, as well as HIFU (High Intensity Focused Ultrasound) for prostate cancer.

Radiotherapy is carried out at both the Sutton and Chelsea hospitals, with chemotherapy at Sutton, Chelsea and the William Rous Unit at Kingston Hospital. Radiotherapy techniques include conformal (CFRT) intensity modulated (IMRT) ,image guided radiotherapy (IGRT)and stereotactic body radiotherapy(SBRT).

The Royal Marsden has a long history of treating complex and rare tumours. We can offer reconstructive surgery such as the formation of neo-bladders and continent urinary diversions to those suitable for the procedure. The Urology Unit works collaboratively with other surgical specialities such as Plastic Surgery, General Surgery and Gynaecology. The department is also an approved training centre.

Multidisciplinary meetings are held weekly both at a local level and as a joint specialist urology multi-disciplinary team.

We aim to deliver the highest quality care with sensitivity, compassion and discretion, using a holistic approach and giving continuity of care.

Research

The Royal Marsden has a major commitment to research, and works with The Institute of Cancer Research at the Chelsea and Sutton sites. The Urology Unit is carrying out research into screening and genetic profiling of men with a significant family history of prostate cancer. Together we are working on developing molecular targeted therapy and translational research to develop tissue, serum and other tumour markers. For over 15 years the ICR and RM have held a Programme grant from Cancer Research UK, to support its ground-breaking Clinical physics research which include IMRT studies.