Urological cancers, include cancers which occur in the following sites:
Prostate Cancer is the most common cancer in men. Testicular cancer is the most common type in men under 40.
Treatment is dependent on the individual tumour site and the patient’s circumstances. Treatment for each individual is usually discussed at a multi-disciplinary team meeting where a treatment plan is agreed.
For prostate cancer, early disease can be managed by active surveillance, radical prostatectomy (removal of the prostate), brachytherapy (seed implant), hormone treatment and conformal radiotherapy. For patients whose disease has spread outwith the prostate; hormone treatment, various forms of radiotherapy, radioisotope treatment and chemotherapy are all considered.
For bladder cancer, local tumour resection (removal of the tumour), cystectomy (removal of the bladder), radical radiotherapy, and chemotherapy are all used.
For testicular cancer, the mainstays of treatment are surgery and chemotherapy. Radiotherapy is used to treat patients with early testicular seminoma.
For kidney tumours, surgery and various drugs called biological response modifiers (e.g. Interferon) are the mainstays of treatment with radiotherapy occasionally required for bone secondaries.
New treatments are becoming available at regular intervals, and substantial research work is being carried out on national and international levels. The Beatson has an extensive portfolio of current clinical trials for urology cancers.
A specialist multi-disciplinary team works closely together to treat patients with urological cancers. The team is involved with the Managed Clinical Network for Urological Cancers in the West of Scotland. The aim of this group is to define optimum standards of health care for people in this area.
The team includes:
Doctors who specialise in treating genito-urinary problems.
Clinical and Medical Oncologists
Specialist cancer doctors.
Clinical Nurse Specialists (CNS)
Therapy radiographers are responsible for giving the actual radiotherapy and will also provide advice and direct patients to other support agencies as required.
Plan radiotherapy treatments.
They advise, check and dispense medication.
Chemotherapy nurses give the chemotherapy in the Macmillan Day Case Unit and in the wards. They will give advice regarding this aspect of treatment.
Uro-Oncology Clinical Nurse Specialist
The Uro-Oncology Clinical Nurse Specialist (CNS) works closely with the medical staff and other members of the team providing a liaison role between the patients and the Centre. The CNS also liaises with staff at urology units in other hospitals, which have their own urology clinical nurse specialists. They provide information, advice and support to patients undergoing treatment.
We provide a service throughout the West of Scotland and specialist clinics for testicular and renal cancers are held in the Beatson West of Scotland Cancer Centre.