Expert Care

As your urologist, Dr Francis Chinegwundoh will provide you with expert diagnosis and urological cancer treatment for a range of cancers and related conditions, including prostate cancer, benign prostate, and bladder cancer.

With decades of specialist experience, he offers personalised care that combines advanced diagnostic techniques with tailored treatment plans, ensuring patients receive clear guidance and the highest standard of support throughout their journey.

Understanding Cancer

The human body is made up of billions of cells. Normally, cells function for a while, then die and are replaced by new cells in an orderly fashion. This results in an appropriate number of cells that are organised by the body to perform specific functions.

Tumours

Occasionally, however, cells are replaced in an uncontrolled way and are unable to be organized by the body to perform their normal function. As a result, there is an abnormal growth of cells that form a tumour. There are two kinds of tumours: malignant tumours (cancerous) and benign tumours (non cancerous).

Because of their increasing size, benign tumours squeeze surrounding parts of the body and expand into nearby areas. This can cause pain and interfere with normal function, but it is seldom life threatening.

Malignant tumours can cause pain and interfere with normal function, but they can also cause other systems in the body to act abnormally. Malignant tumours can invade nearby groups of cells or tissues crowding out and destroying normal cells.

Lymph Nodes

Cancer cells can also break away from the main or primary malignant tumour and travel to other parts of the body. The body fluids that can carry cancer cells from the primary tumour to other parts of the body, are the blood and the lymph.

Most people know about blood and blood vessels but may not be familiar with lymph. Lymph is a nearly clear fluid that drains waste from cells. This fluid travels through vessels and into small bean-shaped structures called lymph nodes.

One function of lymph nodes is to filter unwanted substances, such as cancer cells, out of the lymph fluid. However, if there are too many cancer cells, the lymph nodes cannot remove all of them.

Isolated or disseminated tumour cells are single or small groups of tumour cells that have been separated from the primary tumour and can be found in the blood, lymph, or bone marrow. They can develop into life-threatening metastatic disease if they are untreated.

Urological Cancers

Urological cancers are cancers that affect the organs of the urinary and male reproductive systems, such as the bladder, kidneys, prostate, testicles, and ureters. Early diagnosis often makes treatment more effective, so speaking to a specialist if you notice any changes is important. There are many urological cancer treatment options available, and your care team will guide you through what is most suitable for your health, stage of disease, and personal preferences.

Urological cancer symptoms depend on the organ affected, p. Common signs include changes in how you urinate, such as increased frequency, pain or burning, difficulty starting or stopping, or blood in the urine. Some people may notice lower back or abdominal pain, unexpected weight loss, or lumps or swelling in the testicles. These symptoms can be caused by many conditions, not just cancer, but it is important to get them checked by a doctor so the cause can be identified early and treated appropriately.

Prostate Cancer Treatment Options

There are several ways to treat prostate cancer, and the right choice depends on the stage of the cancer, how fast it is growing, and your general health. Your doctor will talk you through every option so you can decide what feels right for you.

Common treatments include:

• Surgery to remove the prostate, done through open, laparoscopic or robotic techniques
• Radiotherapy, either from outside the body or with internal seeds (brachytherapy)
• Active surveillance for slow-growing cancers
• Watchful waiting (less commonly used)
• Cryotherapy or HIFU to target and destroy cancer cells
• Hormone therapy to reduce testosterone
• Chemotherapy for more advanced cancers
• Clinical trials offering new treatments

Your healthcare team will explain the benefits, risks and side effects of each option, helping you choose the best path for your situation.

Bladder Cancer Treatment Options

Bladder cancer treatments vary depending on how deep the tumour has grown and your overall health. Your specialist will take the time to explain each option so you can make an informed decision.

Non-Muscle-Invasive Bladder Cancer (NMIBC)

• TURBT to remove the tumour, often the first step
• Intravesical treatment (such as BCG or mitomycin C) placed directly into the bladder
• Regular cystoscopies to check for recurrence

Muscle-Invasive Bladder Cancer (MIBC)

• Radical cystectomy to remove the bladder, with reconstruction during the same operation
• Radiotherapy, sometimes with chemotherapy, as an alternative to surgery
• Chemotherapy before treatment to shrink the tumour

Advanced or Metastatic Cancer

• Chemotherapy to help control symptoms
• Immunotherapy, including newer checkpoint inhibitor treatments
• Palliative care to support comfort and quality of life

Your team will tailor everything to your needs and explain what each treatment involves, including possible side effects.

Expert Support

Dr Chinegwundoh understands that a cancer diagnosis can bring uncertainty, anxiety, and many questions about what lies ahead. With decades of experience, he is here to guide you through every step – offering clear advice on urological cancer treatment, expert care, and the reassurance that you’re not facing it alone.

Ready to Book or Talk Things Through?

Whether you’re ready to make an appointment or simply have questions, we’re here to help. Call +44 (0) 7746 299 121, email mail@urologyconsultant.co.uk or use the contact form.