BRITISH UROLOGICAL SURGERY PRACTICE - 2 - RENAL, BLADDER AND TESTIS CANCER

Objective To investigate the management of urological malignancies in the United Kingdom. Methods A postal survey of consultant urologists a nd general surgeons with an interest in urology was conducted to exami ne current clinical practice in urological malignancies. Results Compl eted questionnaires were received from 273 consultant surgeons who saw an estimated total of 13 241 new patients with renal, bladder or test is cancer per year: 82% had access to on-site oncology services and in general there was a consensus in the answers given, Most respondents advised active treatment of an asymptomatic primary renal cancer in th e presence of metastases and a significant proportion of patients with metastases were not prescribed immunotherapy nor were offered a multi disciplinary approach for their condition, Forty-six per cent of patie nts with testis cancer received no advice to store sperm before chemot herapy and there were varied opinions as to the need for surgical rese ction of residual masses after completion of chemotherapy. Conclusion This survey showed minor variations in the management of renal, bladde r and testis tumours in the UI(, Consensus management guidelines for u rological malignancies and a change in the working relationships betwe en urologists and oncologists is required, to improve the outcome of p atients with urological malignancy.