Urological Cancer Management


Prostate cancer treatment depends on the patient’s age, health, extent and aggressiveness of the cancer. In certain cases active surveillance where the cancer is closely watched under guidance of your urologist is the optimal initial therapy. In other cases surgery, radiation therapy, hormonal therapy or chemotherapy is required to treat the cancer.


The main form of curative treatment for kidney cancer is surgery in the form of a nephrectomy where the kidney is removed, or a partial nephrectomy where part of the kidney is removed. Chemotherapy is used in advanced cases to palliate symptoms and prolong survival. Radiation therapy is used in selected cases to reduce pain or bleeding.


Bladder cancer arises from the lining of the bladder and its treatment depends on how deeply the cancer has invaded the bladder wall. Superficial bladder cancers can be treated by removal via a cystoscope (a telescope that is passed through the urethra) with the addition of BCG or local chemotherapy in more aggressive cases.

When the bladder cancer invades the muscle a different form of treatment is required. In such cases a radical cystectomy can be carried out, a major abdominal operation where the bladder is removed and a urine bag or artificial bladder created. The other treatment is curative radiotherapy (sometimes with added chemotherapy). This treatment has the same cure rates as surgery and allows the patient’s natural bladder to remain intact as well as the natural way of urinating to continue as normal.


Testicular tumours often present as a lump in a testicle. Initial management is a radical orchidectomy, an operation to remove the affected testicle. Further treatment depends on what type of cancer is seen by the pathologist in the affected testicle, as well as the extent of the cancer.


Coming To The Urology Hospital

How We Are Doing Our Part In The Fight Against COVID-19

The Urology Hospital is a surgical hospital specializing in the treatment of urological and related conditions. As we are not a respiratory related facility, we will not be actively treating COVID-19 patients. This allows us to continue providing surgical treatment to all our urology related patients and we will gladly accommodate you in this regard.

The safety of our patients and colleagues is our number one priority. Your healthcare is important to us and we are actively working with and following guidance from the National Department of Health and the NICD (National Institute for Communicable Diseases).

Kindly note the hospital has set up a Covid-19 task team and contingency plan and we are preparing for all eventualities.

Please confirm with your Doctor if you are still able to come for your consultation. However, if you have any of the following signs and symptoms then please cancel your appointment, self-isolate and contact the centralised helpline on 0800 029 999:
• Fever
• Cough
• Sore Throat
• Shortness of Breath
• Headache
• Fatigue/Malaise
• Diarrhoea
• Loss of smell and taste

To support screening for COVID-19, before entering the hospital, all prospective patients will adhere to the following:
• Complete a Travel History form
• Undergo temperature screening

Should any of the following signs or symptoms be found, you will be requested to go home, self-isolate and contact the centralised helpline on 0800 029 999:
• Flu-like symptoms (sore throat, cough or chills)
• Fever of 37.7 or above

NB: Please notify the person doing your Travel History if you’re:
• Over 70
• Have any underlying health conditions
• Are pregnant

To protect our patients and staff from the potential risk of COVID-19, we are currently restricting visiting of patients to exceptional circumstances only.

In an effort to limit the number of patients visiting The Urology Hospital Pharmacy due to the COVID-19 pandemic, we will only assist our regular retail patients.  If you have a valid repeat script at The Urology Hospital Pharmacy, please call us in advance on 012 423 4036 to make arrangements to obtain your repeat prescription. We will then prepare it for you in advance. When collecting your script bring your purple script copy or previous medicine containers with you to gain access to the hospital.

Should you need to re-arrange an appointment at the Urology Hospital please call: 012 423 4000 or your Doctor’s rooms.

We appreciate your understanding and co-operation.

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