Kidney Cancer 

Kidney cancer is the eighth most common cancer in adults in the UK, with more than 10,000 people diagnosed each year.

In many cases, kidney cancer is diagnosed after routine scans and check-ups for other conditions, as it doesn't always have obvious symptoms. If your GP or doctor suspects that you might have kidney cancer, they may refer you to UCLH for further tests. These tests could include scans like ultrasound, CT or MRI, and could involve minor procedures such as cystoscopy (a telescope test which looks into the bladder) or a biopsy of your kidney which involves taking a sample of the kidney tissue with a needle.

Following a diagnosis your care will be transferred to the newly created specialist centre for kidney cancer at the Royal Free Hospital which has been set up to coordinate kidney cancer treatment across north central London, north east London and west Essex.

Please see The Royal Free Hospital website for further information:

Following treatment you may have your care returned to your referring hospital or continue having to have follow-up and on-going surveillance at the Royal Free if you wish.


Mr Senthil Nathan, Consultant Urological Surgeon

Mr Senthil Nathan

Senthil Nathan is a Consultant Urological Surgeon and Honorary Clinical Senior Lecturer, working at UCLH and is Director of Robotic Education in Chitra Sethia Centre for Robotics and Minimally Invasive Surgery.

After graduating MBBS with honours from The Madras Medical College, Senthil completed his Masters in Surgery from Bangalore Medical College where he won The Association of Surgeons of India Gold Medal for securing the highest mark in the surgical exit exam. While working as an Assistant Surgeon in The Church of South India Hospital in Bangalore he was one among the first candidates to be selected by the Royal College of Surgeons of England to continue specialist training in the Overseas Training Scheme.

After working in general surgery and obtaining FRCS in Yorkshire he obtained a Diploma in Urology while working at Royal Free Hospital. He secured an Honorary Lecturer position at Guys Hospital to develop robotic techniques in urology. Along with Mr John Wickham and colleagues from The Imperial College he developed The Probot, and carried out the first true robotic surgery in the world.

Full consultant profile

Mr Rohan Nauth-Misir, Consultant Urological Surgeon

Mr Rohan Nauth-Misir

Mr Nauth-Misir was appointed as a Consultant Urological and Transplant Surgeon at The Middlesex Hospital and Institute of Urology in 1996. He remained in post during the transition to University College London NHS Trust in 2002. He has been a Consultant Urological Surgeon for 19 years, currently specialising in General Urology and Renal Cancer.

Dr Navin Ramachandran, Consultant Radiologist

Dr. Ramachandran qualified from Guy’s & St. Thomas. Following a year lecturing at St. George’s Medical School (during with he attained a PGHCE), he trained in general radiology (FRCR), followed by fellowships in interventional and urological radiology. The latter steered him to the centre of excellence at UCLH where he undertook subspecialist training and was appointed as a substantive consultant.

He is currently regional lead for renal cancer radiology and a core member of the prostate, bladder, penile and testicular MDTs. He also helped to establish the radical prostatectomy surgical planning meeting which been shown to improve surgical outcomes.

He is a core member of the urological interventional radiology team, undertaking a wide range of procedures including nephrostomies, ureteric stenting, biopsy and PCNL.

His main research interests are in the novel use of imaging in urological disease and the use of medical informatics to support patient care. He is currently joint national lead for the NIHR Health Informatics Collaborative in prostate cancer. Current imaging projects include the development of 3D renal models for nephrectomy / ablation planning and the use of touch-free interfaces in surgery.

“UCLH is renowned as a world leader in urological imaging. I feel very privileged to be part of this team, and indeed of the outstanding and inclusive, urological surgery and oncology teams.”

Full consultant profile

 Clinical Nurse Specialists (CNS)

Hilary Baker, Lead Clinical Nurse Specialist for Urological Cancer

Hilary trained as a RGN at UCH in 1983, and went on to have varied surgical experience, mainly in urology as a ward sister, and also a nurse manager in both the NHS and the private sector. In 1995 she was appointed a urology CNS at Central Middlesex Hospital when there was an increasing demand for nurses in specialist areas with knowledge and skills to support urology patients. In 2001, with funding from the NHS Plan, she was employed as uro-oncology CNS and team leader at Buckinghamshire NHS Trust.

In September 2014, Hilary was appointed as lead CNS for uro-oncology. She has a BSc (Hons) in Cancer and Palliative Care and is registered as a Specialist Practitioner in Adult Nursing with the Nursing and Midwifery Council. She has recently completed her MSc in Cancer Studies at Oxford Brookes University.

Hilary’s responsibilities within the Trust and London Cancer are to provide managerial and professional nursing leadership across the uro-oncology service. She oversees planning and delivery of cancer services to help personalise the cancer pathway for individual patients and to meet the complex information and holistic needs of patients and their families.

‘I am dedicated to providing safe evidence-based cancer care, and to continually assess the patient experience to improve our service’.