Penile Cancer 

UCLH is one of only twelve specialist centres for the treatment of penile cancer in the UK and one of only two based in London. These centres form a supraregional network for penile cancer patients.

This means that all patients with suspected or diagnosed penile cancer must be referred to UCLH for specialist treatment which in most cases involves surgery and occasionally also requires radiotherapy or chemotherapy.

We recognise that being diagnosed with cancer can be a difficult time for you and those close to you. These web pages give you an overview of the expert care you can expect to receive at UCLH. You will also be introduced to the different types of healthcare professionals you may meet along the way.

As a designated national centre for penile cancer we provide expert medical and nursing care. We have a range of clinical trials available to our patients, pioneering new treatment approaches and state of the art imaging.


Mr Asif Muneer, Consultant Urological Surgeon

Mr Asif Muneer

Mr Muneer is a consultant urological surgeon and andrologist. He specialises in general urological conditions, diagnostic urology services and has a specialist interest in genital oncology and oncoplastic reconstruction. He also manages men with hypogonadism, testicular conditions and corrective surgery for Peyronie's disease.    

Mr Muneer is Honorary Senior Lecturer at University College London (UCL). He completed his higher degree (MD) at UCL investigating the physiology of smooth muscle dysfunction. Having completed his higher surgical training in Oxford, he undertook further visiting fellowships to the University of Bern, University of Paris as well as completing a Senior Fellowship at UCLH.

Mr Muneer is the Lead Clinician of the Penile Cancer Supraregional Network. He is Also Chair of the BAUS Section of Andrology and President of the BSSM.

Full consultant profile

Dr Constantine Alifrangis, Consultant Oncologist

Dr Alifrangis is a Consultant Medical Oncologist specialising in the treatment of urological cancers including Prostate, Bladder, Testicular and Penile cancer.

Dr Alifrangis obtained his Medical degree at Guys’ Kings and St Thomas’ Medical school where he was awarded the university Gold Medal for Medicine. He undertook postgraduate medical training in London teaching hospitals and trained in oncology on the Imperial College Medical Oncology rotation. As an academic clinical fellow he worked on hormone resistance in prostate cancer and subsequently secured a Wellcome trust fellowship to undertake a PhD at the Sanger Institute and University of Cambridge.

Mr Hussain Alnajjar, Consultant Urological Surgeon

Mr Hussain M. Alnajjar is a Consultant Urological Surgeon and Andrologist at the Institute of Urology, University College London Hospitals NHS Trust. Mr Alnajjar is fully trained in managing general urological conditions and diagnostic urology services. He has specialist interest in male factor infertility, erectile dysfunction, Peyronie’s disease, genito-urethral oncology, oncoplastic reconstruction and testicular cancer. He also manages men with all testicular conditions, hypogonadism and pelvic pain disorders.

Dr Anita Mitra, Consultant Oncologist

Dr Anita Mitra

Dr Anita Mitra is a consultant in Clinical Oncology at University College London Hospitals. She has a busy practice managing prostate, bladder, andrology and gynaecological malignancies.

Dr Mitra qualified in London in 1995. She trained in Oncology in London teaching hospitals and the Royal Marsden, completing her research doctorate in prostate cancer from the Institute of Cancer Research. She has published widely and leads in the management of a portfolio of clinical trials.

Dr Mitra’s interest is in the innovation of technical radiotherapy. The aim of this research is to use novel techniques to minimise dose to normal tissues while maximising tumour control.

Full consultant profile

Mr Raj Nigam, Consultant Urological Surgeon

Mr Nigam qualified in Medicine from University College London (UCL) and gained his urological training at St Mary's Hospital, St Bartholomew's and the Royal London Hospitals. He was awarded his MD thesis via the Royal Postgraduate Medical School and UCL in cellular adhesion in cancer.

His clinical appointment at UCLH is primarily in the surgical treatment of cancer of the penis and urethra. He is part of the Supranetwork team at UCLH and provides the service for patients from Surrey, Sussex and Hampshire, as well as London. He is involved in surgical advances and the research portfolio associated with this unit.

Mr Nigam also has a strong clinical interest in diagnostic techniques and minimally invasive technologies applicable to the management of localised prostate cancer; in particular, high intensity focussed ultrasound (HIFU). He provides a service for these patients at UCLH and his patients have access to the trials under way in the unit.

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)

Clare Akers, Clinical Nurse Specialist for Penile and Testicular Cancer

Clare has been a clinical nurse specialist caring for men diagnosed with penile cancer since 2009. She has a background in urology and is currently completing her Masters degree in cancer care. One of Clare’s greatest achievements is setting up the first support group in the UK for males diagnosed with penile and urethral cancers.

“I am passionate about providing all patients with the highest standard of care”


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’.

Janet Forgenie, Clinical Nurse Specialist, Prostate, Bladder and Penile Cancer

Janet Forgenie

Janet trained at the Kent and Canterbury NHS Trust qualifying in 1994 obtaining her BSc (Hons) degree in general nursing. She initially worked on a busy surgical ward specialising in urology/trauma orthopaedic and vascular surgery. Janet then travelled to Australia in 1999 to work in a private hospital where she did her initial training in chemotherapy administration. On returning to the UK Janet continued to work within oncology gaining more experience in caring for patients undergoing treatment for urological cancers. Janet was then appointed as a urology diagnostic CNS in Reading in 2002 where she set up several nurse led services including uro-dynamics. In 2008 she joined the Uro-Oncology team in Reading as a CNS gaining more experience in caring for patients with a urological cancer. Janet joined UCLH in 2016 as a member of the Uro-Oncology CNS team. During the course of her career Janet has also obtained her Msc Certificate and her Non-medical prescribers enabling her to work more autonomously.

“I have experience in setting up nurse led clinics which have proven a great success in reducing the clinic load for consultants, while providing a great service for the patients.”

Sadie Malloy, Macmillan Clinical Nurse Specialist

Sadie is the newest member of the team having joined in May 2017. Prior to this she spent much of her career on the Urology wards progressing to Deputy sister. More recently Sadie spent 18 months in pre-assessment before joining the Andrology team becoming specialist nurse to men with penile and testicular cancer.

Sadie’s ambition is to focus on her role as Clinical nurse specialist and key worker - promoting the best possible care and support for patients and families dealing with Penile and testicular cancer. Sadie hopes to continue her professional development by commencing a bachelor’s degree in cancer care.

“Being able to provide patients with the best ever care and support is my main goal, and I am dedicated to be able to deliver this in a safe and professional way”