Vijay Ramani was appointed as a Consultant Urological Surgeon at Manchester University Hospitals NHS Foundation Trust and The Christie, Manchester since 1999. His specialist interest is in prostate, bladder, renal, testis and complex pelvic and retroperitoneal cancers. He leads the Robot Surgery Users Group at The Christie and Manchester University Hospital Foundation Trust and has also been responsible for the introduction and advancement of robotic surgery at The Christie (first robot in North of England -2007) and regularly undertakes robot assisted laparoscopic prostatectomy (robotic prostatectomy) on patients with localised adenocarcinoma prostate. He has performed in excess of 1200 Robotic Prostatectomies for cancer prostate.He has successfully seen the introduction of atleast 4 robots in cancer centres He also carries out Robotic partial nephrectomy. He is a recognised National / International perceptor in robotic surgery and has trained other specialist urological surgeons in this surgery. He also undertakes targeted biopsy of the prostate via transperineal route and mapping biopsy of prostate. His other specialist operations including radical cystectomy and neobladder reconstruction, partial nephrectomy for small renal cancers, radical nephrectomy and complex inferior vena cava surger for large renal cancers. He also regularly sees patients for scrotal or testis lumps and undertakes surgery for testis cancer including primary orchidectomy and is one of only 2 surgeons in the North west undertaking complex retroperitoneal lymph node dissections. He is a Lecturer of the European School of Urology. He has given many lectures both regional , nationally and internationally on Urological cancers and regularly recruits patients to trials through the specialist MDT set up. He also consults on the prostate and issues surrounding men’s health. He sees patients with elevated (raised) PSA and performs both TRUS biopsies and Template and Targeted biopsies for patients with increased psa levels. As part of the prostate program - he also manages patients with benign prostate problems. He provides a specialist opinion for patients passing blood in their urine (both frank haematuria and dipstik haematuria) and lower urinary tract symptoms. He also sees patients with testis lump (testicular or scrotal masses) and kidney (renal) mass or lump and urinary tract infection (UTI)..