Urology

Uro-oncology service

Our centre serves as a supra-regional referral site for kidney, bladder and prostate cancer, offering tissue-sparing treatments when appropriate, including partial nephrectomy or focal therapy for renal and prostate cancers.

We provide a specialised multidisciplinary team (MDT) for kidney, urothelial (ureters and bladder) and prostate cancer, ensuring comprehensive care for our patients.

We also have multiple trials being run within the department, allowing patients to receive additional care when appropriate.

Our uro-oncology services include:

• open and robotic (keyhole) prostate removal for prostate cancer
• focal therapy for primary prostate cancer and focal or whole gland for salvage prostate cancer
• open and robotic removal of the bladder and surrounding tissue with intra-corporeal continent and incontinent reconstruction
• open, laparoscopic and robotic complete or partial removal of the kidney and surrounding tissues for kidney cancer or non-functioning kidney
• laser ablation of recurrent bladder tumours in an outpatient setting, removing the need for a general anaestheti

Andrology services

Our centre serves as a supra-regional referral site for testicular cancer, offering tissue-sparing treatments and onco testicular sperm extraction (TESE). We utilise innovative techniques, including contrast-enhanced ultrasound and MRI, to enhance diagnostic accuracy and treatment effectiveness.

We provide a specialised multidisciplinary team (MDT) for germ cell tumours, led by Professor Seckl from the oncology department, ensuring comprehensive care for our patients.

Our andrology services include:

• penile and scrotal reconstruction: comprehensive surgical options for restoring function and appearance
• Peyronie’s disease reconstruction: advanced surgical interventions for managing this condition
• penile implants and erectile dysfunction treatments: offering various solutions for erectile dysfunction, including penile prostheses
• male infertility expertise: specialising in techniques such as micro-TESE, diagnostic assessments, treatment of varicocele, and reconstruction to address male infertility
• management of priapism: expert care and intervention for this condition, ensuring optimal patient outcomes

Through our commitment to utilising cutting-edge techniques and delivering personalised care, we strive to enhance the quality of life for our patients facing andrological challenges.

Functional urology services

Our centre serves as a supra-regional referral hub and offers expert care for complex neuro-urological and functional urinary conditions. We are equipped with an outstanding multidisciplinary team (MDT) to manage intricate cases and deliver specialised care through our Neurological Pelvic Organ Physiology (N-POP) clinic.

We provide a comprehensive range of specialised functional urology services, including:

• standard and video urodynamic studies
• botulinum toxin (Botox) injections into the bladder muscle
• sacral nerve stimulation (SNS) insertion and maintenance
• endoscopic urethral dilatation
• urinary diversion and augmentation
• management of recurrent urinary tract infections (UTIs)
• artificial urinary sphincter insertion and maintenance
• management of incontinence, including stress, urge, and mixed incontinence
• expertise in pelvic floor-related conditions, including endometriosis

The Neurological Pelvic Organ Physiology (N-POP) clinic

Our N-POP clinic offers a comprehensive, multidisciplinary approach to managing complex pelvic floor, incontinence, and neuro-urological conditions. The service is jointly delivered by experts in urology, colorectal surgery, uro-gynaecology, and physiotherapy. It is particularly beneficial for individuals with multiple pelvic floor disorders or neurological conditions.

The clinic’s holistic care is further supported by:

• collaborative multidisciplinary discussions involving radiology, pain management, and psychology
• tailored care plans designed for each patient’s unique needs

Endo-urology services

The endo-urology services offered at our centre focus on delivering cutting-edge, comprehensive care for complex stone disease and minimally invasive urological procedures. Below is an overview of our capabilities:

Stone surgery and upper urinary tract pathologies

Our centre functions as a supra-regional referral hub, providing tailored care for complex stone surgeries and related conditions such as ureteric stricture disease. Our advanced endoscopic technologies include the latest holmium and thulium lasers for precision treatment. We also collaborate closely with the uro-oncology team to provide diagnostic, therapeutic, and surveillance support for upper urinary tract pathologies.

Key stone surgery services:

• laser stone surgery – rigid and flexible ureteroscopy for upper tract stones
• percutaneous nephrolithotomy (PCNL) – minimally invasive procedure for large kidney stones
• laser bladder stone surgery – effective removal of bladder stones with minimal discomfort
• extracorporeal shock wave lithotripsy (ESWL) – non-invasive stone fragmentation using shock waves

Minimally invasive prostate treatments

We offer a range of minimally invasive procedures for prostate management, including treatments for benign prostatic hyperplasia (BPH). These therapies are tailored to patient needs and aim to provide effective outcomes with minimal downtime.

Available prostate treatments:

• UroLift: a permanent implant to relieve prostate obstruction
• Rezum: water vapour therapy to shrink prostate tissue
• iTIND: temporary implant for reshaping the prostatic urethra
• transurethral resection of the prostate (TURP): surgical removal of excess prostate tissue
• prostate artery embolisation (PAE): minimally invasive procedure to reduce prostate size by blocking its blood supply
• holmium laser enucleation of the prostate (HoLEP): state-of-the-art laser technique for prostate tissue removal

Our multidisciplinary team ensures personalised treatment plans, combining technical expertise and advanced technology to achieve the best possible outcomes for our patients.

More about our range of clinics:

• daily one-stop haematuria (blood in urine) clinic
• daily one-stop prostate clinics for patients with raised PSA
• designated lower urinary tract symptoms clinic for benign prostatic hypertrophy (enlarged prostate) and bladder outflow obstruction (difficulty urinating)
• regular one-stop clinics for functional urology for patients with complex and long-term urinary tract symptoms
• regular neurological pelvic organ clinic “NPOP” clinic offers joint consultations with urology, colorectal surgery, urogynaecology and physiotherapy for people with complex pelvic floor disorders
• regular male health (andrology) clinics for patients with erectile dysfunction or fertility issues
• regular stone clinics, including non-invasive treatment for stones in an outpatient setting using our lithotripsy machine where appropriate#
• regular nurse-led clinics for patients with long-term incontinence, intravesical instillations unit for treatment of bladder tumours, and surveillance of post-diagnosis prostate cancer patients

Urology services available in our outpatient department:

• uroflowmetry
• flexible cystoscopy
• prostate biopsy (transperineal under local anaesthetic)
• urodynamics
• intravesical instillations unit for treatment of bladder tumours (filling of bladder with medication)