Outpatients clinics: clinics run daily and are both general and sub-speciality specific:
- Stone clinic
- Benign Prostatic Hyperplasia - enlarged non cancerous prostate condition which leads to difficulty on passing urine
- Urinary incontinence - this includes assessing issues with passing urine unintentionally
- Andrology service for erectile dysfunction, peyronies, testicular problems
- General urology clinics
- Trial without catheter: weekly clinic on Mondays
- Bladder instillations: sodium hyaluronate - an instillation for re-current urinary tract infections and bladder pain. Slots are available on Wednesday and Friday mornings
- Urethral catheter insertion: slots are available for urethral catheter changes for patients who have special requirements or where the district nurses are unable to catheterise.
- Renal stones treatments
- Extracorporeal shockwave lithotripsy - an non-invasive treatment to use ultrasonic shockwave to break the stones, it requires no anaesthetic or insertion of cameras
- Ureteroscopy - involves an anaesthetic and insertion of a camera to examine the ureter (the tube that connects the bladder and kidney)
- Laser stone fragmentation - this involves an anaesthetic and insertion of a camera and an attachment to break renal tract stones up using a laser
- JJ stent insertion and removal - a JJ stent is a plastic tube that may be required to help the kidney to drain, this can be for many reasons - most commonly to prevent kidney stones causing a blockage. They are inserted under anaesthetic but are usually removed under local anaesthetic in Endoscopy.
- Percutaneous Nephrolithotomy - removal of a kidney stone, using keyhole surgery
- Laparoscopic urological surgery - simple nephrectomy removal of a kidney , PUJO - obstruction of the kidney, varicocoele, undescended testicle (intra abdominal).
- Prostate surgery - transurethral resection of the prostate - removal of part of the prostate to help improve the urine flow
- Trus biopsy - an ultrasound of the prostate where samples are removed to test for abnormal cells.
- Urethral surgery:
Urethral dilatations – stretching of the water pipe to help urine flow.
Urethrotomy – operation to relieve a narrowing (stricture in the water pipe)
Meatoplasty – a small operation to open the opening of the water pipe (urethra)
Urethroplasty – an operation to repair the waterpipe (urethra)
- Bladder surgery:
Bladder neck incisions – a small operation to loosen the opening to the bladder
Transvaginal tape – this is an operation to help improve stress incontinence (urine leakage)
Supra- pubic catheter insertion and changes – a catheter through the abdomen to drain urine
- Endoscopy suite:
Diagnostic flexible cystoscopy - a camera test under local anaesthetic to examine the water pipe and the bladder and the prostate in men.
Botox - injected into the bladder for some cases of incontinence when all other treatments have failed
Urethral dilatation - stretching of the water pipe
Urodynamic studies - a teat to assess the capacity and function of the bladder
Flow rates - a test where the bladder is filled and then scanned to assess the volume. Urine is then passed into a special machine which provides a graph to allow assessment of the urine flow. A further scan is carried out afterwards to assess the amount of urine left in the bladder (post void residual)