Treatments

Stones, prostate care, urinary symptoms and GU surgery.

Surgery is the last option, not the first offer. Every consultation starts with history, examination and the right test. If fluids, pelvic floor work or medication can fix it, that is the plan you leave with.

Laser Stone Surgery

Endoscopic and laser treatment of kidney and ureteric stones, with — the part usually skipped — a metabolic plan so the next stone is less likely.

Conditions treated

Renal and ureteric colic
Laser stone fragmentation (RIRS, URSL, PCNL)
Obstructing and infected stones
Staghorn and recurrent stone disease
Metabolic stone prevention

Recovery

Most stone procedures are day-case or single-night stays. A stent, when used, is usually removed within one to two weeks, and stone analysis guides the prevention plan afterwards.

Prostate Disorders

Enlargement, raised PSA and difficulty passing urine — assessed with the reasoning behind each test explained before it is ordered.

Conditions treated

Benign prostatic enlargement
Raised PSA and prostate assessment
Difficulty passing urine and weak stream
Laser and endoscopic prostate surgery
Urinary retention

Recovery

Recovery depends on the procedure, and the expected timeline is given in writing before you consent — not afterwards.

Urological Cancers

Assessment and surgical treatment of kidney, prostate, bladder and testicular cancers — open, LAPAROSCOPIC AND ROBOTIC — planned with oncology and radiology input.

Conditions treated

Haematuria evaluation
Kidney and bladder cancer surgery
Prostate cancer assessment and surgery
Robotic and laparoscopic cancer surgery
Testicular cancer

Recovery

Recovery varies with the operation and stage. The expected timeline, follow-up schedule and surveillance plan are given in writing.

Stricture Disease and Urethroplasty

Assessment and reconstruction of urethral narrowing, with an honest account of what repeated dilatation does and does not achieve.

Conditions treated

Urethral stricture disease
Endoscopic and laser stricture treatment
Urethroplasty and reconstruction
Slow stream and incomplete emptying

Recovery

Reconstructive surgery involves a catheter for two to three weeks, followed by a flow study. The expected timeline is explained before consent.

Female Urology

Incontinence, urgency and recurrent urinary infection in women, assessed properly rather than managed on repeat prescriptions.

Conditions treated

Stress and urge urinary incontinence
Recurrent urinary infection in women
Overactive bladder
Female urinary tract reconstruction

Recovery

Pelvic floor and bladder retraining take six to twelve weeks to show effect, measured against your own baseline diary rather than a general expectation.

Functional Urology

Urgency, frequency, incomplete emptying and neurogenic bladder — measured with a diary and, where needed, urodynamics before any treatment is chosen.

Conditions treated

Overactive bladder and urgency
Incomplete emptying and voiding dysfunction
Neurogenic bladder
Urodynamic assessment
Nocturia

Recovery

Bladder retraining and medication are reviewed at six to twelve weeks against your own baseline diary, and changed on that evidence rather than on impression.

Bladder Pain

Bladder pain syndrome and interstitial cystitis — a special interest, backed by published research, assessed in steps rather than treated with repeat antibiotics.

Conditions treated

Bladder pain syndrome / interstitial cystitis
Painful frequency with negative cultures
Cystoscopic assessment and bladder instillations
Diet, fluid and trigger assessment
Chronic pelvic urinary pain

Recovery

Management is measured over months, using a symptom and pain diary, with each step kept or dropped on what the diary shows.

Not sure which one applies to you?

Bring your reports to a consultation, or get a plain-language summary of them first.

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