Urological Conditions

As British GMC accredited and appraised urologists, robust governance is the cornerstone of their clinical practice along with compassion, communication and outstanding surgical care.

Lower Urinary Tract symptoms
LUTS are a very frequent issue for both men and women and unfortunately become more common with age.
Symptoms
- Increased frequency in the need to urinate
- Increased urgency in the need to urinate even leading to incontinence
- Having to urinate possibly several times at night
- Poor urinary stream
- Difficulty initiating the flow of urine
- The sensation of poor bladder emptying
- Needing to strain to pass urine
Treatment
- Lifestyle measures
- Medications
- Surgery (including Urolift, bipolar TURP)
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Benign Prostate Hyperplasia
The term BPH relates to an enlarged prostate which is not cancerous.
Symptoms
- Difficulty in passing water
- Having to go to the toilet frequently or urgently
- Having to get up several times during the night
- Dribbling at the end of urinary flow and sometimes incontinence.
Treatment
- Lifestyle measures
- Medications
- Surgery (including Urolift, bipolar TURP)
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Prostate Cancer
Can present with a whole range of diverse symptoms, not all related to the waterworks.
Symptoms
- Frequent urination
- Blood in the urine
- The urge to urinate frequently at night.
- New onset of erectile dysfunction.
- Weak or interrupted urine flow or the need to strain to empty the bladder.
Treatment
- Active surveillance
- Referral for prostate surgery
- Referral for radiotherapy
- Hormone manipulation
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Prostatitis
Literally translated means inflammation of the prostate gland but it describes a spectrum of symptoms.
Symptoms
- Pain or burning sensation when urinating
- Difficulty urinating, such as dribbling or hesitant urination.
- Frequent urination, particularly at night
- Urgent need to urinate
- Cloudy urine
- Blood in the urine
- Pain in the abdomen, groin or lower back
Treatment
- Lifestyle measures
- Medications
- Surgery - prostate massage
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Bladder Stones
These form when urine is retained in the bladder after having finished passing urine.
Symptoms
- Lower abdominal pain, which can often be severe
- Pain or difficulty when peeing
- Peeing more frequently
- Cloudy or dark-coloured urine
- Blood in the urine
Treatment
- Laser fragmentation of stone
- De-obstructive surgery
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Bladder Cancer
Bladder cancer is a common type of cancer that begins in the cells of the bladder
Symptoms
- Being unable to urinate
- Lower back pain on one side
- Loss of appetite and weight loss
- Feeling tired or weak
- Swelling in the feet
- Bone pain
Treatment
- TURBT (transurethral resection of bladder tumour)
- Major surgery and radiotherapy reserved for muscle invasive disease
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Urinary Tract Infections
Although sporadic UTIs are common, some patients will experience recurrent episodes requiring further assessment and treatment
Symptoms
- Pain in the side, abdomen or pelvic area
- Pressure in the lower pelvis
- Urgent need to urinate
- Painful urination
- Blood in the urine.
Treatment
- Lifestyle measures
- Prolonged courses of antibiotics
- Preventative courses (prophylaxis)
- Oral vaccine
- Bladder instillations
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Renal & ureteric stones
Stones in the urinary tract are common, between 8-15% of people will get a stone in their lifetime.
Symptoms
- Pain in the back and side, often just below the ribs
- Pain with urination
- Nausea and/or vomiting
- Urine that is cloudy or has a strong, foul smell
- Blood in the urine
Treatment
- Lifestyle measures
- Medications
- Surgery - ureteroscopy vs shockwave lithotripsy
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Men's Sexual Health Issues
Loss of desire? Difficulties gaining or maintaining an erection? These common problems can be effectively treated.
Symptoms
- Erectile dysfunction
- Premature ejaculation
- Delayed or inhibited ejaculation
- Low libido
Treatment
- Lifestyle measures
- Medications
- ESWT - shockwave treatment for endothelial dysfunction
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