Urology

 

Urology is the branch of surgery concerned with diseases of the urinary tract and male reproductive organs.  This includes diseases affecting the bladder, urethra, ureters, kidneys and adrenal glands, along with epididymis, penis, prostrate, seminal vesicles and testes specifically in men.

 

Tooting Medical Centre is at the forefront of technological advances in urological treatments.  With the use of refined endoscopic procedures and surgical microscopes our options in laparoscopic surgery, chemotherapy, cryotherapy and laser therapy are central to treating urological conditions.

 

Services include;

 

Calculi;  the management of stones that form within the kidneys and move into the ureters.

 

  • Female urology; pelvic outlet relaxation disorders and urinary incontinence

  • Male infertility; primarily surgical correction of acquired and congenital obstructions within the male genitals

  • Neurourology; includes erectile dysfunction and impotence, urodynamic evaluation of patients and voiding disorders

  • Paediatric Urology; treatment of urological problems within children that are too complex for non specialised paediatricians or urologists.

  • Urologic oncology; treatment of cancers such as bladder cancer and prostrate cancer

 

 

Urology Procedures

 

Below is a list that includes some of the most common procedures

 

Circumcision:removal of the skin from the tip of the penis. This procedure can be carried out for cultural and religious reasons, but also for medical reasons if the male experiences problems with retracting the skin over the glans.23

  • Cystectomy:partial or complete removal of the bladder. Most frequently used to treat bladder cancer, cystectomies can also be performed to treat traumatic injuries or defects and neurological disorders affecting the urinary system.

  • Cystoscopy:a diagnostic test whereby a urologist examines the inside of the bladder and urethra using a tube with a lens called a cystoscope. Cystoscopes can also be used to take tissue samples and perform simple procedures. A cystoscopy can be performed as a simple outpatient procedure or as an inpatient procedure with general anesthetic.

  • Excision and biopsies:the removal of a tissue sample or lesions as part of the diagnostic process. Depending on the size and location of the area the sample is being taken from, biopsies can be conducted under local or general anesthetic, as an outpatient or an inpatient procedure.

  • Kidney transplantation:a surgical procedure conducted to replace kidneys that do not function properly with a donated one that does. Only a single working kidney is required to replace two failed kidneys, meaning that kidneys can be provided by living donors.

  • Nephrectomy:a surgical procedure conducted to remove all or part of a kidney, typically carried out in order to treat kidney cancer or to remove kidneys that are seriously damaged. This procedure can be performed through open or laparoscopic (keyhole) surgery.

  • Penile prosthesis:used to treat erectile dysfunction, implants can be placed inside the penis by a urologist to enable the patient to achieve an erection. This procedure is generally recommended once other treatment options have failed.

  • Prostate surgery:the symptoms of BPH can be relieved through various forms of surgery. Prostatectomy, laser surgery and transurethral resection of the prostate (TURP) can all be performed, depending on the patient's health, the severity of the symptoms, and the size and shape of the prostate.

  • Stress incontinence surgery:the majority of procedures performed to treat stress incontinence are either sling procedures or bladder neck suspension procedures. Slings are used to support the urethra and keep it closed, and suspensions strengthen the urethra and bladder neck to prevent them from sagging.

  • Testicular surgery:there are several procedures involving the testicles that are commonly performed. Hydrocele repairs involve the draining of built-up fluid from around the testicles. Varicocele surgery involves the tying off of affected veins to redirect blood flow to healthier veins. Orchiectomy is the removal of one or both testicles, often as part of cancer treatment.

  • Transurethral bladder tumor resection (TURBT):a surgical procedure used for cancer diagnosis, staging and treatment. Using a cystoscope, a urologist can remove bladder tumors using high-energy electricity, a laser or a small wire loop

  • Stones treatment:stones in the kidney and ureters can be dealt with in several different ways. Sound waves can be utilized in a procedure called extracorporeal shock wave lithotripsy. Large stones can be removed directly from the kidney with open surgery called percutaneous nephrolithotomy. Small stones can be removed using a scope called a ureteroscope.

  • Urethral dilation:urethral stricture can be treated by stretching the stricture using dilators to widen the urethra. This can also be achieved using a catheter and a special balloon. This procedure needs to be repeated each time a stricture reappears.

 

 

Vasectomy: a form of male birth control whereby a urologist cuts and seals the sperm-carrying tubes in the genitals. It is a simple procedure that can be carried out in a clinic under local anesthetic. Vasectomy is considered to be a permanent form of birth control, although in some cases a urologist may be able to reverse the procedure.

 

When to see a Urologist

 

We advice you to see the advice of our urologist if you experience any problems affecting your urinary system.

 

Male patients should also see a urologist for a yearly prostrate check or contact us if you are having problems with your reproductive system.

 

 

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