Male Urology

Male Urology

Male urology involves the diagnosis and treatment of conditions in the urinary tract, kidneys, adrenal glands, bladder, urethra and the male reproductive organs.

Here at Fitzwilliam Hospital we are delighted to work with a number of leading urology specialists. Our in-patient and day-case medical and surgical urology services are supported by a fully equipped ultra clean air theatre suite, the Braithwaite day unit is used for minor operations and an incontinence physiotherapy service.

We perform a wide range of male urological procedures including: cystoscopy and urethrotomy, urodynamic tests, prostate screening, TURP, adult circumcision, vasectomy and its reversal, stress incontinence treatments and, benign scrotal lump surgery.

If you are experiencing urinary system and reproductive tracts symptoms, then call us on 01733 261717 or contact us to book an appointment for an early diagnosis.

Male urology services we provide

Cystoscopy

Cystoscopy is used to examine and treat symptoms and conditions inside your bladder and urinary system.

During a cystoscopy your urologist inserts a thin tube with a light and a camera at one end, called a cystoscope, into your urethra and into your bladder.

There are two types of cystoscope:

  • flexible cystoscope – a flexible tube is used to look inside your bladder.
  • rigid cystoscope –  a thin, straight metal tube is used if your urologist needs to pass small surgical instruments into your bladder to obtain a tissue sample or to carry out treatment.

A cystoscopy investigates urination problems including: incontinence, blood in your urine, pain when you urinate, frequently needing to urinate, not being able to urinate or only intermittently and, feeling that you haven’t fully emptied your bladder after going to the toilet.

A cystoscopy may detect or monitor: a narrowed or blocked urethra, urinary tract infections, polyps (non-cancerous growths), an enlarged prostate gland, bladder stones, ureter problems and urinary tract cancers.

Urethrotomy

A urethrotomy is performed to widen a narrowed urethra, the tube that carries urine from your bladder to your penis.

Narrowing of your urethra is usually caused by scar tissue forming following inflammation, an infection or an injury. A narrow urethra can result in a slow flow of urine, often with dribbling, pain, bleeding and infection.

A urethrotomy is simple day case procedure carried out under a general or spinal anaesthetic. Your surgeon will pass a rigid cystoscope into your urethra and make a cut in the scar tissue to widen your urethra.

Urodynamic tests

Urodynamic tests check the function of your bladder and urethra. They help to investigate the cause of any urinary incontinence you may have.

Testing is usually done in a room in the diagnostic services department. A special toilet called a flowmeter is used to measure how much and the flow of urine you pass. An ultrasound test afterwards shows how empty your bladder is.

Fluid is then passed into your bladder at a controlled rate to measure the way your bladder works as it fills using catheters to run. We compare pressure inside and outside your bladder. Once your bladder is full, X-rays of your bladder may be taken. The flowmeter then monitors your flow of emptying your bladder.

Prostate screening

Here at Fitzwilliam Hospital we offer PSA, biopsies and rectal examinations to diagnose prostate cancer.

A prostate specific antigen (PSA) blood test will detect a high level of PSA that can be a sign of cancer. However, your PSA level can be raised in prostate conditions that are not cancer so to be sure a biopsy would also be required.

TURP (prostate surgery)

A transurethral resection of the prostate (TURP) removes part of your prostate gland.

Your urologist performs a TURP procedure if you have an enlarged prostate that is putting pressure on your bladder and urethra and, affecting your urination.

This keyhole surgery is performed under general or spinal anaesthesia. It involves passing a thin metal tube with a light source, camera and loop of wire along your urethra to your prostate. The loop of wire is then heated to cut part of your prostate.

Adult circumcision

Adult circumcision is the surgical removal of your penis foreskin. It’s a reasonably simple operation that can be performed for religious, cultural and medical reasons.

For medical reasons adult circumcision can treat:

  • phimosis - a tight foreskin.
  • recurrent balantis – recurrent inflammation and infection of the foreskin and head of your penis.
  • balanitis xerotica obliterans (BXO) - dermatological condition of your penis that causes phimosis and inflammation of your penis head.
  • paraphimosis - foreskin won’t return to its original position and your penis head becomes swollen and painful.
  • penile cancer.
  • Conservative treatments are often tried initially such as gels and creams before circumcision surgery. Circumcision surgery on the NHS has restrictions and waiting lists. We offer adult circumcision without restrictions or waiting.

    Vasectomy

    A vasectomy is a minor procedure that provides male sterilisation or permanent contraception.

    Under local anaesthetic your urologist seals your vas deferens tubes to stop sperm entering your semen.

    We offer conventional and no-scalpel vasectomies. A conventional vasectomy uses a scalpel to cut your skin on each side of your scrotum and to cut your tubes. The no-scalpel technique makes a tiny puncture hole in the skin of your scrotum to reach the tubes. Your urologist will discuss these in detail with you.

    A vasectomy on the NHS often involves waiting. Here at Fitzwilliam Hospital we offer vasectomies without waiting.

    Vasectomy reversal

    Vasectomy reversal is performed to reverse male sterilisation. It reconnects your vas deferens tubes that were sealed during a vasectomy. It is best to have a vasectomy reversal soon after a vasectomy for a greater chance of success.

    Vasectomy reversal isn't usually available on the NHS. Here at Fitzwilliam Hospital we can perform a vasectomy reversal if required.

    Benign scrotal lump surgery

    Benign scrotal lump surgery is an operation to remove a non-cancerous lump in your scrotum. The lump can be a hydrocele caused by fluid collecting in the thin sheath surrounding your testicle or, an epididymal cyst caused when fluid collects in your epididymis, a tube-like sperm store.

    It’s a day case procedure usually performed under general anaesthetic. Your surgeon makes a small cut in your scrotum. For a hydrocele, the fluid from the sheath will be removed and then the sheath will either be removed or stitched together. An epididymal cyst will either be removed whole or the ‘roof’ of the cyst cut and the fluid drained out.

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