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Urology Harley Street
Urology Operations
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Cystoscopy and Flexible Cystoscopy
- Cystoscopy is a visual examination to assess the inside of the bladder. A full anaesthetic is usually unnecessary and therefore to be avoided if possible. In some situations Cystoscopy under a full anaesthetic may be recommended. This provides a more detailed assessment of the bladder that is not feasible with flexible cystoscopy, such as bladder biopsies or other internal investigations, or a treatment procedure.
If patient wants further information on cystoscopy and flexible cystoscopy please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment. -
Laser Prostate Surgery
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Greenlight ™ Laser Photoselective Vaporisation of the Prostate (PVP) is an effective operation for benign prostatic hyperplasia, and can be done as a day case procedure. The operation relieves difficulties with voiding, and restores voiding after urinary retention if a catheter has already been inserted. It avoids the risk of erectile dysfunction that can occur after transurethral resection of the prostate (TURP). It may cause retrograde ejaculation (semen flows backwards into the bladder at orgasm), but may be less likely to do so than TURP. In many cases, the urethral catheter can be removed as soon as the anaesthetic has worn off.
Thulium Cyber 150 ™ (Thulium) VaporEnucleation of the Prostate is a new development in laser technology that builds on existing laser surgical techniques for prostate enucleation and vaporisation. This laser system is available at UCLH, subject to NICE guidelines (www.nice.org.uk).
If patient wants further information on Greenlight Surgery and Laser Photoselective Vaporisation of the Prostate please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment. -
Photodynamic “Blue Light” Cystoscopy
- www.hexvix.com
Photodynamic “Blue Light” cystoscopy is a technique to improve the accuracy of standard cystoscopy and is used in patients who have been diagnosed with bladder cancer. It detects bladder tumours with 33% greater accuracy, assures reliable clearance of tumour, and may contribute to lower recurrence rates. A urethral catheter is placed into the bladder and a modified amino acid solution instilled one hour prior to the cystoscopy. Bladder tumours then appear bright red when illuminated under blue light.
If patient wants further information on Photodynamic Cystoscopy or Blue Light cystoscopy please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment. -
Nephrectomy and Renal Mass Ablation
- Radical nephrectomy is carried out for kidney cancer. It involves removal the kidney within its surrounding fascia (of Gerota), and the adrenal gland. Partial nephrectomy may be recommended where it is possible to preserve the ipsilateral renal tissue without compromising adequate excision of renal pathology. New technologies for ablation of renal masses include radiofrequency and cryotherapy, using needle probes placed in the target tissue. Radiofrequency ablation delivers a monopolar alternating electric field directly to the target tissue, generating heat and causing tissue necrosis. Cryotherapy uses a sequence of freeze-thaw cycles to induce tissue necrosis. The long-term oncological equivalence of these minimally invasive treatments to conventional surgery is not yet established: however, they may suitable in some patients where the risks and potential complications of surgery would be unacceptable. Chemotherapy and radiotherapy are not used in the treatment of kidney cancer.
If patient wants further information on Nephrectomy and Renal Mass Ablation please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment. -
Radical Cystectomy
- Radical cystectomy is carried out for muscle invasive or high-risk non-invasive bladder cancer. The operation involves removal of the bladder with its surrounding structures. In the male, these include prostate, membranous urethra, seminal vesicles, and the lower ends of the vasa deferens and ureters, as well as their lymph nodes. The entire urethra can be included if necessary. In the female, radical cystectomy includes removal of the urethra, adjacent vagina, uterus, fallopian tubes, ovaries and their lymph nodes.
For urinary drainage, bowel is used to construct a urinary conduit to the abdominal wall over which an external bag is worn. Alternatively, a neo-bladder can be reconstructed as an internal urinary reservoir. Radiotherapy may be an alternative to surgery in some situations, thereby avoiding an operation and enabling the bladder to be preserved. Sometimes chemotherapy is given, either before or after these treatments, for additional cancer control.
If patient wants further information on Radical Cystectomy please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment. -
Radical Prostatectomy
- Radical prostatectomy is carried out for prostate cancers that appear confined to the prostate. It involves removal of the entire prostate gland, and rejoining the bladder to the urethra. Following surgery, a catheter is needed until this join has healed (usually for a week or so). Typically, hospital stay is generally around 3 post-operative days, depending on progress and residential circumstances. The operation is traditionally carried out through an abdominal incision, though it can also be carried out by laparoscopy or with robotic arms.
The most important issue is cancer clearance minimizing the risks of long term erectile dysfunction and continence. The surgical technique required to preserve the nerves for erectile function is highly specialised, and referred to as nerve-sparing or anatomic radical prostatectomy. It should then be possible for good urinary control to be maintained in the majority of patients and functional erections in at least half of men who have erections prior to surgery. In addition to meticulous surgical technique, it is also most important for the patient to adhere to correct recommendations in the first few weeks and months following surgery.
If patient wants further information on Radical Prostatectomy please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment. -
Radical Orchidectomy
- Radical orchidectomy is carried out for cancer in the testis. It involves removal of the testis and its connections to the groin. The operation is carried out therefore with an incision in the groin. A testicular prosthesis can be placed in the scrotum at the time of the procedure (or at a later date) according to the wishes of the individual patient. Sometimes chemotherapy or radiotherapy will be required according to the type and extent of the cancer.
If patient wants further information on Radical Orchidectomy please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment. -
Transurethral Resection of Bladder Tumour
- Transurethral resection of bladder tumour is an operation to shave a bladder tumour off the bladder wall. It is carried out through the penis or urethra. The tissue is then sent for pathological examination. The need for additional treatment depends on the pathology, including the type of tumour, its stage, grade and extent.
If patient wants further information on Transurethral Resection of Bladder Tumour please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment. -
Transurethral Resection of the Prostate
- This operation opens the prostate cavity by shaving the inside of the prostate gland. It is carried out through the penis. A catheter is placed after the operation until bleeding settles, which is usually a day or two, and a hospital stay of several days is generally to be anticipated. Bladder neck incision is a similar operation that divides the bladder neck next to the prostate, and is necessary when the bladder neck rather than the prostate is causing the obstruction. These operations generally results in retrograde ejaculation (i.e. no external ejaculation), and there is a risk to erectile function.
These operations on the prostate and bladder neck can now be carried out with laser treatment which offers shorter hospital stay, shorter catheter duration, less discomfort and lower risk of serious complications.
If patient wants further information on Transurethral Resection of the Prostate please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment. -
Hospital Admission for Surgery
- It is important that you know which of your regular medications you should take on the day of surgery, and the time from which you need to stop eating and drinking prior to anaesthesia.
The surgical procedure will have been fully discussed with you prior to your hospital admission. Some tests may be done on admission to hospital, if not previously. These may typically include blood tests, blood cross-matching, urine culture, electrocardiogram.
The hospital stay and the operation will have been pre-booked. Written consent for the operation will be confirmed following your admission. Occasionally the duration of stay may differ from that originally planned, and it should be understood that post-operative progress (and need for a longer hospital stay) cannot be anticipated precisely.
If patient wants further information on Hospital Admission for Surgery and urological operations please visit Mr. Mark Feneley at Urology Clinic 145 Harley Street London W1G 6BJ or call us on +44 (0)20 7486 3830 to book an appointment.
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The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.