Many urinary conditions and symptoms can be treated effectively without the need for surgery.
Non-surgical treatments
Some symptoms may be relieved with simple lifestyle changes like cutting down on caffeine and alcohol.
Incontinence can often be well managed with pelvic floor muscle exercises and/or bladder training.
Prescribed medication such as tablets or antibiotics can be effective at treating recurrent urinary tract infections (UTIs), stress incontinence, erectile dysfunction, or benign prostate enlargement (known as benign prostatic hyperplasia/BPH).
If non-surgical approaches are not successful at relieving your symptoms sufficiently, surgery may be advised.
Surgical treatments
Cystoscopy can be used to examine the urethra and bladder for any abnormalities, such as stones, growths, or blockages.
Many types of procedures within the urinary tract can be carried out with laparoscopy (keyhole surgery). Using only small incisions in the skin, bleeding and pain is reduced, scarring less visible, and recovery can be faster.
Stones in the kidney or renal tract can be treated in different ways, and your Consultant will discuss suitable options with you once a diagnosis has been made. (Stone surgery will be arranged for you off-site.)
Cancer in the prostate, kidney, bladder, or testicles, may be treated with surgery, radiotherapy, or chemotherapy. If referral to Oncology is needed, this will be arranged for you immediately, through our close links to the specialist teams at Mount Vernon Cancer Centre.
A transurethral resection of a bladder tumour (TURBT) can establish the type of bladder tumour present. Superficial tumours can often be scraped away (‘resected’).
A radical prostatectomy (complete remove of the prostate and seminal vesicles) may be advised if prostate cancer is found that has not yet spread outside the prostate.
Testicular cancer will usually require surgical removal of the testicle (orchidectomy). This can be replaced by an artificial prosthesis to give the scrotum a more natural appearance.
Enlarged prostate is a common problem in men, particularly with advancing age. If it presses on the urethra and effects urination, surgery can be carried out to reduce its size. Trans-urethral resection of the prostate (TURP) involves removing an amount of prostate tissue to relive the pressure on your urethra.
PVP GreenLight Laser surgery may also be used (but please note this will be carried out at another site, as it is not offered at Bishops Wood Hospital).
For men, surgery also includes circumcision, circumcision revision, vasectomy, and vasectomy reversal.
[Please note that many of the treatments above can be provided on-site at Bishops Wood Hospital, but others, such as robotic-assisted surgery or laser prostate surgery, are not available at the hospital and will be arranged for you off-site by your Consultant.]