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Treatments
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Overactive Bladder and Urgency Incontinence
A sudden, hard-to-defer need to pass urine, going frequently, and sometimes not getting there in time. Treatment is stepwise, and most women improve markedly without needing medication or surgery.
Learn moreTesticular Cancer: Why Acting Early Changes Everything
The commonest solid cancer in young men, and one that responds very well to treatment. If you have noticed a painless lump, do not wait — delay turns a readily treatable disease into a harder one.
Learn moreStress Urinary Incontinence: the Treatment Options
Leaking urine when you cough, sneeze or exercise. The type has to be established first, and treatment should begin with the least invasive step — surgery is not the first option.
Learn moreESWL: Shock Wave Lithotripsy from Outside the Body
Breaking the stone with sound waves delivered from outside, with nothing entering the body. It is non-invasive, but it does not suit every stone and a result in one session cannot be guaranteed.
Learn moreMale Infertility and Micro-TESE
No sperm in the semen is not the end of the road — but finding sperm cannot be guaranteed either. This page explains which tests are done, why, and how the decision is made.
Learn moreKidney Cancer: Partial and Radical Nephrectomy
Most kidney tumours are found incidentally on imaging done for another reason. The real question is not whether to remove the tumour but how much of the kidney can be preserved.
Learn moreBladder Cancer: From Diagnosis to Treatment
Painless blood in the urine is the most common first sign, and its stopping on its own does not mean the problem has gone. This page covers diagnosis, the muscle-invasion question and why follow-up lasts a lifetime.
Learn morePeyronie’s Disease: Curvature of the Penis
The penis bending to one side during an erection, often with pain. The disease has an active and a settled phase, and the decision about treatment depends on which one you are in.
Learn moreVaricocele: Who Actually Needs Surgery?
Enlargement of the veins around the testicle is common, but not every varicocele needs an operation. The real question is this: is this varicocele doing you harm?
Learn moreErectile Dysfunction: Causes and the Steps of Treatment
Difficulty with erections is often not a sexual complaint on its own but a warning sign. Finding the right cause also determines which treatment will work.
Learn morePCNL: Percutaneous Surgery for Large Kidney Stones
A method in which the kidney is reached through an entry of about one centimetre in the flank and large stones are cleared in a single sitting. It is the standard approach for staghorn stones.
Learn moreRIRS: Kidney Stone Treatment with a Flexible Endoscope
A method in which the kidney is reached through the urinary passage, with no incision anywhere on the body, and the stone is turned to dust with a laser. Who is it suitable for, why is a JJ stent placed and what is recovery like?
Learn moreRezūm: Water Vapour Therapy for the Prostate
A method in which prostate tissue is shrunk using water vapour energy, with no incision and no tissue removal. It comes into consideration for men whose priority is preserving sexual function. Who is it suitable for and when does it start to work?
Learn moreTURP: Removing the Prostate Through the Urethra
The reference method used for many years in benign prostate enlargement. No incision; the prostate tissue is shaved away through the urinary passage. Who is it suitable for, how does it go and what should you watch for?
Learn moreRaised PSA and Prostate Biopsy
What does a raised PSA actually mean, is a biopsy needed straight away and what is the correct order of steps? A guide explaining why neither panic nor an unnecessary procedure is called for.
Learn moreProstate Cancer: From Diagnosis to Treatment Decision
Prostate cancer is not a single disease. A roadmap through your risk group, your treatment options and what actually determines the decision.
Learn moreNerve-Sparing Surgery: Who Is It Possible For?
Preserving the nerve bundles responsible for erection during radical prostatectomy — who it is possible for, what it changes and what it does not guarantee.
Learn morePenile Enlargement Procedures: What Is and Is Not Possible
An honest briefing on length and girth procedures, their level of evidence, the genuine medical indications and the risks.
Learn morePenile Prosthesis (Penile Implant) Surgery
A lasting solution for erection problems that do not respond to medication and other treatments, using a device placed inside the penis.
Learn moreThuLEP (Thulium Laser Enucleation of the Prostate)
An endoscopic method in which the obstructing tissue of an enlarged prostate is enucleated whole with a thulium laser.
Learn moreHoLEP (Holmium Laser Enucleation of the Prostate)
Enucleation of the obstructing prostate tissue with a holmium laser — the enucleation method with the largest body of long-term follow-up data.
Learn moreRobotic / Laparoscopic Radical Prostatectomy
Complete removal of the prostate with robotic assistance. The aim is to control the cancer and, where it can be done safely, to preserve continence and sexual function — but that order is never reversed.
Learn moreKidney Stone Treatment (RIRS, PCNL, ESWL)
Not every stone needs an operation, and not every wait is safe. The method is chosen from the stone's size, density and position — and removing the stone is only half the treatment.
Learn moreBPH / Benign Prostate Enlargement (ThuLEP, Rezūm, TUMT)
An enlarged prostate is not in itself a reason for treatment. What matters is how much the symptoms restrict daily life and whether the bladder is being harmed — the method is chosen after that.
Learn moreAndrology (Penile Implant, Varicocele, Erectile Dysfunction)
Male sexual and reproductive health. Most complaints in this field are delayed because they go unspoken — yet some are the first sign of another illness, and for others time is limited.
Learn moreUro-oncology (Prostate, Bladder, Kidney and Testicular Cancer)
Surgical treatment of cancers of the urinary tract and male reproductive organs. Two things matter most here: not missing a single warning sign, and not making the treatment decision in a hurry.
Learn moreFemale Urology (Incontinence, Overactive Bladder, Pelvic Floor)
Urinary leakage is common but it is not normal, and it is treatable. The first requirement of the right treatment is establishing which type of leakage it is — because the right treatment applied to the wrong type does not work.
Learn moreUrethroplasty (Surgery for Urethral Stricture)
Definitive repair of a urethral stricture. Cutting the stricture from inside brings quick relief but it comes back — and every repeat makes the next repair harder. This page explains how that cycle is broken.
Learn morePyeloplasty (Surgery for PUJ Obstruction)
Repair of the narrowing where the kidney drains. The dangerous feature of this condition is that it can progress without pain: the kidney quietly dilates and loses function. The aim is to preserve the kidney.
Learn moreVesicovaginal and Ureterovaginal Fistula Repair
Repair of fistulas causing continuous urinary leakage. This is not a personal failing but a repairable medical condition — and the two things that matter most are correct timing and getting the first repair right.
Learn moreUreteric Reconstruction (Long-Segment Stricture and Injury)
Advanced repair to save the kidney in long ureteric strictures. Most of these patients have been told it cannot be done — yet the length of the stricture alone does not mean repair is impossible.
Learn morePaediatric Urology
Urinary and genital conditions in children are not a smaller version of adult urology. Most findings relate to development and some resolve on their own, so the first question is not "when do we operate" but "is an operation actually needed".
Learn moreHypospadias Repair
Surgical repair of a congenital condition in which the urinary opening lies on the underside of the penis rather than at the tip. Function comes first — a straight stream and a straight penis — and appearance after that.
Learn moreVesicoureteral Reflux (VUR) Surgery in Children
In reflux — urine flowing backwards from the bladder to the kidney — the real aim is not to "close the reflux" but to protect the kidney. In a large proportion of children reflux resolves as they grow; surgery is for the situations in which we cannot wait for that.
Learn moreTOT (Transobturator Tape) Surgery
Surgery for stress urinary incontinence — leaking when you cough, sneeze or lift — in which a narrow tape is placed beneath the urethra to restore its support.
Learn morePectopexy (Pelvic Organ Prolapse Surgery)
A laparoscopic repair for a descending uterus or vaginal vault in which the suspension is attached to the strong ligament on the side wall of the pelvis (the iliopectineal ligament).
Learn moreBladder Botox (Intradetrusor Botulinum Toxin)
Where medication is not enough in overactive bladder, botulinum toxin is injected into the bladder muscle through a cystoscope to reduce the involuntary contractions.
Learn moreArtificial Urinary Sphincter
For significant incontinence persisting after prostate surgery, a device operation in which a cuff around the urethra and a pump in the scrotum restore control.
Learn moreTUMT (Transurethral Microwave Thermotherapy)
An option for benign prostate enlargement in which microwave energy delivered through the urinary passage heats and shrinks prostate tissue, without an operating theatre or general anaesthesia.
Learn moreMicrosurgical Varicocelectomy
Varicocele surgery performed under the operating microscope: the dilated veins are separated one by one, while the testicular artery and the lymphatic vessels are preserved.
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