Surgical Services

Investigation of raised PSA.

A PSA blood test measures levels of a protein called prostate specific antigen (PSA). A raised PSA level can indicate prostate cancer. However, it is possible to have a normal PSA level when cancer is present. Further tests are therefore needed before prostate cancer can be diagnosed.

Prostate cancer treatment – Robotic Radical Prostatectomy, Brachytherapy, HIFU.

For most patients, the three main concerns about prostate cancer are: Getting rid of the cancer while maintaining both urinary and sexual (erectile) function. da Vinci Prostatectomy offers patients many potential benefits over traditional open surgery in these three areas including:

Treatment of enlarged prostate – TURP and GreenLight Laser.

Greenlight laser TURP is the latest method for treatment of men with obstructive benign prostate enlargement (BPH).

Treatment of kidney and ureteric stones – Laser, Shock Wave Lithotripsy, PCNL

Extracorporeal Shock Wave Lithotripsy (ESWL) ... after conservative therapy (i.e. hydration and pain medication) then ureteropyeloscopy and laser lithotripsy may be required. ... Mild to moderate bleeding in the urine is common after PCN.

Investigation of Urinary infections

UTIs are common in general practice, accounting for 1-3% of all consultations. The frequency of acute cystitis in young women is of the order of 0.5-0.7 episodes per person per year, and approximately 25% of these will develop recurrent episodes.

Investigation of Haematuria

Haematuria is the presence of red blood cells in the urine. It can range from obvious bleeding to the microscopic detection of a few red blood cells in a routine urine sample.

Vasectomy Reversal

Vasectomy reversal is a term used for surgical procedures that reconnect the male reproductive tract after interruption by a vasectomy. Two procedures are possible at the time of vasectomy reversal: vasovasostomy (vas deferens to vas deferens connection) and vasoepididymostomy (epididymis to vas deferens connection).