31 Old Broad Street
Benign Prostatic Hyperplasia or Enlarged Prostate
- (HoLEP and HoLAP)
Holmium Laser therapy is available at 31 Old Broad Street for the treatment of prostatic enlargement. This is a minimally invasive procedure that utilises the powerful Holmium laser as a precise cutting instrument to treat enlarged prostates of any size.
- Botox Injections for Overactive Bladder
Highly effective minimally invasive treatment in patients whose quality of life is affected by urinary frequency, urgency and incontinence.
- Holmium Laser Enucleation, HoLEP, is particularly suited for larger prostates which may be unsuitable for vapourisation.
- Holmium Laser Ablation, HoLAP, can also be used to vapourise smaller prostates combining the advantages of short stay, minimal bleeding and rapid return to normal activity. Most patients will be discharged within 36 hours.
- GreenLight PVP / HPS
31 Old Broad Street has recently equipped itself with the latest laser prostatectomy device supplied by AMS, American Medical Systems with the GreenLight PVP / HPS ((High Performance System).
The GreenLight laser HPS, duly approved by the National Institute for Health and Clinical Excellence (NICE), comes as a major breakthrough for the treatment of enlarged prostates and subsequently for persistent, progressive or bothersome symptoms of urinary obstruction.
The minimally invasive procedure is ideal for high risk patients, being usually performed as a day-case procedure, with immediate symptom relief, dramatic flow rate improvement, minimal post-operative side effects, ie minimal bleeding, and fast recovery times.
Laparoscopic Surgery in Urology
Minimally invasive gold standard, key hole method of removing diseased kidneys and relieving kidney obstruction.
Prostate Cancer Diagnosis and Treatment
A comprehensive integrated Localised Prostate Cancer Treatment Programme is essential to ensure that the treatment an individual patient receives is most appropriate for that person and his disease. We can offer a dedicated Prostate Cancer Service supported by specialist Oncologists and Urologists, and backed up by specialist Radiological and Pathological services, providing a full range of surgical and radiotherapeutic treatments.
Robotic Surgery for Cancer
Radical prostatectomy for localised prostate cancer and radical cystectomy for bladder cancer. Britain 's first and most experienced robotic urological surgeon.
Transrectal Ultrasound Biopsy of Prostate
Prostatic biopsies are most often carried out under ultrasound guidance. A lubricated sheathed transrectal ultrasound probe is passed into the back passage and the prostate gland examined to identify any obvious abnormalities within the prostate. Local anaesthetic is given and the biopsies of the prostate taken for analyses. This is often an outpatient or day case procedure (if done under a general anaesthetic).
Extra corporeal shock wave lithotripsy (ESWL)
This is a procedure to fragment stones using shock waves generated outside the body and directed on to the stone. This is an effective treatment for treating 80% of kidney stones.
Rigid & Flexible Ureterorenoscopy
These procedures involve passing a fine telescope up into the ureter and in to the kidney to direct a laser onto a stone. These treatments are effective in treating smaller stones in the ureter and the kidney.
Percutaneous Nephrolithotomy (PCNL)
This is a procedure used to break larger stones in the kidney by passing a needle through the skin above the kidney into the kidney, dilating the track up to 1cm and through this track passing a 1cm diameter telescope to see the stone within the kidney and break the stone under direct vision. This is an extremely effective way of breaking larger stones in the kidney.