To begin your time with us, book an appointment with a member of our friendly and welcoming team, which will be convenient for your schedule and as prompt as possible, with no waiting lists. If you have not been referred to us specifically, then you may wish to have a brief chat with our enquiry team, who will help to match you with the most appropriate Consultant based on their experience.
At your initial consultation, your Consultant will get to know your symptoms and concerns, learning about your medical history as well as your current symptoms, their triggers, and their timeframe. Based on this conversation, your Consultant will develop a diagnostic plan for the coming days, which they will talk you through at the end of the consultation.
Urological diagnostic tests may include an ultrasound, often used for the kidneys, bladder and testicles, a cystoscopy, which allows your Consultant to view the urethra and bladder lining through a camera, and urinalysis, in which a urine sample is tested for a wide range of conditions including kidney infections, urinary tract infections and diabetes.
Depending on your Consultant's recommendation, we will then arrange one or several tests over the coming days to investigate your condition and come to a diagnosis. All of the above tests are available onsite at The Chiltern Hospital, as well as MRI scans and facilities for screening all urological cancers.
Some of these tests will require the use of general anaesthetic, such as a cystoscopy, while others are as simple as dropping off a urine sample but rest assured that, whatever your next move is, your Consultant will explain the process to you in detail and answer any questions you have.
Following these tests, your Consultant will arrange to meet with you again and discuss your diagnosis and treatment options, which may include medical or surgical solutions, depending on the condition. For example, an enlarged prostate may be dealt with surgically through transurethral resection of the prostate (TURP), in which some of the prostate is cut away, or non-surgically with a prostate artery embolisation which blocks off arteries that feed the prostate, causing it to shrink.
Other surgical procedures include the fragmentation or removal of kidney stones, circumcision, and hydrocele surgery, which drains fluid out of the scrotum.
If your diagnosis requires oncological care, your Consultant will speak with our exceptional onsite Oncology unit to arrange the most effective treatment for you. It may be that your condition can be treated within the urological department through a surgical procedure. Surgeries include a radical prostatectomy, which is removing the prostate, or a bladder tumor resection, which is cutting out cancerous tissue in the bladder revealed by a cystoscopy.
These procedures range from a day case to a 1-2 night stay with us in hospital, under the care of our incredible team, who are committed to ensuring your wellbeing and comfort. Whether you are with us for an afternoon, a night, or a couple of nights, you will enjoy a clean and peaceful environment at The Chiltern Hospital.
There are other treatment paths for oncological diagnoses, which your Consultant may recommend, in close dialogue with our oncology team. These can include onsite chemotherapy and immunosuppressive therapies or offsite radiotherapy, facilitated by our relationship with local NHS trusts for any cancer treatments not available at the hospital. Once again, feel assured that your consultant will be with you every step of this journey to explain and advise you along the way.