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Expert assessment and treatment of urological symptoms

At The Saxon Clinic in Milton Keynes, Buckinghamshire, our highly experienced Consultant Urological Surgeons provide assessment, diagnosis, and treatment of problems affecting the male and female urinary tract and the male reproductive system. They would be delighted to help you too.

Your urinary tract consists of the:

  • Kidneys
  • Ureters
  • Bladder
  • Urethra

The urinary tract acts as a filter for the blood, removing waste products and excess fluid from it and expelling them from the body in urine.

The male reproductive system is responsible for sexual function, and comprises the:

  • Penis
  • Prostate
  • Testicles

If any part of the urinary tract or male reproductive system is not able to function properly, whether because of damage, illness, or disease, it can cause health problems (sometimes very serious ones requiring prompt medical intervention) and symptoms.

Unfortunately, many people are embarrassed by their symptoms and delay seeing a doctor until their symptoms become much more severe. It is always important to seek medical help at the earliest possible stage if you have symptoms that are causing you concern or significantly impacting your life.

If you would appreciate expert guidance, it is very easy to book a private appointment with one of our experienced Consultant Urological Surgeons. They would be delighted to help you get clarity about the best way forward. 

People visit the consultants at The Saxon Clinic for help with a number of symptoms and conditions, including: 

  • Urinary symptoms
    • Blood in urine
    • Recurrent urinary infections
    • Difficulty urinating – hesitancy or weaker flow
    • Urgency / needing to rush to the toilet
    • Increased frequency of urination
    • Leakage / incontinence
    • Nocturia (urinating more frequently at night)
  • Loin or bladder pain
  • Stone disease
  • Concerns around cancer of the prostate, kidney, or bladder
  • Lump or swelling found in the testes, penis, or scrotum
  • Penis / scrotal issues – including erectile dysfunction, premature ejaculation, or unusual curvature of the penis
  • Raised PSA levels on a recent blood test
  • Tight or painful foreskin

If you have one of these symptoms, why not book a private consultation with us today? Assessment from an experienced consultant can help get you on the right track with treatment (if needed) and bring you peace of mind.   

It can be a relief to know that surgery will not always be needed. Many urinary conditions and symptoms can be treated effectively using non-surgical means, including:

  • Lifestyle changes – such as cutting down on caffeine and alcohol may help relieve symptoms
  • Pelvic floor muscle exercises and/or bladder training may help with incontinence
  • Prescribed medication – certain medicines such as antibiotics can be helpful when treating recurrent urinary tract infections (UTIs), stress incontinence, erectile dysfunction, or benign prostate enlargement (also referred to as benign prostatic hyperplasia/BPH).

If non-surgical treatments are not able to relieve your symptoms or effectively treat your condition, surgery may be advised.

Surgical treatments

Cystoscopy is often used to examine the urethra and bladder for any abnormalities, such as a stone, a growth, a narrowing, or a blockage.

Many types of surgery within the urinary tract can be carried out with keyhole surgery (laparoscopy). Because this approach requires only small incisions in the skin, bleeding and pain is reduced, scarring is less visible, and recovery is often faster than for traditional “open” surgery.

Stones in the kidney or renal tract can be treated in several different ways, and your consultant will discuss suitable options with you once a diagnosis has been made. It is always important to investigate and treat stones when appropriate, because stones can end up causing damage to the kidney.

If cancer is found in the prostate, kidney, bladder, or testicles, treatment may be with surgery, radiotherapy, or chemotherapy. If referral to a specialist oncology team is needed, this will be arranged for you immediately.

A transurethral resection of a bladder tumour (TURBT) can establish the type of bladder tumour present, and superficial tumours can often be scraped away (‘resected’).

If prostate cancer is found not to have spread outside the prostate, complete removal of the prostate and seminal vesicles may be advised. This is known as a radical prostatectomy.

Testicular cancer will usually require the complete removal of the testicles (orchidectomy). An artificial prosthesis can be placed into the scrotum to give it a more natural appearance.

An enlarged prostate is a common problem in men, becoming more common with age. If the prostate becomes big enough to start pressing on the urethra, it can cause problems with urination. Surgery can be carried out to reduce its size. A trans-urethral resection of the prostate (TURP) involves the surgical removal of some prostate tissue to relieve the pressure on the urethra.

For issues affecting the male reproductive system, surgical options include circumcision, circumcision revision, vasectomy, and vasectomy reversal. 

An accurate diagnosis is crucial to ensuring you receive the most suitable, evidence-based treatment for your specific condition and needs.

For this reason, when you first visit The Saxon Clinic, your consultant will take a medical history and ask you in detail about your symptoms. They will want to know things like:

  • What symptoms do you have?
  • When did these symptoms start?
  • Have they been getting worse?
  • Do you have any pain? If so, can you describe it?
  • Have you received any treatment already?
  • Do you have any underlying health conditions?

A physical examination will often be needed. In men, this could include a prostate examination (digital rectal examination/DRE), which is quick and painless.

A Flow Rate test may be used to assess the volume and speed of urine passed.

Blood tests can be helpful for many reasons, including when considering a possible infection, inflammation, or cancer.

A flexible cystoscopy may be carried out to investigate any problems along the urethra.

Some investigations cannot be carried out the same day but will be arranged for you at the earliest possible time.

Additional diagnostic scans like ultrasound and MRI and can easily be arranged for you on-site if required. (CT can also be arranged by your consultant, but this will be off-site. The results will be sent to your consultant.)

Video urodynamics can be incredibly helpful when investigating female urinary incontinence, bladder outlet obstruction in men with mixed symptoms, or an overactive bladder (OAB).

Once a diagnosis has been made, your consultant will discuss suitable treatment options with you. If you have any questions or concerns, they will be very happy to talk them through with you. You will always have the information you need to make an informed choice about treatment.

If anything is found that requires referral to another specialist, this is easily arranged for you on-site. 

Many of our patients are from Milton Keynes and the surrounding areas, but people do travel from further afield as well.

When you choose The Saxon Clinic, you benefit from:

  • Very short waiting times – We can arrange a private appointment for you with an experienced consultant without delay. Earlier assessment and diagnosis ensure you will be able to start any treatment needed as soon as possible.
  • Consultant-led care – You will always be seen by the same consultant and will never be treated by a more junior doctor. Your consultant will oversee every stage of your care, from initial consultation and diagnosis through to treatment planning, treatment, and post-treatment follow-up.
  • Fast access to a wider healthcare team – Your consultant is supported in their work by specialists in several areas, including radiology, oncology, anaesthetics, and physiotherapy. Simple, quick access to any member of this wider healthcare team means you will always see the most appropriate person for your needs.  

Specialists offering Urology

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Mr Giangiacomo Ollandini

Consultant Urological Surgeon

MD, MSc, FRCS (Eng)

The Saxon Clinic

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Mr Tom Leslie

Consultant Urologist

MB ChB, BSc (Hons), D. PHIL, FRCS (Urol)

The Saxon Clinic

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Mr William Gietzmann

Consultant Urologist

MA (Cantab) MBBS (KCL) FRCS Urol (Eng)

The Saxon Clinic

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Mr Guy Webster

Consultant Urologist

MB ChB , FRCS Ed , Eng , (Urol) , FEBU

The Cavell Hospital 3 more Hendon Hospital The Kings Oak Hospital The Saxon Clinic

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